DOACs Offered After Heart Valve Surgery Despite Absence of Data medscape.com - get the latest breaking news, showbiz & celebrity photos, sport news & rumours, viral videos and top stories from medscape.com Daily Mail and Mail on Sunday newspapers.
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Direct oral anticoagulants (DOACs) are getting used off-label with prosthetic heart valves, even mechanical valves in some cases, a national registry showed.
At least some valve patients were discharged with a DOAC prescription at 78.6% 0f the 1,092 hospitals and by 59.6% of the 2,731 physicians participating in the Society of Thoracic Surgeons Adult Cardiac Surgery Database from July 2014 through June 2017.
For mechanical heart valve recipients, the rate was 1.1% with aortic valve replacement and 1.04% with mitral valve replacement, without significant change over time for either, Ankur Kalra, MD, of the Cleveland Clinic, and colleagues reported in I am really very surprised that DOACs are being used in mechanical heart valves, commented Deepak Bhatt, MD, MPH, of Brigham and Women s Hospital Heart & Vascular Center and Harvard Medical School in Boston, who was not involved with the study.
Presented at: TCT 2019. September 27, 2019.
Unplanned PCI following TAVI is rare, but when necessary, interventionalists are almost always able to successfully revascularize the occluded artery, according to data from an international registry. The incidence of unplanned PCI is highest in the first week after TAVI, declining over time, and the most common reason for the procedure in the first 2 years after valve implantation is acute coronary syndrome, particularly NSTEMI, according to researchers.
Interestingly, the type of valve implanted had no impact on PCI outcomes, with operators reporting similar rates of successful revascularization in those treated with balloon-expandable and self-expanding bioprostheses. The self-expanding Evolut (Medtronic) valve, with its taller frame, is thought by some to make coronary reaccess more difficult when compared with other valve types.
What Chest Pain on Your Left Side Could Mean Lisa Marie Conklin
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Does chest pain on the left side mean a heart attack?
Who hasn t seen an actor on TV or in a movie fall to their knees clutching the left side of their chest, clearly in pain and in distress? The character was clearly having a heart attack, as far as we could tell.
Chest pain is one of the symptoms of a heart attack. But it doesn t automatically mean you re having one. It could be a symptom of a less serious condition such as heartburn or pain from excessive coughing when you have a chest infection.
December 10, 2020
The COVID-19 pandemic has stressed hospitals and healthcare like nothing else this past century. Physicians themselves have fallen ill or died, passed the infection to their loved ones, and weathered grief, burnout, suicides, furloughs, and financial losses. As case numbers and fatalities continue to mount, some doctors are pinning their hopes on the notion that the pandemic has rocked the foundation of medicine, deconstructing and reinventing standard procedures in ways that could improve care down the road. That by providing a footing for new ideas, new technology, new voices, and new ways of working, COVID-19 could change the practice of medicine.