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leslie02feb wrote
almost 3 years ago
My thoracic surgeon wants mine at 1.7 to 2.5, I had an aortic valve replacement, On-X.
New to this website, new to my valve. Had it replaced on 01-29-16, started my warfarin on Sunday after my surgery.
I am just trying to get a grip of the do's and don't see and it makes me depressed sometimes. I feel I can't do this then another part of me says, hang in there, you can.
Could use some advice please.
Thanks
Reply to tronix6969
I have the OnX too (7/28/15). The cardiothoracic surgeon (Albuquerque) mentioned that due to the coating on that valve, lower INR provides no greater risk of stroke with less risk of bleeding.
I then saw a team (USM Portland) that had just replicated the study with similar results.
I have not read the oriental article, but it is:
The article is: Reduced anticoagulation after mechanical aortic valve replacement: Interim results from the Prospective Randomaized On-X Valve Anticoagulation Clinical Trial randomized Food and Drug Administration investigational device exemption trial. The Journal of Thoracic and Cardiovascular Surgery, Volume 147, Issue 4, April 2014, Pages 1202-1211.e2
Reply to Eselpee
If you had aortic valve replaced with mechanical valve you might want to check with your surgeon. Mine wants my INR to be 2.5-3.5. My INR got to 1.8 once and I had a stroke. Don't let it get too low. Ask about a home INR monitor where you can check it yourself weekly. I don't think 1.7-2.5 sounds right for you...Good luck
Reply to Knightwolf61
My surgeon insisted on that INR range also.
Reply to AussieGuy85
Where do you get a home INR monitor , last time we checked on getting one, it was over 300 after the insurance . That was when we had insurance, now it's just Medicaid.
Reply to Darren
I also use Allere. I have a Coaguchek by Roche. Mine was free. check with Roche and see if they have a patient assistance program. If they do they determine if they can give you a machine for free. I do have to pay for my reagents but that is only $66.00 every 2 to 3 months depending on how many times I test. You can also call Allere and talk to them about the costs.
Reply to Jaci
Darren... My cardiologist set it up through my insurance (Aetna) through a company called Alere. It's so much more convenient than going to my cardiologists office once every week or two. Ask your cardiologist about which company you can use with Medicaid or Medicare. Good Luck.
Reply to Knightwolf61
the alere INRatio and INRatio2 PT/INR Monitor system was recalled for certain conditions - you should check on this.
Reply to Eselpee
I got a Aortic valve replaced, mechanical; doctors want me around the 2.7 range
Reply to Steves11
I also had my aortic valve replaced with a mechanical valve, doctors want me between 2-3 but closer to 3..around 2.7 too.
I am only 51. I am struggling with the do's and don'ts of what food is high in vitamin K. Any suggestions out there!?
Reply to bethpfeiffer
INRTracker has a Vitamin K Food Database. Home page click "foods". Scroll down and you will see the database.
The trick to find two databases that match. I use http://nutritiondata.self.com/ as well. Best of luck and health.
Reply to regsguy
Same range for me 3.0-3.5
Reply to joepapy3309