https://doi.org/10.4081/monaldi.2021.2065
Loss of engagement in controlling chronic anticoagulation therapy during Covid-19 stringency measures. A single center experience of disproportioned increase of stuck mechanical valves
Submitted: August 25, 2021
Accepted: September 22, 2021
Published: December 3, 2021
Accepted: September 22, 2021
Abstract Views: 1017
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All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article or claim that may be made by its manufacturer is not guaranteed or endorsed by the publisher.
Authors
Stuck valve is a very rare and severe complication that occurs in mechanical valve replacement patients with ineffective anticoagulation. However, with COVID-19 restriction measures, it became challenging to regularly assess INR to make sure it falls within the target therapeutic range to prevent this complication. We present a series of 10 patients who either underwent transthoracic echocardiography for a suspected stuck valve or were seen at the outpatient valve clinic with the residual consequences of a stuck valve during the COVID-19 restriction measures in our institute. Stuck prosthetic valves incident has increased significantly during this period, particularly those in the mitral position for which urgent replacement and prolonged hospitalization were necessary. Particularly with the COVID-19 restrictions in place, these cases highlight the need for physicians to be aware of the dramatic increase in the incidence of stuck prosthetic valves in patients on chronic warfarin therapy.
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How to Cite
Vriz, Olga, Andrea Rossi Zadra, Abdalla Eltayeb, Fatima Asiri, Claudio Pragliola, Nader Fawzy, Domenico Galzerano, et al. 2021. “Loss of Engagement in Controlling Chronic Anticoagulation Therapy During Covid-19 Stringency Measures. A Single Center Experience of Disproportioned Increase of Stuck Mechanical Valves”. Monaldi Archives for Chest Disease 92 (2). https://doi.org/10.4081/monaldi.2021.2065.
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