Many of you have had a deep vein thrombosis (DVT) or pulmonary embolus (PE) or know somebody who has been affected by these conditions. Some of you will have had a short course of treatment, but if you have had more than one clot, you will likely stay on long-term treatment. Currently, most people with a DVT or PE are treated with newer drugs such as dabigatran, rivaroxaban or … [Read more...]
I need surgery – on warfarin for atrial fibrillation
Atrial fibrillation is a common condition. It affects approximately 1% of the population and up to 10% of people over 70 years have AF. At some time, you may need surgery. If you take warfarin there is some additional risk. Most people are concerned that they have an increased risk of bleeding if they keep taking their treatment and an increased risk of a stroke if they stop. … [Read more...]
I need surgery – on warfarin for a heart valve
At some time, you may need surgery. If you take an anticoagulant for a replacement mechanical heart valve, there is some additional risk. Most people are concerned that they have an increased risk of bleeding if they keep taking their treatment and an increased risk of thrombosis if they stop. How do we decide what is the safest way to manage surgery? Assessing risk If … [Read more...]