Jove
Visualize
Contact Us
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Related Experiment Videos

[Anticoagulation in mechanical valve prostheses. A difficult situation].

R Roudaut1, M F Roudaut, J N Labèque

  • 1Service de cardiologie, hôpital cardiologique, CHU de Bordeaux, 33604 Pessac.

Archives Des Maladies Du Coeur Et Des Vaisseaux
|January 25, 2002
PubMed
Summary

Managing anticoagulation in mechanical heart valve patients presents challenges due to high thromboembolic risk. Current protocols increasingly personalize treatment based on individual risk, addressing complex scenarios like pregnancy and surgery.

Related Concept Videos

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by
Same author

[Early readmission and mortality in heart failure patients at a tertiary care hospital in West Africa (Ouagadougou): Predictors from a two-year retrospective study].

Annales de cardiologie et d'angeiologie·2026
Same author

[Epidemiological profile of pulmonary embolism at Bogodogo University Hospital Centre, Burkina Faso: A descriptive cross-sectional study].

Annales de cardiologie et d'angeiologie·2026
Same author

[Blood pressure profile and glycaemic control of type 2 diabetics and hypertensives at the Yalgado Ouédraogo University Hospital : 116 Cases].

Annales de cardiologie et d'angeiologie·2025
Same author

[Characteristics of effusive pericarditis in N'Djamena (Chad)].

Le Mali medical·2024
Same author

[Comparative prognosis of pulmonary embolism in patients infected with COVID-19 and patients not infected with COVID-19 in Ouagadougou].

Annales de cardiologie et d'angeiologie·2024
Same author

[Cardio-Renal Syndrome In Patients Hospitalized In The Cardiology Department Of The University Hospital Center Yalgado OUEDRAOGO (CHUYO): Epidemiology, Clinic, Paraclinic And Course's Aspects].

Le Mali medical·2023

Area of Science:

  • Cardiology
  • Vascular Medicine
  • Pharmacology

Context:

  • Long-term anticoagulation for mechanical heart valve prostheses is established but challenging in specific patient groups.
  • High thromboembolic risk necessitates careful management, yet large-scale trials for difficult situations are lacking.
  • Individualized risk assessment is increasingly central to modern anticoagulation protocols.

Purpose:

  • To review and discuss current approaches to anticoagulation in complex clinical scenarios for patients with mechanical heart valve prostheses.
  • To highlight areas of controversy and lack of consensus in anticoagulation management.
  • To provide insights into managing anticoagulation during pregnancy, surgery, and in cases of complications.

Summary:

  • The review covers challenging anticoagulation situations including the early postoperative period, extra-cardiac surgery, pregnancy, thromboembolic complications, infectious endocarditis, and serious hemorrhage.

Related Experiment Videos

  • Protocols for these situations are often debated due to limited prospective data, emphasizing the need for individualized risk-benefit analysis.
  • Specific risks, such as embryopathy with oral anticoagulants and thromboembolism with heparin during pregnancy, are discussed.

    • Impact:

    • Provides a framework for clinicians managing complex anticoagulation scenarios in mechanical heart valve patients.
    • Identifies knowledge gaps and areas requiring further research, particularly large-scale prospective trials.
    • Aims to improve patient outcomes by guiding evidence-based, individualized anticoagulation strategies in high-risk situations.