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    INR

    Not all that difficult. Fear sells, marketing firms and those selling new drugs would not find success if participants were saying 'not an issue'. I'm a rookie compared to the posters above, but warfarin management is 'not an issue'. You could lobby get your care team to consider a larger range...
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    AVR tomorrow

    Good luck to you and the team. You'll probably be the youngest one in the recovery ward, so enjoy the nursing staff ;).
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    Left Ventricle Remodeling after AVR

    Hi, Your heart had been working hard to get the needed blood to your body. Due to the valve issue, the left ventricle had to work harder than it is meant to. So you were overworking part of the heart, and it gained muscle to compensate (too much and you may become musclebound?). Now that your...
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    Valve Decision For 44-year old who loves beer

    I have an ONXAAP-25. Target INR range is 2.0-3.0. Some literature says lower is acceptable. No thank you. I prefer INR from 2.6 to 3.0. I do not perceive a favorable risk / reward with INR below 2.5. I don't know specifics of image below. However, my eyeball views risk @ INR of 1.5 is...
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    Valve Decision For 44-year old who loves beer

    Your choice: redo in a ~ decade, or some possible moderation of beverage? Just had a couple of 11% dragon's milk :) as you indicate - miller 64 is not beer... go mechanical, get comfortable with it and warfarin, carry on. I'm early forties, 2nd OHS was what you are facing. My INR starts to go...
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    Failure of Onx valve and problems with lowering INR

    My apologies, I was trying to be somewhat sarcastic with the rat poison comment. I did not realize there was sensitivity on the term. I now understand that some in the community are sensitive to the term. On the range comment: I copied and pasted from the link referenced. Top of page 7. INR...
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    Failure of Onx valve and problems with lowering INR

    Interesting that recommendation for adjustment of high INR (< 6.0 but > 0.7 above target ) is 10-25% reduction in rat poison dosage. My cardio works on the 'hold' view on correction for even 0.1 above target range, which this reference uses for INR > 6. I like the limited reduction approach...
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    Resting heart rate

    My resting heart rate typically mid 40's. I've seen as low as 36 bpm.
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    Inconsistent BP. Med changes?

    Am presently on warfarin, aspirin, and Metoprolol Succinate (50mg). Upto ~ 6 months ago I was on 2x 25 mg Metoprolol Tartrate instead of Succinate. My bp was lower than present with Tartrate, and pulse would drop to ~ 35 bpm. Let's say I was sluggish during the day, which may have also been from...
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    Help please

    I'd been able to grab a couple tabs from Walgreens or similar when travelling and forgetting the daily dose of rat poison.
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    St Jude Valves

    I have an On-x, so target INR range 2.0-3.0. I think I can tell when my INR is on low side ~ 2.0, due to increased visual aura. Does anyone else perceive a similar phenomena?
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    FDA approves TAVR for more than high risk patients

    from the link: At an average of 15-17 months follow-up, the results of both studies suggested intervention with TAVR was just as successful as intervention with open-heart surgery, proving the safety and efficacy of the less-invasive approach. Don't we already know that TAVR is ok for...
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    If at first you don’t succeed ...

    Good luck sir!
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    2nd AVR

    Hi Jill, I've had two AVRs, first when i was twenty, and second about 20 years later (getting close to 20 months ago). I'm on my third life, I guess, in a way. Personally, I perceive a longer recovery the second time, but I'll attribute this more to age than reopening... Given the limited...
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    Post-op Beer

    Was about a month after the 2nd OHS before consuming alcohol from my side. Warfarin addict here, so I've heard the two beverage limit as well. Seems I'm a little sensitive if I somehow have one or two more than that, well, it appears to show up in INR readings - seems alcohol enhances...
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    HEART KNOCKING?

    thehoffr- I have same treatment as you, knocking as you indicate can be rather bothersome. I find fan required for sleep, and lying on right side gives less 'bang' compared to on back or left side. I've been playing percussion for a little more than year and a half (drums with a little symbol...
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    Questions re: progression of ascending aortic aneurysm

    Ross Procedure: 1998, AVR+AAR: 2017 (ON-X + graft). My echo numbers on Aortic Root were also 40-43 mm over a number of years, ascending measurement showed up at some point at 50 mm :(. After latest OHS, surgeon recommended NO pushups, due to spike in blood pressure during these types of...
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    AVR #2 Update (Hockey Heart)

    From my understanding there are wires in both cases (wires used to stabilize while plates are screwed in). Never had any issue or discomfort with wires 1st time around, even during sandlot tackle football. I think I have three plates, but can only notice one of them ('X' shaped), usually when...
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    Questions for surgeons on 5.0 cm ascending aorta?

    metropolol? Enjoying the nightly motion picture features? Fantastically creative dreams abound? I had similar attitudes between cardio and surgeon. Interesting case for the cardio, and 'this isn't urgent' from the surgeon. But when you are the waiting room (figuratively) stress abounds. I...
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    AVR #2 Update (Hockey Heart)

    Being in Chicago, I would look into Cleveland (or Mayo). 5-6 hour drive is not trivial, neither is a redo. It is not just the surgeon, but the entire crew inside and after the OP. PreOP is different than main stage and after, but similar culture likely exists among these three regimes. Plates...
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