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For those who have not seen it the Italian study referenced below is of some value in the context of this discussion. But what I found interesting is that what they seem to stress is more patient specific, that is understanding that there are lower risk patients and higher risk patients. While...

Thanks, very much enjoyed browsing your blog...will spend more time on it later. Here is the report I had referenced which I again found interesting as it generally deals with younger / healthier patients. In any case, I am not an advocate of lowering INR targets but I did find the results...

Thanks, the question was to get thoughts on this from people that have experience such as yourself. The data here is quite encouraging so I wanted to validate with people in this forum. I remain puzzled as to why the US seems to be so far behind with respect to Self Management of...

In learning more about optimal self management of AC therapy I came across this piece of research. I am wondering what others think of this piece. I am sure there is some controversy here but it concludes that highly specialized (they seem to do a better job in Europe) Optimal Self Management...

https://news.heart.org/better-valve-better-procedure-among-new-guidelines-for-heart-valve-disease/

Although a study of younger / healthier patients this is certainly very interesting / encouraging for patients considering a Mechanical Heart Valve. And it puts again emphasis on the importance of well managed Anticoagulation therapy. Survival Comparison of the Ross Procedure and Mechanical...