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2.0-2.5 IS TOO LOW FOR MECHANICAL VALVE

2.0-2.5 IS TOO LOW FOR MECHANICAL VALVE

Rich:

You said, "My doctor feels that an INR of 2.0-2.5 is about right for a mechanical valve." You doctor's feelings seem to fly in the face of the American Heart Association and other authorities who recommend and INR range of 2.5-3.5 for mechanical valves. My husband had two strokes, the second of which was very serious, because of what doctors called "a coumadin failure." His strokes were caused by clots and his INR was just below 2.0. With a range of 2.0 - 2.5, you have no wiggle room, and we know that the prothrombin (p/t) test is not a very sensitive test.

I don't have the reference at my finger tips, but this topic has been discussed several times here. I'm sure someone else will post the reference. You really should take the lead on this and discuss it with your doctor and your cardiologist at once.

Kind regards,
Blanche
 
Thanks Blanche,
I'm after this guy because it does worry me relative to having a stroke.
Hopefully my INR will jump up there with the latest increase in dosage.
Been steady as a rock for over seven years and then this.
I don't know for sure what is causing the problem.
 
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