{"id":152,"date":"2008-10-01T15:34:35","date_gmt":"2008-10-01T15:34:35","guid":{"rendered":"http:\/\/cardiophile.org\/?p=152"},"modified":"2008-10-01T15:34:35","modified_gmt":"2008-10-01T15:34:35","slug":"why-anticoagulation-clinic","status":"publish","type":"post","link":"https:\/\/johnsonfrancis.org\/professional\/why-anticoagulation-clinic\/","title":{"rendered":"Why Anticoagulation Clinic?"},"content":{"rendered":"

Why Anticoagulation Clinic?<\/span><\/h2>\n

Warfarin has a narrow therapeutic window<\/strong><\/p>\n

Low INR -> thromboembolic complications
\nHigh INR -> major bleeding<\/p>\n

Successful management requires:<\/strong><\/p>\n

    \n
  1. Careful monitoring of INR<\/li>\n
  2. Ongoing patient education<\/li>\n
  3. Good communication with patients<\/li>\n<\/ol>\n

    Benefits of Anticoagulant Clinics:<\/strong><\/p>\n

    Randomized controlled trials found:<\/strong><\/em><\/p>\n

      \n
    1. Lower adverse events – thromboembolism and major hemorrhage<\/li>\n
    2. Anticoagulant levels within the therapeutic range for a longer period – better control<\/li>\n
    3. Cost reduction and decreased emergency department visits<\/li>\n<\/ol>\n

      But the relevance of anticoagulation clinics may come down when non vitamin K anticoagulants which can be taken without monitoring take over. At present they are not useful in prosthetic valve anticoagulation, warfarin is still needed.<\/p>\n","protected":false},"excerpt":{"rendered":"

      Why Anticoagulation Clinic?<\/p>\n","protected":false},"author":1,"featured_media":38293,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"nf_dc_page":"","footnotes":""},"categories":[9],"tags":[],"class_list":["post-152","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-general"],"yoast_head":"\nWhy Anticoagulation Clinic?<\/title>\n<meta name=\"description\" content=\"Why Anticoagulation Clinic?\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/johnsonfrancis.org\/professional\/why-anticoagulation-clinic\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Why Anticoagulation Clinic?\" \/>\n<meta property=\"og:description\" content=\"Why Anticoagulation Clinic?\" 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