{"id":25989,"date":"2018-09-16T10:32:07","date_gmt":"2018-09-16T10:32:07","guid":{"rendered":"https:\/\/johnsonfrancis.org\/professional\/?p=25989"},"modified":"2018-09-16T10:32:07","modified_gmt":"2018-09-16T10:32:07","slug":"anticoagulation-for-prosthetic-valve-in-pregnancy-cardiology-mcq-answer","status":"publish","type":"post","link":"https:\/\/johnsonfrancis.org\/professional\/anticoagulation-for-prosthetic-valve-in-pregnancy-cardiology-mcq-answer\/","title":{"rendered":"Anticoagulation for prosthetic valve in pregnancy &#8211; Cardiology MCQ &#8211; Answer"},"content":{"rendered":"<p><iframe loading=\"lazy\" width=\"560\" height=\"315\" src=\"https:\/\/www.youtube.com\/embed\/b9x0oYWSyV8\" title=\"YouTube video player\" frameborder=\"0\" allow=\"accelerometer; autoplay; clipboard-write; encrypted-media; gyroscope; picture-in-picture\" allowfullscreen=\"\"><\/iframe><\/p>\n<h1><span style=\"color: #008000;\">Anticoagulation for prosthetic valve in pregnancy &#8211; Cardiology MCQ &#8211; Answer<\/span><\/h1>\n<p><span style=\"color: #0000ff;\"><strong>Anticoagulation regimen in pregnancy with prosthetic valve associated with lowest rate of fetal or neonatal loss:&nbsp;<\/strong><\/span><strong><span style=\"color: #0000ff;\">Correct answer:&nbsp;d) Low molecular weight heparin<\/span><\/strong><\/p>\n<p>Low molecular weight heparin is associated with lowest rate of fetal or neonatal loss in pregnancy with prosthetic valve, <span style=\"color: #0000ff;\">but has a higher risk of valve thrombosis<\/span> [1]. Though the often followed method is initial use of unfractionated heparin followed by warfarin in second trimester followed by unfractionated heparin in peripartum period, this approach has higher maternal thrombotic and bleeding events. <span style=\"color: #0000ff;\">Continuous use of vitamin K antagonists without switch over has better maternal outcomes, but highest fetal losses<\/span>. Directly acting oral anticoagulants are not recommended for use in those with mechanical prosthetic valves because their use is associated with valve thrombosis.<\/p>\n<p><strong><a href=\"https:\/\/johnsonfrancis.org\/professional\/anticoagulation-for-prosthetic-valve-in-pregnancy-cardiology-mcq\/\">Back to question<\/a><\/strong><\/p>\n<h2><span style=\"color: #0000ff;\">Reference<\/span><\/h2>\n<ol>\n<li>&nbsp;Watkins DA, Beaton AZ, Carapetis JR, Karthikeyan G, Mayosi BM, Wyber R, Yacoub MH, Z\u00fchlke LJ.&nbsp;<a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pubmed\/30213333\">Rheumatic Heart Disease Worldwide: JACC Scientific Expert Panel<\/a>.&nbsp;J Am Coll Cardiol. 2018 Sep 18;72(12):1397-1416.<\/li>\n<\/ol>\n","protected":false},"excerpt":{"rendered":"<p>Anticoagulation for prosthetic valve in pregnancy &#8211; Cardiology MCQ &#8211; Answer Anticoagulation regimen in pregnancy with prosthetic valve associated with lowest rate of fetal or neonatal loss:&nbsp;Correct answer:&nbsp;d) Low molecular weight heparin Low molecular weight heparin is associated with lowest rate of fetal or neonatal loss in pregnancy with prosthetic valve, but has a higher [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":31007,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"nf_dc_page":"","footnotes":""},"categories":[3,5],"tags":[],"class_list":["post-25989","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-cardiology-mcq","category-dm-dnb-cardiology-entrance"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.9 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Anticoagulation for prosthetic valve in pregnancy - Answer<\/title>\n<meta name=\"description\" content=\"Anticoagulation regimen in pregnancy with prosthetic valve associated with lowest rate of fetal or neonatal loss:\u00a0Answer:\u00a0d) Low molecular weight heparin.\" \/>\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\/anticoagulation-for-prosthetic-valve-in-pregnancy-cardiology-mcq-answer\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Anticoagulation for prosthetic valve in pregnancy - Answer\" \/>\n<meta property=\"og:description\" content=\"Anticoagulation regimen in pregnancy with prosthetic valve associated with lowest rate of fetal or neonatal loss:\u00a0Answer:\u00a0d) Low molecular weight heparin.\" \/>\n<meta property=\"og:url\" content=\"https:\/\/johnsonfrancis.org\/professional\/anticoagulation-for-prosthetic-valve-in-pregnancy-cardiology-mcq-answer\/\" \/>\n<meta property=\"og:site_name\" content=\"All About Cardiovascular System and Disorders\" \/>\n<meta property=\"article:published_time\" content=\"2018-09-16T10:32:07+00:00\" \/>\n<meta name=\"author\" content=\"Johnson Francis\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:label1\" content=\"Written by\" \/>\n\t<meta name=\"twitter:data1\" content=\"Johnson Francis\" \/>\n\t<meta name=\"twitter:label2\" content=\"Est. reading time\" \/>\n\t<meta name=\"twitter:data2\" content=\"1 minute\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\\\/\\\/schema.org\",\"@graph\":[{\"@type\":\"Article\",\"@id\":\"https:\\\/\\\/johnsonfrancis.org\\\/professional\\\/anticoagulation-for-prosthetic-valve-in-pregnancy-cardiology-mcq-answer\\\/#article\",\"isPartOf\":{\"@id\":\"https:\\\/\\\/johnsonfrancis.org\\\/professional\\\/anticoagulation-for-prosthetic-valve-in-pregnancy-cardiology-mcq-answer\\\/\"},\"author\":{\"name\":\"Johnson Francis\",\"@id\":\"https:\\\/\\\/johnsonfrancis.org\\\/professional\\\/#\\\/schema\\\/person\\\/5441d907049b914770f4bd98fb57feec\"},\"headline\":\"Anticoagulation for prosthetic valve in pregnancy &#8211; 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