Management of anticoagulation in patients with mechanical heart valves and hemorrhagic stroke: a clinical challenge

Authors

  • Uxue Idiazabal Rodriguez Departamento de Cardiología. Unidad de Imagen Cardiaca. Hospital Universitario de Basurto. Bilbao. País Vasco. España https://orcid.org/0000-0003-1005-6166
  • Garazi Ramirez-Escudero Ugalde Departamento de Cardiología. Unidad de Imagen Cardiaca. Hospital Universitario de Basurto. Bilbao. País Vasco. España
  • Arantza Manzanal Rey Departamento de Cardiología. Unidad de Imagen Cardiaca. Hospital Universitario de Basurto.
  • Ana Ruiz Rodriguez Departamento de Cardiología. Unidad de Imagen Cardiaca. Hospital Universitario de Basurto.
  • Lara Ruiz Gómez Departamento de Cardiología. Unidad de Imagen Cardiaca. Hospital Universitario de Basurto.
  • Nora García Ibarrondo Departamento de Cardiología. Unidad de Imagen Cardiaca. Hospital Universitario de Basurto.

DOI:

https://doi.org/10.37615/retic.v4n3a5

Keywords:

Echocardiography, hemorrhagic stroke, mechanical heart valve, cardiac thrombus.

Abstract

The management of anticoagulation in patients who have suffered a hemorrhagic stroke represents a difficult clinical scenario, in which individualized evaluation of both the hemorrhagic and thrombotic risk is essential. We present a case of a patient, who have a mechanical heart valve and an ischemic stroke with hemorrhagic transformation, and the complications she had due to her clinical situation.

Downloads

Download data is not yet available.

Metrics

Metrics Loading ...

References

Kernan WN, Ovbiagele B, Black HR, Bravata DM, Chimowitz MI, Ezekowitz MD, Fang MC, Fisher M, Furie KL, Heck DV, Johnston SC, Kasner SE, Kittner SJ, Mitchell PH, Rich MW, Richardson D, Schwamm LH, Wilson JA; on behalf of the American Heart Association Stroke Council, Council on Cardiovascular and Stroke Nursing, Council on Clinical Cardiology, and Council on Peripheral Vascular Disease. Guidelines for the prevention of stroke in patients with stroke and transient ischemic attack: a guideline for healthcare professionals from the American Heart Association/American Stroke Association. Stroke. 2014;45:2160–2236.

Hemphill JC 3rd, Greenberg SM, Anderson CS, Becker K, Bendok BR, Cushman M, Fung GL, Goldstein JN, Macdonald RL, Mitchell PH, Scott PA, Selim MH, Woo D; on behalf of the American Heart Association Stroke Council, Council on Cardiovascular and Stroke Nursing, and Council on Clinical Cardiology. Guidelines for the management of spontaneous intracerebral hemorrhage: a guideline for healthcare professionals from the American Heart Association/American Stroke Association. Stroke. 2015;46:2032–2060.

Baumgartner et al. Guía ESC/EACTS 2017 sobre el tratamiento de las valvulopatías. Rev Esp Cardiol. 2018;71(2):110.e1-e47.

Giakoumettis D, Alexiou GA, Vrachatis DA, Themistoklis K, Stathis P, Vavuranakis M, Themistocleous MS. Antithrombotic Treatment Management in Patients with Intracerebral Hemorrhage: Reversal and Restart. Curr Pharm Des. 2017;23(9):1392-1405. doi: https://doi.org/10.2174/1381612822666161205111459. PMID: 27917716.

da Silva, I.R.F., Frontera, J.A. Resumption of Anticoagulation After Intracranial Hemorrhage. Curr Treat Options Neurol 19, 39 (2017). https://doi.org/10.1007/s11940-017-0477-y

Published

2021-12-31

How to Cite

1.
Idiazabal Rodriguez U, Ramirez-Escudero Ugalde G, Manzanal Rey A, Ruiz Rodriguez A, Ruiz Gómez L, García Ibarrondo N. Management of anticoagulation in patients with mechanical heart valves and hemorrhagic stroke: a clinical challenge. Rev Ecocardiogr Pract Otras Tec Imag Card (RETIC) [Internet]. 2021 Dec. 31 [cited 2024 Nov. 24];4(3):17-20. Available from: https://imagenretic.org/RevEcocarPract/article/view/348

Most read articles by the same author(s)