Stroke		Warfarin
Brain Attack; Carotid Endarterectomy; Cerebrovascular Disease		Coumadin; Jantoven

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Warfarin is often prescribed to prevent blood clotting and help combat the most common type of stroke known as ischemic stroke However warfarin itself has been linked to intracerebral

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A good article titled Warfarin Coumadin diet What can I eat from the Mayo Clinic s Web site goes through the basic information on how one s diet could influence the level of blood

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factors particularly modifiable risk factors are an important aspect of health care provided by the Advanced Practice Nurse APN Nonmodifiable

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Send to a friend Warfarin for stroke prevention a success 10 August 2007 Research has shown that warfarin is better than aspirin at preventing stroke in over 75s who suffer from a particular type of irregular heartbeat the Lancet reports Dr Jonathan Mant at the

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CTV ca | Few high risk stroke patients taking blood thinner

CTV ca | Few high risk stroke patients taking blood thinner

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have regular blood tests and follow up exams With today s spiraling cost of healthcare more efficient use of Warfarin could save 600 million dollars every year officials said Besides Warfarin government researchers also took a look at a type of neck surgery called carotid endarterectomy It improves blood flow to the brain and reduces the chance of clotting

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For more information Harold Adams M D

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Coumadin warfarin a product of Bristol Myers Squibb is a prescription oral anticoagulant with the following side effects deadly bleeding reactions or recurrent stroke thromboembolism

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the possibility of a stroke The drug thins the blood lessening the chance a clot will form Masters has been stroke free and is very pleased with the drug His doctor agrees For atrial fibrillation the use of Warfarin in a majority of those patients reduces the chance of having a stroke by about two thirds says Dr Richard Katz of George Washington

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Warfarin Trumps Aspirin in Preventing Stroke in Elderly Incidence of bleeding was also lower than expected study found By Ed Edelson HealthDay Reporter

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Illustrated by David Uhl Courtesy of the National Stroke Association

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Friday 10 Aug 2007 08 49 Aspirin can reduce the risk of stroke in at risk people

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April 17th Eat me Drink me

The day starts with a MCQ multichoice questionaire A mock exam Supposed to be a hundred questions but a photocopying balls up leaves us with only 60 odd I get 94 though I have my suspicions that this may be due to the reduced number of questions I am not a statistician so can t comment Are percentages constant or would my grade drop in indirect proportion to the number of questions asked Over the past few days we ve been studying pharmacology 12 lead ECGs and pre hospital thrombolysis The lectures on 12 lead ECGs have been fantastic and I m starting to really understand those squiggly lines So far I ve known to watch out for ST elevation but I ve not REALLY known why In essence I ve been taught to cook an apple pie by being told quot If it s broon it s cookit it it s black it s buggert quot Now however I m the 12 lead equivalent of a sous chef I know what happens and why and can translate that little pink slip of gridded paper into a conceptual three dimension heart in my head complete with infarcts and ischaemia And I can even fix them with thrombolytic therapy Thrombolytics such as Tenecteplase are scary scary things You may know them from the media as quot clot busting drugs quot When administered to someone suffering from a heart attack due to a clot occluding their coronary arteries these drugs break that clot down so blood can flow to the cardiac muscle This stops the pain and damage of the infarct keeping you alive and producing amazing results We give it in conjunction with Heparin which is closely related to Warfarin which is what they put in rat poison It stops clots forming in your blooding making you a chemical haemophiliac People who cut themselves while taking Warfarin or Heparin tend to bleed a lot In addition to these two we prime the pump with a simple aspirin just like you buy over the counter Its a triad of wonder drugs But somewhat indiscriminate Because you can t tell Tenecteplase quot Go to the coronary artery and break down those clots

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One method to determine patients risk of stroke and subsequent anticoagultion therapy is the CHADS2 score The goal of anticoagulation therapy with warfarin is to achieve an INR between 2 0 and 3 0 At values of greater than 4 0 there is an increase association of hemorrhagic complications

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choose aspirin but this needs to be on the basis of the risks that they face of having a stroke or bleeding not on whether the pooled results of a meta analysis reach 5 significance

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contraction and filling were normal Twenty four hour ambulatory ECG monitoring showed occasional ventricular ectopic beats A diagnosis of cardioembolic stroke was made and treatment was initiated with warfarin aiming for a target International Normalised Ratio of 2 5 A

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Updated Apr 17th 2008 THURSDAY April 17 HealthDay News Warfarin treated patients who are eligible for intravenous tissue plasminogen activator tPA after an acute ischemic stroke may be at increased risk of

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