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首页> 外文期刊>The American Journal of Cardiology >Usefulness and Safety of Rivaroxaban in Patients Following Isolated Mitral Valve Replacement With a Mechanical Prosthesis
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Usefulness and Safety of Rivaroxaban in Patients Following Isolated Mitral Valve Replacement With a Mechanical Prosthesis

机译:用机械假体置换孤立二尖瓣置换后患者的蓖麻油的用途和安全性

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摘要

Rivaroxaban has previously been tested in experimental and animal models with encouraging results. We prospectively selected seven patients between May 2017 and January 2018 who underwent isolated mitral valve replacement with a mechanical prosthesis and had unstable INR control at least 3 months after surgery. An intervention of rivaroxaban 15mg was then administered twice daily for a period of 90days. No patient presented intracardiac thrombus, reversible ischemic neurological deficit, ischemic or hemorrhagic stroke, and hospitalization or death during 3 months of follow-up. Two patients eradicated the presence of spontaneous echo contrast. Mean and peak pressure gradients, peak velocity, effective orifice area, and PHT were similar before and after the intervention. In conclusion, the use of rivaroxaban for 90days in seven patients after replacement of mitral valve with the mechanical prosthesis did not present thromboembolic or bleeding events (NCT02894307).
机译:Rivaroxaban先前已经在实验和动物模型中进行了测试,令人鼓舞的结果。 我们在2017年5月和2018年5月期间展示了七名患者,他在手术后至少3个月内遭受了孤立的二尖瓣替代,并且在手术后至少3个月内患有不稳定的INR。 然后每天施用蓖麻油45mg的干预,每天持续90天。 没有患者在3个月随访期间呈现内心血管血栓,可逆缺血性神经缺陷,缺血性或出血性卒中,以及住院或死亡。 两名患者消除了自发回声对比的存在。 平均和峰值压力梯度,峰值速度,有效孔口和PHT在干预之前和之后类似。 总之,在用机械假体更换二尖瓣后,在7名患者中使用Rivaroxaban的使用不存在血栓栓塞或出血事件(NCT02894307)。

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