Anticoagulation

/Tag:Anticoagulation

A LARGE LEFT VENTRICLE THROMBUS WITH VASCULAR SEQUELAE: A CASE REPORT

Case Presentation: A 50 year-old man presented with left sided weakness. His history was notable for type 2 diabetes mellitus, peripheral arterial disease, and prior unprovoked deep vein thrombosis (DVT) of his right femoral vein [...]

By | 2019-03-11T14:40:25+00:00 March 11th, 2019|Adult, Clinical Vignettes, Hospital Medicine 2019|Comments Off on A LARGE LEFT VENTRICLE THROMBUS WITH VASCULAR SEQUELAE: A CASE REPORT

Analysis of Severe Gastrointestinal Bleed in Patients on Anticoagulation for Atrial Fibrillation and Abnormal Endoscopic Evaluation

Background: Widespread use of new oral anticoagulants (NOAG) for Atrial Fibrillation (A-Fib) has increased the annual incidence of gastrointestinal bleed (GIB) in recent years. These NOAG agents in our study include Rivaroxaban, Apixaban and Dabigatran. [...]

By | 2016-02-01T08:00:34+00:00 February 1st, 2016|Patient Safety, Research Abstracts|Comments Off on Analysis of Severe Gastrointestinal Bleed in Patients on Anticoagulation for Atrial Fibrillation and Abnormal Endoscopic Evaluation

Bleed Versus Clot: The Tenuous Balance in Antiphospholipid Syndrome and Severe Refractory Immune-Mediated Thrombocytopenia

Case Presentation: A 65 year-old man with primary antiphospholipid syndrome (APS) was transferred to our hospital for management of refractory thrombocytopenia and thrombosis. His disease was diagnosed by positive lupus anticoagulant, anti-cardiolipin antibody, beta-2-glycoprotein IgM [...]

By | 2016-02-01T08:00:34+00:00 February 1st, 2016|Adult, Clinical Vignettes Abstracts|Comments Off on Bleed Versus Clot: The Tenuous Balance in Antiphospholipid Syndrome and Severe Refractory Immune-Mediated Thrombocytopenia

COLD FEET, WARM HEART – A RARE CASE OF SPONTANEOUS LEFT VENTRICULAR THROMBUS

Case Presentation: A 34-year-old Caucasian lady with metabolic syndrome and hypertension presented with a sudden onset 10/10 right lower extremity pain associated with numbness and inability to ambulate. Vital signs were stable. On examination, her [...]

By | 2018-03-19T13:10:21+00:00 March 19th, 2018|Adult, Clinical Vignettes, Hospital Medicine 2018|Comments Off on COLD FEET, WARM HEART – A RARE CASE OF SPONTANEOUS LEFT VENTRICULAR THROMBUS

CONGENITAL INFERIOR VENA CAVA ATRESIA: A RARE CULPRIT ASSOCIATED WITH RECURRENT DEEP VEIN THROMBOSIS

Case Presentation: A 45 years old Vietnamese male was diagnosed with left leg deep vein thrombosis about 2 years ago in Vietnam for which he was taking herbal supplements without improvement. Soon after immigrating to [...]

By | 2018-03-19T13:24:03+00:00 March 19th, 2018|Adult, Clinical Vignettes, Hospital Medicine 2018|Comments Off on CONGENITAL INFERIOR VENA CAVA ATRESIA: A RARE CULPRIT ASSOCIATED WITH RECURRENT DEEP VEIN THROMBOSIS

Cost-Effectiveness of Bridging Anticoagulation Among Patients with Non-Valvular Atrial Fibrillation

Background: Bridging anticoagulation is commonly prescribed to patients with atrial fibrillation who are initiating therapy or require interruption of anticoagulation for procedures. Current guidelines recommend bridging for patients at high risk of stroke, but no [...]

By | 2016-02-01T08:00:34+00:00 February 1st, 2016|Perioperative, Research Abstracts|Comments Off on Cost-Effectiveness of Bridging Anticoagulation Among Patients with Non-Valvular Atrial Fibrillation

Health-System Evaluation of Phytonadione (Vitamin K) Effect on Inr in Accordance with the Anticoagulation Reversal Guidelines

Background: Strategies to reverse the effect of warfarin, a vitamin K antagonist (VKA), may be necessary for patients who are actively bleeding, asymptomatic with markedly elevated INR values, or requiring urgent invasive procedures. The purpose [...]

By | 2016-02-01T08:00:34+00:00 February 1st, 2016|Quality Improvement, Research Abstracts|Comments Off on Health-System Evaluation of Phytonadione (Vitamin K) Effect on Inr in Accordance with the Anticoagulation Reversal Guidelines

In hospital outcome of elderly patients admitted with fall who have been anticoagulated, warfarin versus NOACs?

Background: Aging is associated with increased prevalence of atrial fibrillation and thrombophlebitis. Anticoagulation has been shown to be effective in preventing thromboembolic events in AF patients and treatment of thrombophlebitis. Non-vitamin k antagonist oral anticoagulants [...]

By | 2018-03-19T13:06:36+00:00 March 19th, 2018|Geriatrics, Hospital Medicine 2018, Research|Comments Off on In hospital outcome of elderly patients admitted with fall who have been anticoagulated, warfarin versus NOACs?

IS DABIGITRAN EFFECTIVE IN THE MORBIDLY OBESE?

Case Presentation: A 50 year-old African American female with medical history of morbid obesity (BMI 40.8), hypertension, hyperlipidemia, diabetes mellitus, obstructive sleep apnea, atrial fibrillation, right MCA infarct one year prior to admission, and right [...]

By | 2018-03-19T15:44:35+00:00 March 19th, 2018|Adult, Clinical Vignettes, Uncategorized|Comments Off on IS DABIGITRAN EFFECTIVE IN THE MORBIDLY OBESE?

PERIPROCEDURAL ANTICOAGULATION MANAGEMENT IN PATIENTS WITH VENOUS THROMBOEMBOLISM: A SYSTEMATIC REVIEW

Background: Vitamin K antagonists (VKA) remain widely used in the treatment of venous thromboembolism (VTE). During surgical interventions, the prevention of recurrent VTE must be weighed against the increased bleeding risk conferred by anticoagulation. There [...]

By | 2018-03-19T12:54:21+00:00 March 19th, 2018|Hospital Medicine 2018, Outcomes Research, Research|Comments Off on PERIPROCEDURAL ANTICOAGULATION MANAGEMENT IN PATIENTS WITH VENOUS THROMBOEMBOLISM: A SYSTEMATIC REVIEW

Resuming warfarin following upper gastrointestinal bleeding among patients with nonvalvular atrial fibrillation – a microsimulation analysis

Background: Warfarin and other anticoagulants increase the risk of hemorrhagic complications, including upper gastrointestinal hemorrhages (UGIB). Warfarin is commonly used in the management of atrial fibrillation to reduce the risk of ischemic stroke, and frequently [...]

By | 2018-03-19T12:53:22+00:00 March 19th, 2018|Hospital Medicine 2018, Outcomes Research, Research|Comments Off on Resuming warfarin following upper gastrointestinal bleeding among patients with nonvalvular atrial fibrillation – a microsimulation analysis

Right Atrial Thrombus

Case Presentation: An 89 year-old man presented after being found down at home. His history included hypertension and hyperlipidemia. His exam was notable for an irregularly irregular rhythm at a rate of 150 beats per [...]

By | 2017-04-20T13:47:44+00:00 February 1st, 2016|Adult, Clinical Vignettes Abstracts|Comments Off on Right Atrial Thrombus

To Anticoagulate or Not?: A Case Reviewing Granulomatosis with Polyangiitis Induced Atial Fibrillation

Case Presentation: 65-year-old female with hypertension and   smoking history presented with a gradual onset of painful, edematous feet for 4-days.  She continued to develop erythema and a constant, nonradiating pain in her feet. The patient also noted an increase [...]

By | 2016-02-01T08:00:34+00:00 February 1st, 2016|Adult, Clinical Vignettes Abstracts|Comments Off on To Anticoagulate or Not?: A Case Reviewing Granulomatosis with Polyangiitis Induced Atial Fibrillation