Choice of Valve Substitute in the Era of Oral Anticoagulation Self-Management
Study Details
Study Description
Brief Summary
The optimal valve substitute for patients between 60-70 years is controversial. We compared anticoagulation-related adverse events (ARAE) in patients receiving mechanical heart valve replacement (MHVR) on INR self-management vs. stentless bioprosthesis, to assess whether the risk of structural valve deterioration (SVD) is still out-weighted by the benefit of not requiring permanent anticoagulation.
Condition or Disease | Intervention/Treatment | Phase |
---|---|---|
|
Study Design
Arms and Interventions
Arm | Intervention/Treatment |
---|---|
Group A Group A patients received mechanical heart valve replacement MHVR (and were educated in INR self-management using the Coagu-Check monitor. |
|
Group B Group B patients received MHVR and their anticoagulation was managed by their general practitioners. |
|
Group C Group C patients received stentless bioprosthesis, with initial 6 weeks on oral anticoagulation managed by their general practitioners. |
Outcome Measures
Primary Outcome Measures
Eligibility Criteria
Criteria
Inclusion Criteria:
- heart valve replacement
Exclusion Criteria:
-
CABG
-
Afib
Contacts and Locations
Locations
No locations specified.Sponsors and Collaborators
- Johann Wolfgang Goethe University Hospital
Investigators
None specified.Study Documents (Full-Text)
None provided.More Information
Publications
None provided.- COAG-001