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Can I read Determinants of low‐quality warfarin anticoagulation in patients with mechanical prosthetic heart valves. The nationwide PLECTRUM study on EtoBox?

Determinants of low‐quality warfarin anticoagulation in patients with mechanical prosthetic heart valves. The nationwide PLECTRUM study by Daniele Pastori; Gregory Y. H. Lip; Daniela Poli; Emilia Antonucci; Luca Rubino; Danilo Menichelli; Mirella Saliola; Francesco Violi; Gualtiero Palareti; Pasquale Pignatelli; the Italian Federation of Anticoagulation Clinics (FCSA) is a Medicine article available to read on EtoBox.

What is Determinants of low‐quality warfarin anticoagulation in patients with mechanical prosthetic heart valves. The nationwide PLECTRUM study about?

## Summary Quality of warfarin therapy in patients with a mechanical prosthetic heart valve (MPHV) has been barely investigated. We analysed determinants of low time in the therapeutic range (TiTR <60%) in 2111 patients with MPHVs from the nationwide PLECTRUM study by the Italian Federation of Anticoagulation Clinics. Overall, 48·5% of patients had a TiTR of < 60%. At logistic regression analysis, arterial hypertension (odds ratio [OR] 1·502, P < 0·001), diabetes (OR 1·732, P < 0·001), heart failure (OR 1·484, P = 0·004), mitral site (vs. aortic) (OR 1·399, P = 0·006), international normalised ratio (INR) ranges of 2·5–3·5 (OR 2·575, P < 0·001) and 3·0–4·0 (OR 8·215, P < 0·001) associated with TiTR < 60%. TiTR is substantially suboptimal in MPHV patients, particularly in higher INR ranges.

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Author
Daniele Pastori; Gregory Y. H. Lip; Daniela Poli; Emilia Antonucci; Luca Rubino; Danilo Menichelli; Mirella Saliola; Francesco Violi; Gualtiero Palareti; Pasquale Pignatelli; the Italian Federation of Anticoagulation Clinics (FCSA)
Publisher
John Wiley and Sons; Wiley (Blackwell Publishing); Blackwell Publishing Inc.; Wiley (ISSN 0007-1048)
Published
2020
Language
EN
Field
Medicine (Health Sciences)

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