Re: PMB on coumadin

From: Henry Gregor (henrygregor@yahoo.com)
Sat Apr 28 15:14:31 2007


Thanks for your help. The Mirena's a great suggestion....as are the others, but I guess I'd have to characterize myself as a great fan ot the progesterone IUD. Seems to me it helps so many women get through bleeding issues that otherwise might progress to surgical options, and does it so well.

Hank

"Dr. John Provatopoulos B.Sc. M.D.C.M. F.R.S.C." <johnprov@sympatico.ca> wrote: At Fri, 27 Apr 2007, Meenan, Anna wrote: >
>>INR of 2.3 a little high? Last I knew, target INR for a valve is 2.5-3.5.
>
>Anna Meenan, MD
>

Your right, I usually just see cases of DVT or P.E. where 2.0 is o.k.

It's amazing how INR can creap up to >5.0, about once every 5 years I get a call from the Emerg or ICU to see a women with a massive intrcrainal or G.I. bleed who has had some incidently vaginal bleeding.

http://www.api-pt.com/pdfs/2002Bcoag.pdf

Optimum INR level?

http://www.jr2.ox.ac.uk/bandolier/band106/b106-3.html

--
Take care, John

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