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Hemorrhagic transformation of ischemic stroke: severe complications of prosthetic valve endocarditis

Title
 Hemorrhagic transformation of ischemic stroke: severe complications of prosthetic valve endocarditis 
Authors
 Jin-Sun Kim ; Woo-In Yang ; Hyuk-Jae Chang ; Namsik Chung ; Jong-Won Ha ; Chi Young Shim 
Issue Date
2011
Journal Title
 Korean Circulation Journal(순환기) 
ISSN
 1738-5520 
Citation
 Korean Circulation Journal(순환기), Vol.41(8) : 490~493, 2011 
Abstract
Ischemic stroke is a common complication of infective endocarditis (IE), occurring in 20-40% of left side IE cases. In these subsets, anticoagulation therapy may provoke hemorrhagic transformation (HT) of ischemic stroke, and complications of this magnitude deteriorate the clinical course for IE patients. However, in cases of IE complicated with a mechanical prosthetic valve, the physician can be concerned over the maintenance of anticoagulation due to the risk of thrombotic complication. According to our retrospective review, HT of ischemic stroke in prosthetic valve endocarditis occurred 13.8% (4/29) of the time in a variety of situations. Some of these even arose in patients with a subtherapeutic range of prothrombin time
URI
http://ir.ymlib.yonsei.ac.kr/handle/22282913/93848
DOI
10.4070/kcj.2011.41.8.490
Appears in Collections:
1. 연구논문 > 1. College of Medicine > Dept. of Internal Medicine
Yonsei Authors
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