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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 
Citation
 Korean Circulation Journal, Vol.41(8) : 490-493, 2011 
Journal Title
 Korean Circulation Journal 
ISSN
 1738-5520 
Issue Date
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
https://ir.ymlib.yonsei.ac.kr/handle/22282913/93848
DOI
10.4070/kcj.2011.41.8.490
Appears in Collections:
1. Journal Papers (연구논문) > 1. College of Medicine (의과대학) > Dept. of Internal Medicine (내과학교실)
Yonsei Authors
김진선(Kim, Jin Sun) ; 심지영(Shim, Chi Young) ; 양우인(Yang, Woo In) ; 장혁재(Chang, Hyuck Jae) ; 정남식(Chung, Nam Sik) ; 하종원(Ha, Jong Won)
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