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

Authors
 Jin-Sun Kim  ;  Woo-In Yang  ;  Chi Young Shim  ;  Jong-Won Ha  ;  Namsik Chung  ;  Hyuk-Jae Chang 
Citation
 KOREAN CIRCULATION JOURNAL, Vol.41(8) : 490-493, 2011 
Journal Title
 KOREAN CIRCULATION JOURNAL 
ISSN
 1738-5520 
Issue Date
2011
Keywords
Anticoagulants ; Cerebral hemorrhage ; Endocarditis ; Heart valve prosthesis ; Stroke
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
Files in This Item:
T201103060.pdf Download
DOI
10.4070/kcj.2011.41.8.490
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Internal Medicine (내과학교실) > 1. Journal Papers
Yonsei Authors
Kim, Jin Sun(김진선)
Shim, Chi Young(심지영) ORCID logo https://orcid.org/0000-0002-6136-0136
Yang, Woo In(양우인)
Chang, Hyuk-Jae(장혁재) ORCID logo https://orcid.org/0000-0002-6139-7545
Chung, Nam Sik(정남식)
Ha, Jong Won(하종원) ORCID logo https://orcid.org/0000-0002-8260-2958
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/93848
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