Anticoagulation with a mitral valve mechanical replacement

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Heartbeat

Anticoagulation with a mitral valve mechanical replacement

Chris Ellis

Chris Ellis

ECG 30 aug 2017
The ECG shows atrial fibrillation, a normal axis and a heart rate of 86 beats/minute, without other significant changes

A working mother visits for a medications review. Cardiologist Chris Ellis explains her INR test result, her anticoagulation and the need for well-funded rheumatic fever prevention strategies

A 46-year-old New Zealand-born female of Samoan ethnicity comes in for a review and her normal prescription. She takes warfarin 6mg, diltiazem CD 120m
References

1. Cardiac Society of Australia and New Zea­land and the Heart Foundation of New Zealand. The New Zealand guidelines for rheumatic fever: 2014 update. Avail­able at www.heartfoundation.org.nz (100 pages)

2. Woulfe C. Fever pitch. New Zealand Listener, 21 July 2017.