Further Follow-Up On The New Anticoagulants

From the HeartWire there was further follow-up of prior data looking at Pradaxa (dabigatran) versus Coumadin (warfarin) in mechanical heart valve patients. It would appear for now at least that the traditional treatment of warfarin is still in the driver’s seat in this situation.

It is the investigator’s theory that the anti-thrombin mechanism of action with dabigatran doesn’t appear to be as effective in mechanical valve replacement versus the clotting factors inhibition mechanism of warfarin.  The implications for the other newer anticoagulant medications suggest warfarin may maintain the drug of choice status in this situation.

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About thedoctorsreport

Dr. Kordonowy is board certified by the American Board of Internal Medicine and has been in private practice since 1993. His group practice is in Fort Myers, Florida. His website is: www.drkordonowy.com. He earned his degree from the University of Kansas School of Medicine in Kansas City, Kansas and completed his residency as Chief Resident at Orlando Regional Hospital System. As Chief Resident, Dr. Kordonowy was recognized as the Outstanding Resident by the American College of Physicians. He is a member of the American Medical Association, American College of Physicians, and the American Society of Internal Medicine. In December 2005, Dr. Kordonowy became Board Certified in the new field of Clinical Lipidology by the American Board of Clinical Lipidology. Lipidology is the specialty of diagnosis and management of cholesterol and triglyceride metabolism disorders. Cardiovascular disease risk assessment is also part of this specialty. He now serves as president of the Independent Physicians Association of Lee County. He is active in the Lee County Medical Society, the Florida Medical Society , the Florida Lipid Foundation, National Lipid Association and the American Medical Association.
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