Korean Circulation Journal

  • 제41권8호
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  • Pages.490-493
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  • 2011
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  • 1738-5520(pISSN)
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  • 1738-5555(eISSN)
대한심장학회 (The Korean Society of Cardiology)
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DOI QR코드

DOI QR Code

Hemorrhagic Transformation of Ischemic Stroke: Severe Complications of Prosthetic Valve Endocarditis

  • Kim, Jin-Sun (Department of Internal Medicine, Yonsei University College of Medicine) ;
  • Yang, Woo-In (Department of Internal Medicine, Yonsei University College of Medicine) ;
  • Shim, Chi-Young (Department of Internal Medicine, Yonsei University College of Medicine) ;
  • Ha, Jong-Won (Department of Internal Medicine, Yonsei University College of Medicine) ;
  • Chung, Nam-Sik (Department of Internal Medicine, Yonsei University College of Medicine) ;
  • Chang, Hyuk-Jae (Department of Internal Medicine, Yonsei University College of Medicine)
  • 발행 : 2011.08.30
⟨ 이전 논문 다음 논문 ⟩

초록

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.

키워드

참고문헌

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