• Clin Med · Apr 2013

    Case Reports

    Recurrent thrombosis despite a therapeutic international normalised ratio.

    • Amy Carroll, Linda Griffiths, Vaikom Mahadevan, Jaspal Dua, and Jecko Thachil.
    • School of Medicine, Manchester Royal Infirmary, UK.
    • Clin Med. 2013 Apr 1; 13 (2): 211212211-2.

    AbstractThere has been significant progress in the management of venous thromboembolism in recent years, with increased awareness and adequate thromboprophylaxis proving successful in reducing the morbidity and mortality associated with this condition. Most hospitals in the UK have specialists who run an anticoagulation clinic and ensure the adequate monitoring of, and compliance with, agents such as warfarin. In this Lesson of the Month, we describe an individual with treated congenital heart disease who developed extensive thrombosis while his warfarin control was considered to be in the therapeutic range.

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