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Ukioqatigiit

Læknablaðið - 15.02.1990, Qupperneq 38

Læknablaðið - 15.02.1990, Qupperneq 38
110 LÆKNABLAÐIÐ anticoagulant therapy, whereof 147 continued for 3 months or more. Those 147 patients, 90 men and 57 women, mean age 62 years, made up our study group. The main indications for therapy were; »deep vein thrombophlebitis«, »coronary artery bypass graft«, »atrial fibrillation«, »pulmonary embolism« and »artificial heart valves«. Bleeding complications were found with 9 patients (6,1%) thereof 2 (1,4%) had serious episodes. Recurrences of indicative problem occurred with 7 patients (4,8%), 4 (2,8%) while on treatment. Those results are comparable to those of studies of similar design from other countries. In conclusion we state that the long term anticoagulant therapy is effective and without undue high rate of complications at the General District Hospital of Akureyri. Changes in treatment regimen are therefore not recommended without further prospective studies. HEIMILDIR 1. Levine MN. Nonhemorrhagic complications of anticoagulant therapy. 1: Seminars in thrombosis and hemostasis 1986; 12: 63-6. 2. Levine MN, Raskob G, Hirsh J. Risk of haemorrhage associated with long term anticoagulant therapy. Drugs 1985; 30: 444-60. 3. Hirsh J, I-evine MN. The optimal intensity of oral anticoagulant therapy. JAMA 1987; 258: 2723-6. 4. Nitter-Hauge S, Dale J. High complication and failiire rates of anticoagulant therapy are unavoidable. Z Kardiol 1986; 75: 293-7. 5. Broekmans AW, Loeliger EA. High complication and failure rates of anticoagulant therapy are avoidable. Z Kardiol 1986; 75: 298-301. 6. Ceriani P, Cavalli P, Perone C. Complicanze chirurgiche della terapia anticoagulante. Minerva chirurgica 1985; 40: 1361-4. 7. Svensson J, Blombáck M, Kockum C. Hög frekvens af blödningskomplikationer vid antikoagulationsbehandling. Lákartidningen 1985; 82: 1240-4. 8. Levine MN, Raskob G, Hirsh J. Hemorrhagic complications of long term anticoagulant therapy. Chest 1986; 89: 16-25. 9. Geirsson O. Eftirlit með Dicumarol-meðferð. Læknablaðið 1960; 60: 134-41. 10. Snorrason SP. Lyflækningadeild Landspítala - persónulegar upplýsingar. 11. Skúlason T. Segavamir gegn kransæðasjúkdómum. Læknablaðið 1960; 60: 123-33. 12. Howard MR, Milligan DW. Frequency of attendance at anticoagulant clinics: a prospective study. Br Med J 1988: 296: 898-9. 13. Editorial. Management of venous thromboembolism. Lancet 1988; 275-7.
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