Why the study?
Does self-management of oral anticoagulation improve long-term outcomes and survival in patients after mechanical heart valve replacement compared to conventional treatment?
Does self-management of oral anticoagulation improve long-term outcomes and survival in patients after mechanical heart valve replacement compared to conventional treatment?
Self-management of oral anticoagulation after mechanical heart valve replacement is associated with improved long-term survival and fewer severe bleeding or thromboembolic complications compared to conventional management in a routine clinical setting.
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May support self-management post-mechanical valve; extends observational data but leaves open randomized confirmation.
Mair et al. (2011) studied this question.
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