Intracardiac Thrombus Following Rivaroxaban Treatment in a Patient with Atrial Fibrillation Associated with Rheumatic Heart Disease.

Ohara, Hiroaki; Yamamoto, Shiro; Nagano, Keiko; Hashikawa, Kazuo

Ohara, Hiroaki; Yamamoto, Shiro; Nagano, Keiko; Hashikawa, Kazuo.

Afiliação

Ohara H; Department of Stroke Neurology, National Hospital Organization Osaka National Hospital, Osaka, Japan; Department of Neurology, Kyoto University Graduate School of Medicine, Kyoto, Japan. Electronic address: hohara8@kuhp.kyoto-u.ac.jp.
Yamamoto S; Department of Stroke Neurology, National Hospital Organization Osaka National Hospital, Osaka, Japan.
Nagano K; Department of Stroke Neurology, National Hospital Organization Osaka National Hospital, Osaka, Japan.
Hashikawa K; Department of Stroke Neurology, National Hospital Organization Osaka National Hospital, Osaka, Japan.

J Stroke Cerebrovasc Dis ; 28(11): 104325, 2019 Nov.

Article em En | MEDLINE | ID: mdl-31427189

ABSTRACT

ABSTRACT

We report a case of atrial fibrillation with rheumatic heart disease (RHD) who had intracardiac thrombus and cardiogenic cerebral embolism with rivaroxaban therapy. Intracardiac thrombus disappeared after switching from rivaroxaban to warfarin. Patients of RHD have the possibility of gradual progression of valvular disease even if they are old, so we need to distinguish nonvalvular atrial fibrillation from RHD before starting direct oral anticoagulants.

Assuntos

Anticoagulantes/administração & dosagem; Fibrilação Atrial/tratamento farmacológico; Inibidores do Fator Xa/administração & dosagem; Cardiopatia Reumática/complicações; Rivaroxabana/administração & dosagem; Trombose/etiologia; Varfarina/administração & dosagem; Administração Oral; Idoso; Anticoagulantes/efeitos adversos; Fibrilação Atrial/diagnóstico; Fibrilação Atrial/etiologia; Infarto Encefálico/etiologia; Substituição de Medicamentos; Inibidores do Fator Xa/efeitos adversos; Humanos; Embolia Intracraniana/etiologia; Masculino; Cardiopatia Reumática/diagnóstico; Rivaroxabana/efeitos adversos; Trombose/diagnóstico por imagem; Trombose/tratamento farmacológico; Resultado do Tratamento; Varfarina/efeitos adversos

Palavras-chave

Direct oral anticoagulants; atrial fibrillation; intracardiac thrombus; rheumatic heart disease

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Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Cardiopatia Reumática / Fibrilação Atrial / Trombose / Varfarina / Inibidores do Fator Xa / Rivaroxabana / Anticoagulantes Tipo de estudo: Diagnostic_studies / Etiology_studies / Risk_factors_studies Limite: Aged / Humans / Male Idioma: En Revista: J Stroke Cerebrovasc Dis Ano de publicação: 2019 Tipo de documento: Article

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