The implications of thromboembolism in chronic heart failure
Ambăruş, V.; Rezuş, C.; Ghiuru, R.; Ionescu, S.; Manea, P.; Leuciuc, E.; Artenie, R.; Sandru, V.; Cosovanu, A.
Revista Medico-Chirurgicala a Societatii de Medici Si Naturalisti Din Iasi 106(1): 107-111
2002
ISSN/ISBN: 0048-7848 PMID: 12635370 Document Number: 10122
The goal of investigation was to determine whether long-term anticoagulant therapy influences the mortality rate in CHF. The method consisted in the calculation of the annual death rate of the patients with CHF class III-IV NYHA: group A (controls)--who did not receive anticoagulant or antiplatelet therapy; group B--treated with Acenocumarol or Aspirin. The results show in group A, which included 150 patients, during the 5-year interval under study 30 deaths, representing an annual death rate of 4%. In group B, which included 325 patients of which 75 treated with Acenocumarol and 250 patients with aspirin, 20 deaths were recorded during the same 5-year interval, representing an annual death rate of 1.2%. Thus, the mortality risk proved to be 70% lower in group B than in the control group. It came out that the main mechanism of death in CHF is thrombembolism and in this circumstance anticoagulant or antiplatelet therapy would be essential.
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