Male 55 years old with paroxysmal AF.

Male 55 years old with paroxysmal AF.

My name is Nick and I am 55 years old.

I lead an active lifestyle and have a busy job in lawyer’s firm. I have a prior history of myocardial infarction (7 years ago) and

paroxysmal AF (first episode was 6 years ago).

I am constantly taking Warfarin and my physician recommends that I should regularly measure the INR to monitor the

effectiveness of the drug. Today, I have brought another set of INR measurements which are outside the desired range.

What should I do?

I have had no adverse events. I will ask my doctor to suspend my OAC treatment.

I am fine with warfarin and I have had no adverse events.

My measurements are quite often outside the desired range.

I should adjust my dosage and regulate my diet according to my doctor’s advice.

Map: GR_Nick (476)
Node: 10949
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My measurements are quite often outside the desired range and I could ask my physician if I am a good candidate for the newer drugs (NOAC).
Treatment.
Treatment with VKA is started.
If I am to stay in the same anticoagulation regimen, I should adjust my dosage and regulate my diet according to my doctor’s advice.
Further coagulation diagnostics are performed.
Treatment.
Drop out of therapy early
I will ask a relative/friend, who also takes a NOAC on how to monitor the drug’s effectiveness.
Apixaban has a predictable-fixed effect and there is no need for routine testing of its efficacy.
Male 55 years old with paroxysmal AF.

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