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Re: Treatment Decision For Young Stroke Patient - PFO

Re: Treatment Decision For Young Stroke Patient - PFO

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Posted by Sandy on October 09, 2000 at 18:10:50:

In Reply to: Treatment Decision For Young Stroke Patient - PFO posted by Dan on October 09, 2000 at 14:48:15:

: I'm writing from the hospital. I'm male, married without children and in my mid-30's in very good physical condition.

: I suffered a stroke last Saturday (I believe it was an embolic stroke). Lost my vision, suffered vertigo and 1/4 of my brain is now fried, but luckily the emoblism only affected by lower brain (cerebellum). I've got all my faculties and motor functions and will be released any day now - once my INR goes up.

: The cause is believed to be due to a small "hole" in my heart or a PFO which allowed the clot to go from the right to left side of my heart. Essentially the doctors have given me two choices: (1) take Coumadin for the rest of my life, or (2) fix the hole. The hole can be fixed via a special procedure or open heart surgery. My doctors tell me that no answer is the right one, it depends upon what the individual wants to do. The numbers I believe are 2% to 12% recurrence if I don't do anything, 5% if I take Coumadin, and nil if I close the hole (assuming that was the cause).

: My question to everyone out there is whether you've got any practical experience regarding life on Coumadin for an active person (I'm an amateur bicycle racer on the weekends), open heart surgery, etc.

: Any responses would be gratefully appreciated.

: Regards

Don't have a lot of help for you except that my husband is active in hunting and the dr. didn't want him on Coumadine because of the activity and strong possibility of injury - then lots of bleeding. I think there are lots of clotting checks on the drug to be sure you are getting the correct dosage to allow for proper clotting in case of a cut, etc and just for blood flow. Heart surgery is common and very successful. How fortunate you are to find the reason and (probable)fix to your stroke. Good luck!


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