caa a22 4500 477061516 CHVBK 20180405111402.0 cr unu---uuuuu 170330e19960301xx s 000 0 eng 10.1007/BF01061920 doi (NATIONALLICENCE)springer-10.1007/BF01061920 Bernardo Angelika Herz-Kreislauf-Klinik, 57319, Bad Berleburg, Germany aut Post-conference session: Experience with patient self-management of oral anticoagulation [Elektronische Daten] [Angelika Bernardo] Long-term oral anticoagulation requires careful patient monitoring in order to optimize results and to limit hemorrhagic or thromboembolic complications of treatment. For this reason, any improvement in anticoagulant control and management can be expected to have far-reaching consequences in extending longevity and decreasing complications in anticoagulated patients after heart valve surgery. Because one attractive means of improving anticoagulant management is to give patients a share of the responsibility, a program was designed to encourage patients to take an active role in monitoring their own prothrombin time (PT) and managing their own oral anticoagulation. During the period from August 1986 to February 1992, 600 patients requiring long-term anticoagulation, mainly after heart valve replacement, were trained to measure their own PT at the Cardiac Rehabilitation Center (Herz-Krauslauf-Klinik, Bad Berleburg, Germany) and to manage their own therapy: 216 patients could be followed with regard to their self-determined prothrombin times. The results were within the target range in 83.1% of the PT determinations (n=12,306 measurements) taken by the patients themselves. Neither major bleeding nor thromboembolic complications were observed in 205 patient-years of self-monitoring of PT and self-management of oral anticoagulation. Kluwer Academic Publishers, 1996 oral anticoagulation nationallicence self-management nationallicence PT monitor nationallicence quality of life nationallicence Journal of Thrombosis and Thrombolysis Kluwer Academic Publishers 2/4(1996-03-01), 321-325 0929-5305 2:4<321 1996 2 11239 https://doi.org/10.1007/BF01061920 text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/BF01061920 text/html Onlinezugriff via DOI NATIONALLICENCE 100 1- Bernardo Angelika Herz-Kreislauf-Klinik, 57319, Bad Berleburg, Germany aut NATIONALLICENCE 773 0- Journal of Thrombosis and Thrombolysis Kluwer Academic Publishers 2/4(1996-03-01), 321-325 0929-5305 2:4<321 1996 2 11239 Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer