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. Author manuscript; available in PMC: 2013 Jul 2.
Published in final edited form as: J Thromb Thrombolysis. 2011 May;31(4):514–522. doi: 10.1007/s11239-011-0574-9

Table 5.

ESC guide to target INR according to thrombosis risk

Prosthesis thrombogenicityb Patient-related risk factorsa
No risk factor ≥ 1 Risk factor
Low 2.5 3.0
Medium 3.0 3.5
High 3.5 4.0
a

Patient-related risk factors: mitral, tricuspid, or pulmonary valve replacement; previous thromboembolism; atrial fibrillation; left atrial diameter > 50 mm; left atrial dense spontaneous contrast; mitral stenosis of any degree; left ventricular ejection fraction < 35%; hypercoagulable state.

b

Prosthesis thrombogenicity: Low = Carbomedics (aortic position), Medtronic Hall, St Jude Medical (without Silzone); Medium = Bjork-Shiley, other bileaflet valves; High = Lillehei-Kaster, Omniscience, Starr-Edwards