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KMID : 1011920120130040034
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International Journal of Arrhythmia
2012 Volume.13 No. 4 p.34 ~ p.36
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Gastrointestinal Bleeding Caused by Complications in a Patient Receiving Warfarin Therapy
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Shin Woo-Seung
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Abstract
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A 76-year-old woman receiving warfarin for the prevention of stroke in the context of atrial fibrillation, a prior transient ischemic attack, a known enlarged left atrium, and depressed left ventricular function secondary to an old myocardial infarction presented with hypotension and melena. She was previously quite well, except as noted above. She had started passing bloody stools approximately 1 week earlier. On initial examination, the hemoglobin level was found to be 7.6 g/L and the prothrombin time international normalized ratio (INR) was 8.04. She was diagnosed with gastric ulcer bleeding. Here, we report a case of gastrointestinal bleeding caused by complications in a patient undergoing warfarin therapy.
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KEYWORD
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atrial fibrillation, anticoagulation, gastrointestinal bleeding
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