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The effects of Ramadan fasting on patients with prosthetic heart valve taking warfarin for anticoagulation
- Source :
- Journal of the Saudi Heart Association, Vol 29, Iss 1, Pp 1-6 (2017)
- Publication Year :
- 2017
- Publisher :
- Saudi Heart Association, 2017.
-
Abstract
- Introduction: Oral anticoagulation with warfarin is indicated for patients with prosthetic heart valves. The effects of religious fasting during Ramadan month (in the Islamic calendar) on anticoagulation aren’t clear. Objectives: To study the impact of Ramadan fasting on international normalized ratio (INR), quality of anticoagulation, dose of warfarin used and blood osmolarity. Methods: 18 patients were followed-up prospectively for 3 months (pre- Ramadan, Ramadan and post-Ramadan months). Patients presented for weekly visits in which blood samples were obtained. Results: No significant difference in INR and warfarin dose was found between Ramadan month, and months before and after it. The post-Ramadan INR was significantly larger than pre-Ramadan (p = 0.004). Blood osmolarity was significantly lower during Ramadan compared to pre- and post-Ramadan months. A significantly better quality of anticoagulation was noticed during Ramadan (p
Details
- Language :
- English
- ISSN :
- 10167315
- Volume :
- 29
- Issue :
- 1
- Database :
- Directory of Open Access Journals
- Journal :
- Journal of the Saudi Heart Association
- Publication Type :
- Academic Journal
- Accession number :
- edsdoj.85778fa9867d4bb6a551f6d488c8aabb
- Document Type :
- article
- Full Text :
- https://doi.org/10.1016/j.jsha.2016.06.004