We recommend warfarin oral anticoagulant for patients who have received mechanical valves. For mechanical aorta valves INR is advised to be between 2 and 3 but for mechanical mitral valve carriers INR between 2,5 and 3,5.

Sincerely yours,

Aarhus University Hospital, Denmark

Greetings dear colleague:

Sorry for not replying earlier, I was not connected.

I thank you for your time and answer.

Do not you think that these drugs (Dabigatran, Rivaroxaban, Apixaban) are superior to warfarin, it does not seem that warfarin is a drug that is happening progressively history of pharmacology ...?

Thank you very much in advance.

Fraternally.

Dr.Nizahel Estévez Álvarez. MD

Colleagues of this forum:

I beg your pardon for the time that has passed and I have not thanked them their appropriate comments. I was not connected these days.

I thank them suggestions and makes them personally extend my thanks to each of you.

I fraternally a shipment from Havana, Cuba

Dr.Nizahe Estevez Alvarez. MD