Dabigatran etexilate
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Thrombus formation after switching from warfarin in an elderly patient: case report A 78-year-old man with hypertension underwent coronary angioplasty and stent implantation. Two years later, a routine examination revealed atrial fibrillation. A left atrial thrombus was seen on transeosophageal echocardiogram, and he began receiving warfarin. After one year, a repeat echocardiogram showed thrombus resolution. Based on results from the RE-LY study, he was switched to dabigatran etexilate 110mg twice daily [route not stated]. Eight months later, a routine echocardiogram revealed a 2.1 × 2.5cm left atrial thrombus, and dabigatran etexilate was replaced with warfarin [duration of treatment to reaction onset and outcome not stated]. Sawaya FJ, et al. Switching patients from warfarin to dabigatran therapy: To RELY or not to rely. International Journal of Cardiology 154: e27-e28, No. 2, 26 Jan 2012. Available from: URL: http://dx.doi.org/10.1016/j.ijcard.2011.05.026 803068461 USA
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Reactions 24 Mar 2012 No. 1394
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