VR.org SupporterSupporting Member
- Mar 17, 2015
- SOUTH FLORIDA
I THINK THAT I feel the INR i need to focus on is more in the 3.0-3,5 range, if possible, although the range they gave me is 2.5-3.5, I believe I am better in the higher then the lower range, just the way I feel it should and needs to be! So I would tend to agree with what your saying. Not sure why the ON-X is the way you said, but I think the ST. JUDE MITRAL VALVE that I now have will way way outlast me as long as I behave myself, BTW as I have said, i home test, and have for now a good few years, And it takes some time to feel right about how it all works, AND it is very much worth the sweat in doing so!If I recall correctly, On-X promoted their valve, saying that those with the valve can have INR as low as 1.5 as long as they also take aspirin.
Personally, I wouldn't bet my life on that claim - I would have a target of 2.5 or so, just to stay safe.
On-X seems to imply that something terrible happens to people with INRs above 2.0 or so. Many doctors believe it.
I think that most, if not all, of the mechanical valvers here (with a few notable, argumentative, know it all dissenters) maintain INRs with targets around 2.5. Some On-X users are comfortable with the slightly higher INRs.
For us non On-X users, who maintain higher INRs (above 2.0), anticoagulation imposes very few limits on our activities or lives. Personally, I am MUCH more comfortable with an INR that's a bit on the high side than I am with one that 'tickles' 2.0. I had a TIA about a decade ago because I trusted a meter that was telling me my INR was 2.6 - in the hospital, it was 1.7.
Although I'm trusting my CoaguChek meters with my life, I STILL don't want my INR to be below 2.1 or 2.2.
I realize that the argument that On-X needs an INR of 1.5, plus 81 mg aspirin, if it was me, I wouldn't bet my life on it.
AND i also am trusting the METERS, and I think even more sometimes then the LABS at the VA! Just recently I also had that happened to me about 10-13 days ago, METER showed 3.0, and the VA showed a 3.4, and I am going what the heck is going on. And even those at the VA had no idea as to why this happened, and why those numbers came up the way that they did.
I am getting to the point that, the INR will do just that, go up and down a bit no matter what any of us do, and that is something that no one can do anything about, and for whatever reason! I mean to say it wont go insane, but it will do its own thing sometimes, and overall the numbers will stay within range taking what I just said into account! And that it is nothing really to be concerned about at the time that it does this! Just seems that there are many things that have an affect on your INR and when your taking WARFARIN, and that the best that anyone can even hope for is to stay somewhat in range most of the time!
I have figure out this for me!!! 2.0, so what I do is add 1MG to my regular does till I get to where I need to be! And if it happens to get to 4.0 or higher, I either stop one day/dose, check the next day and see where it is and go from there! And so far this works for me!