Valve Decision For 44-year old who loves beer

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Pat Heaney

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Nov 19, 2019
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So, an update. My surgeon has installed 1000s of St Jude valves over 20+ years. She thinks an On-x is a good choice for me and will install it. Problem is she has not installed an ON-X before but claims the procedure is exactly the same as a St Jude. Is this true? I am now leaning toward just going with the more tested St Jude. Is there a practical difference between an INR of 2.5 and 1.8 anyway?
 

dick0236

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........... Is there a practical difference between an INR of 2.5 and 1.8 anyway?
My target INR is 2.5-3.5 and I am most comfortable a little above 3.0.........and have never had a problem, neither stroke or uncontrollable bleed, at these levels. Personally I think the lowered INR target is mostly marketing:poop:.

PS: A 1.8 INR would keep me up at nite.
 

DDT77

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I have an ONXAAP-25. Target INR range is 2.0-3.0. Some literature says lower is acceptable. No thank you.

I prefer INR from 2.6 to 3.0. I do not perceive a favorable risk / reward with INR below 2.5.

I don't know specifics of image below. However, my eyeball views risk @ INR of 1.5 is similar to that at ~4.5. Given uncertainty in testing and variability of life, do I want to be on the left side of the curve or right side of the risk curve?

1574390727054.png
 

pellicle

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I don't know specifics of image below. However, my eyeball views risk @ INR of 1.5 is similar to that at ~4.5. Given uncertainty in testing and variability of life, do I want to be on the left side of the curve or right side of the risk curve?
similar to this one from a different study
 

Protimenow

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From what I recall reading about the On-X valve, it's supposed to be slightly easier to attach one of the ends to one of the major arteries (sorry, I can't be more specific here). The valve, of course, doesn't have a success record to match the valves that are in common use - and have been for decades -- because they haven't been using On-X as long.

Supposedly, the likelihood of clots forming on the On-X is lower than that on the earlier valves because of better hydrodynamics (or something). Personally, if I had an On-X, I would want to have my INR in a range between 2.5 and 3.5. There's no lifestyle advantage to maintaining an INR below 2.0 - and, to me, too much risk involved in shooting for that laughable 'advantage.'
 

carolinemc

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Hi everyone. New to the forum. I am a 44-year old man. Well, after monitoring my bicuspid aortic valve for years, I am scheduled to have valve replacement and aneurysm repair in a few weeks (aortic stenosis is severe; root dilated about 4.2). My surgeon seems to be pushing a mechanical St. Jude valve given my age but she has good things to say about the new Inspiris Resilia tissue valve as well. I am very active and love downhill skiing, cross country skiing, water skiing, and several other activities. Surgeon is confident I can continue with all these activities even if I go for a mechanical vale and have to take thinners.

My main concern with the mechanical valve is warfarin’s interaction with alcohol. I love beer (I do not drink anything else). On an average weekday I have about 3-4 super light Miller 64s (Miller 64 is 2.2% alcohol-not even real beer). But I do have 4 real beers on most Friday and Saturday nights (plus some 64s mixed in) and maybe 3 beers on Sunday. 4-5 times a year I drink 8-10 beers throughout the day at get-to-togethers and special occasions.

My question is whether this level of drinking is dangerous on warfarin/thinners?




Thank you.
I would suggest you to light up on the drinking beer, You drink too much on the holidays and special occasions. Just okay for the 3-4 during the week. Easy does it on the weekend. Good luck.
 

pekster11

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Apr 20, 2011
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Chester, UK
the Op is almost the same age as me...with the same aortic valve replacement and aneurysm repair as me......and he has been given the same valve choices as me

are you my twin ? :D
 

SumoRunner

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Oct 25, 2006
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Latham, NY
I was 43 when I got a St Jude's valve. I'll be 72 in January. I never had problems with thin blood except a couple times when I injured myself competing in track & field. I have run upwards of 500 events from 200 meters to half marathon, and threw shot put for decades. ONE TIME, I tore a calf muscle badly at the track and my leg turned into a giant purple grape as the internal bleeding flowed down. Otherwise, running, throwing, swimming, biking, nothing caused a problem due to the blood thinner. (I'm sipping a beer now as I type.)
 

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