Abstract | RATIONALE:
Rivaroxaban has numerous advantages over traditional anticoagulation therapy. Fixed doses can be administered without requiring routine monitoring of coagulation, and anticoagulation efficacy is more predictable. Safety, including fewer drug interactions, and reduced bleeding, is also improved with rivaroxaban based on current recommendations. The goal of this report was to explore if low-dose rivaroxaban 10 mg once daily was effective in an elderly patient who developed minor bleeding when treated with rivaroxaban (10 mg twice daily) for a pulmonary embolism. PATIENT CONCERNS: We present an 88-year-old female with dyspnea and fatigue, which became increasingly worse over a month in the absence of medication. Her weight was 64 kg. Routine coagulation assays and renal function were normal at time of admission. DIAGNOSIS: INTERVENTIONS: OUTCOME: At follow-up 90 days after treatment, the patient reported no discomfort. Venous compression ultrasonography and computed tomography pulmonary angiography showed normal results; therefore, treatment was terminated. LESSONS:
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Authors | Huanyu Zhou, Qi Wei, Haidi Wu, Minglong Tang, Shuo Yang, Yang Liu, Ling Qin |
Journal | Medicine
(Medicine (Baltimore))
Vol. 98
Issue 20
Pg. e15705
(May 2019)
ISSN: 1536-5964 [Electronic] United States |
PMID | 31096518
(Publication Type: Case Reports, Journal Article)
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Chemical References |
- Factor Xa Inhibitors
- Rivaroxaban
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Topics |
- Administration, Oral
- Aftercare
- Aged, 80 and over
- Computed Tomography Angiography
(methods)
- Factor Xa Inhibitors
(administration & dosage, adverse effects, therapeutic use)
- Female
- Hemorrhage
(etiology, prevention & control)
- Humans
- Pulmonary Embolism
(diagnostic imaging, drug therapy)
- Rivaroxaban
(administration & dosage, adverse effects, therapeutic use)
- Treatment Outcome
- Ultrasonography
(methods)
- Venous Thrombosis
(diagnostic imaging, drug therapy)
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