VALVE REPLACEMENT (Continued) 2002 Cardiovascular Conference Report Recommendation Tables, Page 81 PHYSIOLOGY/ DIAGNOSIS CERTIFICATION RE-CERTIFICATION FUNCTIONAL Atrial fibrillation. Yes if: Annual Anticoagulated adequately for at least 1 month and monitored by at least monthly INR, rate/rhythm control adequate; Cleared by cardiologist. Biologic Prostheses Antiocoagulant therapy not Yes if: Annual necessary in patients in At least 3 months post- Recommend evaluation sinus rhythm (after initial 3 op; Asymptomatic; None by cardiologist.* mo0nths), in absence of of above disqualifying prior emboli or criteria for mechanical hypercoagulable state. valves; Cleared by cardiologist.
VALVE REPLACEMENT (Continued) 2002 Cardiovascular Conference Report Recommendation Tables, Page 81 DIAGNOSIS PHYSIOLOGY/ FUNCTIONAL CERTIFICATION RE-CERTIFICATION Atrial fibrillation. Yes if: Anticoagulated adequately for at least 1 month and monitored by at least monthly INR, rate/rhythm control adequate; Cleared by cardiologist. Annual Biologic Prostheses Antiocoagulant therapy not necessary in patients in sinus rhythm (after initial 3 mo0nths), in absence of prior emboli or hypercoagulable state. Yes if: At least 3 months post- op; Asymptomatic; None of above disqualifying criteria for mechanical valves; Cleared by cardiologist. Annual Recommend evaluation by cardiologist.*
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