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2017, Number 4

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Anales de Radiología México 2017; 16 (4)

Intracranial bleeding in patients treated with anticoagulants and platelet antiaggregants

López-Bulnes AM, Paul-Silva Y, Criales-Vera SA

Language: Spanish
References: 14
Page: 305-311
PDF size: 781.22 Kb.


ABSTRACT

Introduction: intracranial bleeding is a growing cause of morbidity and mortality worldwide. Instituto Nacional de Cardiología Ignacio Chávez specializes in managing cardiopathic patients. Such patients are commonly treated with anticoagulants and platelet antiaggregants, leading to a high incidence of intracranial bleeding. Simple tomography is the primary diagnostic tool used to identify it.
Objectives: determine the number of new cases of intracranial bleeding associated with the use of anticoagulants and antiaggregants at Instituto Nacional de Cardiología Ignacio Chávez.
Material and Methods: a retrospective and descriptive study. We included cases diagnosed as intracranial bleeding by means of simple computerized tomography in patients at Instituto Nacional de Cardiología Ignacio Chávez over a 9-month period. Each patient’s electronic records were analyzed to collect associated factors.
Results: 56 cases of intracranial bleeding were identified by means of simple computerized tomography, 71% of those under treatment with anticoagulants, antiaggregants, or both. Other risk factors found were: male gender, age over 60 years, and hypertension.
Discussion: in our hospital, there is a high rate of intracranial bleeding due to the use of anticoagulant drugs and it may continue to increase. Simple tomography remains the first choice for rapid diagnosis.
Conclusions: due to common use of anticoagulants in our hospital population, there is a high incidence of intracranial bleeding. Technological advances notwithstanding, tomography is a useful tool for early diagnosis and treatment.


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