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Is warfarin the only anticoagulant used for mechanical heart valve replacement maintenance? if yes, why?

Is warfarin the only anticoagulant used for mechanical heart valve replacement maintenance? if yes, why?
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Ans) Yes, A meta-analysis of the use of warfarin and aspirin in patients with prosthetic heart valves. It is concluded that combining low dose aspirin with warfarin decreases the risk of systemic embolism or death in patients with prosthetic heart valves.

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