Angina?

[pixie374]

Hi, can anyone please explain for me?

We have someone suffering very bad angina attacks (since vax), and his INR is quite high at 3.6. Bad one today, which lasted 45 mins, even with sprays and painkillers.

Wouldn't that INR make clots less likely? They are reducing warfarin, and while I know it's a high reading... could it not be still helping with angina attacks? And is there anything that might... please?

Thank you x

[Sqad]

That INR is slightly high.
Yes, that would make clots less likely BUT would make bleeding more likely e.g a stroke and more difficult to control.
A balance is needed and keeping an INR level BELOW 3 will satisfy that balance safely.
An attack of angina lasting 45 mins is worrying and I hope medical opinion was sought.

[Sqad]

////And is there anything that might... please?////

A challenging medical situation for which I have no answer.

[pixie374]

Thank you, sqad. 30 mins was standard for him about 3x a year. 45 mins, 3x a week, since one covid vaccine and doctors are well aware.... thank you x

[pixie374]

And, might morphine help? He was given that in hospital for it, but currently only has codeine at home.

[Sqad]

A good point Pixie, yes it may well be beneficial.

[pixie374]

Perfect, much appreciated, thanks x