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Warfarin Mandatory for Mechanical Valves — EECC MCQ

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EasyArrhythmia & ElectrophysiologyWarfarin Mandatory for Mechanical ValvesEECC

A 65-year-old man with AF and a prosthetic mechanical mitral valve requires anticoagulation. Which anticoagulant must be used?

Educational content. Not a substitute for clinical judgement or local policy.

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Correct answer: EWarfarin is mandatory — DOACs are absolutely contraindicated with mechanical heart valves based on the RE-ALIGN trial which showed increased thromboembolism and bleeding with dabigatran compared with warfarin

The RE-ALIGN trial (2013) compared dabigatran with warfarin in patients with mechanical heart valves and was terminated early due to excess thromboembolic events (valve thrombosis, stroke) and bleeding with dabigatran. This established an absolute contraindication for DOACs with mechanical valves — one of only two absolute contraindications (the other being moderate-severe rheumatic mitral stenosis). The 2024 ESC AF Guidelines and 2025 VHD Guidelines mandate warfarin for all mechanical valves. INR targets vary by valve position and generation: mechanical MVR: INR 2.5-3.5; modern bileaflet mechanical AVR without risk factors: INR 2.0-3.0. Self-monitoring of INR at home is recommended to improve TTR.

Reference: ESC (2024): AF Guidelines; ESC/EACTS (2025): VHD Guidelines; RE-ALIGN Trial