Treatment of ischaemic heart disease in haemophilia patients: an institutional guideline

R E G Schutgens, A Tuinenburg, G Roosendaal, S Hoseyni Guyomi, E P Mauser-Bunschoten
Haemophilia: the Official Journal of the World Federation of Hemophilia 2009, 15 (4): 952-8
Since the introduction of clotting factor concentrates, life expectancy of haemophilia patients is increasing and now approaches that of the general male population. Increasingly, haemophilia patients are confronted with age-related co-morbidity, including ischaemic cardiovascular disease. Treatment of stable angina pectoris and the acute coronary syndrome with antithrombotic therapy and percutaneous coronary intervention in haemophilia patients is feasible, but requires a tight co-operation between all specialists involved. As evidence-based guidelines are lacking, we developed a protocol on how we will treat haemophilia patients with ischaemic heart disease.

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