Pt with 1 subtherapeutic inr (1.9) over the last 6 months.Goal range 2-2.5.Not on asa due to gi bleed.Compliant with coumadin regime.Admitted (b)(6) 2018 for increased ldh of 447 (baseline 100-200) and signs of left ventricular dysfunction and pulmonary edema.T-bill slightly elevated with ast and alt wnl.Lvad running wnl.Heparin started.On (b)(6) 2018 pt with noted nsvt episodes x3.Despite use of heparin ldh continued to increase with emergent exchange occurring on (b)(6) 2018.Visible thrombus noted on the lvad inflow stator.
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