1. About Acitrom (Acenocoumarol 2 mg):

   • Acitrom is an anticoagulant medication used to prevent blood clots, especially important after heart valve replacement surgery.
   • It works by slowing down the blood clotting process, reducing the risk of clots that could cause stroke or other complications.

2. Dosage and Monitoring:

   • It is crucial to take the prescribed dose of 4 mg per day exactly as directed by your doctor.
   • Regular blood tests called INR (International Normalized Ratio) are needed to monitor how long your blood takes to clot and to adjust the dose safely.

3. Possible Side Effects and Symptoms to Watch For:

   • Common side effects include unusual bleeding or bruising and sometimes skin rash.
   • However, heaviness in the left chest and shortness of breath (dyspnea) are not typical side effects of Acitrom and may indicate other health issues.

4. Importance of Immediate Medical Evaluation:

   • Experiencing chest heaviness and dyspnea requires prompt evaluation by a cardiologist, as these symptoms could suggest heart-related complications after valve replacement.
   • Do not delay seeking medical attention to ensure timely diagnosis and treatment.

5. Additional Recommendations:

   • Avoid medications, supplements, or foods that can interfere with Acitrom without consulting your doctor.
   • Always inform your healthcare providers about all symptoms and medications you are taking.

6. Relevant Medical Specialties:

   • Cardiology for assessment of heart valve function and chest symptoms.
   • Hematology or internal medicine for managing anticoagulation therapy.

If you experience worsening symptoms or any signs of bleeding, please seek emergency care immediately. For urgent assistance, you may contact Apollo Emergency at 1066.To narrow down potential causes, we will need some more information.I understand you're feeling heaviness in your left chest and having trouble breathing when climbing stairs, especially after your aortic valve replacement and while taking Acitrom. Please tell me your age and gender.