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Quotebettylou4488 do i NEED to take this for a YEAR (at least?) What's your afib situation? Are you having episodes? If not, when was the last one? You say you're a CHADs-Vasc 1, so that means anticoagulants are a judgement call. The biggest factor in that decision is going to be afib activity. The other question is how long do you expect to need ibuprofen? It's not that ibby Carey - AFIBBERS FORUM
Yes, the 1 point you get for being female is gone now so you're a 1. Being a 1 means anticoagulants are a judgement call. Talk to your EP about it if you'd like to consider coming off anticoagulants, but keep in mind you'll be a 2 again in four years.by Carey - AFIBBERS FORUM
The two significant changes in the 2019 guidelines are that NOACs are recommended over warfarin, and the CHADS-Vasc point that women get for being female is no longer counted. The CHADS-Vasc score itself has not changed. Full guidelines here.by Carey - AFIBBERS FORUM
Quotewolfpack Probably because aspirin is useful in cases where platelets encounter anything other than smooth endothelium, like stents or an occlusion device. That's the answer. Aspirin is useful for preventing platelets from clumping on foreign objects, but for afib treatment it's no longer considered to have any role.by Carey - AFIBBERS FORUM
Of note, the 2019 afib guidelines completely removed aspirin. It has no use in afib.by Carey - AFIBBERS FORUM
QuoteJoe sounds like it can cause just about any complaint under the sun Yeah, that's the trouble with side effect reporting. The FDA (and other countries' agencies) generally say every side effect reported has to be made public. So the result is every single person who ever took the drug and had any sort of complaint about it gets listed even if the reason they had that symptom actuaby Carey - AFIBBERS FORUM
It drives me nuts when EPs start with amio. That should be the last drug they try.by Carey - AFIBBERS FORUM
Is flecainide your only medication? Swollen ankles is listed as a rare side effect of flecainide, but I've never heard anyone say they experienced it. Other drugs like some calcium channel blockers very commonly do cause it though. Amlodipine (Norvasc) gave me ridiculously swollen ankles.by Carey - AFIBBERS FORUM
I think George is right. With an isolated LAA your CHADS score is secondary to the TEE results, but for everyone else I think they still do use CHADS.by Carey - AFIBBERS FORUM
I would not stop the Eliquis just to give blood unless you get Natale's blessing first. If you have to stop it for a medical procedure, Natale's office can give your doctor a bridging protocol. They switch you to heparin for a few days because heparin has a really short half life (1 hour), so the surgeon or whoever's doing the procedure can stop it for the absolute minimum amounby Carey - AFIBBERS FORUM
QuoteElizabeth OK---------There should be more stringent drug control, instead of China, good old U.S.A. Another thing we agree on. :-)by Carey - AFIBBERS FORUM
QuoteElizabeth Anticoagulants do not cause bleeding. ------- Once bleeding starts anticoagulants promotes it. Well, that's closer to the truth but "promotes" isn't the word I would use. They delay coagulation exactly as the name implies. They do not cause, initiate, promote or do anything else. They only delay coagulation. I know it seems like I'm mincing words heby Carey - AFIBBERS FORUM
QuoteCatherine Carey, go back and read the OP’s post and stop inserting your script into what YOU think has happened to him. It's not my script. They removed his spleen and kidney following a fall, which clearly indicates those organs were severely injured. That sort of injury will produce severe bleeding regardless of anticoagulants, and surgeons don't remove organs because of Eliquby Carey - AFIBBERS FORUM
QuoteElizabeth Carey said: The affected drugs were removed from the market long ago. Carey [ PM ] Re: Heart Disease February 07, 2019 12:51AM I would try ARBs first. Losartan is a good starting point, irbesartan is where I went next. Then why did you say the above? I didn't mean the drugs are no longer sold. I meant the bad batches were removed from shelves.by Carey - AFIBBERS FORUM
QuoteElizabeth Valsartan, Irbesartan and Losartan have been recalled last year: Check it out The affected drugs were removed from the market long ago.by Carey - AFIBBERS FORUM
Was your LAA isolated in an ablation? If so, I absolutely wouldn't stop the Eliquis. If not, then what's your CHADS-Vasc score? If it's less than 3 it's probably not a big risk, but if it's 3 or higher I wouldn't do it.by Carey - AFIBBERS FORUM
Catherine, you're tossing out a lot of fear mongering misinformation. I'm not even sure where to begin but wolfpack made a good start on it. A few points: 1- OP's problem was major injury to his spleen and kidney, and that's guaranteed to produce massive bleeding even without an anticoagulant. Calling Eliquis life threatening is serious fear mongering. 2- Lawyers filby Carey - AFIBBERS FORUM
QuoteCatherine That’s your opinion. Just its prohibitive price speaks volumes. No, it's not my opinion. It's the data.by Carey - AFIBBERS FORUM
I would try ARBs first. Losartan is a good starting point, irbesartan is where I went next. Not sure why you think CCBs are scary. I'm taking amlodopine now and have been for over a year without problem. It doesn't have any of the effects that diltiazem has. I feel nothing at at all from it.by Carey - AFIBBERS FORUM
Quotetobherd In the meantime, I have a question about the CHAD score....do you get a point for high BP if it is well controlled with medication and is not high now? Yes. You get a point for hypertension even if it's well controlled. I get one for that.by Carey - AFIBBERS FORUM
Quotewhitehaven everyone seems to be talking about Dr. Natale. If you ever needed to have the procedure done which doctor would you choose and why? Everyone's talking about Natale because he's probably the best EP in the world. I would choose him over anyone else, hands down.by Carey - AFIBBERS FORUM
Not me, but thanks for alerting us to the fact that a generic apixaban has been approved by the FDA. Somehow I missed that news. My insurance covers Eliquis at no charge because it's a preventative med, but if I were paying for it I wouldn't hesitate to get the generic.by Carey - AFIBBERS FORUM
I've been combining fish oil and Eliquis for years. Multiple EPs have known this and have no problem with it. Unless you're taking massive quantities of fish oil it shouldn't be an issue. The same is true for tumeric. But I'd be more cautious with the vitamin E. It has a stronger enhancing effect on Eliquis. I would either stop it or reduce the dosage to a minimum.by Carey - AFIBBERS FORUM
Quotekatesshadow So just being in afib itself is not a risk factor? Yes, it's a risk factor but it's not considered in the scoring system. CHADS assumes you have (or had) afib.by Carey - AFIBBERS FORUM
Quotesmackman How is the Chads score figured with someone like me? I have minimal high blood pressure issues(like 125/78 taking 25 mg of ER Metoprolol 1 time a day). No AFIB issues since last Ablation in June 2016 61 years old 1 stent put in Jan 2012. Great flow velocity after LAA was isolated according to TEE in December 2016 BUT NO A WAVE DETECTED. Can a Chad’s score be accurately figurby Carey - AFIBBERS FORUM
Quotesmackman Why is Eliquis $415 a month in the USA but approx. $130 in Canada Ask Congress why they prohibited Medicare from negotiating drug prices and you'll have the answer. Meanwhile, you can get Eliquis for $165 per month from planetdrugsdirect.com. Completely legit and reputable. I've used them for a couple of years.by Carey - AFIBBERS FORUM
Quotesafib Of course, the whole idea that Mg is a miraculous cure for afib in the general population is completely speculative. I'm not sure I'd even give it credit for being speculative. Nobody has ever cured afib with magnesium or even put it in remission.by Carey - AFIBBERS FORUM
QuotePBqltbook Now I'm confused. When did "female" get dropped from the factor list?by Carey - AFIBBERS FORUM
Quotetobherd Not sure what to do at this point.....Barb Easy. Do what Di Biase recommends. I would trust him if I were you.by Carey - AFIBBERS FORUM
Everyone has a CHADS score even if they no longer have afib. You can ignore the point you get for being female, but you get at least one for being over 65. If that's the only point you get besides being female you could probably stop anticoagulants. HOWEVER.... What really concerns me is your mention of an LAA ablation. If your LAA was isolated during your ablation, did they do a TEEby Carey - AFIBBERS FORUM