QuoteBrian_og For those that have had ablations where alcohol was a trigger for their afib, do they find that it is no longer a trigger? I would hope that after the ablation it would no longer be. Anyone with that experience? If an ablation was successful then all former triggers will no longer be triggers. If they are then the ablation wasn't really successful. The only caveat to tby Carey - AFIBBERS FORUM
QuoteAB Page Some levity, if y'all will. LOL... Thanks!by Carey - AFIBBERS FORUM
Quotejpeters Results of broad based studies that combine diverse groups looking at one or two variables don't necessarily apply to ANY individual people. Calling the results "facts" to dismiss actual experiences as "anecdotal" is a problem for people who don't understand studies. Sigh.... This is getting ridiculous. Reports of individual experiences are anecdotalby Carey - AFIBBERS FORUM
Yep, they're ridiculously expensive, but that cost will come down quickly, and if you need it, you need it. Given warfarin's long half-life, you could usually just wait out the effects of a NOAC in less time than warfarin could be reversed with vitamin K. My point was that people put too much stock in reversal agents. None of them are fast. If you're bleeding heavily, you need a suby Carey - AFIBBERS FORUM
Folks, this anecdotal warfarin vs. NOACs stuff is useless. Some drugs work for some people and they don't work for others. Warfarin is a perfectly reasonable choice if it works for you. NOACs are a completely reasonable choice if one of them works for you. I've tried to supply the facts on what the pros and cons are for both of them based on clinical studies involving thousands of peopby Carey - AFIBBERS FORUM
Quotekbog For those of you who have flown to Natale in Austin... any non-obvious points a person should consider when making the decision to make one rather than two trips? Aside from the obvious cost factor, not really. Doing it in one trip means arriving two days ahead of time. Day 1 is just getting there and allowing yourself some time for airline malfunction, etc. You really don't wantby Carey - AFIBBERS FORUM
Quotebolimasa I chose warfarin over the other anti-coagulants because it is fairly tried and true, and can be reversed. There are now reversal agents for Pradaxa, Eliquis and Xarelto. The only NOACs that don't have a reversal agent are Savaysa and Bevyxxa, but they will soon. Two things that people need to keep in mind with reversing anticoagulants are that 1) it has a much longer halby Carey - AFIBBERS FORUM
Quotebolimasa What is the significance of V1 anyway? V1 is the closest lead to the right atrium so activity there will have the strongest signal in that lead. If you're looking for something like flutter, V1 is where you look first.by Carey - AFIBBERS FORUM
I'm not so sure it's me who won't drop it. I wasn't referring to anecdotal reports on the internet. Warfarin has far more drug interactions and side effects than the NOACs. That's just fact. Feel free to compare them side by side on drugs.com, rxlist.com, or the pharmacology site of your choice.by Carey - AFIBBERS FORUM
Well, sure. If you can place at least two electrodes wherever you want then you can get any of the leads. What is this device you own?by Carey - AFIBBERS FORUM
Quotejpeters The discussion was about strokes after cardioversion even though the patient was on Xarelto. Just had my INR test. Same place it was 8 weeks ago, and 8 weeks prior to that. For some, it's a big deal. What's? a big deal? People have had strokes following cardioversion despite being on warfarin too. The NOACs work as well as warfarin, have lower bleed risk, fewer side efby Carey - AFIBBERS FORUM
No consumer device I'm aware of records lead V1.by Carey - AFIBBERS FORUM
Oh, I think it's pretty typical. There's no question in my mind that afib has a genetic link. There are exceptions for things like hyperthyroidism, endurance athletes, alcoholism, major trauma, heart attacks, and so forth, but I think in the near future afib will be understood as an inherited condition and ultimately the cure will be based on gene therapy.by Carey - AFIBBERS FORUM
Quotejpeters Good idea, though, for pricey meds. How much is shipping? Shipping is free. There's also a 5% discount if you pay by bank check.by Carey - AFIBBERS FORUM
Quotejpeters I'm guessing it's getting subsidized somewhere, given listed prices. No, you just need to know where to buy drugs that are ridiculously overpriced in the US because Congress refuses to control drug prices like every other country on earth does. I recommend https://www.planetdrugsdirect.comby Carey - AFIBBERS FORUM
Quotejpeters With TEE's. How much do you pay for it, maybe only $445.53? Obviously it's not practical to undergo TEEs routinely. Regardless, people on warfarin with their INR well within range still have strokes. None of the anticoagulants provide 100% protection. I've paid nothing at all for Eliquis the last two years. My insurance carriers (Cigna in 2017, Aetna in 2018)by Carey - AFIBBERS FORUM
Quotejpeters Even at the low end of therapeutic range, INR 2.1, I know I'll be clot free. I've tested this out a number of times. I wonder what the effects of monthly bills of >$500 for one overpriced medication are. That might add to risk of stroke. Um, no, you don't know that. You tested it? How would one go about "testing" it? And the NOACs are expensive but theyby Carey - AFIBBERS FORUM
With Xarelto you have to ask not only if they're compliant but also if they take it with food since Xarelto has to be taken with a meal to be fully absorbed. Personally, I wouldn't take Xarelto. Taking one pill per day vs. two isn't much of a difference in my life, and I can't always guarantee I'll have a meal available when pill time rolls around. At least for me, havby Carey - AFIBBERS FORUM
Yeah, taurine is fine. Just don't take buckets of the stuff.by Carey - AFIBBERS FORUM
The blanking period is a road full of bumps and potholes. What you're experiencing is to be expected. The fact that it comes and goes is what counts. You're good. :-)by Carey - AFIBBERS FORUM
Sorry you're going through this, but it does kind of sound like a pacer might be in your future. But that's the least of the bad things that could happen to you. A pacemaker beats hell out of feeling like crap with bradycardia or feeling like crap with tachycardia. I think you'll end up feeling a hell of a lot better than you do now.by Carey - AFIBBERS FORUM
I'm sorry for your loss and sorry if it seemed I was making light of your brother's illness.by Carey - AFIBBERS FORUM
QuoteErin When I asked the original question, I was thinking of my brother whose cardiologist told him he could not use xarelto. This was four years ago. He was battling a rare aggressive form of leukemia and I would imagine that is why they chose warfarin. He had thrown a clot before warfarin because a surgeon did not think blood thinner was warranted after cervical surgery. I realize everyoneby Carey - AFIBBERS FORUM
Quotejpeters I think you're confusing facts with opinion and theory. Very little is understood about the intricacies of how medications interact within the human body. Making absolute statements like that is absurd and meaningless. It's not theory or opinion. I understand that you personally prefer warfarin and that's fine, but if you actually look at the documented side effects,by Carey - AFIBBERS FORUM
Quotejpeters Finger stick testing? You're joking, right? Once again, you're entitled to your own opinion, but for many people (like myself) who have no problems with warfarin, eliquis certainly has no advantages. I never said it isn't the best choice for some people. It is for some people for various reasons and I don't argue that you're one of them. I'm not speaby Carey - AFIBBERS FORUM
Xarelto and Eliquis have the same mechanism of action. I'm sorry you had a stroke and I don't know why you did, but it's simply untrue that Eliquis wasn't working at all. The anti-Eliquis campaign here needs to stop. It's false information. This forum is read by many people who never post ("lurkers"). I was one of them for many years. Think about how your worby Carey - AFIBBERS FORUM
Quotejpeters Warfarin is derived from sweet clover. Although relatively safe, it causes problems for physicians who have to monitor INR for it to be safe. That's not something many are equipped or want to do, which is why they love Eliquis. Even if they have a coumadin clinic, there's no extra charge for the service. "These findings do not indicate that physicians have inadequby Carey - AFIBBERS FORUM
QuoteElizabeth I read your UrL on Eliquis, that must be one of the most horrible drugs on the market and you have to pay big bucks for it. The list of side effects and drug/food interactions for warfarin dwarfs the list for Eliquis.by Carey - AFIBBERS FORUM
Quotejpeters There are numerous warnings against stopping Eliquis cold turkey. " ELIQUIS can cause bleeding, which can be serious, and rarely may lead to death." "Stay on Eliquis until your healthcare provider tells you to get off. Suddenly stopping Eliquis can cause serious issues." I think you're misinterpreting that warning. The warning is telling patients notby Carey - AFIBBERS FORUM
The clinical trial is scheduled to end June 2021. My understanding is they've already stopped accepting new patients into the trial, so it wouldn't surprise me if it was sooner than that. The purpose of the trial is to obtain FDA approval of the device, so that means it hasn't been approved yet so no, you wouldn't be able to get the device in the US without being in the trial.by Carey - AFIBBERS FORUM