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Medical Forum / General / Cardiology / February 2005Coumadin and Afib
I have parox. Afib, 6 episodes in the last 8 years. All converted back to NSR either by cardioversion or spontaneously within one day. At my cardiologists' recommendation, I take coumadin even though I am in NSR. The reommendation was based on my age (62) and the fact I have high blood pressure (which is treated), no other heart disease. With latest Rx regimen, flecainide and atenolol I have remained in NSR for 2 years. I am very aware of my heart rhythm and can immediately feel if I am in afib which I can confirm by my pulse. I can feel the moment it starts or at the latest when I wake up in the morning. So, I am considering stopping the coumadin based on this. Bad idea? Does the fact that I am in NSR and I can tell when afib starts and initiate coumadin then, mitigate the clotting risk? > I have parox. Afib, 6 episodes in the last 8 years. All converted back > to NSR either by cardioversion or spontaneously within one day. At my [quoted text clipped - 11 lines] > am in NSR and I can tell when afib starts and initiate coumadin then, > mitigate the clotting risk? Yes. No. L. > I have parox. Afib, 6 episodes in the last 8 years. All converted back to > NSR either by cardioversion or spontaneously within one day. At my [quoted text clipped - 7 lines] > the latest when I wake up in the morning. So, I am considering stopping the > coumadin based on this. Bad idea? Bad idea. > Does the fact that I am in NSR and I can > tell when afib starts and initiate coumadin then, mitigate the clotting > risk? No. You are at higher risk because of your hypertension. At His service, Andrew -- Andrew B. Chung, MD/PhD Board-Certified Cardiologist ** Suggested Reading: (1) http://makeashorterlink.com/?L26062048 (2) http://makeashorterlink.com/?O2F325D1A (3) http://makeashorterlink.com/?X1C62661A (4) http://makeashorterlink.com/?U1E13130A (5) http://makeashorterlink.com/?K6F72510A (6) http://makeashorterlink.com/?I24E5151A (7) http://makeashorterlink.com/?I22222129 |
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