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Re: Coumadin vs. Aspirin?

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I'm really really curious as to who is on Aspirin and who is on

Coumadin. If you haven't voted....please....make me happy....vote:

Click below and scroll down and look for the *Coumadin Survey*.

http://groups.yahoo.com/group/AFIBsupport/polls---

Ellen

***********************

In AFIBsupport@y..., Failteg@m... wrote:

> When I reviewed the Coumadin Survey, three (3) of our members are

on Aspirin....Bobby, & Trudy. Bobby has posted a message

> pertaining to his intake of Aspirin. I'm sure way back when

> and Trudy have done the same..........but could I ask again why you

> are on Aspirin and not Coumadin?

Ellen

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I am sure that anticoagulation with Coumadin is better, in general, for

those who are still in fibrillation, or are still having any episodes.

My question was whether it was necessary to remain on it if you are in

NSR all of the time as a result of meds, ablation, maze, etc.

I was taken off of Coumadin and placed on aspirin, but I'm not really

sure what the aspirin is expected to accomplish. I don't feel that it is

specifically for anticoagulation in case I start fibrillating, but I

feel it can't hurt.

Here are a few articles and studies related to the subject. I'll add

them to the bookmarks section.

http://www.jr2.ox.ac.uk/bandolier/band70/b70-2.html

http://www.postgradmed.com/issues/2000/08_00/gornick.htm

http://www.aafp.org/afp/971200ap/wolf.html

http://www.americanheart.org/Scientific/statements/1996/039602.html

Also, check out the dietary guidelines for those taking Coumadin at:

http://www.dialadietitian.org/resources/handouts/coumpro.html

Coumadin vs. Aspirin?

When I reviewed the Coumadin Survey, three (3) of our members are on

Aspirin....Bobby, & Trudy. Bobby has posted a message

pertaining to his intake of Aspirin. I'm sure way back when

and Trudy have done the same..........but could I ask again why you

are on Aspirin and not Coumadin?

http://groups.yahoo.com/group/AFIBsupport/polls

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> When I reviewed the Coumadin Survey, three (3) of our members are

on

> Aspirin....Bobby, & Trudy. Bobby has posted a message

> pertaining to his intake of Aspirin. I'm sure way back when

> and Trudy have done the same..........but could I ask again why you

> are on Aspirin and not Coumadin?

Hi, Ellen,

I guess I am not on coumadin because my doc thinks the afib

risk is not high enough to warrant it instead of aspirin.

I can tell that both my doc and my cardio think I may have basically

had an isolated occurrence (well, 5-6 days) of afib in October.

Things

have been quite murky since then with the stupid ativan causing

shortness of breath that mimiced a significant heart problem, etc.

Now that I am free of ativan for two months and having only minor

effects left from it, I just went over a 30 day monitor result with

my cardio, and there was one instance of maybe rate controlled afib

or maybe it wasn't, she couldn't tell.

I do know I am not as normal as they would like to believe - as

recently as March I had two episodes of maybe ten extra beats a

minute for 4-5 hours after trying to exercise with small weights.

The cardio did catch that on an ekg and said she wouldn't be

surprised if I had been in afib some of the time during those hours.

Plus I can get into more frequent than normal extra beats from day to

day.

And frustratingly there are things I can't do without bringing on the

extra beats.

So am I in a normal state? No. Am I close to normal? I guess so,

and mighty lucky compared to how some folks in here are doing. But I

am very curious about why some things send me into extra beats. When

I asked her, she said they shouldn't and maybe I was just noticing

them more due to posture, etc. But that can't be the case, as they

would have to be so frequent normally that I'd be having stuff all

the time.

The bottom line is, I am lucky except for the small limitations and

the unsettledness of not knowing why certain things are off limits.

I am working aggressively on improving my heart fitness - walking,

trying to lose weight, going to see my regular doc about cholesterol,

etc. Maybe that will put things really back to normal. Measnwhile I

thank my lucky stars they are as good as they are.

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I am remembering that coumadin has dangers associated with it, like

hemmoraghing(sp?) and stroke, so there is a tradeoff of benefits vs.

risks.

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Ablation at the AV Node and a pacer does not cure the Afib. The pacer send the

electrical impulse to the left ventricle which beats in a normal rythym. Since

the atrium is still fibbing away, the risk of a clot from the atrium to the

brain or elsewhere is still there. I had the procedure and am a lifer for

warfarin.

Barry

Coumadin vs. Aspirin?

When I reviewed the Coumadin Survey, three (3) of our members are on

Aspirin....Bobby, & Trudy. Bobby has posted a message

pertaining to his intake of Aspirin. I'm sure way back when

and Trudy have done the same..........but could I ask again why you

are on Aspirin and not Coumadin?

http://groups.yahoo.com/group/AFIBsupport/polls

Web Page http://groups.yahoo.com/group/AFIBsupport

For more information: http://www.dialsolutions.com/af

Post message: AFIBsupport

Subscribe: AFIBsupport-subscribe

Unsubscribe: AFIBsupport-unsubscribe

List owner: AFIBsupport-owner

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All, re Wafarin and Asprin.

I had seen many articles re this subject. The conclusion is that for

sufferers in Chronic AF and Paroxysmal AF Wafarin the use of Wafarin is the

safest bet.

From what I understand the problems are when in PAF a clot may build up in

the Atria then when going back in SR the clot may be dislodged and get into

your systems and causes a problem. For Chronic AF the atria as it is not

working correctly its acts as food Mixer whipping the blood into a clotted

state.

Here I know that the standard practise is for anybody with PAF and Chronic

AF to be put into a regime of Wafarin. If the symptoms subside for six

months then a Holter test is instigated , If the Holter is clean then

Wafarin therapy is withdrawn.

Ellen,

I have seen a posting from you that may suggest that you may be going into

AF but are unaware of this. Just think of the times when you were in AF, I

know from your posts that you felt pretty rough so I doubt if you having any

AF episodes. It would be a good thing to have a hotler test just to ensure

that your pacer is set correctly and I would push for the withdrawal of

Wafarin if at all possible. I would remain on Asperin though just to keep

you blood less gluey.

On another note do you feel cold on Wafarin, my feet and hand turn blue in

the winter also my ears turn blue.

See you all over the weekend.

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>I was taken off of Coumadin and placed on aspirin, but I'm not really

>sure what the aspirin is expected to accomplish. I don't feel that it is

>specifically for anticoagulation in case I start fibrillating, but I

>feel it can't hurt.

Aspirin makes your platelets less 'sticky' so it will take longer than

normal for your blood to clot.

Warfarin (coumadin) stops the body producing as much fibrin (sp?) which is the

protein that kicks the clogging process off (I think!)

--

D

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Now that we have this topic going strong.....how about casting your

vote as to the *Coumadin Survey*? We need your input.......just

think, the information provided by our Support Group could prove a

wee bit helpful someday to the Medical/Research World! Is that a

possibility?..........hmmmmm!!

> http://groups.yahoo.com/group/AFIBsupport/polls

Hey.....while you're in there, click the *Vote* word for the many

other subjects.

Thanks, just me........

Ellen

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