Guest guest Posted April 18, 2006 Report Share Posted April 18, 2006 Toni, I too am on asa for the past 16 years as per my cardio's rx. I am in NSR most of the time with some ectopy and occassional AF breakthroughs, while my wife who also has AF is on coumadin. Both of these meds have their place. My concern is for Steve who has only been in AF for a handful of days and has a high liklihood of converting back to NSR, on he own, at any time. Thanks for your feedback. I would welcome any additional feedback on this from anyone. There is always so much to learn, and things change so quickly, indiaink99@... wrote: It is very unusual that a doc would use Aspirine as a blood thinner for someone in constant AF for over 48 hrs. ------------------ I'm not sure who posted this, so I don't know who to address this to. But I'm not sure how true this statement is .. .at least across the board. My doctor (and the ER doctor) said that aspirin is fine for me (your mileage may vary) and that if you're in chronic a-fib, the stroke risk is actually less because there is no conversion to NSR that might throw a clot. They have yet to want me on coumadin, which I don't mind at all. And I've been in permanent a-fib since last August 27th. I know doctors disagree on this. My doctor (and the ER doctor) did say that coumadin is usually the " gold standard " for anyone in a-fib and it's almost automatic to give it. BUT, they said it is being reconsidered these days as the risks associated with bleeds from coumadin (including bleeds that cause strokes) sometimes does not balance with the benefit of the coumadin itself. Pays to investigate and realize that everyone is different, and opinions of doctors vary widely on almost all a-fib topics. Toni CA Quote Link to comment Share on other sites More sharing options...
Guest guest Posted April 18, 2006 Report Share Posted April 18, 2006 Did you get the Enteric? the slow-acting? Gerald Re: New To The Board > > > Thank you so much for all of the responses. > I am kind of in a jam now because I am supposed to be leaving for > Florida tomorrow afternoon. Today being a holiday, I hope I can get an > appt. I was hoping I would wake up this morning and it would be back > to normal but no such luck. All of your replies are very > appreciated and I am glad I found this board. > I never even knew there was something called a electro > physiologist. I thought a cardiologist was as good as it gets. How do > I go about finding one? I will ask my cardiologist I suppose. I live > in the Boston area. If anyone could recommend one around here that > would be great, otherwise I will locate one. thanks again. > > > > > > > > > > Web Page - http://www.afibsupport.com > List owner: AFIBsupport-owner > For help on how to use the group, including how to drive it via email, > send a blank email to AFIBsupport-help > > Nothing in this message should be considered as medical advice, or should be acted upon without consultation with one's physician. > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted April 19, 2006 Report Share Posted April 19, 2006 How does a cardiologist know that someone is in " cronic " or " permanent " AFib? From what I'm reading, it sounds like most people are not " permanent " , at least not in the beginning, and vary in the length of time that they are in AFib. I am assuming that the Cardiologist would only know that it is " permanent " if the patient doesn't convert over a long period of time. Therefore, how would they know when not to prescribe Coumadin? I was in AFib for almost 2 months before I suddenly converted on my own (with the help of Sotalol). Bottom line -- How do you know that you won't some day convert on your own? Wouldn't you want to be on Coumadin if that were to happen? I'm not sure who posted this, so I don't know who to address this to. But I'm not sure how true this statement is .. .at least across the board. My doctor (and the ER doctor) said that aspirin is fine for me (your mileage may vary) and that if you're in chronic a-fib, the stroke risk is actually less because there is no conversion to NSR that might throw a clot. They have yet to want me on coumadin, which I don't mind at all. And I've been in permanent a-fib since last August 27th. I know doctors disagree on this. My doctor (and the ER doctor) did say that coumadin is usually the " gold standard " for anyone in a-fib and it's almost automatic to give it. BUT, they said it is being reconsidered these days as the risks associated with bleeds from coumadin (including bleeds that cause strokes) sometimes does not balance with the benefit of the coumadin itself. Pays to investigate and realize that everyone is different, and opinions of doctors vary widely on almost all a-fib topics. > > Toni > CA > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted April 19, 2006 Report Share Posted April 19, 2006 How does a cardiologist know that someone is in " cronic " or " permanent " AFib? From what I'm reading, it sounds like most people are not " permanent " , at least not in the beginning, and vary in the length of time that they are in AFib. I am assuming that the Cardiologist would only know that it is " permanent " if the patient doesn't convert over a long period of time. Therefore, how would they know when not to prescribe Coumadin? I was in AFib for almost 2 months before I suddenly converted on my own (with the help of Sotalol). Bottom line -- How do you know that you won't some day convert on your own? Wouldn't you want to be on Coumadin if that were to happen? I'm not sure who posted this, so I don't know who to address this to. But I'm not sure how true this statement is .. .at least across the board. My doctor (and the ER doctor) said that aspirin is fine for me (your mileage may vary) and that if you're in chronic a-fib, the stroke risk is actually less because there is no conversion to NSR that might throw a clot. They have yet to want me on coumadin, which I don't mind at all. And I've been in permanent a-fib since last August 27th. I know doctors disagree on this. My doctor (and the ER doctor) did say that coumadin is usually the " gold standard " for anyone in a-fib and it's almost automatic to give it. BUT, they said it is being reconsidered these days as the risks associated with bleeds from coumadin (including bleeds that cause strokes) sometimes does not balance with the benefit of the coumadin itself. Pays to investigate and realize that everyone is different, and opinions of doctors vary widely on almost all a-fib topics. > > Toni > CA > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted April 19, 2006 Report Share Posted April 19, 2006 chronic or permanent afib is usually labeled when neither medication or electric cardioversion will relieve the person of their afib state. You can be in afib for a very long time and still not be permanent.. it's just when eveything they try to get you out of afib fails that you are labeled permanent. And this is not to say that people in permanent afib cannot regain NSR through new technologies or medications... it's a current state of being, so to speak. clarissagarvey clarissagarvey@...> wrote: How does a cardiologist know that someone is in " cronic " or " permanent " AFib? From what I'm reading, it sounds like most people are not " permanent " , at least not in the beginning, and vary in the length of time that they are in AFib. I am assuming that the Cardiologist would only know that it is " permanent " if the patient doesn't convert over a long period of time. Therefore, how would they know when not to prescribe Coumadin? I was in AFib for almost 2 months before I suddenly converted on my own (with the help of Sotalol). Bottom line -- How do you know that you won't some day convert on your own? Wouldn't you want to be on Coumadin if that were to happen? I'm not sure who posted this, so I don't know who to address this to. But I'm not sure how true this statement is .. .at least across the board. My doctor (and the ER doctor) said that aspirin is fine for me (your mileage may vary) and that if you're in chronic a-fib, the stroke risk is actually less because there is no conversion to NSR that might throw a clot. They have yet to want me on coumadin, which I don't mind at all. And I've been in permanent a-fib since last August 27th. I know doctors disagree on this. My doctor (and the ER doctor) did say that coumadin is usually the " gold standard " for anyone in a-fib and it's almost automatic to give it. BUT, they said it is being reconsidered these days as the risks associated with bleeds from coumadin (including bleeds that cause strokes) sometimes does not balance with the benefit of the coumadin itself. Pays to investigate and realize that everyone is different, and opinions of doctors vary widely on almost all a-fib topics. > > Toni > CA > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted April 19, 2006 Report Share Posted April 19, 2006 Clarissa, For what its worth, I have been on aspirine since my a fib condition began 16 years ago. I am in NSR most of the time and have occassional ectopy (skipped beats), and rare afib breakthroughs. My wife has been on coumadin for the many years which she has had afib. She is in constant afib and her rate in controled. It seems that different approached to blood thinning are used, sepending on the patients condition and the doc. My wife and I have the same doc. Welcome to the board. I have only been a member for very short time, and I find that the folks here are very helpful. clarissagarvey clarissagarvey@...> wrote: How does a cardiologist know that someone is in " cronic " or " permanent " AFib? From what I'm reading, it sounds like most people are not " permanent " , at least not in the beginning, and vary in the length of time that they are in AFib. I am assuming that the Cardiologist would only know that it is " permanent " if the patient doesn't convert over a long period of time. Therefore, how would they know when not to prescribe Coumadin? I was in AFib for almost 2 months before I suddenly converted on my own (with the help of Sotalol). Bottom line -- How do you know that you won't some day convert on your own? Wouldn't you want to be on Coumadin if that were to happen? I'm not sure who posted this, so I don't know who to address this to. But I'm not sure how true this statement is .. .at least across the board. My doctor (and the ER doctor) said that aspirin is fine for me (your mileage may vary) and that if you're in chronic a-fib, the stroke risk is actually less because there is no conversion to NSR that might throw a clot. They have yet to want me on coumadin, which I don't mind at all. And I've been in permanent a-fib since last August 27th. I know doctors disagree on this. My doctor (and the ER doctor) did say that coumadin is usually the " gold standard " for anyone in a-fib and it's almost automatic to give it. BUT, they said it is being reconsidered these days as the risks associated with bleeds from coumadin (including bleeds that cause strokes) sometimes does not balance with the benefit of the coumadin itself. Pays to investigate and realize that everyone is different, and opinions of doctors vary widely on almost all a-fib topics. > > Toni > CA > > > > Quote Link to comment Share on other sites More sharing options...
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