Young afibbers and warfarin

[Guest guest]

Hi All,

Reading through the latest posts, especially 's interesting take, I was

wondering how

many of us under 70 with no other problems (lone af) are on Warfarin vs aspirin.

I'm 52, a

veggie, workout everyday, in great shape, have no other health issues as

stated yet

my cardio still has me on warfarin. Is that just him doing a c.y.a. or...?

What about others in

this age range and health. Thanks! Bruce.

[Guest guest]

I am on asprin alone however I'm usually in a-fib once every three or so weeks

and it lasts <12 hours. The likelihood of a thrombus forming in that period of

time is very low. My EP doesn't think I need coumadin (yet), however I'll have

to be on it with INRs in the 2-3 range for 3 weeks prior to ablation.

I tried to talk her into using lovenox when I am in a-fib (after all, that's

what I get when I'm hospitalized) but she said it's not FDA approved for that

use...I argued to no avail. I think this would be the optimum treatment for

those of us who don't go into fib very frequently and know when we do. It would

also be ideal for people at risk for DVT to use just prior to long flights.....

...

brgoblue24 brgoblue24@...> wrote:

Hi All,

Reading through the latest posts, especially 's interesting take, I was

wondering how

many of us under 70 with no other problems (lone af) are on Warfarin vs aspirin.

I'm 52, a

veggie, workout everyday, in great shape, have no other health issues as

stated yet

my cardio still has me on warfarin. Is that just him doing a c.y.a. or...?

What about others in

this age range and health. Thanks! Bruce.

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.

[Guest guest]

Me too. I am on coumadin, started when I was 58.

>

> Hi All,

> Reading through the latest posts, especially 's interesting

take, I was wondering how

> many of us under 70 with no other problems (lone af) are on Warfarin

vs aspirin. I'm 52, a

> veggie, workout everyday, in great shape, have no other health

issues as stated yet

> my cardio still has me on warfarin. Is that just him doing a c.y.a.

or...? What about others in

> this age range and health. Thanks! Bruce.

>

[Guest guest]

Bruce, I'm 58. Has AF for 16 years. In NSR for the most part with antiarrhytmic

med. Lone AF, although at this point my atria are moderately enlarged. Enjoy

working out moderately hard in the gym. On Aspirine 325 mg a day. There are many

factors in this medical decision of aspirine vs coumadin. It may be that your

doc has seen some medical literature on the issue that my doc has missed, or it

may be other good reasons. I can imagine it would be a problem to discuss the

issue with your doc. I would be interested to hear what he has to say. Keep us

posted,

brgoblue24 brgoblue24@...> wrote: Hi All,

Reading through the latest posts, especially 's interesting take, I was

wondering how

many of us under 70 with no other problems (lone af) are on Warfarin vs aspirin.

I'm 52, a

veggie, workout everyday, in great shape, have no other health issues as

stated yet

my cardio still has me on warfarin. Is that just him doing a c.y.a. or...?

What about others in

this age range and health. Thanks! Bruce.

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.

[Guest guest]

Hi Bruce

I have lone af but before I was diagnosed I that I had af I had a TIA

ine

Young afibbers and warfarin

Hi All,

Reading through the latest posts, especially 's interesting

take, I was wondering how

many of us under 70 with no other problems (lone af) are on Warfarin vs

aspirin. I'm 52, a

veggie, workout everyday, in great shape, have no other health issues as

stated yet

my cardio still has me on warfarin. Is that just him doing a c.y.a.

or...? What about others in

this age range and health. Thanks! Bruce.

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.

[Guest guest]

Hi Bruce:

For the authoritative answer on coumadin vs. aspirin, see " Management

of Patients with Atrial Fibrillation " (click the " Files " section on the

left hand side of this afib group page). These are the practice

guidlines agreed to by the American College of Cardiology working with

the European Society of Cardiology. Basically, this is the gold

standard for AF treatment.

, Charlotte NC

>

> Hi All,

> Reading through the latest posts, especially 's interesting

take, I was wondering how

> many of us under 70 with no other problems (lone af) are on Warfarin

vs aspirin. I'm 52, a

> veggie, workout everyday, in great shape, have no other health issues

as stated yet

> my cardio still has me on warfarin. Is that just him doing a c.y.a.

or...? What about others in

> this age range and health. Thanks! Bruce.

>

[Guest guest]

Specifically, I was referring to the table on page 20

( " Recommendations for Antithrombotic Therapy in Patients with Atrial

Fibrallation Based on Thromboembolic Risk Stratification " ).

> >

> > Hi All,

> > Reading through the latest posts, especially 's

interesting

> take, I was wondering how

> > many of us under 70 with no other problems (lone af) are on

Warfarin

> vs aspirin. I'm 52, a

> > veggie, workout everyday, in great shape, have no other health

issues

> as stated yet

> > my cardio still has me on warfarin. Is that just him doing a

c.y.a.

> or...? What about others in

> > this age range and health. Thanks! Bruce.

> >

>

[Guest guest]

Hi Bruce

I too am a relatively young (!! - 54) lone affiber. I'm on 75mg of

aspirin p.d.

Personally, I don't think you should be on coumadin at all. There was a

study done recently of Lone Afibbers and stroke risk. The conclusion

was that they had no greater risk of stroke than the general

population. In fact the mortality of Lone affibers over the 25 years of

the study was less than half of that of the general population!

This article in in Hans Larsen's Afib report of March 2006, see

http://www.afibbers.org/

Also in the same issue is a report about coumadin which mentions that

its benefits are, to a large degree, offset by its tendency to cause

internal bleeding and hemorrhagic stroke. Of AF patients taking

coumadin the risk of dying from the drug is 3.5% p.a. and the risk of a

serious internal bleed is 12% p.a.

So unless you have coronary artery disease, hypertension, diabetes,

mitral valve prolapse or congestive heart failure or something else

that increases your chance of an ischemic (i.e. clot) stroke, best keep

off the coumadin. I would mention this article to your doctor and see

what he says.

In any case if you have lone AF the chances are you are a bit of a

fitness nut, and warfarin can put the clappers on that.

Cheers

Mark

>

> Hi All,

> Reading through the latest posts, especially 's interesting

take, I was wondering how

> many of us under 70 with no other problems (lone af) are on Warfarin

vs aspirin. I'm 52, a

> veggie, workout everyday, in great shape, have no other health issues

as stated yet

> my cardio still has me on warfarin. Is that just him doing a c.y.a.

or...? What about others in

> this age range and health. Thanks! Bruce.

>

[Guest guest]

Bruce,

I'm 62 and was diagnosed with lone AF a year ago. My cardiologist says Coumadin

is not indicated for me so I take aspirin plus some natural blood thinners

(ginger, fish

oil, Vitamin E, and Nattokinase). My episodes typically last one to four hours;

the

longest one was 12 hours. If your's are longer or you have other risk factors

you

didn't mention, that could explain for your Coumadin, but doctors do seem to be

all

over the place in their advice on this to lone AFers. You're the one on the

drug, so do

some due dilegence and ask him to take you off it if your risk still seems low.

I've

sometimes second guessed my doctors and have found that taking in some printouts

of published research goes a long way toward getting me the therapy I want.

H

> Hi All,

> Reading through the latest posts, especially 's interesting

> take, I was wondering how many of us under 70 with no other problems

> (lone af) are on Warfarin vs aspirin. I'm 52, a veggie, workout

> everyday, in great shape, have no other health issues as

> stated yet my cardio still has me on warfarin. Is that just him doing

> a c.y.a. or...? What about others in this age range and health.

> Thanks! Bruce.

[Guest guest]

I don't know where this information came from but the AHA/ACC (american heart

association and american college of cardiology both recommend anticoagulation

(warfarin) for patient's with atrial fibrillation if over the age of 60 or if

under 60 with one or more risk factors for stroke....which we listed on a prior

posting.

....

markseadog mark@...> wrote:

Hi Bruce

I too am a relatively young (!! - 54) lone affiber. I'm on 75mg of

aspirin p.d.

Personally, I don't think you should be on coumadin at all. There was a

study done recently of Lone Afibbers and stroke risk. The conclusion

was that they had no greater risk of stroke than the general

population. In fact the mortality of Lone affibers over the 25 years of

the study was less than half of that of the general population!

This article in in Hans Larsen's Afib report of March 2006, see

http://www.afibbers.org/

Also in the same issue is a report about coumadin which mentions that

its benefits are, to a large degree, offset by its tendency to cause

internal bleeding and hemorrhagic stroke. Of AF patients taking

coumadin the risk of dying from the drug is 3.5% p.a. and the risk of a

serious internal bleed is 12% p.a.

So unless you have coronary artery disease, hypertension, diabetes,

mitral valve prolapse or congestive heart failure or something else

that increases your chance of an ischemic (i.e. clot) stroke, best keep

off the coumadin. I would mention this article to your doctor and see

what he says.

In any case if you have lone AF the chances are you are a bit of a

fitness nut, and warfarin can put the clappers on that.

Cheers

Mark

>

> Hi All,

> Reading through the latest posts, especially 's interesting

take, I was wondering how

> many of us under 70 with no other problems (lone af) are on Warfarin

vs aspirin. I'm 52, a

> veggie, workout everyday, in great shape, have no other health issues

as stated yet

> my cardio still has me on warfarin. Is that just him doing a c.y.a.

or...? What about others in

> this age range and health. Thanks! Bruce.

>

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.

[Guest guest]

I'm 43 and have lone afib... I take coumadin, and have on and off during my 5

years of afib. When my episodes were months apart, I'd start it if I went over

the 48 hour mark (along with Lovenox) and then stop after 3 months if I had no

more afib.

I started back up in October after 3 events in two months, and was thankful

for that when I subsequently had 7 more events in the next two months, followed

by a PVI. Being theraputic on warfarin gave me the freedom to ask, and get,

cardioverted within minutes (ok.. 10s of minutes) of arriving at our local ER.

Came in handy the week I had to have three cardioversions in a row!

If I had no afib after 3 months, I would insist to my doctor that I stop it

though. I don't like taking it, but for me at least, it's been a real security

blanket in recent months.

Stef

brgoblue24 brgoblue24@...> wrote:

Hi All,

Reading through the latest posts, especially 's interesting take, I was

wondering how

many of us under 70 with no other problems (lone af) are on Warfarin vs aspirin.

I'm 52, a

veggie, workout everyday, in great shape, have no other health issues as

stated yet

my cardio still has me on warfarin. Is that just him doing a c.y.a. or...?

What about others in

this age range and health. Thanks! Bruce.