← Return to Cardiologist suggests I can stop taking Eliquis. Any thoughts?

Discussion
Comment receiving replies
Profile picture for tsch @tsch

My husband had ablation in 2020, no afib since, but his doc says stay on Eliquis.

Jump to this post


Replies to "My husband had ablation in 2020, no afib since, but his doc says stay on Eliquis."

The medical community uses the calculus found in the CHA2DS2-VASc score. You can google an on-line calculator and derive your own score if you wish. Just be sure to put valid and current information in the fields or you'll get garbage for a score. If your score is above 1.5, you would be wise to take it (assuming cost and your body's reaction to it aren't problems). A score of 2.0 and above means a mandatory prescription for a direct-acting oral anti-coagulant (DOAC) like apixaban. Mandatory for the physician/cardiologist, not mandatory that you should take it...just a really good idea.
Your cardiologist wants you on apixaban perhaps due to one or more other risks than the now-corrected AF. But there's more; for up to six months after being rid of AF via ablation, you can still suffer a stroke from a clot dislodged from the left atrial appendage (LAA). The medical community has reckoned that quite a few strokes can be attributed to clots in the LAA long after the last episode of AF. !!!
Bottom line: while an ablation might rid you of the AF, there may be other comorbidities or risks that make staying on a DOAC for several months later wise, or even remaining on one for life. If it is well-tolerated.