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Do I really need a loop recorder?

Heart Rhythm Conditions | Last Active: Nov 3, 2025 | Replies (19)

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@wcuro Hello! You mention that you have a loop recorder. Nothing has been explained to me other than that I will get it and it will transmit data daily to a monitoring system run by the company for my recorder, which is Medtronic. Are you able to check the data somehow yourself on a daily basis? But you are currently not on the blood thinners? So, if you do have an AFib episode that is silent, does the data company notify you right away to go back on the blood thinner? Or are you able to see that, yourself, and resume taking your blood thinner? I'm sorry to sound so confused, but I am.... the EP who diagnosed the AFib and put me on the Eliquis and Flecainide spent all of 5 minutes with me. No explanation. A month later, I switched to another primary cardiologist and he said I didn't need to follow up with the EP and I've been taking the meds ever since. I also have problems with balance, so I am a fall risk... and that concerns me about the Eliquis but I know I need it if I still have AFib.
If you began noticing that you have regular bouts of AFib from the data, would you then consider the Watchman to take care of the LAA problem so you no longer have to take the meds? The cardio's comment was.... "Well, but if you're going to continue taking the thinner, there's no need for the loop recorder." If the loop recorder DOES pick up frequent episodes of silent AFib, I think I would ask to be considered for the Watchman to take care of the LAA problem once and for all.
Sorry.... I know I'm probably making a whole lot out of something that is very insignificant in the grand scheme of things. I really do appreciate you sharing your thoughts! Best regards. Mike

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Replies to "@wcuro Hello! You mention that you have a loop recorder. Nothing has been explained to me..."

@domiha There is a way to do this that would ostensibly limit your anxiety....which I do NOT discount and feel you are quite right to want to address, Mike. You can adopt the PIP approach (pill-in-pocket) and pop an Eliquis if/once you are apprised by ANY means that you have had more than a very short and self-terminating run of AF. Whether this comes via a loop recorder and a call from your monitoring agency/doctor or whether you sense it because you are symptomatic, or whether your wearable device or Kardia mobile tells you that you have had/are in AF, you have as much as 48 hours to start the anti-coagulation.

Or, you can tell your cardiologist/EP that, all things considered, you would feel a lot better having the loop implanted AND continuing to take at least a month's supply of Eliquis while having no apparent AF, at which you would voluntarily/unilaterally cease taking the DOAC.

@domiha Not insignificant!
You deserve to have your options thoroughly explained and every one of your questions answered. Not the type to press your doctor? Never too late to start. It’s their job! I find understanding medical problems and their potential remedy comforting. Being in the dark is stressful!
I have never had AFib but I do have a different arrhythmia called NSVT- non-sustained ventricular tachycardia- heart beating too fast which can be deadly.
To answer your question, I receive a phone call from the staff( a PA) of my EP’s office when they are notified by the monitoring staff of any heartbeat other than normal. I am asked if I felt anything. I answer no because I have never fainted and have never even felt faint. I am told that being asymptomatic is likely the result of having an otherwise healthy heart with a normal ejection fraction and no blockages based on a myriad of tests I’ve had. Because ventricular tachycardia can be fatal, I not only have a loop recorder, but also a ICD (defibrillator) implanted as an insurance policy. Defibrillators can have two functions: shock the heart back into rhythm if it stops and also a pacemaker function that controls how fast or slowly your heart beats. Depending on the rhythm noted by the recorder, my medication can be tweaked.
Hope this helps. You should consider making an appointment for the purpose of your physician (an EP at a very good hospital) devoting the time for you to learn your options in a relaxed setting without rushing. If your doctor is unwilling, ditch him or her for someone better. It’s work to organize all this, but worth the peace of mind you’ll get in return.

@domiha I also want to mention that two friends of mine recently got Watchman. One is 86 and in otherwise good health. His wife, age 77 has AFib l, rheumatoid arthritis, and terrible back pain which can’t be helped with surgery. She is mostly immobile due to pain. She’s ready for a wheel chair. Both are doing fine after Watchman and are currently waiting for the healing process to be complete before going off the thinner.