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My EP took me off eliquis. But I’m petrified. I’ll have a stroke now.
Heart Rhythm Conditions | Last Active: 5 hours ago | Replies (90)Comment receiving replies
Yes you are saying the same as I have been told and read over last 8 yrs since I recognized my first Aflutter/afib attack. However I must have a contrarian EP in that after my ablation he prescribed 81 mg aspirin instead of elliquis. This has concerned me somewhat but I’ve read some studies which cast doubt on the anticoagulant gospel that is prevalent among cardiac community. There are some studies ARTESIA et al which don’t support the anticoagulant as being better for stroke prevention. My naive opinion is that medical types issue black white rules that are simple for everyone but don’t dig into the depths of data. Some say that anticoagulant isn’t warranted for patients who have undergone successful ablations
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@chickenfarmer another recent study on anticoagulants for those who have undergone ablation by Korean EP types affirms that anticoagulants are not any more effective than aspirin for preventing strokes in post ablation patients. Check out ALONE-AF trial. Also check ARTESIA, NOAH-AFNET, LOOP trials which all cast doubt on the use of DOACs for all Afib patients. The ARTESIA trial goes further by breaking down results by CHADVASC scores. These last 3 trials are concerned with those patients with subclinical AFIB/FLUTTER so there’s some controversy but it only points out the fact that the whole AFIB- stroke relationship isn’t as clear cut as we’re told by the general cardiac literature. My EP also is professor so I tend to trust his judgment when he took me off Eliquis. I do keep a ‘pill in the pocket’ in case I have an AFIB/FLUTTER episode of sufficient length- EP says 4 hrs or more.