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Latest Findings in Atrial Fibrillation (AF)

Heart Rhythm Conditions | Last Active: Mar 22 7:03am | Replies (14)

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@chanemann1 What would life be like after a stroke..............................................one wonders. Would it be a life worth living? We all endure some inconvenient risk and discomfort, and as we age we incur more of it. The DOACs, while they may be intolerable, in which case you simply don't take them (Aspirin or Warfarin are all that I know that would be left for them), only have a risk of serious bleeds, but as I replied to someone earlier, maybe not in this thread, a serious bleed is likely to be that serious with or without a DOAC working in the system. A deep enough cut, torn limb, aortal rupture, etc, is likely to be only slightly more lethal with a DOAC. The treatment would be the same in either case: stanch the bleed, bind the limb with cords or a belt/tourniquet, and get to a hospital ASAP.

A DOAC does not prevent clotting. It retards the process of clotting. Anyone on Eliquis or Xarlelto who has gouged their skin or cut their finger slicing onions soon learns that the pain is far worse than the ensuing bleed...which will stop.

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Replies to "@chanemann1 What would life be like after a stroke..............................................one wonders. Would it be a life worth..."

@gloaming I honestly only worry about a brain bleed. GI bleeds can get ugly, but I’m more worried about a brain clot than a GI bleed. Those interesting studies showing improved outcomes after dropping DOACs post ablation should differentiate those with atrial myopathy from those with normal atrial size and function post ablation. Atrial strain numbers aren’t part of the stroke risk scales but I’m wondering if they should be. Maybe just differentiating those with p waves longer than 120 ms from those with shorter p waves since a good echo costs more. DOACs certainly are wonder drugs. That was a well done lecture, thanks for posting it.