AFIB only after an operation: Should I get another opinion?

Posted by lenmayo @lenmayo, Mar 18, 2022

I've had a Coronary Artery Bypass, my left kidney removed, and an appendectomy. I had AFIB after each of these operations for a few days.; Otherwise, no AFIB signs I I wore a Holter for a month after the bypass and kidney ops. There was no sign of AFIB. My cardiologist stopped the Eliquis shortly after the bypass but not after the kidney op. After the appendectomy I went to a Rehab place,
There a cardiologist gave my me an EKG and stopped the Eliquis as I had no signs of AFIB. He said he conferred with my cardiologist. After Leaving the Rehab I visited my cardiologist. He said he wanted me back on Eliquis. He was annoyed that I stopped it. He also wants me to have a loop recorder chip installed in my chest. He would not admit to talking with the Rehab cardiologist. His attitude is my way or the highway. My blood pressure monitors detect AFIB and I also have a Kardia Mobile to test for it. I don't have any signs. Should I get a third opinion?

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If you are not comfortable with what you have been told by either of your Doctors I would definitely seek a third opinion. Especially when removing a blood thinner which is use to prevent a stroke caused by your AFIB. I has a similar experience when I had surgery. AFIB occurred after surgery for the first time. My Doctor said it was common for this to occur and might be a one time occurrence or may still occur sporadically. Well it continued to occur so I was also put on a blood thinner. I am now permanently in AFIB and most times unaware of it. I would seek another opinion to elevate any anxiety you may have. Best of luck!

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@lenmayo, I have to agree with @lmurray03 and get another opinion. You need to have confidence in your care and be able to ask questions and get answers.

@danab @thankful @predictable @healthytoday may have some experiences to add as well.

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@lenmayo Hi and I concur on the second opinion and let me tell you a bit of a story. I learned my lesson on this similar subject back in 2015. My long term Ep cardiologist had me stable on some drugs to control my VT which is not afib but I'm basing this more on when something is working why change it. Well a few years pass I'm doing fine but my ep doctor decides to move back east and as much as I would miss him I understood and actually we are still friends on Facebook some 7 years later.
Anyway so the office I was going too suggested a new doctor and a I said OK now he did not come
Recommend by any of my current doctors, my first mistake. Anyway first visit he does the norm checked I had a pacemaker and that usually ment a download to see how things were going . Everything looked fine but this new doctor noticed that at my last ablation they were not able to find one of the bad paths but honestly it was not causing a problem. So this new doctor convinced me he could find it and get me off some of those meds I was on. Well being the trusting soul I was and not even asking my regular cardiologist or even at least text my friend who was my doctor I went ahead and did it. Well after the ablation this new Dr reduced my meds to bare minimum and sent me
Home. We let's just say less than a week later when the prior drugs were out of my system I had the worst week in my entire life. 8 shocks from my defibulator in under 2 hours between getting to the hospital and them mass injection via IV drugs to get my heart to settle down. Well after that hospital adventure I never saw that doctor again and after that I discussed the events of that week with my reg cardiologist and my friend ,who by the way heard thru the grapevine, all said there was no reason to do what he did. So now I'm a firm believer in one talking to your current doctors and if your not comfortable with the Afib doc see another one. Hope that helps and actually I did end up with a great EP Cardiologist who if your living in the Phoenix AZ area I can highly recommend
Blessing

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I have been in this position. If you are having no afib on any monitors, or on Kardia, the rehab cardiologist may be right. Did they give you your CHADS2 score? One of my docs wanted me on anticoagulants for infrequent afib (one a year) and one doc told me to "forget it happened."! I did talk to a third. I am not on anticoagulants and the first doc who was pressuring me on meds, now says he agrees with me. That's me - I am only sharing my experience which could be different from yours.

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