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Heart Rhythm Episodes - AFib; Tachycardia, High Blood Pressure
Heart Rhythm Conditions | Last Active: Dec 27, 2022 | Replies (112)Comment receiving replies
A high INR will cause bleeding, not a clot. I am confused! Skipping warfarin brings the INR down as does Vitamin K.
If the drug had an excessive effect, that would cause high INR and bleeding and Vitamin K would be helpful, not harmful.
Sorry about your small stroke but sounds fortuitous in some ways because it gave you warning without serious harm, at least that is how it sounds.
Replies to "A high INR will cause bleeding, not a clot. I am confused! Skipping warfarin brings the..."
Sort of confused about disputing a "mild Afib" dx.
If it's persistent/constant then yes, it seems it's a matter of either/or.
However, paroxysmal Afib can have quite a range of frequency, how long episodes last, how symptomatic (subjective) and how extreme the tachycardia and/or bradycardia can be.
My Afib occurs at least several times a week, and (unfortunately) it's lasting increasingly long. Besides that, I'm having it more and more tachycardic.
As for the actual dx of persistent vs paroxysmal, I've heard (from cardiologists) it's switched to a persistent dx if it lasts either a week or two weeks. Well, WHICh is it?
Thinking I need to see a new cardiologist. For me this is somehow nerve-wracking , since there aren't many to choose from locally and I don't want to alienate a long-standing doctor. Also, there are rules about whether and when one is allowed to change to different cardios within a given practice (generally, only if one hasn't seen a particular one for two or three years).
Besides that, I'm not entirely clear which kind of cardios I should see - EP, general cardio, or a still different type.
I just spent hours scanning all the cardios in the Hershey PA medical school - the nearest large medical center to my home, (driving distance is an important factor). It looks like some are listed as specializing in EP AND arrhythmia, and heart failure. Also lipid disorders.)
Not counting surgeons who specialize in transplantation or other surgical procedures. So many combinations.
The only ones I can for sure eliminate for a switch are pediatric and newborns!
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Sorry for the confusion I caused with a mistaken assumption that a surprise dose of Vitamin K might have slowed my coagulation, prompting a two-day avoidance of Warfarin to bring my INR back down. That phrase about Vitamin K should be ignored as erroneous, and I'm glad you brought that to our attention. During the two days without Warfarin in an effort to restore coagulation, we overdid it and the clot formed. Frankly, we don't know what caused the severe delay in coagulation and the related rise in my INR. We only know that it is extremely important that daily doses of anticoagulants be exactly as prescribed every day -- regardless of which anticoagulant is being relied upon.