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Post op AFIB & anti coagulation drug

Heart Rhythm Conditions | Last Active: Aug 29, 2023 | Replies (23)

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@shoshin

Amen--& I couldn't agree more! As a rule, I aim to avoid interaction & involvement with practitioners of American interventional cardiology & its shill, the American Heart Association.

To be fair, there is a small but vibrant group of American physicians organized under the rubric of "Medical Conservatism," led--ironically, by John Mandrola, who is an E.P. cardiologist. He is also a researcher & Medscape's chief editor for its cardiology forum & has his own Medscape column, entitled "Trials and Fibrillations with Dr. John Mandrola" (see: https://www.medscape.com/index/section_10325_0).

In one of his columns (2017), entitled "Seven Reasons New Data on Watchman Are Not Persuasive," he reviewed new (post-approval) surveillance (clinical) data on the safety & efficacy of the Watchman implantable device (see: https://www.medscape.com/viewarticle/888355). In keeping with his Medical Conservatism ethic, Dr. Mandrola noted--& I quote that..."if you infer noninferiority based on the risk-difference margin, you must also admit that Watchman is up to nearly fivefold worse than warfarin."

If I were ever left with no other alternative (a situation that, frankly, seems to me to be worse than death) & had the avail myself of American interventional cardiology, I would only accept diagnosis & treatment from Dr. Mandrola (even though I do not live anywhere near Louisville, KY, where Dr. Mandrola practices) or one of his colleagues in the Medical Conservatism movement (here's their manifesto: https://www.amjmed.com/article/S0002-9343(19)30167-6/fulltext).

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Thanks for tip on Dr. Mandrola article. I’m a new heart patient at 71 that had no previous heart, hypertension, cholesterol, etc, etc. Didn’t even have a Cardiologist. After a PVC during vein ablation I was told to see a Cardiologist before doing the second leg. After 6 visit culminating in an arteriorgram I have a 40% blockage in my D1 artery as it branches off of the LAD. All the Cardiologist did is change my statin that my Internist prescribed as precautionary 20 years ago to a brand he like better - Crestor. He sent me home, instructed me to lose 40 lbs and check on my snoring, come back in 3 months. After I got over the fear of having a heart attack, I’m fine. In the gym 3-4 days a week. Losing weight, 20 lbs so far. Seems like the Crestor hurts my joints worse than my previous statin but could be the treadmill activity too. I agree that we should all educate ourselves on what our Doc is telling us. Seems to be a bit of uncertainty about many of these heart ailments.

In our area the Hospitals executives push procedures like the watchman because that is what makes them the most money. They do not care about you or I as patients. Once the device is in and they have been paid, it is "So long sucker." Their advertisements state: "We do the most Watchmans." Etc. The unassuming patient in thus convinced that it must be good since they do so many of them. This also happened with stents in our area until a few cardiologist got caught and one sent to prison.