Anyone have a Cardio or Electro Dr. doing PIP for Eliquis after study
Two studies now indicate that Eliquis can be used after an afib episode for six days as a pip type treatment. I know when I have an episode as do many..and our watches or Kardia can assist if unsure. I would so like to get rid of the side effects and not sure if coming from metoprolol or the eliquis. Wondering if anyone has spoken to Dr. about the studies?
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Thanks for taking the time to report this. I have not seen the study, so if you can find it again, would you kindly provide a link to it? I'd be most grateful.
I'm not an expert in this, no medical training. However, all I have encountered in my own research, and the position of the 'gurus' over at afibbers.org forums, suggest that the risk for stroke rises within hours of the onset of AF, but it continues for potentially weeks thereafter, even with short duration AF of an hour or less. We all understand the mechanism, poor flushing of pooling blood in the left atrial appendage (LAA). That poor flushing or 'refreshing' commences as soon as normal circulation is impaired by the chaotic beating of the left atrium. So, to me, the risk is so close to immediate that it actually is not funny. One should be on a DOAC immediately and remain on it for a couple of weeks at least after the last AF. This is because the literature over the years looking at strokes from AF say that such strokes can, and have apparently, happen weeks later. The clot eventually becomes dislodged during normal sinus and the rest we all don't want to talk about.
If what you have stated is true, it's great news, and I'd love to be able to pass it on.
Here is a recent study that supports my own feelings on the topic. It covers the risk even on short duration AF:
https://onlinelibrary.wiley.com/doi/10.1111/jce.15866?msockid=0201a5746a77642733f9b0936b8765b8
The conclusion suggest that PIP approach needs further evaluation, but that it might actually work for some patients. So, there's some movement in that direction.
Thanks for the link, that is one of the articles I had read with some hope to get off the daily regimen. The link below is for an article which references two other studies.
https://www.ahajournals.org/doi/10.1161/CIRCULATIONAHA.121.053170
Thanks!