Anyone have a Cardio or Electro Dr. doing PIP for Eliquis after study

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!

I've read about this pill in the pocket approach and it certainly sounds like very good idea. The one issue is actually knowing when you are in Afib and starting the process of taking eliquis. If like me the only time I had a bout of Afib it was for 2 minutes and the people monitoring the Holter monitor had to notify me by phone that I was having an event.

Exactly. Some never realize they are in arrhythmia. So, the wisdom should be to have some kind of alerting device, a smart watch or a chest strap (Garmin) with real-time monitoring. Personally, I just have accepted that I am at a point where I might as well just take it twice a day prophylactically. I have no AF (28 months in remission after a second ablation), but I am also an aging male, a bit more chubby than I would like (long story, not all my fault), and due to that long story, spend a lot of time at home near my wife and seated at a computer (I can't watch TV for hours like some). With deep vein thrombosis a possibility, I might as well cover all the bases I can.

As far as I know I have only had the one episode due to huge stress back in November. I have a Kardia and a watch which have never shown it since.

Gastrocardia

I understand your reasoning but often think we become anxiety slaves to that device on our wrist spitting out data 24x7. The generation before me never had the technology to use that we currently have and just like us their all gone just like us with the technology. I sometimes wonder if the watches and other devices had a countdown monitor for "heartbeats left" would we still actively monitor that feature also 😉

You are bang on! Yes, the device can haunt us if we let it. Nag, nag, nag. What I meant to suggest, perhaps poorly, was that, if one would rather be aware of potential danger, especially if the condition like AF has been diagnosed, and if it's in the middle stages where things can start to go wrong with cardiac myopathy and remodeling, and if the patient is normally not aware of when they are in/out of rhythm, a wearable can help there. But it certainly can build anxiety if you configure the device to monitor that person continuously.

And that's the issue, the continuous monitoring. Without the 24 x 7 monitoring for AFib it doesn't really serve much purpose other than telling you what time it is. Definitely a double edged sword. Technology creates as many issues as it solves.