Anyone with occasional Afib NOT on a blood thinner?

Posted by yorlik @yorlik, Nov 8, 2020

Seems a gray area exists between constant Afib and no Afib: What about those with occasional Afib?

1) A couple of hours long, once every 3 months?
2) A couple days long, once every 3 months?

I am curious how folks with occasional Afib handle the blood thinner question? Personally, I talked my cardiologist (replacement cow valve) 2 years ago into letting me stop blood thinners due to going almost a year w/o an Afib episode, the ridiculously high cost, and my woodshop/powerTools/chainsaw/woodCutting/mechanical lifestyle.

Along same lines, anyone know of natural blood thinners that could be used for occasional episodes?

I'm very interested in your question, though my occasional Afib has a very different profile. I have short Afib, not necessarily even every day, though it's been going on awhile. Symptoms are much less noticeable than what I get with my (15%/ half trisomy) PVCs and my weird form of angina, so mostly I wouldn't even notice it. I can only be pretty sure when it's happening by checking on my Kardia when I'm feeling particularly "weird". The Afib was picked up on an echo cardiogram done in the ER recently and I'm scheduled to see an electrophysiologist in about two weeks. I already take Plavix and really don't want to go on a blood thinner.

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So @yorlik, should the gray area be divided to display other Afib profiles? For example, I have consciously asymptomatic Afib — no sensual recognition of the arrhythmia that shows up on every electrocardiograph (EKG). I'm a member of a troubling subgroup — troubling because I am medicated with daily doses of an anticoagulant (Warfarin), but nevertheless experienced a "small stroke" a new months ago. I was out for a walk, had no warning from my pulse, and lost control of a leg and fell to the ground. After about 10 minutes, I rose and stumbled two short blocks to my home and called my HMO, who sent me to an advanced clinic for an MRI that confirmed the stroke. I should have called 911, will always do so in the future, and constantly urge friends and others who ask that 911 should be the first recourse. Call it. Get first in line at the Emergency Room. Martin

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@predictable– Martin, I wholeheartedly agree with your recommendation about dialing 911. I believe that we tend too often to think were making a big fuss or minimizing our condition. It could cost us our life. I know for me that was my biggest mistake. Even though I knew (strongly felt) I was having a HA, there was that part of me saying it's only a 20 minute drive up to our ER and they will probably tell me its nothing. When I arrived at the ER they ushered me into the business office to hit me up with forms to fill out, questions being asked. I finally in tears because of the extreme pain I felt had to say Ma'am, I am having a HA! Can I please see a Dr. right away! I would have had all my vitals taken, possibly an EKG all done in the ambulance before I even arrived.
This is very valuable time when facing these occurrences in our lives. Don't hesitate ever to call 911!
Thanks Martin for your always down to earth wisdom! Jim @thankful

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Martin, are you now on a blood thinner? Your urging to9 call 911 is a great comment!

I too had a TIA – before my atrial valve replacement. Right arm went totally numb, speech totally sleared. I tried to get up out of my office chair but could not – one leg did not work. 5 minutes later, back to normal. Scary for sure.

Anyway, Martin, are you now on a blood thinner?

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Yes, @yorlik. I have been on Warfarin anticoagulant since my Afib diagnosis in 2013. I prefer that medication because of my experience in using it and because an antidote is readily available. This second factor is important to me; my friend (also on Warfarin) fell and hit his head. I found him unconscious on his garage floor, called 911, and watched him rushed away to a nearby hospital. Unfortunately, the emergency room there had no antidote on hand, so they called for a helicopter to take him to a regional hospital. He died before the antidote could be administered. As a result, my first question when I enter a clinic, emergency room, or hospital is, "Do you have vitamin K antidote for Warfarin on hand?" Martin

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