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?

@hmccarth5

I havent been in afib for a year or more now. I am told by 2 cardiologists that I need a blood thinner, I will have to do Warfin if it is an absolute from my cardio. doctor however I am looking into the Watchman also, yet I havent heard much great news about that. Mitraclip?

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Here is a video from Mayo about using a device like the Watchman in place of anticoagulants: https://medprofvideos.mayoclinic.org/videos/pros-and-cons-of-left-atrial-appendage-occlusion-devices-versus-anticoagulation
Maybe it will answer some of your questions.
Sue

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@hmccarth5

Interesting, I wonder if my cardiologist would allow me to take this vs. a blood thinner that I cant afford or one that is a pain to take and deal with?

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I am curious about why you would be willing to experiment with an unregulated supplement at a cost of $20 or more per month, and not be willing to take a long-proven drug like warfarin/coumadin where effectiveness, dosage, side effects and monitoring practices are well-established? If you have Medicare, generic warfarin costs $5/month or less, and with Part B your share of blood test is also about $5.
Can you share your thinking with us?
Sue

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@sueinmn

I am curious about why you would be willing to experiment with an unregulated supplement at a cost of $20 or more per month, and not be willing to take a long-proven drug like warfarin/coumadin where effectiveness, dosage, side effects and monitoring practices are well-established? If you have Medicare, generic warfarin costs $5/month or less, and with Part B your share of blood test is also about $5.
Can you share your thinking with us?
Sue

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I will do the Warfarin if need be. I have heard the side effects are not great.

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My mother took warfarin for over 6 years with no notable side effects, just monthly blood monitoring. As far as I can tell, most side effects are the result of inadequate monitoring. My friend has taken it for over 10 years for Afib, she just switched to one of the newer ones so she can be done with monthly blood checks (once regulated.)

Sue

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@hmccarth5

I havent been in afib for a year or more now. I am told by 2 cardiologists that I need a blood thinner, I will have to do Warfin if it is an absolute from my cardio. doctor however I am looking into the Watchman also, yet I havent heard much great news about that. Mitraclip?

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I got the same recommendation for 4 years and resisted. Then I saw a cardiologist who told me with afib that infrequently, I don't need a blood thinner. Now my original doc agrees and admits they "overmedicate." If you have an episode, they can check for a clot with an echocardiogram before you leave the hospital. Why would you have a device put in your heart if it has been a year since you had fib? Are you over 75? What are your CHADS scores? (there are two kinds of CHADS)?

Warfarin and other blood thinners certainly have side effects: like bleeding! I take care of my elderly mother who is on Warfarin.

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@windyshores

I got the same recommendation for 4 years and resisted. Then I saw a cardiologist who told me with afib that infrequently, I don't need a blood thinner. Now my original doc agrees and admits they "overmedicate." If you have an episode, they can check for a clot with an echocardiogram before you leave the hospital. Why would you have a device put in your heart if it has been a year since you had fib? Are you over 75? What are your CHADS scores? (there are two kinds of CHADS)?

Warfarin and other blood thinners certainly have side effects: like bleeding! I take care of my elderly mother who is on Warfarin.

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What are Chad scores? I may go into Afib at night as I have sleep apnea and I dont use anything but a mouth guard for snoring. Thank you for the information. I did some side effects that I no longer have since being on Eliquis.

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@hmccarth5

What are Chad scores? I may go into Afib at night as I have sleep apnea and I dont use anything but a mouth guard for snoring. Thank you for the information. I did some side effects that I no longer have since being on Eliquis.

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@windyshores

Good heavens albuterol for shortness of breath is possible malpractice. If you heart has an arrhythmia and pulse is high you are going to be short of breath.

Offering blood thinners after one episode is also inappropriate. Wow.

I take magnesium at night and drink low sodium V-8 (potassium) in the morning. I don't eat after 5 because reclining with food in me is a trigger.

I hope you continue to do well and have better medical care!

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I did complain about the albuterol being prescribed through the hospital advocacy and was told that they couldn't find sufficient evidence for malpractice. I also take magnesium; 400mg every night. I like your idea about taking the low sodium V-8 for potassium. I've been trying to eat a banana every morning, but I'm not a big fan of bananas; they need to be under ripe for me to eat. So that means only buying a couple at a time. Too many trips to the grocery store in a week. Thank you for your response.

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