Using eliquis during episodes
I have paroxysmal Atrial Flutter. If it continues to be only 3, or 4 episodes a year, and I know within 3 hours, that my atria is in flutter, then it seems that I could take a dose, and have the blood thinned within 6 hours. Does it not follow, that being at risk for less than 24 hours in a year, is a modest risk? The average person is in Afib (same risk factor) for 4% of the time. That equates to 15 days a year at elevated risk. With CHA2DS2-VASc score of 3, I have a 2% increase in risk over my baseline of 1%. this should mean that I would have one fifteenth of that 2% added risk, so my risk would be 1% base plus 0.13% My Atrial Flutter burden would be only 0.2% without AC, and adding the time in flutter with AC I get a 1.55% yearly risk of stroke
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Can’t argue with your logic or math, however, consider this: during my recent ablation procedure, my EP did several tests called “ Activated Clot Time” ( or something like that). The results of those tests were measured in seconds, not minutes. It’s been just over two weeks since the procedure, and I’ve had zero AF flutter since.
Here is an article by a cardiologist.
Dr john Day afib-blood-thinners-when-needed
It contains links to studies that have been done on this. I thought I came up with this idea but is well known.
Here is another article that you might find interesting. tct md news anticoagulation-demand-pill-pocket-approach-fib-treatment.
I am not allowed to post links but you should be able to find these article easily.
Ablation for flutter is over 95% successful, so you are probably out of the woods for good.
Hi @zander9999, I noticed that you wished to post a URL to studies with your post. You will be able to add URLs to your posts in a few days. There is a brief period where new members can't post links. We do this to deter spammers and keep the community safe. Clearly the link you wanted to post is not spam. Please allow me to post it for you.
– Anticoagulation On Demand? The Pill-in-the-Pocket Approach to A-fib Treatment https://www.tctmd.com/news/anticoagulation-demand-pill-pocket-approach-fib-treatment
Have you discussed this approach with your cardiologist?
I am on Eliquis for afib. I also am experiencing joint and muscle aches from either my two M on M hip replacements (metallosis high cobalt and chromium ions) or the afib meds. From research it says not to take NSAIDS, Curcumin (Turmeric), Green Tea, Fish Oil or Glucosamine if I am taking Eliquis because it may affect the stroke prevention aspect of Eliquis. Do you know of something I can take for the aches and not affect the Eliquis?
I intend to at my next appt. In the mean time I am trying to establish my stroke risk. I saw caveat in one of the major calculators saying that as an example, that someone with well controlled hypertension should not be scored for it. In contrast another asked if there were a history of diabetes, and hypertension. Yet another frames the question as a high value, or the use of medication. My BMI is 23, all my blood markers ar good, my A1c is 5.3, BP 115/75 cholesterol exellent, I1m vegan ,and walk 2 miles a day. The MD at the ER scored me as 2 on the Chads2Vasc2. So I hope that my cardiologist will agree.
I look forward to hearing what you learn from your cardiologist. I'm tagging @predictable on this discussion. I think he'll also be interested in your research and learnings.
You could try a topical item like EFAC or Blue Goo which you get from Amazon.
Also, Hyaluronic Acid capsules from Piping Rock or Puritan Pride might help.