Hi. Can anyone help with my dilemma please. I have just been diagnosed with AF and started on Diltiazem 300mg daily which is controlling my BP but resting pulse rate is still around 150. I have been offered Warfarin therapy but unsure whether to go ahead as i am also a renal dialysis patient attending for haemodialysis three times weekly via a fistula and i am worried about starting Warfarin ?
Thanks
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Beermat123
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That's a hard choice. Although anticoagulation is very important for those with AF I'm not sure about taking it along with going through dialysis. I would have a long discussion with those doing the renal dialysis to discuss the pro's and con's of blood thinning. You really need to get the opinion of an expert for this.
Yes, i had caridoversion which was succesfull but unfortunately only for a few weeks. I have an appointment next week with the Cardiologist to discuss further options, I think catheter ablaltion maybe another thing to try but the Warfarin choice is a difficult one to make.
I agree with Tim, from my reading, it's a hard choice, and one that needs careful discussion between the Cardiologist and the Nephrologist, preferably with you present.
There are a number of articles on the web, not sure of the value of them but if you google anti-coagulants on dialysis they come up, and some are saying stick to heparin usually given after dialysis. It really depends on the next stage for your renal challenges as I understand it.
I wanted to write you back. I spoke to my daughter last night about you. She is a nurse who specializes in Dialysis. She told me that they have quite a few patients that are on warfarin. But she says it is a very tricky procedure and that most will have to sit there for 20 to 30 minutes after to ensure they will not continue bleeding.
Hi. Thanks again for your help. I really appreciate it. It's just a case of weighing up the pros and the cons. Will have a chat with my cardiologist next week and hopefully come to the right decision.
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