hi i am due to have a cardioversion i... - Atrial Fibrillati...
hi i am due to have a cardioversion in 2 weeks my inr levels are up and down but above 2 , will they still do my precedure my target is 2.5
Steve, whilst the target is 2.5 few people ever get spot on this. So long as your INR is between 2 and 3 for four consecutive weeks I would think they will be happy.. I expect they will ask you to stop the warfarin five days prior to the procedure and may ask you to inject clexane for those five days. Different EPs have different ideas so this may not be so.
BobD
thanks Bob i was just worried they might cancel it ,i just want to get it over with i am on so many drugs i feel terrible , i am not due to have another INR test until 3days before and they havent mentioned clexane , its a bit confusing my hospital doesnt communicate very well , thanks again Bob
Hi Steve
If you are above 2 now, then you should stay there for your CV, your anti-coag nurse will probably err on the side of high over the next two weeks to try and ensure you are high enough, but they test your INR on the day you are admitted, usually the very first test they do.
I'm not a medic so can't call what INR they will go ahead with or not, and it probably depends on other factors as well, but over 2 sounds likely they would go ahead
Good luck
Ian
thanks Ian , just been a bit worried i am eating a balanced diet avoiding all the foods that ive been told to avoid but my levels are still varying , sometimes 2.1 then the following week as high as 3.3 , thanks for your advise its much appreciated
Hi Steve
When I had mine I was just like you, my INR was up and down like a banana in a lift (I could have used another analogy but this is a family site 
)
Where I was treated at Harefield, they do not ask you to come off the warfarin, so Bob D, our sage and very learned colleague is talking about something I have not experienced.
I just checked my "yellow book" and on the day I was 2.8, but 7 days previously had been 2.1, 7 days prior to that 3.2, and 7 days prior to that 1.9 so stability seems to take some time to come.
Sounds like you are going to be fine
Rgds
Ian
thank you Ian i feel more relaxed now i thought something was wrong , many thanks to yourself and Bob , great support glad i found this site
Sorry I am being stupid about clexane. Not for cardioversion-- and you should stay on warfarin all the time till they say otherwise. Stopping warfarin is for ablations not cardioversions.
BobD wearing hair short.
no problem Bob , i appreciate your reply, its just good to be able to talk and ask questions with people who are in a similar position with more experience of this , thank you
My INR is very unstable but 2-3 is usual for cardioversion and ablation at my hospital never stopped warfarin for either procedure either did prior to surgey of another nature .
Warfarin was not stopped for either my cardioversion or ablation earlier this year. Also I have had cardioversion at 1.9 INR -- they will look at your previous results & make decision.
sandra
thanks for the reply Sandra i am just worried about the hospital cancelling my cardioversion ive already been waiting ages and i dont want to stay on all these drugs much longer , i am on warfarin , bisoprolol, ramipril and flecanide , i and i feel like a zombie its terrible
As you probably know Steve, warfarin levels can be affected greatly by what you eat . I would advise you to continue eating a similar diet over the next 2 weeks . Don't introduce extra green veg to what you have been eating or change your normal alcohol intake. This should help to keep your INR more stable . I had an awful time earlier this year with ' zombie - ism' from drugs but hang on until after your DCCV & seek advice then or sooner if it is delayed. Best of luck .
Sandra
thanks Sandra it cant come quick enough now
