CHA2DS2-VASc Score: I think i have the... - Atrial Fibrillati...

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CHA2DS2-VASc Score

chris45558 profile image
16 Replies

I think i have the right one. Saw my GP today regarding a totally different matter to my AF. I mentioned if I should be on any anticoagulants. He said that due to my score being 0 and my blood pressure being 124/75 he said no i didn't. Is there any feelings about that on here. Thanks Chris

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chris45558
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16 Replies

I have normal blood pressure and a CHADSvasc2 score of zero and I've been anti-coagulated for 12 years, if you include aspirin that I was originally on. My EP changed me to Warfarin about 4 years ago. I'm 64 and no family history or other medical conditions other than I have to take statins to keep my cholesterol down.

Koll

Bryonny profile image
Bryonny

I have low CHAD score but my consultant said he only uses this as a guideline and takes other factors into consideration. He said given my atrial enlargement and fibrosis he felt I should be on an anticoagulant and started me on Rivaroxaban a year ago.

chris45558 profile image
chris45558

I may need to speak to another Dr.

Bryonny profile image
Bryonny in reply tochris45558

I think it may be worth getting a second opinion, I chose to on another matter related to management of my heart problem and was glad I took that step. The consultant I now see has been very supportive.m

chris45558 profile image
chris45558

Thanks I think I will do

Barb1 profile image
Barb1

The current thinking is, AF? Ani cregulate whatever your score.

Barb1 profile image
Barb1

That should read anti coagulate

AnticoagulateNow profile image
AnticoagulateNow in reply toBarb1

I don't know...I think I prefer ani cregulate....;-)

Hi Chris, I saw my cardiologist last friday and mentioned the majority vote here for anticoagulants. I said I appreciate I am just 61 with Lone PAF, normal 120/75 blood pressure, just on Flecainide ,no other issues, regular exerciser and a CHADS 0 but that I didn't want to be irresponsible by not taking anti-coags.

He confirmed he wouldn't let me be irresponsible!

CDreamer profile image
CDreamer

I think it is always a personal opinion. I scored 0 and didn't take ACs for about 5 years and that was a very personal choice after a lot of research and consideration of the risk/benefits.

There is very mixed opinions out there, it is not a open and shut case case however, what stuck in my mind was A comment posted here a while ago, you can stop taking ACs anytime but you can't undo a stroke.

I took one of the NOACs for 18 months, I was prescribed them by EP who wanted to do ablation within 2 weeks and wouldn't unless I was had been anticoagulated for at least 10 days.

BobD profile image
BobDVolunteer in reply toCDreamer

That is a comment I use lots. It came put of the old Yahoo forum years ago so I can't claim it was mine sadly.

Bob

Therealsue profile image
Therealsue

I had lone PAF for 18 months or so and my EP didn't have me on anticoagulants. But then I started warfarin prior to a successful (so far) ablation last May. My EP kept me on them until October when we discussed ongoing coagulation and as my CHADSVASc was 1 (female) he said I really didn't need them any more. However, by this time, I'd joined this site and was armed with all the latest thinking and I mentioned that i'd read that ablation doesn't necessarily remove the risk of stroke and he agreed. So I stayed on them and moved onto Rivaroxaban (my choice as I was sick of watching my diet). Bottom line is that it's a risk benefit weigh up and I fall on the side of not taking them. However, my EP is not insisting that I stop them and as have no problems taking them, I think I'll stick with them - as CDreamer says - you can't undo a stroke but you can stop AC's any time - very true.

Sorry Chris, should have added to my reply that I haven't had an AF episode for 11 months and also I take a Krill oil daily supplement and plenty of olive oil in my diet. When my next episode happens, the cardiologist said wait 3 hrs and if not back to normal start taking Rivaroxaban (one of the NOAC's), which I have at home.

Hope that helps.

Omniscient1 profile image
Omniscient1

I am not on any medication either. I think its quite common. But that's because they're treating a stroke risk. What state that leaves your heart in i don't know.

Beancounter profile image
BeancounterVolunteer

Hi Chris

You will get many answers, but my score is zero, I choose to anti-coagulate.

Being a "beancounter" I run the numbers and for me the very slight increase in bleed risk compared to the very large increase in stroke risk. No contest, but a personal opinion.

Ian

chris45558 profile image
chris45558

Hi Ian

What the GP said was I have a 1.9% risk, not sure if that rights? He is a very good GP so from what people say on here he should be offering me them. When I saw the EP, which was a couple of years ago he also said then that i didn't need them...All so confusing!!

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