I have a question or two that perhaps someone can comment on......
I have Paroxysmal AF and mainly get just short episodes of AF every few weeks or so that either correct themselves or that I take Flecainide PIP for. I have however had two conversions in A&E over a few years; the first corrected by IV Flecainide; the second an Electro-cardioversion. Both were successful at the time and were done within a few hours of the AF being Persistent. I.e. I presume when there was a lower risk of a clot forming and being released.
I am on Aspirin (I know!). My CHADSVASC score is zero. I'm 58 with no other conditions that would increase the score. This means according to the guidelines the risk associated with bleeding is higher than the risk of stroke.
However - should my short episodes of AF and in particular my episodes of Persistent AF and the need to be converted be taken into consideration? In other words should I be on Warfarin or a NOAC because of my AF history even with CHADSVASC of zero?
Another related question.......
I understand that Aspirin is not effective as a prevention of AF related stroke. Is it safe to suddenly stop taking the Aspirin, should I reduce it slowly over time, or should I wait until (or if) I start an anticoagulant? (I tolerate the Aspirin well I think, and always take it with food)
I want to go and discuss these things with my GP but before doing so would like to hear peoples opinions on this.