Is anyone out there prescribed a NOAC when their primary diagnosis is valvular caused AF? I understand US docs prescribe them but UK docs don't. My case is Afib, heart rate 120-140...for 18 months. Recommended ablation after 6 months and Pace and Ablate after 18 months. I didn't go for either...but did go for a second opinion. Second opinion in US diagnosed with need for Mitral Valve repair. I now have a titanium ring inserted into my valve...or around it, MAZE procedure also and Left Atrial Appendage tied off.
Cardiologist in states says come off Warfarin as the risk for internal bleeding is higher than with a NOAC (Rivaroxiban in this case). Cardiologist here in UK says if I stay on Rivaroxiban it will be against medical advice.
Any thoughts or advice out there? Thanks.