Good evening all
I have just read in the Daily mail and on the net that Doctors should be advising people with AF to stop taking aspirin as it raises your chances by 1.9% of taking a heart attack if you are also taking warfarin along side the aspirin. Has any readers been advised with the above from GP
NICE stopped recommending aspirin for lone AF about 4 years ago. Daily Mail is not a place to look to for up to date medical advice. They often re-run old stories to fill space. Consult your specialist, even GPS don't always have up to date information regarding AF.
My understanding is you would never take both aspirin and Wafarin unless being treated post heart attack or stroke and under close observation?
This is an important paper which states there is a doubling of risk of heart attacks (ami) with either aspirin or Noacs, but not with warfarin
onlinelibrary.wiley.com/doi...
This raises concern about the use of Noacs which also DOUBLED the risk of heart attacks compared with warfarin in this study
So warfarin is king for both heart attacks and stroke prevention , but further studies needed to clarify the role of Noacs in af.
it would seem there is no role at all for aspirin for patients who have both coronary artery disease and af
This was a retrospective analysis and the Noacs in the study were only rivoroxaban (72%) and dabigatran (28%)
Trying to add the link to the British Journal of Pharmacology again . It didn't seem to work when embedded in the text.
onlinelibrary.wiley.com/doi...
Interesting in that when they thought I may have had an MI recently they stopped warfarin (so they could do angiogram), and started me on aspirin and clopidogrel plus clexane until I had nose bleed in the night. Once they found I hadn't had an MI they still wanted me to continue aspirin as well as warfarin and sent me out of hospital with lots of both.. Only after follow up echo -cardiogram did I persuade the consultant to let me stop aspirin. I guess I am lucky in having no problem with warfarin so never needed to even think about NOACs/DOACs but for some people who can't manage warfarin they are still a valuable tool to prevent stroke. All these things are about risk management and sometimes we just need to accept that what we do carries risks. I do that every day I drive my car! It's not me I worry about but the uninsured unlicensed moron in a clapped out heap coming towards me.
Plus was it you or someone else said MI risk from NOACs double risk but it was 0.5 ?
I cant access this as it just says the page is forbidden. Can anyone enlighten me further? Sounds alarming....
I suffer with AF, have just turned 50 and have had it for the past 27 years now. My cardiologist say that if I can tolerate aspirin without any stomach issues (which I can, thank goodness), then I should keep taking it. He feels that it has marginal benefits for the potential of an AF stroke, but says that there is a body of evidence that shows taking aspirin for 2 years or more reduces the risk of bowel cancer by something quite dramatic (can't remember, but something like 40%). He says that at my age, weight and BP I am too low a risk to require other thinning, but that the other benefits of aspirin probably justify its use.
This is all very interesting as I too was on aspirin alongside Flecainide and I stopped taking the aspirin... should I be taking it still do you think? I see my cardiologist next at the end of June. I've been having a lot of episodes lately for no apparent reason and am having to take that extra 50mg of Flecainide. Would appreciate your thoughts people.
stay well,
Blue 
What seems more relevant is that people on NOACs have increased risk vs warfarin. I think I'll ask my EP what his opinion is.
Yes, but . . .
For some of us anti coagulants, which affect the clotting, can react to our other medicines and aspirin, a platelet anti sticking, is given to reduce stroke risk by letting platelets become less 'sticky'.
The question is are Noaks safe me myself on apixaban am getting a little concerned if its true that it can double the chance of a heart attack
My husband was on warfarin and aspirin ( warfarin added when he developed AF. The aspirin was because he has stents. I persuaded him to ask if he should stop aspirin and this was agreed. Still not sure it was the right decision.
My father-in-law had claudication (narrowing of the arteries) and was prescribed both warfarin and aspirin and managed well on this mix. He died as the result of a car accident 10 years ago at 86, not of any of the conditions he had. My daughter has an coronary aneurysm and has been on warfarin but now has been prescribed Apixaban. As she is only in her thirties the results of the study that @goldfish_ refers to are quite worrying.
Maybe we should all read round it risks with everything need to weigh up risks and benefits or pros and cons
Warfarin, Verapamil and Aspirin 
aspirin 
Pradaxa and aspirin
