I am 62, very fit, and have no other heart related conditions. I have not had an AFIB incident since my second ablation over 13 months ago. My Chad Vas score is zero. I am still on a low dose regimen of Flecainide and Metropolol to control ectopics, but not for AFIB I take 150 mg Pradaxa 2x per day I recently spoke to my EP who indicated that it is my decision as to whether to go off the anticoagulant but he noted that he was comfortable with me going off the drug given my low Chad Vas score Of course he did mention that the risk of stroke while low, still is a bit higher than the general population given my prior history with AFIB and the possibility of it coming back in the future
While I have not experienced any noticeable side effects with Pradaxa, I’m worried that the bleeding risk given my active lifestyle (cyclist, skier, etc) may outweigh a relatively low (albeit debilitating) stroke risk I’m also concerned that while there is a reversal agent for Pradax, not all hospitals have them readily available Two questions:
Any thoughts given the above facts as to whether I should go off Pradaxa? I’m leaning towards going off Pradaxa but would like more input
Is anyone aware of any studies that measure stroke risk following a “successful” ablation with no other heart related conditions?