9 months and it's back.

[Stivvy]

Hi Guys, ages since I posted but yes it's been 9 months since last episode but a really bad bout of vomiting put paid to that, thankfully after 3 hrs and my P I P it has finally stopped, I Have had minor surgery in the last couple of months so had to stop my apixaban ( I have lone AF ) went to see my GP about restarting and he said to leave it for now and if I have another episode to contact him which I guess I will have to do now, dissapointed though. Thought the beast had left the nest 😢 hope you all OK.

[doodle68]

Hi Stivvy sad to say welcome back. What a nuisance P-AF starting up again, I think once we have got AF it lurks for life .

If I was in your position I would contact your GP about restarting Apixaban asap.

[Stivvy in reply to doodle68]

I know Doodle but you still think it might not come back, bit of false hope, I have Apixaban in, needless to say I have taken one already,

[rosyG]

Stivvvy vomiting will affect your electrolytes and also upset the vague nerve- hopefully you'll be fine for another nine months

[Stivvy in reply to rosyG]

Thanks Rosy G, one can only hope. To be fair I have only had 4 episodes in 2 years , Carnt complain can I.

[Hidden]

Why wait for anticoagulants ? Your risk still the same

[Stivvy]

Taken one already frills, sleep happier tonight. 😊

[Bagrat]

I am on regular flecainide but have had dose reduced by half since an episode of AF caused by a virus and dehydration in 2013. No further episodes. Have just swapped to Apixaban no intention of stopping anticoagulation

[Stivvy in reply to Bagrat]

Thanks Bagrat . All of this confuses me. I'm chads score 2 but only because of age and gender, Carnt make any life style changes as I have none to make, in fact my kids call me boring with my exercise and healthy living, apart from being Asthmatic I have no health issues at all. My last episode was 9 months ago and last night's episode caused by severe vomiting , my problem is deciding do I take anticoags for something that might happen and let's face it they do have risks or do I control it as and when. I'm not denying that these drugs do play an Important part in the management AF but with Lone AF I think another approach is needed, CONFUSED

[Bagrat in reply to Stivvy]

There are various theories re lone AF. Is it really "one of those things" which has no underlying cardiac related cause or have the docs just not tracked the cause down yet. I would say have vagal AF. My concern re stroke far out weighs my fear of a bleed especially now I'm on Apixaban. My chadsvasc2 is also 2 for the same reasons you quote

[Nerja2012 in reply to Bagrat]

All I know is that I have lone AF. Echo was fine. 24hr monitor was fine. First time it happened I went to A E. They picked it up on ecg as it was happening. No cause found . My mother had it ( died last year aged 97 ) as I said before no health problems at all apart from asthmatic. Bmi 22. Weight 51 kl walk 30 mile week. BUT Chad's score 2 because of age and gender. I can understand the 1 for age but 1 for gender is a bit off. not a lot I can do about that. I think my Doctor goes on knowing his patient and made his decision on that. Right or wrong I dont know. I take 1.25 Bisoprolol because I have a naturally slow heart rate . Im really confused Bagrat but welcome being able to talk about it so thank you but still confused. Just taken 2.5 apixaban. Low dose because of weight. 😆

[BobD Volunteer]

Just goes to show why we are so keen for people who have AF NEVER to stop anticoagulation once given. Glad you started again pronto.

[starry-eyes]

I understand that the stroke risk remains whether you are in NSR or not. My brother, like you, is fit and healthy but CHAD score 2 by age and gender and anti-coagulant resistant. I asked him if he wanted to be a stroke victim or not and he is now on Apixaban without any noticeable side effects, like me. Not worth the risk to not take it.

[Nerja2012]

Thanks for that.I'm seeing my GP. It was him that said not to take it just yet. Confused

[fnurd]

There has beeen a great deal of research on whether to stop anticoagulation following sucessful ablation.

This is a very good meta-analysis of the studies.

frontiersin.org/articles/10... however it combines all risk groups together.

Based on studies (and guidelines) it is probably wise to continue

anticoagulation for patients with high thromboembolic risk (CHADSVasc of >=2): see jaha.ahajournals.org/conten....

However the data indicate that for patients with CHADSVasc of 1 there is no evidence for reduction in stroke risk by continuing anticoagulation, but there is a large statistically significance increase in Major bleeding events from the anticoagulation.

[Stivvy]

You know what. That makes sense . That's why I'm confused.