Anti coagulation

[Jacky52]

Hi Everbody

Two years ago I had cyroablation at Barts Hospital . My A.F was very bad prior this procedure, although now I have occasional attacks of AF, missed beats. I still take Flecanide and Atenolol to control my heart. I work night shifts a few times a month and afterwards I invariably have a jumpy heart.

Prior the cyroablation I was started on Waferin and have remained on it ever since .

Today i was informed by the waferin clinic that they had spoken to Mr Sporton and he had advised that I no longer needed Waferin as I only scored a one in regards to having a stroke . According to NICE guidelines I was not a high enough risk to warrant anticoagulant medication

Can anyone tell me if this is right ? My assumption was that I would remain on this medication .

Thank you in advance to anyone who can offer me any advice.

[sportscoach]

Hi Jacky52

At present I have found I have been unable to pin anyone down to get a definite answer on this one.

I score 0 on the chads scale and have been told by the EP I do not have to take an anticoagulant however, After my ablation I still get bouts of AF so my questions to the medical paternity has been...

How many people in my position have gone on to have a stroke despite scoring 0 on chads.

If you are 5x more likely to have a stroke with AF is that reduced by a score of 0 on chads scale.

You then have to way up your bleed risk against the benefit of taking an anticoagulant to prevent stroke.

In all fairness everyone I have asked these questions of have been extremely helpful unfortunately, AF has only been seen as serious condition in the last 20 odd years so there is not a huge amount of data available ............the answers to the questions I have posed have been a little vague on occasions.

There is more and more research etc going on but it will take time to filter through I recently asked the question of an EP how does he see the treatment for AF developing in the next 5 to 10 years his response was they would be looking to develop a more scientific approach to the present chads system and develop a much more accurate blood test.

From my own personal prospective I decided to stay on warfarin.

[Jacky52 in reply to sportscoach]

Thank you so much for your reply . I fully understand your decision to stay on wafarin to be fair.