Hi to all! I short: had 2nd opinion 10 days ago.Long discussion with cardiologist about my hyperthyreosis hystory, LBBB, current status ( PAF November 2017, January 2018 self conversion to NSR, vagal?) and therapy 2,5 bisoprolol, rivaroxaban and 1,25 ramipril for moderate BP. Heordered to stop 2,5 bisoprolol (increases vagal tone) and rivaroxaban (he has a lot experience with NOAC, my CHAD score 0-1 max, 59 female).
It was not easy to stop the drugs, I was in such fear. Bisoprolol I did gradually and rivaroxaban, there is almost no info about how to do it (apart from surgery or bleeding case), no clinical trials, no experience, only warnings and threats about stroke!!. This sounds very, very strange.
Luckilly, I came across a post on other afib forum, about patient gone on/off Xarelto at least 8 times over the past 2 years, with the approval of EP, without problems so far. Each time he get cardioverted he goes on it for the following 30 days. On day 31, he stops until the next afib incident. Any comments?
After one week w/o drugs (only 1,25 ramipril for moderate increased BP) I did 24 hours holter - apart from already known LBBB, everything looks fine( dosen supravetricular and ventricular systola., no pause greater than 2 sec. My elderly internists who reads holter results comment was: "go for longer walks,clear your head.. :)) ".
I started fish oil as natural AC, magnesium, potassium, vitamin B, headspace ;)). I am cautiously optimistic.