Can I ask for anti-coagulation? Was taking it for 3 months and then was taken off it. My chadsvac score is 1.I'd prefer to still take it.

[Gwersey]

Afib. Anti-coagulant.

[Vonnieruth]

Don't see why you cannot ask if you can go back on them If there is a reason why you can't I guess they will explain that to you

[Gwersey in reply to Vonnieruth]

Thanks I'll ask.

All the best for tomorrow. Let's know how you go on won't you?.

[Vonnieruth in reply to Gwersey]

I will

[doodle68]

Hi Gwersey as Vonnie says you can always ask .

Do you mind if I ask what the 1 is for.

[Gwersey in reply to doodle68]

For being female. No other co-morbidities.

[doodle68 in reply to Gwersey]

Gwersey my understanding is the '1' for being a female only comes into play when you have other points. This was a recent decision after new research.

mdcalc.com/cha2ds2-vasc-sco...

example, female only score = 0

over 65 = 2 one for age and one being female .

This explains it better...

[Quote = Gender and the Caveat to CHA2DS2-VASc

In general, a CHA2DS2-VASc score of 1 should warrant strong consideration for full oral anticoagulation.2 The one exception, however, is in patients who have a score of 1 due to gender alone. In these patients (female < 65 years old without other risk factors), antithrombotic therapy should not be given. This special situation may not be intuitive with the CHA2DS2-VASc scoring system.]

clincalc.com/cardiology/str...

Of course it is up to you and your doctor .

[Gwersey in reply to doodle68]

Does that apply to women who have Afib do you think? Not to be given anti-coagulants I mean.

[doodle68 in reply to Gwersey]

Gwersey the calculator applies to women , if you look at the link I posted above called...

[Quote= CHA2DS2-VASc Calculator for Atrial Fibrillation

Evaluates ischemic stroke risk in patients with atrial fibrillation;]

..and select female only with no other comorbidities it states;

[Quote= Based on the 2012 ESC Guidelines, consider no antithrombotic therapy in patients with 1 point by virtue of their gender (class IIa, level B).2

Note that this recommendation is a generalization based on stroke risk. Patient-specific considerations, such as other uncontrolled risk factors for stroke and bleeding risk, should be considered on a case-by-case basis. The 2012 CHEST Guidelines do not provide recommendations for CHA2DS2-VASc.3]

....this is further explained lower down the page;

[Quote= gender and the Caveat to CHA2DS2-VASc

In general, a CHA2DS2-VASc score of 1 should warrant strong consideration for full oral anticoagulation.2 The one exception, however, is in patients who have a score of 1 due to gender alone. In these patients (female < 65 years old without other risk factors), antithrombotic therapy should not be given. This special situation may not be intuitive with the CHA2DS2-VASc scoring system.]

clincalc.com/cardiology/str...

I think this may be why your anticoagulant was stopped. I am explaining so you have a better understanding before discussing it with your GP

Have a talk with your GP and see what they say, you have to factor in the risk of a bleed from anticoagulation against the need to take one.

The decision was easy for me, I have a score of 3.

[Gwersey in reply to doodle68]

And aged 62.

[Vonnieruth in reply to Gwersey]

Same as my reasons

[Gwersey in reply to Gwersey]

I've read both links Doodle68 and got my head around maybe 50% of the information 😅. I do however understand why I was taken off anti-coags. Thank you. With this info, I can discuss it more fully with my GP.

[Hidden]

Short answer is yes, of course you can ask. Many, me included, score one and I opted to remain on anticoagulation medication. If there is a history of heart related problems including stroke in your family, it might be worth mentioning that too. You also need to consider your bleeding risk (Hasbled) but many GP's will support taking anticoagulation with a CHADs score of 1.....let us know how you get on......

[Gwersey in reply to Hidden]

Thanks for replying. I see my GP on Friday, I'll ask then.

[Jhcoop55]

Why were you taken off it? Did you complete the blanking period post ablation? Are you on any ongoing rate/rhythm medication? Do you still suffer any AF events? Are you an athlete that engages in e theme sports were falls and bleed risks are higher?

Lots of factors to consider besides Chadsvac score.

Personally, I have a Chadsvac of zero, am a fit 62 year old male. Taking meds to control AF following two failed ablations. No recent AF events and feeling great, but I choose to stay on anticoagulant (Pradaxa) as there are no side effects and no real bleed issues for me. And, I don’t want an AF event that results in a debilitating stroke which sometimes can happen with AF sufferers

Hopefully your physician can help you make the decision that is right for you.

[Gwersey in reply to Jhcoop55]

No ablation. Am on 1.25mg Bisoprolol daily. No reason given for stopping anti-coag. Was also told to stop Flecanide on same day, also to lower Bisoprolol dose from 2.50mg. Still get episodes. Am not an athlete. Most exercise I get is walking my dog so no sports.

Thanks for your reply and opinion jhcoop55.