AFib and Stroke

[SpritzerAce]

Hi guys. Just wondering if you are in AFib for more than. 12 hours and only rely on AAD without anticoagulant at what point does it become dangerous that you might get stroke attack. HR is between 110-120bpm and BP is 125/85. Appreciate your advice and sharing of your experience. Thank you.

[Finvola]

My understanding is that it isn’t the length of time which poses the risk of stroke in AF but an individual’s CHA2DSVASC score. If your score is 2 or above, then anticoagulation is advised - even though AF is controlled by drugs or ablation.

This link helps with calculation of stroke risk

clincalc.com/cardiology/str...

[SpritzerAce in reply to Finvola]

Thank you Finvola. Appreciate your response.

[SpritzerAce in reply to Finvola]

I did the test via the link. Scored 1. (female).

[BobD Volunteer in reply to SpritzerAce]

At a score of 1 it is advisable but optional. Stroke risk is qiute independent of length of time in AF or even when AF is present. Remember many people are unaware of events or even of having AF prior to the stroke. Not say you have but many people fudge their score because they do not realize that once given a score can't be subtracted. So for example normal blood pressure on medication still counts as does well controlled diabetes.

[SpritzerAce in reply to BobD]

Thank you Bob.

[Finvola in reply to SpritzerAce]

If you have any concerns, do talk it over with your cardiologist.

[wilsond]

I can only add my own experience.I was diagnosednwith AF in 2013. In 2017 I was diagnosed with extremely high cholesterol..13.5.... At clinic for this they queried why Inwas not anti coagulated given my high risk family background,and they sent a letter to gP.

He pooh poohed this,said I was a Chad score of 1 being female (didnt add in high bP and on meds..i.e score of 2)

anyway...2 months later had a TiA...thankfully recovered well..and now on apixaban...thank fully.

Have been told if

in full blown Afib or Flutter,have both, for more than 12 hours,to go to a a and e...risk of clot...stroke..even on anti coagulants.

Sorry to speak plain but wish someone had to!d me!! Now feel !ooked after.

Best wishes

[SpritzerAce in reply to wilsond]

Thank you for sharing this Wilsond.

[HiloHairy]

What is AAD? When you say no anticoagulant, do you take aspirin?

[SpritzerAce in reply to HiloHairy]

AAD is anti-arrhythmic drug. No I don’t take aspirin either.

[opal11uk]

I had a stroke as a result of P/A/F, having been diagnosed almost a year, and I had been taking on the advice of my cardio, 375mg solvable Aspirin daily since diagnosis and that is what I believe saved me from a more severe stroke, I was then put in hospital for 2 weeks during which time I started taking Warfarin. I had the stroke in 2000 and 3 years ago I had ablation which was unsuccessful and worsened the condition so was fitted with a Pacemaker together with taking 2 heart drugs plus anticoagulant so all in all its been quite a journey but now life is good.

[SpritzerAce in reply to opal11uk]

Thanks for the reply.