Stopping Medication for operation....... - Atrial Fibrillati...

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Stopping Medication for operation.... scary!

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Hi everyone....

I’m having a Gastric Bypass next Sunday 17th March.... not for weight loss but for various stomach issues I have.

My pre op is this Monday coming.

I know I have to stop the Apixaban and Bisoprolol before and I think I’ll get the instructions on Monday.

I’m currently in NSR (my AF was permanent).

2 questions really....

I’m nervous about stopping Apixaban.... is it really ok to do that? Obviously I will but I’m just worried!

Secondly would an operation start my AF back? Probably a stupid question cos I’m having it anyway but any experiences would be good to read!

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12 Replies
BobD profile image
BobDVolunteer

Who knows is the honest answer as we are all different. Presumably the hospital are aware of your condition and the anaesthetist will understand and be prepared for any eventuality.

Some years after my third ablation I had a very serious operation lasting five hours which did not cause it to start again and a year later a shorter one without problems.

Regarding stopping anticoagulation this is what happens and it is normal to stop a day before and probably re-start once any drains have been removed (if fitted) . With warfarin it used to be five days before but DOACs have shorter lives so stopped for much shorter time.

I'm a little puzzled that you say you are in NSR yet your AF was permament. I guess you mean it was persistent as permanent is just that.

Above all good luck and try not to worry. Its happened loads of times to loads of others.

in reply toBobD

Honestly I don’t fully understand the AF types and jargon. My AF was not attacks, it was all the time. Never changed until my CV.

in reply to

Hello again, I started to read your previous posts but there were quite a few so I most probably are telling you something you will already know. Many people who are in persistent AF are offered a cardioversion for two reasons. Firstly, if it works (even for a short time) it is an indication that you may respond better to an ablation. This may be even more appropriate in your case because your AF now appears to be Paroxysmal AF, the type that comes and goes without any medical intervention. Secondly, a successful CV will establish whether or not you feel significantly better whilst in NSR and this would be another reason for considering an ablation particularly as you are relatively young. Once you have recovered from your operation these are things you should consider discussing with your Cardiologist/EP.......

in reply to

Thank you for that explanation!! I get what I have now!!

Petmad5 profile image
Petmad5

Hi Hun. I can’t help re: meds questions but want to wish you all the luck for the op.

Are you going to Northwick Park?

C xx

in reply toPetmad5

No, St George’s in London 😉

in reply to

In which case you really have nothing to worry about. One of the best hospitals for dealing with ALL heart related issues......

in reply to

Yes that’s where I go for my AF .... Atkinson Morley at St George’s 👍❤️

Tapanac profile image
Tapanac in reply to

Oh I had brain tumour surgery in St. George’s and then also an ablation. I hope you are well soon. Best wishes

Stopping our anticoagulation prior to any procedure is always a concern but doctors will tell you that any risk of having a stroke is minimal. This is also true if you accidentally miss a dose. The other thing to bear in mind is that in the very unlikely event that something should go wrong, you couldn’t be in a better place for a rapid response to minimise the the effects. I’m not medically trained but I don’t think stopping bisoprolol should cause any problems but I don’t think anyone here could say whether or not the operation will cause your AF to return. Hopefully when you raise these issues with the pre op team you will get some reassurance that all will be well. Good luck, hope all goes well.....

MydogBrandy profile image
MydogBrandy

H, yes I had to stop my apixaban before my ablation, was lucky that I did not to have to restart. My husband had to stop his blood thinners 4 days before his operation for kidney removal and then restarted after the operation , with no problems. Good luck for next week. X

Thank you everyone for your good wishes and re-assurances .... 👍❤️

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