Anticoagulants after cardioversion

[Twosticks]

Hi everyone I've had A F for 8 months I'm on bisoprolol 3.75 and Xarelto 20mg waiting for cardioversion was hoping to get off Xarelto can anyone tell me if it's possible please.

[Hidden]

If you were only put on Rivaroxiban to cover the cardioversion, then yes. However there is apparently a movement away from the traditional CHADS2VASC guidelines towards lifetime anticoagulation for AF even after successful ablation.

[Twosticks in reply to Hidden]

Thanks oyster your input is absorbed

[Paulbounce]

Assuming your cardioversion is successful you may well be taken off them after 3 months. As Oyster say`s though it can be a lifetime thing - certainly after ablation.

If you have a clot in your heart a CV is likely to dislodge it. If it travels to the lungs or brain it can of course cause major problems. From what I understand you`ll likely to be on them for 3 months after your CV assuming you are still in sinus. I think it depends on your age too. Over 65`s tend to be more at risk.

Best,

Paul

Edit - PS don`t worry about the clot thing after a CV. It sounded it bit harsh. It`s highly unlikely if you are taking med`s.

[Twosticks in reply to Paulbounce]

Ok Paul all good stuff all taken in thanks a lot

[Paulbounce in reply to Paulbounce]

No worries Twosticks. Good luck with your CV.

Take it easy for a week after - give your heart time to adjust to normal rhythm. After a month or so it may start to remodel itself for the better - no one knows for sure though.

Ask your cardiologist about a helping hand too. Drugs like Flecainide might help you to stay in sinus after the CV. Certainly worth asking about - do it before your CV so it`s already in your system.

Best,

Paul

[Twosticks in reply to Paulbounce]

Thanks for your positive advice Paul all makes sense .All the best

[Dawsonmackay]

The simple answer is no. If you are in Afib all the time or some of the time, you need to stay on Xarelto in case of stroke. The picture you posted of yourself, I presume, in the mountains, hiking? Imagine not having an anticoagulant safety net, up there! Not happening for me. Take care of yourself, Twosticks. It doesn’t take much, the older you get, to be too wise.

[Twosticks in reply to Dawsonmackay]

I think your right Dawson I'm off again on the fells shortly .your advice is sound we all need to be wise .

[Hidden in reply to Twosticks]

Do your Chads2vasc score and work it out from there, but only stop on the advice of a Doctor

[absolutepatsy]

I am on Riveroxiban too and happy to stay on it as stroke from AF is usually much worse than other strokes. Also, if you are asleep, you may be in AF without knowing it, also a reason they keep you on anticoagulants. Better safe than sorry. Take care.

[Twosticks in reply to absolutepatsy]

Yes my doctor says the same about the sleep thanks for your advice .wish you well.

[steve60]

Hi been on Bisoprolol 1.25mg for 5 yrs now, helps control my permanent AFib, my father had it for 20 yrs before they put him on anything.

[Twosticks in reply to steve60]

If you're in permanent A F Steve should you be on A C I'm new to all this I get confused .

[steve60 in reply to Twosticks]

My chads score is 0 so my consultant says not required. Dare say my ablation will be booked in when I hit 65

[bigking]

My EP took me off Xarelto a few weeks ago 2 months after a second ablation (successful/no AFIB). He says no need for it.

[Twosticks in reply to bigking]

That's great bet you feel better