Elainemae

[Elainemae]

I was recently diagnosed with afib and am taking Eliquis and propofenone. I am scheduled for a hip replacement in two weeks and am wondering if having afib makes the surgery more dangerous. Thanks for any advice or info.

[BenHall1]

Hi,

My advice would to notify your surgeon ( the one who will perform the hip replacement ) and let him know. He is the only one who can make the decision, perhaps in consultation with the Anethestist.

I had a knee replacement some years ago with highly controlled AF and hadn't had an AF event for quite some time and I was on Warfarin at the time. I had to stop Warfarin for 6 days prior to surgery it all went ahead ... job done, no sweat. As soon as I was back in my room after surgery they gave me two injections of a bridging anticoagulant and then later that evening back on Warfarin. No problems at all.

John

[BobD Volunteer]

Whether or not the surgery goes ahead is really down to the anaesthatist in charge. It is they who make the decision to go or no go depending on how stable your heart is. You will obnvioously have to stop your anticoagulant fora period as well.

No doubt all this will be dicsussed during your pe op appointment.

[Popepaul]

I recently had day surgery. Stopped bisoprolol for a few days , no problems. All went well.

[Buffafly]

I had a huge spinal op when I was on Propafenone, I am assuming you have had the go ahead from your cardiologist otherwise it wouldn’t have been scheduled. I had to have heart tests before my op.

[opal11uk]

Your anaesthetist will be prepared and has dealt with this many times before and should see you prior to surgery so ask both him/her and your surgeon. Can I take this opportunity of asking how you are getting on with Propofenone as I have just been prescribed and anxious about taking this, it is in place of a drug they are having difficulty in sourcing, Disopyramide?

[frazeej in reply to opal11uk]

I have been on propafenone for close to 2 years and am quite satisfied with it. Initially was 150mg every 8 hours, shortly thereafter raised to 225 mg every 8 hours. Other meds are ß-blocker atenolol (bid) and of course Eliquis (bid). The only drawback to the propafenone dosage was the thrice daily, every 8 hour dosing regime. Apparently keeping blood levels as stable as possible is important with propafenone, thus the 8 hour regime-that was difficult to get used to, but no issues now. I understand there is an "extended release" propafenone available, but my cardioguy won't use it as he says (which I believe) blood levels are often not stable enough, especially on generic "ER" medications.

Oh, and so far it works quite well. Formerly ~12 afib episodes a month lasting as long as 27 hours, down to <1/month, lasting as short as 10 minutes.

[opal11uk in reply to frazeej]

Thank you for the info, much appreciated x

[Ppiman]

If the AF is part of other issues, such as (especially) sleep apnoea, then I gather this can be a problem, but otherwise, I haven't heard of problems. It is always the anaesthetist who will decide. If you have told them already, then all will be well.

Steve

[Auriculaire]

I have had both hips replaced . Afib did not kick off at all during time in hospital despite anaemia and blood transfusion after2nd op.

[JOY2THEWORLD49]

Hi

I hope your AF is controlled. Anaesthetist will test you. H/Rate at rest needs to be under 100.

At both last operations Thyroidectomy and J&Johnson TVT Kit removal the latter I had OXY-NORM for 3 days post operative with paracetamol 2 x 500mg. 3 times day.

I had 2 anaesthetists in the operating room.

The team need to know your AF and on anti-co.a...... because I had to sop 3 clear days prior. I also had to stop my B12 1000ug SOLGAR sublingual a week prior.

Liquid 90mls was allowed up to 2 hours prior operation.

No problems.

All the best and keep yourself from worrying. You will be OK. I have AF persistent.

cheri JOY. 74. (NZ)