Hip replacement

[KelliEAnniE]

hi has any one had a hip replace cement eith permanant AF and survived as iv heard it is high risk

[Peteh55]

I had a robotic assisted hip replacement July 1st. ECG at pre op showed everything fine except for irregular hr as have permanent AF. Had spinal block and sedation. No problems whatsoever and it wasn’t even raised as an issue. Obviously can’t take anti inflammatory meds but a few days after op only need paracetamol which still take 2-4 doses a day. No impact whatsoever on my afib either during or after my op.

[KelliEAnniE in reply to Peteh55]

ah thanks that's so good to know from someone who's had it done

[BobD Volunteer]

A lot will depend on the anaesthetist and whether he/she is prepared to proceed. I had a four hour radical prostatectomy for cancer some years after successful ablation for AF and was told I was lucky as they would not have even considered doing the operation if still in AF. You could say the ablation saved my life as that was 13 years ago or more.

[KelliEAnniE in reply to BobD]

gosh that was lucky for you I am in prmanant AF but is well controlled with med and am very fit so don't know if that would make a difference to whether they would operate I really don't want to have an operation unless I have to in time at the mont am relying on physio must have been so scary having to have a four hour operation glad you was ok

[BobD Volunteer in reply to KelliEAnniE]

Better than the alternative and 13 years bonus life so far. Had they not operated they would not have found it had already spread so very likely any radiotherapy would have missed a lot of it and I would not have survived. That is why I always say my ablations saved my life.

[Jetcat in reply to BobD]

Nice one.👍

[opal11uk]

I was knocked over whilst playing table tennis and broke my hip, outcome a full hip replacement, this was two years ago and I am fine, surgery went well and after a week I was safely home so good luck with yours,

[Morges]

yes mine was done on 17 July. Surgeon wanted permission to operate from my cardiologist first. The anaethatist is key - should come and speak to you before you go down to theatre. Only problem was my heart rate dropped to 30 at start of operation but was given ephedrine with a good increase in rate. I am in permanent asymptomatic AF heart rate 60 -90

[KelliEAnniE in reply to Morges]

thanks for your reply it does help yo hear of people that have been fine

[Eastwick]

I had a freaky fall at Christmas and had to have surgery within 24 hours, didn’t even stop Apixaban for more than 24 hours as obviously I didn’t know I was going to have surgery and I was worried, but all turned out fine in the end. I am in permanent a fib.

[KelliEAnniE in reply to Eastwick]

thanks that's good to know

[Karendeena]

If this is high risk (and have never heard of it before), how do surgeons perform operations at all? There are so many people with AF I can't imagine we could go through life without any surgery, for example my mum had her bladder removed in a 9 hour operation

[Ducky2003 in reply to Karendeena]

I did wonder that myself why would a hip replacement be deemed more high risk with AF than any other major operations?

[Ppiman]

I found this in the conclusion to a new study, if it helps:

"Only one death within 30 days of admission was recorded among patients taking DOACs (1.6%; 95% CI 0.08% to 9.7%), occurring 8 days after admission. This result was not significantly different from the reported 30-day mortality following hip fractures of 6.7%7 (p=0.17)."

Steve

[Dudtbin]

my husband had both hips done with no problems at all.

[KelliEAnniE in reply to Dudtbin]

thanks for your reply that's good to know

[Tapanac]

I had 11 1/2 hour brain tumour surgery with afib/tachycardia/bradycardia, although I don’t THINK I was in permanent afib then as I am now

All the best and hope all goes well

[KelliEAnniE in reply to Tapanac]

thanks for your reply glad everything went well

[Dudtbin in reply to KelliEAnniE]

Im sure it will all be fine. ☺️

[KelliEAnniE in reply to Dudtbin]

thanks for your reply nice to get positive feedback

[Tankie]

I am due a hip replacement and reconstruction work on my pelvis in 2 months, I have RBBB and also a aneurysm in stomach

[KelliEAnniE in reply to Tankie]

thanks best of luck hope everything goes well

[Desanthony]

Hip Replacement and Total Knee Replacement and no problems at all other than more swelling and bruising afterwards. Had to stop Anticoagulants 3 days prior to op and back on half strength for a month afterwards to avoid excessive swelling and slower healing apparently after the knee op. I will have to have my other hip replaced if I live long enough but really don't mind the thought of that as that was a walk in the park compared to the Total Knee Replacement.

[KelliEAnniE in reply to Desanthony]

yes iv heard its a worse procedure having a knee done

[Desanthony in reply to KelliEAnniE]

Much! Thankfully my other knee is OK but when I had my hip done they did tell me I would need the other hip done within 5 years. Still going strong after 15 years. I am convinced that having the one hip done took the pressure off my other hip and therefore the other hip has not deteriorated since then.

[KelliEAnniE in reply to Desanthony]

that's good was you in a lot of pain with the other one

[Desanthony in reply to KelliEAnniE]

With the hip it wasn't so much pain as not having a great degree of movement. I had both these operations with sedation and epidural.

[KelliEAnniE in reply to Desanthony]

did it help with degree of movement also was it pain-free with sedation and epidural

[Qualipop]

Are you thinking it's he anaesthetic causing the risk? My mum had her hip replaced when she had heart failure. She couldn't have a general anaesthetic so they did it by epidural.

[Desanthony in reply to Qualipop]

I had both my hip and knee replacement with sedation and epidural - sedation worked well as did the epidural just as good as general anaesthetic but none of the side effects - I don't get on well with GA anyway so if given the choice have always gone for sedation and epidural. Still asleep all the way through but awoke feeling OK and not in a brain fog for a few days.

[KelliEAnniE]

I'm not sure I'm assuming it's the anesthetic where the risk lies but I had a cololnoscopy but had just sedation and was fine realise need more than that gor a hip replacement though

[Desanthony in reply to KelliEAnniE]

I had both my hip and knee replacements with sedation and epidural - ask the anaesthetist absolutely no problems. Woke up without the brain fog you usually get with a GA.

[KelliEAnniE in reply to Desanthony]

that's good too know thanks

[Sharonsue]

I have had 2 hip replacements within the last 4 yrs. 6 months apart. I was diagnosed with afib in 2020. Everything went great. I had to stop Xaeltro, my blood thinner a few days before each procedure. I was 70.

[KelliEAnniE]

that's lovely to hear thanks

[whatAsweetheart]

Hello

Your post definitely caught my attention. As I write this reply, I am sitting with my leg elevated because I JUST had a right hip arthroplasty (full hip replacement) last Thursday. I was diagnosed with a-fib 18 months ago. I'm taking Apixaban (Eliquis) and Metropolol. I have no other health issues and am in fairly good form otherwise. None of my doctors: surgeon; anesthesiologist; or cardiologists had any concerns. In fact, on my first visit to the surgeon, I did expressed concern about having a-fib and proceeding with the surgery and he said to me with a small bit of sarcasm that "everybody has a-fib these days". I did go into a-fib the day after I got home (I was only in hospital for a day and a half) and the episode lasted about 28 hours. I am 8 days post surgery and I'm feeling pretty good. I went off the the pain meds (Oxycodone) after 5 days and now only take a 4mg dose at night before bed.