Coming off Apixaban

[Bumpitybump]

Following an aortic valve replacement (AVR) July 2024, tissue valve, I went into persistent Afib by August 2024, back into normal sinus rhythm (NSR) following a Cardioversion in December 2024. Experienced some supraventricular ectopy and premature ventricular contractions but so far so good, stayed in NSR. GP, on advice from AFib consultant in Dec, now taking me off Apixaban. Initially post op prescription included an aspirin a day ( told it would be for life) I was taken off the aspirin when prescribed Apixaban. I have asked Dr if I should be back on aspirin now, he thinks not. Has anyone experienced of this please, is anyone on an aspirin a day post AVR? I think I still have access to arrhythmia nurses help line but have been signed off the AVR team so may not have access to their advice. GP happy for me to check with Papworth but thought I would ask if anyone has experience of this situation? Look forward to any thoughts of topic.

[BobD Volunteer]

Why not ask in BHF part of HUL if you are unable to speak to your valve team who would be my first call.

[Bumpitybump in reply to BobD]

Thank you, good idea.

[wilsond]

I think you would be advised to check all this out.Contradictory advice here it seems.

There are protocols and checks as to why Apixaban is required but I'm not clear why you have been taken off tbh

[Bumpitybump in reply to wilsond]

I guess they believe apixaban is not necessary when in normal sinus rhythm but the prospect has me slightly nervous. However, luckily I am very aware of NSR and or any occurrence of AFib, and easily confirmed with my Kardia Mobile.

[wilsond in reply to Bumpitybump]

Unless you are asleep. I agree, slightly nervous I'd be too.