Hello all. In January I had a single indicent of Afib. No previous heart history, no real health issues beyond high cholestrol (On crestor now) and pre hypertension (On dlitiazem er following afib). I spent a night in the hospital and moment before a scheduled cardioversion, I returned to sinus rythym. I had an extensive cardiac ultrasound performed and all was normal expect minor mitral valve regurgitation which both my internal medicine doc and the cardiologist labeled as insignificant. I also had a 30 day heart monitor study done which came back completely normal. I have no thad another incident since the original almost two full months ago. During this time the Cardiologist had me on Eliquis as a precaution until getting results of heart monitor study and yesterday's followup.
Now this is where it gets confusing or perhaps I question the Cardiologist. Despite having no history, normal test results, an donly pre hypertension for which I am being treated, he wanted to keep me on Eliquis for at least another 3 months just in case I have Afib despite no indication from ultrasound, heart monitor or the last nearly 2 months of no symptoms or issues. When I further questioned, he than suggested we stop the Eliquis and have my just stay on 325mg aspirin for 3 months.
In researching, I have learned that Afib guidelines basically call Aspirin therapy even for someone with intermittent afib, let alone someone who is considered low risk for stroke and lone afib, inappropriate, not recommended and likely useless.
So why would this Dr prescribe it, other than he is really not aware of the current guidelines for appropriate use. Based upon everything I have read about Afib, stroke risk, CHADs scoring, Atria scoring etc...it seems anticoagulant or aspirin use just isnt called for in such low risk cases such as mine.
Thoughts? Experience....run to another Dr for verification that this one prescribing aspiring is not appropriate?
I'm happy to have come upon this support group via the atrial fibrillation blog.Here's my story: Afib came a knockin' at my door in 2009. After 3 failed cardioversions and amidarone failed to restore sinus rhythym, I had my first ablation in August of that year to treat persistent afib. Having been knocked off my feet by the afib and accompanying chorus of palpitations, breathlessness and loss of...