Common Bloodstream-Thinning Medication Questions Individuals With AFib Ask

 

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Common Blood-Thinning Medication Questions People With AFib Ask Vera Sizensky. and. Nieca Goldberg, MD. 31 Jul 2018 Your Health. If you have atrial fibrillation, or AFib, and your health care provider prescribed a blood-thinning medication for you, here are some frequently asked questions that may help you better understand how they work. Does everyone with AFib need anticoagulants?

Find the answers to questions to that pique your curiosity in our series, The Short Answer. Cardiologist Mandeep Bhargava, MD, fields this. Blood thinning medicines help prevent blood clots.

They can lower your chances of a stroke by 50% to 70%. Some examples of these drugs includ. AFib is a very common type of heart rhythm problem — in fact, it’s the most common irregular heart rhythm, affecting about 2.7 million people in the United States. What are the questions you should ask your AFIB doctor? It is important to ask the right questions when you have those few moments with your AFIB doctor.

My problem was that I forgot the questions! Sometimes I did make a list on a small piece of paper and fired away with all my questions. Continue reading 10 Questions to ask your AFIB doctor, and a few he can ask you! →.

The Three Most Important Questions to Ask Your Doctor About Atrial Fibrillation September is National Atrial Fibrillation Awareness Month. Atrial fibrillation, the most common heart-rhythm abnormality, affects 2 to 3 million people in the United States, a number projected to increase to 12 million by 2050 as the population ages, according to. That’s why people with a-fib commonly take clot-preventing drugs (anticoagulants) like Eliquis and Xarelto.

They belong to a newer class of medications called direct oral anticoagulants, or DOACs. Guidelines recommend that most a-fib patients take a DOAC rather than an older medication, warfarin, because they are safer, more effective and. An Atrial Fibrillation Spiel Three-Must Ask Questions You can find a complete summary of the common arrhythmia in the Atrial Fibrillation ECG Some people require only one medication.

Some people who have atrial fibrillation have significant problems with their heart and with exercise, the heart rate can race tremendously during atrial fibrillation, thereby exacerbating the underlying heart condition and may lead to problems such as very low blood pressure, heart. Medications for atrial fibrillation (AF or AFib) Medications are often prescribed to prevent and treat blood clots which can lead to a stroke. Additional drugs may be prescribed to control heart rate and rhythm in the AFib patient.

These medications may also be used in.

List of related literature:

If AFib is associated with a rapid ventricular rate and the patient is stable but symptomatic, treatment is usually aimed at controlling the ventricular rate with medications such as diltiazem, which is a calcium channel blocker, or betablockers.

“ECGs Made Easy E-Book” by Barbara J Aehlert
from ECGs Made Easy E-Book
by Barbara J Aehlert
Elsevier Health Sciences, 2015

If they have no other reason for chronic anticoagulation, we obtain an ambulatory electrocardiography monitor because many patients go in and out of atrial fibrillation and are not aware of the rhythm change.

“Cardiac Intensive Care E-Book” by Allen Jeremias, David L. Brown
from Cardiac Intensive Care E-Book
by Allen Jeremias, David L. Brown
Elsevier Health Sciences, 2010

For patients with nonvalvular AFIB, stratification according to stroke risk following CHADS2 (congestive heart failure, hypertension, age >75 years, diabetes mellitus, and prior strokes and TIAs) is recommended.

“Netter's Neurology E-Book” by H. Royden Jones, Jr. Jr., Jayashri Srinivasan, Gregory J. Allam, Richard A. Baker, Lahey Clinic,Inc
from Netter’s Neurology E-Book
by H. Royden Jones, Jr. Jr., Jayashri Srinivasan, et. al.
Elsevier Health Sciences, 2011

In such patients, it is recommended that the medications be stopped for approximately 24 hours before the study, unless the ordering physician wants to determine the presence or absence of inducible ischemia while the patient is taking these medications.

“Radiology Secrets Plus E-Book” by Drew A. Torigian, Parvati Ramchandani
from Radiology Secrets Plus E-Book
by Drew A. Torigian, Parvati Ramchandani
Elsevier Health Sciences, 2016

As a majority of patients in atrial fibrillation are willing to consider switching to these medications,

“Critical Care Medicine E-Book: Principles of Diagnosis and Management in the Adult” by Joseph E. Parrillo, R. Phillip Dellinger
from Critical Care Medicine E-Book: Principles of Diagnosis and Management in the Adult
by Joseph E. Parrillo, R. Phillip Dellinger
Elsevier Health Sciences, 2013

Although much of this excess mortality is related to concurrent CVD risk factor disturbances and renal disease, detection of those who have significant silent ischemia is important because it enables more intensive risk factor modification to be focused on these patients.

“Cardiology E-Book” by Michael H. Crawford, John P. DiMarco, Walter J. Paulus
from Cardiology E-Book
by Michael H. Crawford, John P. DiMarco, Walter J. Paulus
Elsevier Health Sciences, 2009

Also, treatments for AFib reduce the risk of stroke and all-cause mortality and increase the risk of bleeding, but trials have not assessed whether treatment of screen-detected asymptomatic older adults results in better health outcomes than treatment after detection by usual care or after symptoms develop (1)[A].

“The 5-Minute Clinical Consult 2020” by Frank J. Domino, Robert A. Baldor, Jeremy Golding, Mark B. Stephens
from The 5-Minute Clinical Consult 2020
by Frank J. Domino, Robert A. Baldor, et. al.
Wolters Kluwer Health, 2019

This information is probably important because.75% of ischemic episodes are silent, and.50% of patients with CAD (not just diabetics) have silent ischemia.

“Clinical Cases in Anesthesia E-Book” by Allan P. Reed, Francine S. Yudkowitz
from Clinical Cases in Anesthesia E-Book
by Allan P. Reed, Francine S. Yudkowitz
Elsevier Health Sciences, 2013

The recommendations for risk reduction of afib in diabetics are multifaceted.

“The Diabetes Textbook: Clinical Principles, Patient Management and Public Health Issues” by Joel Rodriguez-Saldana
from The Diabetes Textbook: Clinical Principles, Patient Management and Public Health Issues
by Joel Rodriguez-Saldana
Springer International Publishing, 2019

Effective prevention of stroke for atrial fibrillation patients requires OAC, either with a VKA or one of the NOACs (see Table 4.2.9 and Figure 4.2.26).

“Oxford Textbook of Medicine: Cardiovascular Disorders” by David Warrell, Timothy Cox, John Firth, Jeremy Dwight
from Oxford Textbook of Medicine: Cardiovascular Disorders
by David Warrell, Timothy Cox, et. al.
OUP Oxford, 2016

Oktay Kutluk

Kutluk Oktay, MD, FACOG is one of the world's foremost experts in fertility preservation as well as ovarian stimulation and in vitro fertilization for infertility treatments. He developed and performed the world's first ovarian transplantation procedures as well as pioneered new ovarian stimulation protocols for embryo and oocyte freezing for breast and endometrial cancer patients.

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15 comments

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  • This video was terrific!!! I have been reading a lot on blood thinners and am on xarelto at the present time. I have arrived at the same conclusion about the newer blood thinners that there is less of a chance of bleeding than with Warfarin. I am asking my Cardioligist to put me on apixaban or Eliquis because I think it might be safer. This was a great video! Thank you for taking time out of your busy schedule to post such informative information!

  • As regards anti-coagulents, I lost Uncle Victor to a cerebral hemorrhage as he was prescribed an anti-coagulent (admittedly Coumadin, aka Warfarin). I wouldn’t be surprised to find Uncle Victor was NOT doing regular Pro-Times to check his levels, but notwithstanding, I lost a dear relative to an anti-coagulent. Fast forward to today, and my most recent bout of paroxsysmal Afib…. The cardiologist in the Hospital last Friday sent me home with a prescription for a beta blocker….. and….Eliquis. Wouldn’t you know it, that most recent bout of Afib converted back on its own a few hours AFTER leaving the hospital, and here I am with 30 tablets of 5mG Eliquis…. at $7.10 (US) EACH…… that I won’t be taking…. and the pharmacy won’t take the prescription back. If anyone out there regularly takes 5mG Eliquis, have I got a deal for you……

  • Thank you again Sanjay. Always great info to help in the Afib journey.
    I have started a regular cardio exercise program and my events have decreased significantly.

  • I have been placed on Eliquis for a bout of A-Fib due to an upper respiratory infection. I was put off by the price $444.00 (with insurance in the USA, and the fact that there is no antidote). I am a nurse and your excellent informational video made me change my view. I take 5mg BID. I will not worry about the bleeding now. I hope to be off of all medications by February 2020.
    Thank you.

  • So glad I heard this today as I lie in hospital and an told I have to take Warfarin because it’s safer and bc the new agents cannot be monitored.

  • I’ve been eating ONLY Bean Potatoes Fruits n Veggies. No Animals No Oil No processed foods for 2 months how do I reduce or remove my Pradaxa?

  • Don’t pay attention to the negative naysayers, I appreciate your videos. I do have a question. I know take Eliquis and I read that you shouldn’t take a fish oil pill while on blood thinners. Is this correct?

  • There are home monitor INR tests now. If you try to eat the same amount of greens everyday it’s pretty easy. I’ve been between 2-3 for years now. The costs of the new drugs are so expensive especially if you have the cost of Tikosyn and insulin.

  • Thank you for this. I have just been put on Apixaban and I was terrified as my dear Dad died suddenly of a brain haemorrhage some years ago. He was only on Aspirin. Your videos are so helpful.

  • Very clear and very understandable explanation. I’m on Eliquis for my AF. Question…..I thought previously you stated that anti-coagulants don’t actually thin your blood but reduce the coagulation aspect of your blood. So, doe these meds actually cause your blood to be diluted?

  • Thank you so much for that ta.lk I am just changing from warfarin to apixaban after 12 years on warfarin which I monitored myself. I was quite nervous, despite the fact that I requested the change, but now feel completely reassured. Elizabeth Sheffield. ��

  • The doctor obviously doesn’t know about ProArgi 9. This is a Nitric oxide booster/ vascular dialator. Works immediately and can dramatically improve heart function and circulation. You don’t need Warfarin.

  • Hi,l have Bicuspid wall,and my other wall srated having Calcium deposit.I did my Ecchoo where it is reported that i have PVC,sometime have pain in my left rib specially if i eat any spicy food or greecy food p.iam on mediation for bloodpressureZestril 10mg and for cholestrol Explended 10mg.Sometime i have very bad pelpitation.helpme

  • The ablation of rotors with or without pulmonary vein isolation has been shown to have no superiority to pulmonary vein isolation. (2019). So the effectiveness of the new FIRM ablation has been disproven. This video should be removed.

  • my mom had an stroke few weeks ago, now she is taking the blood thinner medication. but I am scared of the side of affect for those kind pills. she is 66 years old.