Early pacemaker replacement

Can you Sprint?

by donr - 2018-10-31 09:31:16

Running away from this EP is NOT fast enough!!!

Now, ASSUMING everything you told us is true, I'm NOT sure what rock he/she lives under on the planet Pluto, but ANY PM can be checked daily to see if you have ANY arrhythmia. 

AS to going on anticoagulants for A-Fib, unless he knows something I don't, they do not taqke effect immediately.   Not even the new ones that are supposedly better than Warfarin.,  If you DO have A-Fib now,  going off the warfarin (or whtever) now & depending on even a daily check for A-Fib could be too late.  A clot formed by it can get to the brain w/i seconds of being formed & you would be dead before your PM could be checked.

Something is really wrong here.

Donr

I agree with Don

by IAN MC - 2018-10-31 11:31:50

What your EP suggests doesn't make sense to me unless you have had the one-and-only afib attack in your life.... (  and anything is possible ! )

Everything I've read suggests that  while a blood clot can form within 24 hrs during a prolonged attack of afib, all of the blood thinners take at least 2 weeks to work effectively.

  So a stop / start blood thinner regime is not wise if you want a MAXIMUM level of safety .   It depends on how much you hate being on blood-thinners I guess.     I suggest that you  ask your EP :-

- how likely is it that you will have another afib attack in his opinion

- what he considers the blood-clot risk to be after a short bout of afib AND

- ask him how long he thinks it takes before a blood-thinner  gives stroke- protection.

Best of luck

Ian

Thank you both!!

by Jax - 2018-10-31 13:38:23

Don- you make some very good points.  

Ian- I will ask ur questions.  They are to the point.  

Thank you both in yr input. 

How fast is a clot formed?

by donr - 2018-10-31 15:42:29

I asked Dr. Google the following quewstion:  How Much Atrial Fibrillation Does It Take to Cause Stroke?

Find the answer at:

https://www.everydayhealth.com/columns/jared-bunch-rhythm-of-life/how-much-atrial-fibrillation-has-to-occur-to-have-a-stroke/

This is a "How long is a piece of string?" question.

It's too long to reprint. The author's monograph supports my contention that trying to wait, or as Ian says, "Stop & go" anti-coagulent therapy is a fools errand.  .

Donr