Stroke guidelines anticoagulation
Common Questions and Answers about Stroke guidelines anticoagulation
stroke
Because you are asymptomatic during AF episodes, the most important thing to do is anticoagulation medicine for stroke prevention. So I am surprised that your cardiologist didn't prescribe that for you and wants you on an AAD (anti-arrhythmic drug) instead. And I agree that with your low heart rate, it may not be a good thing. The specialist to see would be an electrophysiologist because they would have more expertize in AAD and anti-coagulants.
My question concerns the pros and cons of adding a baby aspirin to the Coumadin therapy, mainly with respect to stroke prevention. My level of physical activity does increase bleeding risks somewhat in terms of musculoskeletal injury, and I am aware of the risk for G.I. bleed being increased with Aspirin as well.
you're welcome. After such major, major surgery, you should report EVERYTHING, and let the docs decide if it's significant or not.
Also, I'd have him moving as much as possible every day. Being sedentary can result in blood clots in the legs, which can be very bad.
I'd ask the docs if he is on "anticoagulation" to prevent clots. If not, I'd ask for it. I'd want graded compression stockings, not the unilateral graded kind. And so on.
Regarding antithrombotic therapy in the setting of atrial fibrillation, the guidelines recommend this for all patients with AF, except those with lone AF or contraindications.
The selection of the antithrombotic agent is usually based on the absolute risk of stroke and bleeding and the relative risk and benefit for a given patient. Based on the level of risk, most patients are either started on aspirin or Warfarin (Coumadin).
For example, a blood clot that blocks blood flow to your brain can cause a stroke, damage to brain cells, or permanent damage to your brain.
Treatment can be blood thinners (anticoagulation) to avoid the forming of clots while the fibrillation still exists, and/or treatment to get rid of the fibrillation (catheter ablation) , and/or diet and lifestyle changes to suppress the fibrillations.
I have not heard of such a pattern. Has your husband ever had a 30 day event monitor? This could be very helpful diagnosing the exact rhythm disturbance. As for the need for anticoagulation recommended by Jerry_NJ, this therapy would be warranted only if this were Atrial Fibrillation, which can increase your risk of stroke from the formation of clots. If you have no other risk factors for clot formation, most Dr's will prescribe a full strength aspirin (325mg).
or a deficiency of this vitamin reduces the rate at which these factors and proteins are produced, thereby creating a state of anticoagulation. Prescribing the dose that both avoids strokes, etc. sufficient suppression of clots requires a thorough understanding of the drug's unique pharmacology.
"For most indications, the dose is adjusted to maintain the patient's International Normalized Ratio (INR) at 2 to 3.
My dad had a stroke and he tested postive for Lupus Anticoagulation- he is now on a blood thinner and they believe this caused his stroke. so when I went to my OBGYN, I am on the pill, she asked about new family history and I told her. She had me tested immediately and it is positive. My primary is annoyed. He didn't want to test further. He said she opened a can of worms and it is probably a false positive.
//www.nhlbi.nih.gov/about/framingham/strokecalc.xls
For example, I assumed you are a non-smoker, have a systolic BP of 120 and are 55 years old. Your risk of a stroke even without coumadin is only 4% over 5 years. With coumadin it's 3 times lower.
You can play around with the spreadsheet and see how the odds change as you get older.
The main advantage of mechanical valve is its excellent lifetime durability. However, the major drawback is the need for long-term anticoagulation with a blood thinner to prevent the formation of blood clots on the valve. These blood clots can break off and cause a variety of problems such as a stroke and malfunction of the heart valve. Bioprosthetic or tissue valves have low risk of clot formation but with limited life spans.
is there a book or other info to help your spouse and family after you have had a stroke.
Another study reported a similar live birth rate of 77% with enoxaparin prophylaxis compared to 44% in untreated historical control women, suggesting a threefold greater likelihood of a favorable outcome. The beneficial effect of anticoagulation was most pronounced in women with factor V Leiden thrombophilia, although the small number of individuals studied precluded definitive conclusions [Carp et al 2003].
My question concerns the pros and cons of adding a baby aspirin to the Coumadin therapy, mainly with respect to stroke prevention. My level of physical activity does increase bleeding risks somewhat in terms of musculoskeletal injury, and I am aware of the risk for G.I. bleed being increased with Aspirin as well.
AFig can cause the formation of clots in the artial chamber due to the incomplete pumping action characteristic of AFib. If/when these clots move into the blood stream and if they block oxygen/blood to the brain a stroke occurs. An Anticoagulant, such as warfarin/coumadin reduce the chance that such clots will form, thus reducing the possibility of a stroke.
I do not believe the taking of meds to control the heart rate, e.g.
What are my chances if I dont take it and just keep on astrix and put up with the symptoms of AF SOMETIMES. am I being to risky of stroke etc, its just dont like taking these heavy medications really.
This discussion is related to <a href="/posts/Heart-Disease/lone-atrial-flutter-and-flecainide/show/254551">lone atrial flutter and flecainide</a>.
s history it is difficult to say. The use of a metallic valve requires the long-term use of anticoagulation without ever stopping. Those valves tend to last longer. Tissue valves do not require long-term anticoagulation but have a limited lifespan (typically 10-15 years).
Most of the patient's I see end up getting a tissue valve because of the anticoagulation issue.
Warfarin has a narrow therapeutic window and wide inter-individual variability making dosing problematic. Under-anticoagulation can result in thrombosis but over-anticoagulation can result in dangerous bleeding episodes.
***Dosing is determined empirically, often based on age and underlying condition as well as increasingly now genetics, with adjustments made until the target International Normalized ratio (INR) for clotting is achieved. With your bruising, etc.
Primary prevention is a lot less effective than secondary prevention (as judged by the number needed to treat to prevent one stroke per year).Recent guidelines detail the evidence for primary prevention in stroke. Because stroke may indicate underlying atherosclerosis, it is important to determine the patient's risk for other cardiovascular diseases such as coronary heart disease. Conversely, aspirin prevents against first stroke in patients who have suffered a myocardial infarction.
I recently had a mild stroke in the left hemisphere of my brain. About two weeks later I started having a problem with my left arm and hand falling asleep. At first this was just an annoyance however, the tingling sensation has been happening more often and with more intensity. Could this problem be caused by the stroke? Will it eventually go away? Can I do anything to help eliminate this problem? Could someone explain why this is happening?
The surgery went well and that was in January of last year. They monitored his blood and then in July he had a TIA(mini- stroke) which scared us all very much. He suffered stroke like symptoms suddenly, including his face drooping(the week before i had a phone call with him and i noticed he sounded slurry but it was late at night and presumed he'd taken a sleeping tablet) My sister was with him at the time and calmly called an ambulance.
My EP says breaking 4 for more than a couple of months (IIRC) can increase the risk of hemmoragic stroke to greater than the risk of ischemic stroke without any INR modification). Braking 5 is just plain bad and he said that if I did that he'd toss me into a bed in CICU and fill me full of vitamin K.
Actually, puncturing the atrial septum is no big deal according to my EP. He had to do that to me whan he did my first ablation. He said it heals quickly.
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