Stroke prevention in atrial fibrillation guidelines

Common Questions and Answers about Stroke prevention in atrial fibrillation guidelines

stroke

Avatar m tn //www.everydayhealth.com/health-report/atrial-fibrillation-and-stroke/diet-tips-for-afib.aspx?
Avatar f tn 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.
Avatar n tn If atrial fibrillation was associated with the stroke, coumadin is indicated in the prevention of recurrent, disabling events. Aspirin therapy is an alternative treatment in some patients at low risk for recurrent episodes of atrial fibrillation. As you have done, it is wise to discuss these issues with your physician. Information in the Heart Forum is for general purposes. Specific diagnoses and therapies can only be provided by your physician.
Avatar n tn People with intermittant atrial fibrillation have almost as high of a risk for embolization as those that are in fibrillation all the time. So you should have a talk with your physician about the choice of anticoagulation to assess other factors that would play a role such as those above. Also, what would be the next level of medications since toprol doesn't seem to be working?
Avatar m tn The risk of stroke with paroxysmal atrial fibrillation and persistent atrial fibrillation is equal. The CHADS2 risk score is used to determine appropriateness of coumadin for atrial fibrillation patients for stroke risk reduction. it stands for: Congestive heart failure Hypertension Age greater than 75 Diabetes Stroke. If you have stroke, it is worth 2 points, the other risk factors are worth one.
Avatar m tn Based on your age, I would say that you should stay on coumadin indefinitely because atrial fibrillation is a progressive disease and there will be recurrences in the future.
Avatar f tn The best treatment would be to correct the A-fib with digoxin or another specific anti-dysrrythmic or a pacemaker, but if this is not possible, prevention of blood clots is essential because, even a tiny one can cause a pulmonary embolism (clot in the lung) or a stroke. In atrial fibrillation the top chambers of the heart just quiver, while the bottom chambers (ventricles) keep beating, but in an irregular manner.
Avatar n tn Dear cutchey, Electrical cardioversion is a method used to change the heart rhythm from fibrillation to sinus (normal) rhythm). It is commonly used for persons in atrial fibrillation and involves placing electrodes on the chest and back and then passing a direct current electrical charge through the patches while the patient is asleep. The electrical charge may be monophasic or biphasic. It is usually successful but sometimes the patient goes right back into atrial fibrillation.
Avatar n tn I am already taking aspirin, although I know it has not been shown to be effective at preventing strokes from Afib. Am I at significant risk of stroke in the 24 hours untreated? Secondly, is fairly strenuous exercise a good or bad thing in this situation? I know that my exercise capacity is somewhat reduced but I don't get a strong ventricular response. Pulse stays below 150 or so. (hard to count as pulse is shallow and irregular).
Avatar m tn 00 AM
Avatar n tn Normally, the atria and ventricles contract in a coordinated manner. In atrial fibrillation and flutter, the atria are stimulated to contract very quickly. This results in ineffective and uncoordinated contraction of the atria. The impulses may be transmitted to the ventricles in an irregular fashion, or only some of the impulses may be transmitted. This causes the ventricles to beat more rapidly than normal, resulting in a rapid or irregular pulse.
Avatar n tn Hello I'm 28 years old, male. I had a bout of atrial fib once a few months ago. I had it for maybe two or three hours. I think it was stress that caused it. It had been building up for a while. My ER doc. said he wasn't going to give me meds because I was young and would probably never have the problem again. I had an echocardiogram later in that month and everything was normal according to the report. Atria were normal size. Blood ejection volume was normal etc.
Avatar n tn Arrhythmias are caused by a disruption of the normal functioning of the electrical conduction system of the heart. Normally, the atria and ventricles contract in a coordinated manner. In atrial fibrillation and flutter, the atria are stimulated to contract very quickly. This results in ineffective and uncoordinated contraction of the atria. The impulses may be transmitted to the ventricles in an irregular fashion, or only some of the impulses may be transmitted.
Avatar n tn I agree with your doctors. Even paroxysmal atrial fibrillation increases your risk of stroke. It is important to find a physician you trust and decide to stick with their recommendations. If you ask enough doctors, eventually someone may say you don't need it, but that doesn't mean it is the right answer. By our guidelines, even paroxysmal atrial fibrillation needs coumadin if you have the right risk factors. I hope this helps. Thanks for posting.
Avatar n tn Hello, Without being able to review the entire history it will not be possible to give an exact answer, but generally speaking your husband would fulfill the criteria of "lone" atrial fibrillation, if his heart is structurally normal and has no risk factors.
Avatar n tn Atrial fibrillation for 10 hours from 5am
Avatar n tn Additionally, depending on your age you should also be on either aspirin or coumadin for prevention of development of a left atrial clot which can be the cause for a stroke. If this is not the case then make an appointment to see a cardiologist in the interim, otherwise it may be alright to wait the 2 months.
Avatar n tn While at the hospital the neurologist told our family that had they known she had atrial fibrillation in her first mini-stroke, they would have prescribed coumadin and the acute stroke would likely have been prevented. I was told by a geriatric nurse practitioner friend that they should have done the Holter EKG rather than the short EKG as it would have detected the atrial fibrillation. My mother was previously being treated for congestive heart failure.
Avatar n tn Normally, the atria and ventricles contract in a coordinated manner. In atrial fibrillation and flutter, the atria are stimulated to contract very quickly. This results in ineffective and uncoordinated contraction of the atria. The impulses may be transmitted to the ventricles in an irregular fashion, or only some of the impulses may be transmitted. This causes the ventricles to beat more rapidly than normal, resulting in a rapid or irregular pulse.
Avatar n tn Is there any evidence that this class of drug (fluoxetine, paroxetine, etc) can precipitate atrial fibrillation in an otherwise healthy 45 year old heart? Thanks for any comments.
529315 tn?1213625013 All of a sudden I felt pain in the centre of my chest and a little discomfort in my arms. I looked down at my chest and could see my heart moving like a jelly. I told my partner to drop everything and to take me to the hospital quickly. He did this and to my amazement when they put me on an ECG machine my heart was beating at 175 BPM. They quickly set me up on a drip and gave me a measured dose of Metropolol. This had no effect.
Avatar n tn The cause of my stroke has been said to be MVP wih regurgitation and atrial fibrillation. I have been on beta blockers, but had my pulse rate react in an adverse way. I am now on 2 adult strength aspirin a day as a stroke preventative. My question is in regard to my pulse rate. I am not a physically active person due to the fatigue associated with the stroke and MVP, and have constant neurological vertigo from the old infarct.
17567 tn?1276202029 Toprol is very useful in slowing down the rate of atrial fibrillation,and thus eliminating many of the symptoms, though it does not usually stop atrial fibrillation from occurring nor does it diminish the risk of stroke from being in atrial fibrillation.
238668 tn?1232732330 Atrial fibrillation or flutter affects about 5 out of 1000 people. It can affect either sex. Atrial fibrillation is very common in the elderly, but it can occur in persons of any age. Prevention: Follow the health care provider's recommendations for the treatment of underlying disorders. Avoid binge drinking.
238668 tn?1232732330 A disorder of heart rate and rhythm in which the upper heart chambers (atria) are stimulated to contract in a very rapid and/or disorganized manner; this usually also affects contraction of the ventricles. It is sometimes present in individuals who have very low resting heart rates due to a high level of conditioning. Causes, incidence, and risk factors: Arrhythmias are caused by a disruption of the normal functioning of the electrical conduction system of the heart.
Avatar m tn I had a stroke 5 yrs ago and have suffered with Atrial Fibrillation since the stroke.
Avatar n tn With regards to the clotting. There is an increased stroke risk for patients in atrial fibrillation. In A fib, the atria do not contract efficiently and blood can form clots. These clots can leave the heart and cause a stroke when they lodge in the brain. The CHADS2 scoring system is a way to assess the annual stroke risk for a patient in atrial fibrillation, based on other risk factors.