Stroke risk in atrial fibrillation

Common Questions and Answers about Stroke risk in atrial fibrillation


Avatar m tn //
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 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.
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.
Avatar f tn The most important modifiable risk factors for stroke are high blood pressure and atrial fibrillation. Other modifiable risk factors include high blood cholesterol levels, diabetes, cigarette smoking[17][18] (active and passive), heavy alcohol consumption and drug use, lack of physical activity, obesity and unhealthy diet.
Avatar m tn Aspirin or coumadin are for clots, (Antithrombotic and Thrombolytic Therapy), the American College of Chest Physicians (ACCP) recommended coumadin for atrial fibrillation patients at high risk of stroke, aspirin for patients at low risk of stroke, and either drug of patients with an intermediate risk. The ACCP defines a low-risk patient as younger than 65 years with no predisposing risk factors (e.g., previous stroke, TIA, embolism, heart failure, hypertension, diabetes).
Avatar n tn If it is atrial tachycardia or another SVT, they do not increase your risk of stroke. The risk of stroke with atrial fibrillation increases depending on the number of risk factors you for stroke (heart failure, hypertension, age greater than 75, diabetes, previous stroke). Ask your doctor if you have atrial fibrillation. 4. Does this condition ever get better on its own or will it keep getting worse? It does not usually get better on its own. 5.
Avatar m tn People with atrial fibrillation and atrial flutter usually need an atrial fibrillation ablation (pulmonary vein isolation -- PVI) if they have symptomatic arrhythmias that are refractory to anti arrhythmic medicines like flecainide or propafenone. This can be done because a PVI is anatomically based. If the left sided rhythm is atrial flutter, you need to be in left atrial flutter to map the arrhythmia and ablate it.
Avatar n tn Dear Rossi, The use of coumadin or aspirin for the treatment atrial fibrillation is to prevent stroke. If a person is under the age of 65 with a structurally normal heart, no history of hypertension, diabetes, prior stroke or transient ischemic attacks (TIA) or heart failure they would be considered low risk for stroke and treatment with 325mg of aspirin would be reasonable. However all other patients should be treated with coumadin if bleeding risks are not a major concern.
Avatar n tn 1) I have read a lot of the stats regarding the increased risk of stroke with afib. Does this only apply to the people with symptoms? In other words, if my meds are eliminating the symptoms, are my risks of a stroke eliminated? 2) Are there any detrimental effects of taking a beta blocker long term (since I am only 30)? 3) I am used to exercising at a pretty high intensity (HR up to 170 when pushing, resintg HR around 65).
Avatar n tn Dear David, Firstly, the paroxysmal atrial fibrillation needs to be addressed, because a fair amount of atrial fibrillation with an abnormal atrial size poses a significant stroke risk for the patient and a 66 yo with p.atrial fib. intermixed with bradycardic episodes is only going to get worse not better REGARDLESS of medications. Many patients with atrial fibrillation 'feel fine' and never even know the heart rate is abnormal.
428155 tn?1203688894 It sounds like you have vagal induced atrial fibrillation. It is still caused by ectopic beats from the pulmonary veins. Vagal atrial fibrillation usually starts when swallowing food, cold drinks or ice cream, when relaxed or right before you fall asleep. Medications that slow the heart rate can sometimes exacerbate vagal atrial fibrillation. This is why the sotalol -- potent beta blocker -- might make your atrial fibrillation worse.
Avatar m tn 00 AM
Avatar n tn I haqve a combination of atrial aneurysm, atrial septal defect and atrial fibrillation. I have no hypertension, diabetes or other risk factors. What are the risk of stroke? This discussion is related to <a href='/posts/show/254326'>Patent Ferimone Ovale (PFO) and Atrial Septal Aneurysm</a>.
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.
469720 tn?1388146349 PRADAXA is a prescription blood-thinning medicine used to reduce the risk of stroke and blood clots in people with atrial fibrillation not caused by a heart valve problem. With atrial fibrillation, part of the heart does not beat the way it should. This can cause blood clots to form, increasing your risk of a stroke. PRADAXA lowers the chance of blood clots forming in your body.
3287038 tn?1398422427 The key goals of Afib treatment are (1) rate control (2) stroke risk reduction and in some cases (3) rhythm control is also beneficial. Rate control is important because controlled heart rates mean less work for the heart (especially helpful in patients with reduced EF, but also for those with coronary disease and angina). Rate control also means fewer symptoms for our patients and that is also important. Stroke risk reduction is achieved either by targeting the platelets (i.e.
Avatar f tn Atrial fibrillation is linked to an increased risk of stroke. The most common mechanism is sluggish blood flow in the atria which then leads to the formation of blood clots. These blood clots form in the atria and can migrate from the heart to the brain to cause a stroke. There are five major predictors of stroke in patients with AFib.
Avatar n tn What is different is the risk level for individuals of different ages. The risk of stroke is higher in older individuals and in individuals with structural heart disese so generally coumadin is used in these cases. In younger persons with normal hearts the risk is not as great and generally aspirin daily is all the protection that is needed. Your doctor can evaluate the degree of risk for you based on your age, heart function and the amount of time you are in afib.
1723161 tn?1309771519 1. Does her newly discovered paroxysmal atrial fibrillation caused her stroke in the past few years? 2. Does her mild tricuspid regurgitation caused her atrial fibrillation? 3. Since my mother has mild tricuspid regurgitation, is it ok to use Pradaxia as anticoagulant?
Avatar n tn Atrial fibrillation for 10 hours from 5am
Avatar m tn It can be cured but there is no evidence that curing atrial fibrillation reduces the risk of stroke. This is something that some physicians assume, but has never been proven. If you have stroke from atrial fibrillation, I would not stop the coumadin. If you have no symptoms with atrial fib, rate control is sufficient. If you have symptoms not improved with rate control, the medical and procedural management depends on many factors. 5. Avoid triggers for atrial fib if any are known. 6.
Avatar n tn This is usually only a clinical concern if the atrial fibrillation is frequent or persistent. However, this risk of stroke from atrial fibrillation in patients with mitral stenosis (particularly from rheumatic fever) is substantial. Blood thinning medicine is often used in this situation. I understand that you were seen in the emergency room. However, you should definitely see your cardiologist. As I have written, afib can be serious. I hope this has been useful.
Avatar f tn Any time the heart is in atrial fibrillation increases your risk of a clot. Aspirin which is an antiplatelet (makes the platelets less sticky) is ok if you have no other risk factors that would predispose you to suffering a stroke. To reduce your chances of suffering a stroke, from a clot, coumadin is more successful at preventing this. I think that it would be wise for you to discuss this with your Dr. You seem very concerned with this and have every right to be.