Stroke risk in atrial fibrillation

Common Questions and Answers about Stroke risk in atrial fibrillation


3287038 tn?1398426027 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 •Drugs to try to prevent atrial fibrillation •Drugs to prevent blood clots — Patients with atrial fibrillation and heart disease are at especially high risk of stroke. •Blood-thinning medications (anticoagulants) such as aspirin may be prescribed. Thanks for sharing and if you have any followup questions feel welcome to respond. Take care.
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).
2335 tn?1253303563 I have gleaned invaluable information from these forums, keep up the good work. My question relates to Atrial Fibrillation in conjunction with Hypertrophic Cardiomyopathy with first degree AV Block and Left Bundle Branch Block. I have partial obstruction of opening of Mitral Valve and moderate Subaortic Stenosis. I am a 57 year old Caucasian woman and I have fairly frequent Angina and Palpitations which have been previously connected to PVC's and Ventricular Tachycardia.
Avatar f tn Of Mayo Clinic patients who undergo the maze procedure for atrial fibrillation, 95 percent have no atrial fibrillation at discharge. But those who do not respond to the procedure may have more success with drug therapy afterward. Patients also benefit from Mayo's state-of-the-art diagnostic and treatment capabilities for patients with heart arrhythmias. New technology is making the maze procedure faster, safer and less invasive.
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 f tn Has anyone heard of the "transthoracic Maze procedure"? I am scheduled for one in two weeks. My cardiac surgeon says this is the way to go. He says it has 70-90% success rate, tho they've only been done the last year. The risk of clots/stroke is "almost zero" cuz the procedure involves "burning" around the pulmonary vessels and hot spots on the OUTSIDE of the heart. (Instruments and 'scope inserted thru incisions between ribs on chest wall.) Any comments?
1211201 tn?1329318473 Last week I woke up from sleep with pounding, irregular heartbeat. I went to ER and was admitted with atrial fibrillation and was kept in overnight so my heart could be restored to sinus rhythm. I'm now taking Slozem and waiting to see a cardiologist in a few week's time. I'm terrified it will return and very anxious to find out what might have caused it. If anyone can post advice or suggestions it would be massively appreciated.
Avatar f tn First, you are right that before cardioversion, one must be certain that no clots have formed in the atria. Actually, the risk of stroke is not highest while being in atrial fibrillation, but when converting to sinus rhythm (naturally or by cardioversion). When the left atrium is not beating (during a-fib), the clots usually just stay where they are, but when the atria are beating again, clots may break off the walls and follow the blood stream.
Avatar n tn Yes. This is what I recommend to all my patients with lone (no structural heart disease) afib. If you would like to be considered for ablation at the Cleveland Clinic call 1-800-223-2273 ext 49220 and ask to speak to Dianna. 5) With ablation is a pacemaker required? A: Not with focal afib ablation. In some cases AV node ablation is performed and then a pacemaker is needed but in most individuals with lone afib focal ablation is all that is needed.
Avatar n tn i have atrial fibrillation and chf my doc want to put a Implantable Cardioverter Defibrillator in me and was wondering if thats a life time thing or can i get mt heart stringer and not need it any more ?
Avatar n tn The reasons to try to maintain sinus rhythm include reduced risk of stroke, decreased symptoms, and decreased risk of cardiomyopathy.
747818 tn?1248063180 The studies I've read online seem to indicate that taking blood thinners at your age present a greater risk to your health than the benefit you'd receive in reduction of stroke risk (I believe the break point for an otherwise healthy person begins around 60 years of age). I'm not a doctor, and you should certainly get the OK from your doctor first, but from what I've read, I don't see why a person with your condition can't continue to have an active life.
Avatar f tn Sometimes I feel like I am waiting for a clot or stroke. I can't seem to get my doc to talk about this in depth he is always in a rush. Any input you may have would be greatly appreciated.
Avatar n tn I was admited to hospital 3days ago with atrial fibrillation my heart was 170 bpm, I was blacking out shaking vigoriously I was not in pain but had what apeard to me to be heartburn wich I have been suffering with latley. I had an urgent need for the toiled wich I could not hold back even though I was dissy and blacking out I just had to go It lasted at the same intensity for about 3hours when I was given medication to slow my heart. It slowed down after a futher hour.
Avatar m tn Rate control medication to control the heart rate Rhythm control medication, sometimes called drug cardioversion, to put the heart back into normal sinus rhythm Your doctor will decide which rhythm control drug is best for you based on the type of atrial fibrillation you have and your medical history, including the presence or absence of other existing heart disease.
351404 tn?1299492730 I would have two main concerns: 1) stroke risk mitigation 2) heart rate control If you are no longer on warfarin or any anticoagulant, I'd suggest taking an aspirin a day to help reduce the risk of a clot/stroke. If you ventricle heart rate, the one you feel, is lower than 130 (just a rough number, my doctor did not consider an AFib or Flutter driven HR of 130 was a reason to go to ER) try to wait it out.
Avatar n tn I was given Cardizem to slow the Ventricular rate and Coumadin to reduce the risk of stroke. I was sent home still in Atrial Fibrillation. I converted back to sinus rythm shortly after getting home. I was in A-Fib a total of four hours. I followed up with my cardiologist who I have been seeing for PVC's and PAC's. He ordered a stress echo. The results were: The heart is structurally normal and functioning normally. The only abnormalty is Mild Mitral Regurgitation.
678312 tn?1310014174 My full checkup and blood work up is absolutely excellent. She did the ekg twice and then informed me that I was in an extreme bout of atrial fibrillation. Don't know where that's coming from. I've never been diagnosed with that. She put me on coumadin warfarin 2mg for 1 week (insisting that I start today) and then checking my blood next week to reset the dosage and then said to call my son's cardiologist immediately.
Avatar n tn My doc told me to take an aspirin a day as well, but when you play sports, the risk of bleed increases and being young my family doctor says the risk of stroke is super low. I am not taking any meds and just exercise eat well and try to be stress free. If you are trying to get pregnant, I would stay away from the aspirin. I could be wrong, but talk to as many medical professionals as you can. Read the side effects and such on your own, just dont take the docs word for it.
Avatar n tn I have chronic atrial fibrillation and am taking coumadin. My ejection factor is 55%. Does a higher ejection factor have an affect on the pooling of blood and forming blood clots. Were there any trials on coumadin vs ejection factor? Did all the stroke victims in coumadin trials have low ejection factors. I am now on 1.5 to 2 INR because of lethargy.
Avatar m tn In my case I take warfarin to reduce the risk of stroke from clots formed by my atrial fibrillation condition. I am in constant AFib, and consider going off of warfarin for a few days, e.g., for a colonoscopy examination, no problem. But then I have never suffered from a stroke. I think the risk should be low (what does that mean, not sure, but I'd guess under 1%). Again, you say your father has already suffered one stroke. That may make my guess way off the mark.
Avatar n tn Maybe I've developed Atrial Fibrillation or Flutter from Grave's Disease. I have not been diagnosed with anything yet. No one seems to be too concerned; we'll see when the Holter results come in. I know I have palpetaions frequently without having these 'episodes' that I wouldn't notice, but I sometimes randomly check my pulse and find one or two during the check. I'm not sure when I last had my TSH checked, but wasn't very long ago. My dr.
6644456 tn?1383334285 In February of this year my right coronary was stented and other arterial blockages were pinpointed at the time. In the past number of months I’ve been experiencing occasional bouts of Atrial Fibrillation triggered by belching. Currently I am taking Plavix and Asprin and now my Doctor wants to start me on Warfarin as well. This suggestion makes me very uncomfortable. I feel that a pacemaker would be a healthier alternative.
378273 tn?1262101221 The first step in managing atrial fibrillation is typically to treat it with medications, starting with a rate control drug to slow the heart rate in combination with anticoagulation by a blood thinner to reduce the risk of stroke.
Avatar f tn I have had paroxysmal atrial fibrillation for about 10 years - I take flecainide 100mg twice daily and I don't have too many episodes. At a recent pre - op assessment (for shoulder surgery) I was found to have a heart murmur and the surgery has been postponed until I get an echocardiogram to see what's causing the heart murmur. Does anyone know if atrial fibrillation can cause a heart murmur to develop?
Avatar n tn I am a 64yr old ex-athlete originally from England but now living in Australia where my health scheme status is public patient. I have been treated for atrial fibrillation for the past 9 years but for the first 6 years I was in denial and carried on life much as before with lessening A/F free intervals and deteriorating symptoms whilst sporadically (& therefore ineffectively) taking digoxin per my G.P. Symptoms progressed and I was referred to a Cardiologist and put on sotalol for 3yrs.
1723161 tn?1309775119 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?