Afib attack October 14, 2019 05:13AM |
Registered: 6 years ago Posts: 45 |
Re: Afib attack October 14, 2019 08:11AM |
Admin Registered: 6 years ago Posts: 5,353 |
Re: Afib attack October 16, 2019 01:24AM |
Registered: 12 years ago Posts: 486 |
Re: Afib attack October 17, 2019 09:33AM |
Registered: 9 years ago Posts: 182 |
Quote
Carey
If you're not on any medication at all, then yes, go to A&E. If you're having episodes lasting a couple of days then you need to be on an anticoagulant (blood thinner). I'm not entirely sure how it works in the UK but if A&E can't refer you to a specialist then see a GP who can.
Re: Afib attack October 17, 2019 10:46AM |
Admin Registered: 6 years ago Posts: 5,353 |
Re: Afib attack October 17, 2019 04:30PM |
Registered: 9 years ago Posts: 182 |
Re: Afib attack October 17, 2019 05:56PM |
Admin Registered: 6 years ago Posts: 5,353 |
Quote
For patients with AF or atrial flutter of 48 hours’ duration or longer, or when
the duration of AF is unknown, anticoagulation with warfarin (INR 2.0 to
3.0), a factor Xa inhibitor, or direct thrombin inhibitor is recommended
for at least 3 weeks before and at least 4 weeks after cardioversion,
regardless of the CHA2DS2-VASc score or the method (electrical or
pharmacological) used to restore sinus rhythm.
Quote
In patients with AF, anticoagulant therapy should be individualized on the basis
of shared decision-making after discussion of the absolute risks and relative
risks of stroke and bleeding, as well as the patient’s values and preferences.
Re: Afib attack October 18, 2019 12:13AM |
Registered: 5 years ago Posts: 27 |
Re: Afib attack October 18, 2019 07:56AM |
Registered: 11 years ago Posts: 4,226 |
This paper might be useful for this discussion.Quote
Carey
This seems odd because it contradicts their other guideline that goes solely by CHADS-Vasc. If I'm paroxysmal and I've been in afib 3-4 days, they won't cardiovert without anticoagulants. But if I convert on my own, that's okay, I don't need anticoagulants. Not sure how to rectify that.
Re: Afib attack October 31, 2019 03:31PM |
Registered: 6 years ago Posts: 2 |
Re: Afib attack October 31, 2019 09:06PM |
Admin Registered: 6 years ago Posts: 5,353 |
Re: Afib attack October 31, 2019 11:28PM |
Registered: 10 years ago Posts: 2,518 |