Video Opinion: AFib doesn't cause strokes - Thoughts? February 15, 2020 02:02AM |
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Re: Video Opinion: AFib doesn't cause strokes - Thoughts? February 15, 2020 03:49AM |
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Re: Video Opinion: AFib doesn't cause strokes - Thoughts? February 15, 2020 04:08AM |
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Re: Video Opinion: AFib doesn't cause strokes - Thoughts? February 15, 2020 05:31AM |
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cirenepurzalot
Thanks. I wonder why afib isn’t included in the calculation of the chadsvasc score? Seems like it should be a factor due to the LAA.
Re: Video Opinion: AFib doesn't cause strokes - Thoughts? February 15, 2020 11:21AM |
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Re: Video Opinion: AFib doesn't cause strokes - Thoughts? February 15, 2020 12:53PM |
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wolfpack
Sorry if I seem brusque, but that is bunk. AF raises stroke risk. So do other things, for sure, but stagnating blood flow in your atria is not a thing to be ignored.
Re: Video Opinion: AFib doesn't cause strokes - Thoughts? February 15, 2020 02:04PM |
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Re: Video Opinion: AFib doesn't cause strokes - Thoughts? February 15, 2020 04:21PM |
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Gill
I seem to recall that Hans (founder and previous moderator of this site) said that AF did not increase stroke risk. But that was a while ago.
Re: Video Opinion: AFib doesn't cause strokes - Thoughts? February 15, 2020 05:07PM |
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Carey
The data is unmistakable and freely available to anyone who cares to actually look at it. I honestly can't believe anyone would even raise the question. Don't waste your time listening to this Gupta character.
Re: Video Opinion: AFib doesn't cause strokes - Thoughts? February 15, 2020 05:27PM |
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Re: Video Opinion: AFib doesn't cause strokes - Thoughts? February 15, 2020 05:51PM |
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Re: Video Opinion: AFib doesn't cause strokes - Thoughts? February 15, 2020 06:13PM |
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Gill
I am certain that Hans used to say that. George - can you help here? I’ve tried searching but had no success.
Gill
Re: Video Opinion: AFib doesn't cause strokes - Thoughts? February 15, 2020 07:47PM |
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Re: Video Opinion: AFib doesn't cause strokes - Thoughts? February 15, 2020 09:05PM |
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Re: Video Opinion: AFib doesn't cause strokes - Thoughts? February 15, 2020 09:46PM |
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GeorgeN
Here is my understanding. While in afib, the velocity through the LAA can materially drop. This provides an opportunity for blood to coagulate more readily. All of the metrics in the CHA2DS2-VASc score are associations that indicate there are constituents in the blood making clotting more probable. If you combine the two, the clotting/stroke risk is very materially increased. In the case of an afibber without comorbidities (i.e. CHA2DS2-VASc score = 0), or the younger people, who don't have the comorbidities in the study mentioned by Dr. Gupta, clotting/stroke risk is not materially increased even though there is lower LAA velocity. So, if you have comorbidities, your stroke risk is increased. If you have comorbidities and afib it is increased even more.
Re: Video Opinion: AFib doesn't cause strokes - Thoughts? February 15, 2020 11:44PM |
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colindo
I would say, Hans knows a lot of stuff that Carey doesn't.
Re: Video Opinion: AFib doesn't cause strokes - Thoughts? February 16, 2020 12:21AM |
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Gill
I am certain that Hans used to say that. George - can you help here? I’ve tried searching but had no success.
Re: Video Opinion: AFib doesn't cause strokes - Thoughts? February 16, 2020 02:58AM |
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Re: Video Opinion: AFib doesn't cause strokes - Thoughts? February 16, 2020 03:57AM |
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Gill
I am certain that Hans used to say that. George - can you help here? I’ve tried searching but had no success.
Re: Video Opinion: AFib doesn't cause strokes - Thoughts? February 16, 2020 04:37AM |
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Re: Video Opinion: AFib doesn't cause strokes - Thoughts? February 16, 2020 07:47AM |
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cirenepurzalot
I have to say, I am impressed with the level of knowledge in these forums. Many of you seem to know more than my cardiologist!
Re: Video Opinion: AFib doesn't cause strokes - Thoughts? February 16, 2020 01:13PM |
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Re: Video Opinion: AFib doesn't cause strokes - Thoughts? February 16, 2020 09:19PM |
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Re: Video Opinion: AFib doesn't cause strokes - Thoughts? February 16, 2020 10:11PM |
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Does anyone have any idea how low ventricular filling pressures would affect this? I ask because I am in a patient cohort who has this problem.Quote
The Anti-Fib
The mechanism being that if the Ventricles are pumping strong, that they physically push up against the Atria during each stroke
Re: Video Opinion: AFib doesn't cause strokes - Thoughts? February 22, 2020 11:56PM |
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