Welp... blood clot. no ablation October 23, 2021 08:00AM |
Registered: 6 years ago Posts: 523 |
Re: Welp... blood clot. no ablation October 23, 2021 08:55AM |
Registered: 11 years ago Posts: 449 |
Re: Welp... blood clot. no ablation October 23, 2021 02:55PM |
Registered: 11 years ago Posts: 4,226 |
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bettylou4488
I talked to our team's cardiology pharmacist and she said Xeralto is 'as effective" as warfarin. But that Eliquis is 'better performing' than warfarin. She doesn't like the Pradaxa because 40% of the people have GI upset and many come off of it. So I think Eliquis is the way to go but it sounds like Pradaxa works on the clotting differently. ??? Any chemists out there??
So I guess my question is.. diet and supplements and blood thinning / clotting.. any thoughts?? (outside of the Warfarin stuff.. because I am not on that.)
Re: Welp... blood clot. no ablation October 23, 2021 05:20PM |
Registered: 6 years ago Posts: 523 |
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GeorgeN
Hi Amy,
My understanding is the "blood thinning drugs" don't dissolve clots. They just prevent them from getting bigger or having new ones form. Your body's own mechanisms are what dissolve the clot. Also, none of these meds are 100%. From memory, I remember warfarin reduces stroke probability around 50%, so far from 100%. It is like seat belts - they don't guarantee you survive a crash, they just materially improve your odds.
There are "natural" approaches to blood thinning, but combining them with the meds may not be a good idea. You can certainly go too far in that direction and have bleeding risk. Afibbers.org founder, Hans Larsen, wrote a book on the topic including more "natural" approaches. [www.amazon.com]
Re: Welp... blood clot. no ablation October 23, 2021 05:36PM |
Registered: 11 years ago Posts: 4,226 |
Re: Welp... blood clot. no ablation October 23, 2021 06:23PM |
Registered: 6 years ago Posts: 523 |
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GeorgeN
She is the whip on interactions.. but in the past our conversations were around dofetilide.
There could be an increased risk of bleeding if you add in the natural stuff in combination with a pharma anti-coagulation med.
Re: Welp... blood clot. no ablation October 24, 2021 12:16AM |
Admin Registered: 6 years ago Posts: 5,350 |
Re: Welp... blood clot. no ablation October 24, 2021 08:14AM |
Registered: 6 years ago Posts: 523 |
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Carey
Did they tell you where the clot is? Since they're so unconcerned and they were willing to cardiovert you, I'm guessing it's on the right side and it's fairly small.
Re: Welp... blood clot. no ablation October 24, 2021 10:05AM |
Registered: 11 years ago Posts: 449 |
Re: Welp... blood clot. no ablation October 24, 2021 01:41PM |
Admin Registered: 6 years ago Posts: 5,350 |
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bettylou4488
I have had TEEs at two hospitals. My preferred hosptial uses lidocaine gargle. The other does nothing. I mean it is disgusting and quite frankly a bit scary!! How can there be such a difference.
Re: Welp... blood clot. no ablation October 24, 2021 03:54PM |
Registered: 6 years ago Posts: 523 |
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Carey
I have had TEEs at two hospitals. My preferred hosptial uses lidocaine gargle. The other does nothing. I mean it is disgusting and quite frankly a bit scary!! How can there be such a difference.
Nothing?! So how do they avoid triggering your gag reflex and making you vomit? That's downright barbaric and potentially dangerous, and the lidocaine gargle isn't much better. Next time demand propofol. I've had 4-5 TEEs in three hospitals and have never been conscious for the procedure.
Re: Welp... blood clot. no ablation October 24, 2021 05:55PM |
Admin Registered: 6 years ago Posts: 5,350 |
Re: Welp... blood clot. no ablation October 24, 2021 07:24PM |
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Carey
Ooooh, okay. That's very different and I owe some hospital an apology for calling them barbaric. I've never had the lidocaine. Don't see the need during the procedure since I'm unconscious anyway, and I've never come away from one with a sore throat.
Re: Welp... blood clot. no ablation October 24, 2021 07:27PM |
Admin Registered: 6 years ago Posts: 5,350 |
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bettylou4488
Yea that is why I don't get. Does it really get them a better picture?!?!?
Re: Welp... blood clot. no ablation October 24, 2021 07:27PM |
Registered: 4 years ago Posts: 5 |
Re: Welp... blood clot. no ablation October 29, 2021 11:35AM |
Registered: 6 years ago Posts: 523 |
Re: Welp... blood clot. no ablation October 29, 2021 08:46PM |
Admin Registered: 6 years ago Posts: 5,350 |
Re: Welp... blood clot. no ablation October 29, 2021 11:00PM |
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Carey
That's very good news. The CT trumps the echo.
Re: Welp... blood clot. no ablation October 30, 2021 12:06AM |
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bettylou4488
the EP still "insists" there was something there. My congenital doc .. thinks it was an artifact.
Re: Welp... blood clot. no ablation October 30, 2021 08:26AM |
Registered: 6 years ago Posts: 523 |
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Carey
the EP still "insists" there was something there. My congenital doc .. thinks it was an artifact.
How far apart was the TEE and CT? Maybe they're both right. Imagine that what they saw on echo was the small remains of a clot that had already been mostly absorbed, and then by the time they did the CT it was completely absorbed. Pure speculation, obviously, but if the CT didn't see it then it's just not there now no matter what they saw on echo.
As for the ablation decision, I can understand why you're hesitating. Since you're relatively young and the rate control is working for you, you've got time to wait. Non-drug treatments are improving rapidly, so waiting might make sense for you, especially since you're such a complex case.
Re: Welp... blood clot. no ablation October 30, 2021 11:28AM |
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Re: Welp... blood clot. no ablation October 30, 2021 11:51AM |
Registered: 6 years ago Posts: 523 |
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Carey
Well, only hours apart pretty much kills my theory, but I'd definitely still believe the CT over the echo.
No, waiting won't make the ablation any less likely to succeed, but if it becomes truly persistent (>1 week), then decision time is upon you. Natale already said you'll be a difficult case, so I wouldn't wait much longer after that.
Re: Welp... blood clot. no ablation October 31, 2021 11:42AM |
Admin Registered: 6 years ago Posts: 5,350 |