Re: questions on atrial fibrillation



On Thu, 24 Nov 2005 23:26:39 +0100, Uplbet <nospam@xxxxxxxxx> wrote:

>Il Thu, 24 Nov 2005 20:45:31 GMT, "MEM, MD" <mem2y@xxxxxxxxxxx> ha
>scritto:
>
>>No argument at any point that warfarin is the undisputed best first
>>line choice.
>
>short story of my case:
>after four years on warfarin, a year ago my electrophysiologist let me
>switch to aspirin when he realized (based on my pacemaker controls)
>that over the last 12 months my AF episodes had never lasted more than
>a few minutes and occurred every 3 to 10 days or more.
>At that time he explained me that he would keep me on warfarin if my
>AF episodes would last few hours or one day or more.
>
>Two weeks after then he had me switch from aspirin to ticlopidine
>since unfortunately I could not tolerate aspirin.
>
>I'd appreciate your comment.
>Thank you in advance

As long as you are diligent about keeping track of your AF, that is a
good strategy.

What is your aspirin intolerence? Is it GI upset? You could try
enteric coated aspirin or adding an H2 blocker.

Is plavix available? Same class of meds as ticlid, but very low
incidence (believed to be 4 in 1,000,000) of the most feared
complication of these medicines, a blood disorder called thrombotic
thrombocytopenic purpura (lower than ticlid).

.



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