Dr. Muhammad Zohaib Siddiq
Cardiology
The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.
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Patient's Query
Hi doctor,
I am a healthy individual with a normal sinus rhythm that I monitor twice daily. I had paroxysmal aflutter twice last year when I was stressed. I do not have comorbidities other than mild hypertension during the day. I take tablet Apixaban 5 mg twice daily and tablet Amlodipine 7.5 mg. My blood reports are normal. Nevertheless, my cardiologist recommends an ablation. Is it worth the risk?
Hello,
Welcome to icliniq.com.
I read your query and can understand your concern. If the atrial aflutter is controlled on medicines, ablation is unnecessary. Ablation can be done if recurrent and bothersome symptoms are present despite medications. Ablation will not lessen the need for anticoagulation.
Patient's Query
Thank you doctor for the reply,
I have a kardiamobile six lead with me to take an electrocardiogram (EKG) morning and evening. Also, I check my pulse twice daily to confirm I am not in a flutter. My main objective is to get off the blood thinners. And because it takes some hours to form a clot, I assumed that if I had an ablation and continued to check my electrocardiogram (EKG) and pulse twice daily, I could get rid of them. My grandmother died of a brain bleed. Also, I hike in rugged countries and am afraid of falling and hitting my head when I am on blood thinners.
Hello,
Welcome back to icliniq.com.
Anticoagulation need depends upon where atrial fibrillation or flutter is valvular or non valvular. For valvular (mitral stenosis) anticoagulation is indicated. Echocardiography will diagnose mitral stenosis. If there is no mitral stenosis on echocardiography, an indication of anticoagulant depends upon risk factors. Risk factors include heart failure, hypertension, age 65 or more, diabetes, stroke, and vascular disease. Anticoagulation is indicated if two or more symptoms are present or only a positive stroke history. The need for anticoagulations depends upon patient's preference and the symptom. If none of the above symptoms is present, an anticoagulation is not required.
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Cardiology
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