AVR 9/01...Now A-Fib...Coumadin vs. "Zapping"

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steve c

History: AVR (bovine) 9/01...My doc wants me to go on coumadin to control my a-fib...However I'm pretty active in roller hockey (referee)...I'm afraid that coumadin and hockey won't mix...Has anyone thought about, or used, that (I forgot the medical term for the procedure) "electrical zapping" procedure?...If so, did it allow you to stay away from coumadin? Thanks.

Steve
 
Hi!

I think perhaps your Dr. did not explain it correctly, or perhaps you misunderstood. Coumaden does not control a-fib. It prevents blood clots forming in the atria, potentially causing life threatening situations, like a stroke. (The clots could break off in the heart, travel through the blood stream......) The coumaden isn't really optional if you want to avoid a stroke or other life threatening situation. Which, of course, you do.

The term for the "zapping" is called cardioversion. Sometimes it works, and sometimes it doesn't. It is a relatively simple procedure, and if you "search" on this site under "cardioversion" you will find that a lot of folks here have had it done, and there are some pretty darn good explanations for it. It is the first line attempt to get you back into normal sinus rythm.

We all wish you the very best with your upcoming surgery, and hope that you will be able to continue to play hockey like a champ! (You might have to wait a bit after the surgery.....heehee)

Best wishes - Marybeth
 
Sorry, it is too early in the morning for me. I thought I saw surgery in September, reread your post and realized you already have had the surgery......ooops. I've got to go slower here. Heehee.

Mb
 
Afib,coumadin, cardioversion

Afib,coumadin, cardioversion

Steve, the short answer to your question is......yes. A few months ago my wife (age 74) started feeling lousy...lightheaded, breathless, etc. and was found to be in Afib. The cardiologist prescribed Coumadin for six weeks. He asked me to manage the dose for her since I have a St. Jude mechanical mitral valve and manage my own coumadin with the Coaguchek. We had no problem keeping her close to INR 3.0. After the six week period I took Alice to the hospital for "in and out" cardioversion. She said a very handsome young anesthesiologist put her in dreamland and when she woke up the cardiologist was there telling her she
was back in sinus rythym. She went in the hospital at 9:00 AM and left at 1:00 PM feeling good. A checkup one week later showed she was still in sinus rythym and the cardiologist took her off the Coumadin. He prescribed Betapace a strong anti arrythmic which she has been on ever since. It has a million side effects listed including stopping your heart permanently, but fortunately Alice has tolerated it well. She now feels great.
 
hi steve!
prior to joey's surgery, he too, was in and out of afib atleast once or twice a year. it became so frequent one year that they cardioverted him.
they put him in a "twilight sleep" and it took all of 3 minutes. i was a nervous wreck.
when the cardiologist finished, he immediately called me in so i could see all was fine and joey was in sinus rhythm. joey told me that as soon as it was over_ not realizing it had been done already_ i would be called in. he didn't remember a thing!
because of the frequency of the afib, they admitted him for 3 days to regulate him on anti-arrhythmic meds. betapace (sotolol) was what he was put on.
this drug worked wonders for years, until after his avr. he went into afib 3 or 4 days after surgery and even the betapace at a higher dose failed to do the trick. that is when they decided on amiodarone.
he still takes it and gets checked regularly, especially since he has a thyroid problem and the amio affects that balance.
my father has a st. judes valve and takes coumadin and is in chronic afib and has been for years. he opted to remain this way , because it does not impede on his lifestyle at all. he golfs, runs a bit and walks and bikes.as far as he's concerned, he has to take coumadin anyway.
they say that the longer you are in afib, the more difficult it becomes to cardiovert the heart into sinus rhythm.
i hope this helps.
please let us know if/ when you decide to have this done.also, how things go.
be well, sylvia
 
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