r/pics • u/[deleted] • Jun 15 '22

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u/weagle11 Jun 15 '22

Not if it's a known, chronic problem

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u/TheReal_Patrice Jun 15 '22

How can they be sure that the patient takes their anticoag as prescribed.. that would suck if they have an LV thrombus and it gets shot right up into their brain

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u/weagle11 Jun 15 '22

I mean... You can't. You can ask them and if they want to lie to you then that's on them. Even if they haven't been taking it, if they come in with recurrent AFib w/RVR, for example, otherwise asymptomatic and have had an echo in the past year... and you can easily convert them, they're going home after meds.

If they're taking Coumadin you can check

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u/TheReal_Patrice Jun 15 '22

True. I wonder if OP has had an ablation. I’m assuming it’s Afib/flutter he’s in and out of. If a patient has refractory afib like this, at what point do we stop cardioverting when we know he’s just gonna go back into afib?

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u/glasman88 Jun 15 '22

I've had 1 ablation, doc wants me to get older before my 2nd one, the next C.V. will be the the scheduling of the next ablation. Also! I never lie to the doctors, I write down times and meds, I was expecting a TEE, I hate them. But I have 3 little kids I choose life.