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A 65-year-old male asked:

I'm af , my ef 60%, i haven't heart attact, no symtomps, no angina& haven't stenting. after cabg & laa ligation, need anticoagulant or antiplatelet?

2 doctor answers3 doctors weighed in
Dr. Roland El ghazal
A Verified Doctoranswered
16 years experience
Antiplatelets: Usually anti-platelets are the stand treatment to prevent a further heart attack in the setting of a known coronary artery disease and post CABG. Anticoagulants could be used in such instances like atrial fibrillation or history of DVT or PE. Left atrial appendage exclusion reduce but does not eliminate the risk of strokes from atrial fibrillation therefore often times anticoagulants are continued
Created for people with ongoing healthcare needs but benefits everyone.
Dr. Jeffrey Webber
Cardiology 34 years experience
Depends: if having paroxysmal (that is intermittent) atrial fib interspersed with periods of normal rhythm, and if no history of hypertension/stroke/diabetes then I think aspirin is sufficient. If rhythm persistently afib or if any of those illnesses mentioned above are present, then you will likely benefit from warfarin or one of the newer agents.
Created for people with ongoing healthcare needs but benefits everyone.
Dr. Roland El ghazal
A Verified Doctor commented
A US doctor answered Learn more
Intermittent atrial fibrillation has higher chances of strokes than regular atrial fibrillation
Feb 23, 2015
Last updated Mar 11, 2015


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