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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Are Baby Aspirin And Coumadin Advisable For Hardening Of Heart Wall And Atrial Fibrillation?

Hi my husband is 60 years old and has just been diagnosed with afib. two weeks ago. he also has a hardening of his heart wall probably due to uncontrolled high blood pressure, his Dr. had him on a low dose baby aspirin and would like to put him on eliquis or Coumadin. I m a little nervous about these drugs and wonder if the baby aspirin could work for now? He is also on ic furosemide 20 mg.,metropolol succ er 100,and lisinopril 40 mg. thank you in advance for your help
Mon, 23 Mar 2015
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General & Family Physician 's  Response
Hello mem,
Good afternoon,
I read yoyr history twice...
You have doubts about aspirin low dose is workfull or not...?
Mem let me first introduce aspirine shortly...
It is well known NSAIDs which main mechanism of action is preventing synthesis of prostaglandins...n additional to this it has some additional effect on blood as a anticoagulant...
Now anticoagulant efect is seen in low dose...while pain killer effect is seen in slight much higher dose...
Your husband has atrial fibrillation so he has much chance of throbosis n tia etc...so as a preventive precaution your physcian started aspirine low dose...
Similarly for hypertention lisinopril n metoprolol...
Plus there is much chance of ccf or pulmonary oedema n other symptoms due to this...fluid rentention or overload...
So your physcian started frusemide diuretics n metoprolol beta blocker...that helps him in this area...
So according to my knowledge your husband has been given treatment in right way...
Thank you,
Regards,
Hope that your husband ll cure as soon as possible...
Dr.Ravi Kotecha
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Are Baby Aspirin And Coumadin Advisable For Hardening Of Heart Wall And Atrial Fibrillation?

Hello mem, Good afternoon, I read yoyr history twice... You have doubts about aspirin low dose is workfull or not...? Mem let me first introduce aspirine shortly... It is well known NSAIDs which main mechanism of action is preventing synthesis of prostaglandins...n additional to this it has some additional effect on blood as a anticoagulant... Now anticoagulant efect is seen in low dose...while pain killer effect is seen in slight much higher dose... Your husband has atrial fibrillation so he has much chance of throbosis n tia etc...so as a preventive precaution your physcian started aspirine low dose... Similarly for hypertention lisinopril n metoprolol... Plus there is much chance of ccf or pulmonary oedema n other symptoms due to this...fluid rentention or overload... So your physcian started frusemide diuretics n metoprolol beta blocker...that helps him in this area... So according to my knowledge your husband has been given treatment in right way... Thank you, Regards, Hope that your husband ll cure as soon as possible... Dr.Ravi Kotecha