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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes A Small Clot In Atrium Following A Bout Of Afib?

I had a small clot in my atrium following a bout of afib following mitral valve repair surgery in February 2014. they could not cardiovert me at the time because they were worried the clot could move. that s been about 14 months ago. my heart converted to sinus rhythm all on it s own at least 10 months ago. I have been on eliquis ever since then. Could the clot still be there? I was under the impression that it would have either dissolved by now, or would have been incorporated into the tissue ( a shell? ) what is your opinion?
Mon, 15 Jun 2015
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Cardiologist 's  Response
Atrial fibrillation may result in stasis /stagnant of blood in the artium as during the afib the atrium is not contracting effectively. Now eliquis is the drug which will help dissolve the clot, so mostly if it's very small it should have dissolve which can be known through , however importantly even when you are in sinus rhythm and there may be subclinical afib episode which you haven't noticed, so you should continue eliquis and anti arrhythmia meds as required
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What Causes A Small Clot In Atrium Following A Bout Of Afib?

Atrial fibrillation may result in stasis /stagnant of blood in the artium as during the afib the atrium is not contracting effectively. Now eliquis is the drug which will help dissolve the clot, so mostly if it s very small it should have dissolve which can be known through , however importantly even when you are in sinus rhythm and there may be subclinical afib episode which you haven t noticed, so you should continue eliquis and anti arrhythmia meds as required