Get your Health question answered in 3 easy steps
A Doctor will be with you shortly
Ask a Doctor Now
134 Doctors are Online

Is Coumadin better than Xarelto for treatment of atrial fibrillation?

User rating for this question
Very Good
Answered by

Practicing since : 2004
Answered : 2254 Questions
My husband is 67yrs old - was diagnosed with A-fib 4 mos ago during a routine exam. (No symptoms of it) Is taking Xarelto. He just had a TEE last week and a sm clot was found. Should this change the treatment course to another blood thinner? Is coumadin better for this new finding? Is he at greater risk for stroke than before we knew the clot was there?
Posted Sun, 31 Aug 2014 in Hypertension and Heart Disease
Answered by Dr. Benard Shehu 42 minutes later
Brief Answer:
Following answer to your queries...

Detailed Answer:
Hi and thank you for asking HCM!

In patients with atrial fibrillation, Xarelto is not inferior to other anticoagulants for the prevention of stroke or systemic embolism. However we have evidence of sm clots so you have to change to another blood thinner.

I think in your husband case Coumadin is the best alternative to xarelto (but you have to monitor I.N.R regularly).

Unfortunately your husband is at a high risk for stroke now. I suggest beginning with low weight heparine (clexan) and Coumadin in order to reduce the risk of stroke and systemic embolism.

Hope this was of help!
Dr. Benard
Above answer was peer-reviewed by
Share on Facebook
Share on Twitter
Share on Google+

The user accepted the expert's answer

Ask a Cardiologist

© Ebix, Inc. All Rights Reserved.
All the information, content and live chat provided on the site is intended to be for informational purposes only, and not a substitute for professional or medical advice. You should always speak with your doctor before you follow anything that you read on this website. Any health question asked on this site will be visible to the people who browse this site. Hence, the user assumes the responsibility not to divulge any personally identifiable information in the question. Use of this site is subject to our Terms & Conditions
Already Rated.
Your rating:

Ask a Doctor