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Would full strength aspirin be as effective for my problem as Coumadin? 

I'm a 73 year old female and have had 2 episodes of a-fib, one in 2000 and the other in 2012. My doctor wants me to go on Coumadin but I'm afraid of it because I suffer from gastritis and other stomach problems. My question to you is - Would full strength aspirin be as effective for my problem as Coumadin?

submitted Viola from East Amherst, New York on 4/6/2013


Patrick J. Cook, MDby Texas Heart Institute cardiologist, Patrick J. Cook, MD    

No. Aspirin is not an effective substitute. Your doctor, based on your particular health situation, can give you a ballpark idea of the risk of stroke in a population of individuals similar to you. You can then, with your doctor, do a risk/benefit analysis of being on chronic warfarin (coumadin) or even some other anticoagulant. 

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Updated April 2013
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