Am I overthinking this? July 08, 2022 12:07PM |
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Re: Am I overthinking this? July 08, 2022 08:56PM |
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Geocappy
If I knew 100% that caffeine has no bearing as a trigger for afib then I would be 100% sure that ablation is my only option.
Re: Am I overthinking this? July 08, 2022 10:13PM |
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Re: Am I overthinking this? July 09, 2022 01:25AM |
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Carey
When you say "Persistent Afib for 3 years", can you be more descriptive? How many episodes?
If Geo is using the term correctly, and I assume they are, then there aren't episodes. It was non-stop afib for three years.
Re: Am I overthinking this? July 09, 2022 01:35AM |
Registered: 11 years ago Posts: 4,347 |
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The Anti-Fib
Persistent Afib can be several Episodes in a year. What makes it "Persistent" is that it doesn't resolve on its own within about a week, and requires an intervention such as an Electrocardioversion to return to NSR. 3 years of solid Afib would be called Permanent Afib.
For example if I had 2 episodes in a year, and went and got Cardioverted at 36 hours on one episode, and 4 days on the 2nd episode, because I knew from prior history that the Afib would not go away on its own, then I would be classified as having "Persistent Afib" even though I was only in Afib for 5.5 days out of the year.
Re: Am I overthinking this? July 09, 2022 02:59AM |
Registered: 10 years ago Posts: 1,102 |
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GeorgeN
Persistent Afib can be several Episodes in a year. What makes it "Persistent" is that it doesn't resolve on its own within about a week, and requires an intervention such as an Electrocardioversion to return to NSR. 3 years of solid Afib would be called Permanent Afib.
For example if I had 2 episodes in a year, and went and got Cardioverted at 36 hours on one episode, and 4 days on the 2nd episode, because I knew from prior history that the Afib would not go away on its own, then I would be classified as having "Persistent Afib" even though I was only in Afib for 5.5 days out of the year.
I would disagree that Geo's would be permanent as the ECV worked, it just hadn't been tried for 3 years....
Re: Am I overthinking this? July 09, 2022 03:46AM |
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Re: Am I overthinking this? July 09, 2022 04:33AM |
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Carey
There are accepted definitions for these terms and they're not ambiguous:
Paroxysmal afib = afib that lasts less than a week
Persistent afib = afib that lasts more than a week
Longstanding persistent afib = afib that lasts longer than a year
Permanent afib = afib that the patient decides to live with and not try to stop
No EP would call afib lasting 3 years permanent afib unless the patient said they're fine with that and didn't want to do anything more than rate control and anticoagulation. Permanent afib is a choice.
You can't call afib that comes and goes persistent no matter how often it comes and goes. That's simply not the definition.
Re: Am I overthinking this? July 09, 2022 05:50AM |
Registered: 6 years ago Posts: 929 |
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"3+ years of persistent afib no symptoms on xarelto only without cardiologist referal to EP
Referal to EP with immediate cardioversion preceded by Flecainide 50mg x 2 and Metoprolol 25mg. Cardioversion successful and EP upped Flecainide and Metoprolol to 100mg x2 and Metoprollo 50mg x 1
Re: Am I overthinking this? July 09, 2022 04:06PM |
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The Anti-Fib
Do you care to post a source? or do you know so much of the top of your head? The term "Persistent" is not just a time reference, but whether or not a patient reverts back to NSR on their own, or needs intervention (Cardioversion).
"You can't call afib that comes and goes persistent no matter how often it comes and goes"
Who called it persistent? I asked Geo to clarify. You give advice based on your assumptions off the top of your head.
Re: Am I overthinking this? July 10, 2022 12:08PM |
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Re: Am I overthinking this? July 10, 2022 11:44PM |
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Daisy
I was on Flecainide for years with few Afib breakthroughs, but every time I did have one, my EP raised the dose of Flecainide until I was at 150 mg x 2. That proved to be a dose I could not tolerate and I developed a serious side effect. My EP stopped Flecainide and put me on Multaq last February. It worked pretty well but I have had a few breakthroughs. After the bad experience with Flecainide I decided on an ablation as all the antiarrythmics have side effects and eventually stop working. Natale accepted me and asked for a 7 day heart monitor. In order to increase the odds of picking some data, I stopped Multaq that week and indeed had several runs of Afib. My conclusion after years on antiarrythmics is that they are not a long-term solution, particularly with the side-effects. So, yes, I am going through with an ablation with Natale. In earlier years I had hoped to avoid it, but at this stage I have surrendered!
Re: Am I overthinking this? July 11, 2022 01:48AM |
Registered: 5 years ago Posts: 807 |
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bettylou4488
Daisy can I ask what the side effects were? feel free to PM me. I have a follow up to ablation appt in morning with EP and I am on a small amount of flec (QRS was high even with that so they did not increase). I am trying to figure out what some of my current issues are due to
thanks
Re: Am I overthinking this? July 11, 2022 02:34AM |
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Re: Am I overthinking this? July 14, 2022 06:27PM |
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jasams
I had 2 ablations in a 6-month period. They weren't done by Dr. Natale, but another well respected EP. All I can tell you is I wish I hadn't had them. Best of luck to you!
Re: Am I overthinking this? July 14, 2022 07:34PM |
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