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Joules are units of energy, not voltage. To get voltage from joules you need a capacitance. 20J would be about the energy delivered by a precordial thump. That’s where a physician hits the sternum as hard as he or she can with the side of a clenched fist at full arm’s length. So, not much. The defibrillator does a lot more. It can go up to 300J which will make your whole body convulse and raisby wolfpack - AFIBBERS FORUM
Quotecolindo I have never heard of grandfathered before, what does it mean. It’s actually a term with a horrible history and maybe we shouldn’t use it. It stems from disenfranchisement of black citizens in the American South. Basically, post Civil War, southern states enacted legislation that predicated the right to vote based on whether or not one’s biological grandfather enjoyed the same rigby wolfpack - AFIBBERS FORUM
2 months of Xarelto is perfectly reasonable. The protocol here is for 3 months but it may be different in France. The stroke risk decreases with time. In that case, just ride out the blanking period, listen to your body and get back to whatever levels of physical activity you want. You've timed this well for what should hopefully be a nice, warm and arrhythmia-free summer season. Passez uby wolfpack - AFIBBERS FORUM
I also blew one up last year. Of course I carry it in the snap-on holder on the back of my iPhone that goes with me running every day in an arm-band. So after 3 years of Southeastern US mid-summer "swamp sweat" being poured all over it I'm surprised it lasted as long as it did! The weak spot, in my opinion, is the ultrasonic link to the mobile device. Bluetooth would be much betby wolfpack - AFIBBERS FORUM
After an ablation there is a 3-month "blanking period" during which you will continue anticoagulation. You didn't mention Eliquis or an equivalent DOAC (direct oral anticoagulant) medication. Are you taking one? This is an important preventive measure as the heart tissue is quite swollen after being burned by the RF catheter or frozen by the cryo-balloon. Do you know which type ofby wolfpack - AFIBBERS FORUM
QuoteGill Wolfpack - did you know that English pints are 20 fluid ounces, whereas American pints are 16 fluid ounces. So one US half pint cup is less than one UK cup. Might be worth mentioning this because there are people from all over the world on this forum. Gill Thank you for arguing for the metric system. My next pint of beer will be of the English variety.by wolfpack - AFIBBERS FORUM
I would imagine quite some time. Water has no expiration date.by wolfpack - AFIBBERS FORUM
What I do is make the concentrate by putting 45ml of MOM into 1 liter of seltzer. Once that reaction is complete, I just get a 1 gallon water jug (or milk jug if you’ve cleaned it really well), and put 11oz of the concentrate in it then fill with water. That gets things close. The first time you do it, if the bottle’s not empty, pour it out into something else then pour in the 11oz of concentrateby wolfpack - AFIBBERS FORUM
My HR was in thee 90's immediately following my index PVI ablation in August 2015. My normal resting HR is about 50. I'm a daily jogger/runner. It took a few months before it settled back down to normal, so if you're only 2 months post ablation I wouldn't draw any conclusions whatsoever about what the future holds. In all likelihood it'll go back to right where it was befby wolfpack - AFIBBERS FORUM
QuotePompon Well, maybe. But what's the reason for this happening only during a couple of minutes from time to time ? Isn't it more likely induced by stress ? My guess is you're going to "feel" the ventricular systole. You probably can't sense atrial contractions because they are so much smaller. The ventricles are innervated really only by the sympathetic nervousby wolfpack - AFIBBERS FORUM
What you are discussing is inotropy (Force of muscular contractions) and the number one factor in all of that is calcium. More calcium = more force.by wolfpack - AFIBBERS FORUM
Yes, you need the echo. That will measure left ventricular ejection fraction (EF) and that is the main diagnostic criterion for heart failure.by wolfpack - AFIBBERS FORUM
There’s also the Pharma-GABA from Natural Factors. That’s useful at bedtime. Not so much during the day.by wolfpack - AFIBBERS FORUM
QuoteGhost I'm not sure that cutting back on jogging has anything to do with it. I feel great when I'm running and after I run. I don't run before sleep or anything. I wouldn't stop the jogging. Just keep the "dose" where it's comfortable. Don't over do it, which it certainly doesn't sound like you are. QuoteGhost If it is vagal induced, is therby wolfpack - AFIBBERS FORUM
We recognize vagal AF here, for sure. I had (have) it. Similar story. 45 yrs old, run 30 miles/week, also cycling in the summertime. No diabetes, normal BP (well, normal by the old standards anyway), no tobacco, BMI very near normal, structurally normal heart on echo, etc. In these cases medicine sometimes can't resist its fallback position of "blame the patient" (you must be a ragby wolfpack - AFIBBERS FORUM
The flu, or any bad infection - bacterial or viral, will dehydrate you and cause systemic inflammation. Don’t draw any conclusions as far as AF is concerned. You’ve been hit by a bus. Bad things are going to happen. Just rest, get better and get on with life.by wolfpack - AFIBBERS FORUM
Remodeling is kind of a years-long thing. If you've had paroxysmal episodes for just a few months, I wouldn't worry too much about it. Your heart is basically the same as it was before AF. You just really need to concentrate on your plan for dealing with the AF, be that medical (AARs, betas, NOACs) or surgical (ablation). Lifestyle and risk-factor management apply equally to both courseby wolfpack - AFIBBERS FORUM
QuoteMadeline So with my age being 69, how long would be too long to be on the anti-arrhythmic’s before considering ablation? And is ablation considered when the AF feels stronger or just when it happens often as in a few times a month, or when the duration has exceeded a certain length of time? There is no time limit, so to speak, concerning AARs and ablation. Most folks’ experience with AARsby wolfpack - AFIBBERS FORUM
Quotesafib Where are you getting this information that it is safe to start them outside of a hospital? From both my cardiologist and EP. That being said, it’s patient specific. A doctor may choose to use a hospital setting if a patient is extremely fragile or they are starting at a maximum dosage, but in the majority of cases that isn’t what’s happening so the medication is just prescribed lby wolfpack - AFIBBERS FORUM
I had two breakthrough episodes last year that I attribute to over supplementing iodine. My first, and only, ablation was done at Duke University because I live in North Carolina. It was a 20 minute drive. When I need another one, I will go to Texas. You consider it when it’s right for you. In my case, at age 41, there was no question. AAR drugs won’t work forever and can have bad side effeby wolfpack - AFIBBERS FORUM
I was on it for about 3 months while I waited for an ablation in 2015, then I stopped it (actually 2 days before the procedure). QT interval is the distance (time on an EKG) between the start of the QRS complex (the big spike) and the T-wave that follows it. It’s the time it takes for your ventricles to repolarize electrically. It should be fairly short, like 400 milliseconds, and get shorterby wolfpack - AFIBBERS FORUM
I tolerated Propafenone just fine. I know the published info you read can sound pretty scary, but the truth is Propafenone (and flecainide) are really more the “lightweight” anti-arrhythmics. It’s safe to start them outside of a hospital. Neither one really prolongs the QT interval which is the big risk factor for dangerous (ventricular) arrhythmias. Worst case with either Propafenone or flec (moby wolfpack - AFIBBERS FORUM
12.5 mg is also a very low dose. You must be cutting the 25mg pills in half to achieve that dose. I believe 25mg is the smallest pill for metoprolol. Like Carey said, don't pay for a brand name even if it does come in 12.5mg pills. It's perfectly fine to get generic 25mg metoprolol and just cut them as long as they're not the extended release form. You want metoprolol tartrate. Thaby wolfpack - AFIBBERS FORUM
If it were me, I'd prefer to have the rate lowered. With AF, if you're rate controlled and anticoagulated then you've really taken care of the major short term risk factors and have nothing to worry about as you consider your options going forward. You can take your time thinking over the next step.by wolfpack - AFIBBERS FORUM
Liz offers good advice. And don’t ever worry about offending a doctor. Always remember who’s in charge. That’s you.by wolfpack - AFIBBERS FORUM
Ablated 2015 by Duke University EP. No drugs. Had a breakthrough episode April 2018 which puzzled me. I think I over-supplemented iodine. Dialed that back and all’s been good. Keeping my fingers crossed but will go to TCAI when and if the index ablation reaches its limit. Meanwhile, I stay here to stay current with the technology and lifestyle advice to make that stretch of time the longest it caby wolfpack - AFIBBERS FORUM
Propafenone should always be extended release so you can take it 2x/day instead of 3x/day which is a pain in the rear. The only reason I can think of is that the patent only recently expired on the extended release and some cardiologists who may not be current on the insurance side of things still prescribe the “normal” Propafenone so they don’t get complaints from their patients about $100+ dollby wolfpack - AFIBBERS FORUM
QuoteElizabeth Wolfpack: As I told Madeline there is beta blocker in Propafenone. Liz Yes, Propafenone itself has a beta-blockade effect. It’s about 1/20th the strength of a stand-alone beta. So it’s not much but it is there.by wolfpack - AFIBBERS FORUM
As long as you’re rate controlled via the betas and also anticoagulated, I see no problem with taking your time on the antiarryhtmics. You’re not in any danger from AF in the short term. I was on Propafenone, I think at 125mg BID extended release, with no beta at all and did OK with it. The propafenone does give you the option of discontinuing the BB if your cardiologist is comfortable with the iby wolfpack - AFIBBERS FORUM
I'm glad he went through without complications so far. I don't know how much esophageal risk there is in a right-sided flutter ablation, but it's probably not zero. Given the fact that alcoholics' esophagi (?) are often in bad shape, I'd recommend keeping careful watch for signs of any complications there over the next few weeks. You mentioned your wife is a nurse or studby wolfpack - AFIBBERS FORUM