Assuming you have healthy kidneys, it all comes down to bowel tolerance. As long as you don't take so much that you're experiencing loose stools then it's OK. You don't want to go to the point where you're having those issues because it means you're actually losing electrolytes rather than gaining them. 800 mg/day really isn't that much. I take it routinely wby wolfpack - AFIBBERS FORUM
Magnesium bisglycinate chelate is also good. You can get that powdered and just mix it in water. Avoid magnesium oxide. It's just about useless. Magnesium citrate is better but very laxative. Those two are the likeliest finds in things like grocery stores. To upgrade you'll need to visit a vitamin store or the interwebs. One emerging, and unfortunate, thing to look out for with noby wolfpack - AFIBBERS FORUM
If I recall correctly, the poster lives in New Zealand. Insurance laws differ from the US, I would assume. Flec @ 100mg + BB seems like a perfectly reasonable short-to-mid-term solution, especially if you tolerate it well. Poo-pooing the mag is commonplace in the mainstream whitecoat community. Ignore it. Find a source that works well for you and figure out your limits, and enjoy the benefiby wolfpack - AFIBBERS FORUM
QuoteAB Page I had many many 8+ hour episodes for about 10 years prior to ever being diagnosed and on Eliquis, and had no events I am aware of. I suspect your LAA morphology and EF has a lot to do with whether or not there are clots that form. As I recall the data showing clot formation after just a few hours of AF came from a more elderly cohort with greater comorbidities, but it certainly doeby wolfpack - AFIBBERS FORUM
Quoterocketritch What kind of EP stakes their reputation on such a situation as this. Or a hospital for that matter. One that’s facing closure or buyout. Ablations are $50,000+ procedures and, if I may entertain a bit of cynicism, a 50 year old, alcoholic tobacco user “explains away” a lot of complication risk that might otherwise be attributable to shoddy procedures. I said before that I thougby wolfpack - AFIBBERS FORUM
Document all of this and consult an attorney. I’d ask your wife, if she’s willing, to ask her brother for a medical power of attorney. Those forms are readily available at any hospital and there should be a notary on hand. It takes only a few minutes.by wolfpack - AFIBBERS FORUM
Worst case you get a touch with of “rebound” arrhythmia. In the context of an ablation, that’s almost a good thing. It’s like the little misbehaving spots in your atria are standing up and begging to be burned. And they will be. Good luck, safe trip, and let us know how it went once things settle!by wolfpack - AFIBBERS FORUM
I’d keep the appointment. Our moderator, Shannon, has had some success in the past at getting folks seen sooner when conditions warrant. You can always message him.by wolfpack - AFIBBERS FORUM
Your brother-in-law is being used as a pincushion. Get him out of there, before he becomes a permanent resident.by wolfpack - AFIBBERS FORUM
Good, cause I’m on it right now. Got run over by a streptococcus bus in the middle of the night last night. I had been ignoring a sore throat for the last two weeks. That was dumb. I’m now engaged in a grand experiment to see what a whole cocktail of drugs can do to my AF. Wish me luck!by wolfpack - AFIBBERS FORUM
Quotecolindo And I ask why, why is my stroke risk after 10 years now 18.3%, what has caused that.? Is it my lifestyle, maybe? It isn’t 18.3% AFTER 10 years. It’s 18.3% OVER 10 years. Your just looking at a 10-year window as opposed to a 1-year window. It’s that whole “lies, damn lies, and statistics” thing.by wolfpack - AFIBBERS FORUM
Quotecolindo So telling forum members that lifestyle changs is a crock is not good advise. BTW not all afibbers are like yourself and Carey. You misread me. Lifestyle change IS a good choice, to the extent that a change can make a difference. I’m glad it did in your case. I don’t believe any two afibbers are alike. We are all different. I simply reject the notion that lifestyle is to blamby wolfpack - AFIBBERS FORUM
QuoteCarey This whole theory that afib is a lifestyle disease is a crock, in my opinion. Lifestyle can influence it and make it better or worse, but it's not a cause. I concur. I got AF at 6’0”, 170 lb, BP 115/70, running 35 miles/wk, eating a zero-fat diet and, of course, not smoking. What was I supposed to do to rend the “Scarlet AF” from my chest? My dad got AF at age 50. My momby wolfpack - AFIBBERS FORUM
Stomp on the brakes. Beware anyone who says they can do an ablation tomorrow. What about the anticoagulation protocol? Heparin is really short-lived. You need to be on Eliquis for a month at least before anyone sticks a catheter in your heart. OK, so it’s a right-atrial flutter ablation. So he dies of a pulmonary embolism instead of severe brain damage. I’m sorry but this sounds nuts to me.by wolfpack - AFIBBERS FORUM
An Apple Watch, maybe? It’d be expensive and so don’t have any experience with it, though. It actually isn’t easy to get a rhythm strip while exercising. A heart rate, yes. You can just stop and take a quick radial pulse if nothing else.by wolfpack - AFIBBERS FORUM
If you do start Eliquis (or similar), you might want to discontinue the other supplements such as lumbrokinase and gingko. There's no need to "double down" on anticoagulation. In fact, it may increase risk.by wolfpack - AFIBBERS FORUM
Probably because aspirin is useful in cases where platelets encounter anything other than smooth endothelium, like stents or an occlusion device.by wolfpack - AFIBBERS FORUM
Straight to the nuclear option. They’re doing it because he’s 86 and they don’t want to be bothered by progressing through the AAR protocols. Pure lazy if you ask me. How’s his kidney function? That’s the only reason I can think of for going straight to ami. It doesn’t clear renally.by wolfpack - AFIBBERS FORUM
Just so you're aware, an AV node ablation is a "nuclear option" and makes you dependent on a pacemaker forever. What were you prior ablations? RF or cryo? Left aftrial for AF, right atrial for fluttler, both? Surprised to see you've gone from amiodarone down to flecainide. That's sort of going backwards. We don't like amiodarone, for sure, but it belongs to a more poby wolfpack - AFIBBERS FORUM
Swollen feet and lower extremities sounds like heart failure. You haven't been diagnosed with that, have you? Don't mean to scare, just need more info.by wolfpack - AFIBBERS FORUM
I'm not convinced that I do, but I expect the issue to come up at my next appointment. I may try to knock of 10 lbs with a crash diet and see how that works. Also my diet tends to go to crap over the wintertime. I'll go back to steamed veggies during the week. I've got young kids, 8 and 6, so my tendency is to garbage-eat leftovers since it drives me nuts to see so much food get waby wolfpack - AFIBBERS FORUM
Pradaxa had issues with GI bleeds, yes. Eliquis is safer because of the 2x/day dosing.by wolfpack - AFIBBERS FORUM
The NOACs (Eliquis, Xarelto) are NOT dangerous. Warfarin is actually more dangerous. The reversal agents for the factor Xa anticoagulants probably even work faster than the Vitamin K antidote for Warfarin (12+ hours). The downside is cost. Eliquis costs more than warfarin ($100s/month vs $10s/month, probably) and if you ever had to have the Eliquis reversal agent then get ready for a multi-thousaby wolfpack - AFIBBERS FORUM
Hypoxia will wreak havoc with ectopics. No surprise there.by wolfpack - AFIBBERS FORUM
QuoteCarey Suggest you take a look at the SPRINT trial. So I finally got the time to read it in detail. My systolic probably averages in the upper 120’s. I’ve seen some 130’s. I’m guessing next time I see my cardio, we’ll have this conversation. Medicate or not? What’s the right choice? HCTZ dumps potassium, so screw that. Spirinolactone? Don’t want moobs, sorry. Betas? No way for a vagal AFby wolfpack - AFIBBERS FORUM
Nitric oxide is a blood gas that acts to relax the arterial walls. Nitrous oxide is the laughing gas we all know and love from the dentist’s office so many years ago. Supplements like L-arginine or L-citruline can increase nitric oxide. The caveat is if you’re on blood pressure medication then the combination can result in too low blood pressure (hypotension) which can make you black out or faby wolfpack - AFIBBERS FORUM
QuoteKleinkp BMI table says I'm over weight. If I got down to the 200lbs they suggest, geez I think I may blow away in the wind. Take BMI with a grain of salt (pun intended). It doesn’t know fat from muscle and just assumes fat. What really matters is percentage of body fat, which can be measured but your insurance won’t pay for it. Many athletes are overweight or even obese per BMI.by wolfpack - AFIBBERS FORUM
I’m really skeptical of the hypertension standards. It’s like BMI and obesity. They move the line to bloat the statistics. And the Pharma industry steps up. I smell a rat.by wolfpack - AFIBBERS FORUM
Could very well be flutter. Best just get an appointment with your cardiologist and do a 12-lead EKG. I'd be surprised if they couldn't work you in on a day's notice.by wolfpack - AFIBBERS FORUM
QuoteCarey Besides, Facebook is a terrible format for a support forum. Comments get hidden, you can't quote people easily, and there's no threading. It's all just one stream of comments and once a stream gets long it's almost impossible to see all the comments. Facebook needs to calcify.by wolfpack - AFIBBERS FORUM