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QuotejohnnyS Do you know how many Pacs were you having daily on average, prior to your first Afib episode? No, but it couldn’t have been very many. 10 or so. Tough to count them when you’re asleep, so that number could be bigger. Point is, I was very sensitive to them (and still am). I always know when one occurs while I’m awake.by wolfpack - AFIBBERS FORUM
Quotekatesshadow I read that 2 complication of Afib are stroke and heart failure. I know the stroke risk is why I need my BP under control and to take the Eliquis. Heart failure develops when you heart is working harder (top chambers not working correctly with bottom chambers). How is that controlled with Afib? Keeping the rate under control (beta blockers)? Yes. Heart failure is avoidby wolfpack - AFIBBERS FORUM
30 second rule. The short ones don't count.by wolfpack - AFIBBERS FORUM
QuotejohnnyS Most EPs have no clue about the pacs/afib connection other that the stating "it's benign." That's why I'm looking into research data out there and it pretty much confirms my suspicion of how afib begins. I wouldn't say that. Any competent EP certainly knows that PACs precede AF. They will tell you that PACs are benign, because in the EP world if thby wolfpack - AFIBBERS FORUM
QuoteCarey It's also very unlikely to be the sole source of afib for either category of patients. Stopping afib usually requires a PVI at a bare minimum. Yes. Stopping AF with ablation always starts with PVI and then goes “plus” if need be. Finding an EP who can handle the “plus” is key. Carey knows this, just quoting for truth.by wolfpack - AFIBBERS FORUM
QuoteCarey If you want to stop the afib you have three choices: drugs, ablation or a Maze procedure. For all of our newer readers, it bears repeating that a Maze procedure is really heavy duty stuff. It’s basically open heart surgery with a lengthy recovery time and also a frustratingly common side effect of flutter developing after the procedure, often requiring an ablation.by wolfpack - AFIBBERS FORUM
Quotealxndr01 I'd like to find a surgeon who can remove the LAA. Seems this is the problem in a large percentage of Afibbers. [ ] . The LAA May be involved in long-standing persistent afibber, but it’s less likely to be so in paroxysmal cases. I know we talk a lot about it here, because many of our seasoned posters have been down that road, but don’t let it taint your thinking that a firby wolfpack - AFIBBERS FORUM
Yes, to clarify, 600mg is the max for Propafenone.by wolfpack - AFIBBERS FORUM
Generally those “second tier” anti-arrhythmics get the hospital stay, but it can vary. Even the first line AARs like Propafenone and flecainide could land you in the hospital if your cardio or EP wants to start a maximum dosage (600 mg).by wolfpack - AFIBBERS FORUM
What Ken described, orthostatic hypotension, is certainly a possibility.by wolfpack - AFIBBERS FORUM
It’s preferable to space out electrolytes such as magnesium over the day. That will lessen the risk of bowel issues. Also, taking magnesium at night may aid sleep.by wolfpack - AFIBBERS FORUM
Quotekatesshadow Control just means the rate is not over 100, no matter how long it lasts? That’s the definition of rate control, yes. It means you won’t be at risk of heart failure, which is a thickening of the ventricular walls due to the excessive beating. It doesn’t lower stroke risk. That remains elevated as long as the atria are not contracting normally.by wolfpack - AFIBBERS FORUM
QuoteCarey That's why I put it in parentheses. Just saying what you would need to do to reduce your risk to the same as someone without afib. And I got that. Just wanted to make sure everyone else did. We are an advanced site here, willing to offer advice sometimes even beyond what some EPs will. And that’s awesome, by the way. But part of me fears we might overwhelm newcomers with tooby wolfpack - AFIBBERS FORUM
Vagal AF is characterized by evening/nighttime episodes only, typically lasting only a few hours and self-terminating. It is perhaps the common form in athletes or endurance exercisers. Many find that their rate while in AF isn’t even all that high (< 100 bpm), and they usually have lower than normal resting rates when in normal rhythm (< 60 bpm and often even < 50 bpm). It’s for these rby wolfpack - AFIBBERS FORUM
QuoteCarey . (If you want to reduce your risk to that level, you need to have a left atrial appendage occlusion device inserted or to have your LAA surgically removed/closed.) . Which, while certainly warranted in advanced cases, is sort of a “nuclear option” and likely nowhere near what the original poster needs at this point in time. We like to say a-fib is a journey and what Carey’s descby wolfpack - AFIBBERS FORUM
That sounds like a mix of supplements we usually take. Important is the form of magnesium in there. You really want an amino acid chelate to avoid any vowel tolerance issues. Magnesium oxide is a waste of time. You won’t absorb it. Magnesium citrate will very likely be laxative. As for the dose, 3x/day is fine. 1x/day is likely too low for you to see any benefit. As with all supplementation it taby wolfpack - AFIBBERS FORUM
You can stop a beta. It’s not a life sentence. Magnesium, in brief, helps to relax muscle cells. Arteries are made up of just a special type of muscle cell. So relaxing them may lower BP.by wolfpack - AFIBBERS FORUM
I had some short runs in the year following my ablation. Maybe 3 or 4 episodes that lasted < 30 seconds. I was never able to capture one on the Kardia because they were too short. An EKG can tell you if the tachycardia is supraventrucular (atrial is just another form of supraventricular) or not. It can’t really tell much more than that, like whether it’s coming from the left or right atriumby wolfpack - AFIBBERS FORUM
If you’re comfortable with your EP and you feel certain that just a PVI touch-up will can the beast for good, then I’d say go for it. If not, then I’d say search for a more advanced practitioner who can detect and isolate other areas in the left atrium. Certainly if you go for a PVI do-over and it doesn’t work then you are in need of the more advanced EP. Don’t do a 3rd try with anyone less thanby wolfpack - AFIBBERS FORUM
Yes, it does. It depends on the length and frequency of episodes. Nothing’s going to change much in 4 weeks. There may be some “reverse remodeling” that happens as a result of prolonged NSR, but that takes years. Whether or not there’s a reduction in the left atrial dimensions I’m not sure. Haven’t read any studies on atrial size post-ablation.by wolfpack - AFIBBERS FORUM
QuoteJoyWin I believe a lot of Drs don't really understand AF They don’t. And it’s more than a lot, it’s most. The search for the right combo of cardio and EP is just absolutely key for successful AF treatment. Go to the cardio for bedside manner and the EP for raw, hands-down skill.by wolfpack - AFIBBERS FORUM
Strokes can be caused by arterial plaque in which case anticoagulation is irrelevant. Without autopsy I’m afraid you’ll never know. To the OP, yes, exercise is not only possible but in many cases recommended. Everyone just has to find their limits and adapt. If you can do it, then there’s absolutely no reason not to.by wolfpack - AFIBBERS FORUM
I’ll email mine after an episode. He probably doesn’t read it. His nurse does. Fortunately I haven’t had one in a good long while.by wolfpack - AFIBBERS FORUM
Cannabis is effective at pain relief and anti-nausea. Please, folks, don’t go thinking it’s a panacea for everything. If you smoke it, it’s tough on the lungs. It’s not a free lunch.by wolfpack - AFIBBERS FORUM
QuoteCarey Agreed, but I think it's bound to come in degrees, and if so then flutter is bound to pump at least a little better than afib since it is a normal, coordinated sinus beat with a P wave. Yes, there’s always the “it” factor that comes along with all of us. I’ve never experienced flutter myself, but did diagnose it in my Dad using nothing but the Kardia and being 50% of what hby wolfpack - AFIBBERS FORUM
AF or flutter, the atria are contracting around 300 bpm. One may be more organized than the other, but either way it’s too fast to be a good pump primer.by wolfpack - AFIBBERS FORUM
That’s reassuring. I’d feel better about it, then.by wolfpack - AFIBBERS FORUM
Yes, it seems to be an amalgam of our favorite supplements. The thing to be aware of is the phrase “formulated and distributed by”. That means they didn’t manufacture it. China did, if I had to guess. Everyone is, of course, free to form their own opinions. I, however, am insisting upon domestically sourced and manufactured items. I’ll pay the price, gladly.by wolfpack - AFIBBERS FORUM
IBS + vagal tone = afib? I could see it. It wouldn’t even be a hard sell. I wouldn’t necessarily beware ablation, but I might beware an EP who pushes it. It should always be a patient’s choice with advice and guidance from a medical professional. We’re here to help.by wolfpack - AFIBBERS FORUM
QuoteKen Gee, only 80,000 died in the US last winter from flu, why get a shot? From a CNN story. Yep. I’m still waiting for the motor vehicle accident vaccine and the gunshot wound vaccine. I’d take them all if I could! Please don’t ignore obvious threats to your health, folks.by wolfpack - AFIBBERS FORUM