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Potassium lengthens the atrial refractory period - the time during which atrial cells can't be excited. It slows the heart rate. Magnesium is sort of the "helper" ion that get potassium into the cells. Since potassium is readily found in many foods, it is often not needed to supplement unless there is a specific reason to do so. Magnesium, on the other hand, is not found in many foby wolfpack - AFIBBERS FORUM
The ectopy immediately in the wake of an ablation is very probably just due to the swelling of the atrial tissue that results from the burns (or freezing in the case of cryo). Imagine if you branded your upper arm with a hot iron. How long do you think that would be all red and swollen? Quite a while! Relax and ride it out.by wolfpack - AFIBBERS FORUM
Maybe try substituting the PowerAde fluid volume with something like Waller Water. It's magnesium bicarbonate and the recipe for it is found on this site. Just search for it. You can also add low-sodium V8 for the potassium if you wish. My post workout rehydration is a 12oz can of LSV8 followed right away by 16oz of WW. I figure the acidity of the tomato juice cancels the alkalinity of the Wby wolfpack - AFIBBERS FORUM
Unsure, I’m by no means an expert on endocrinology. It might make sense to at least ask the question. Another way to create a “pseudo”-aldosteronism is by eating a lot of licorice. Going off into the weeds a bit here, though.by wolfpack - AFIBBERS FORUM
Have you been checked for aldosteronism? That will cause potassium loss.by wolfpack - AFIBBERS FORUM
Too much water will flush electrolytes. Let me try to do a crash course in "Electrolytes 101": The primary electrolytes OUTSIDE your cells (extracellular) are sodium (Na+) and calcium (Ca2+). The primary electrolytes INSIDE your cells (intracellular) are potassium (K+) and magnesium (Mg2+). The balance of Na+ and K+ in intracellular fluid is roughly constant. That means whenby wolfpack - AFIBBERS FORUM
Interesting. Certainly a vegetarian/vegan diet would be low in taurine. Given its low cost, too, one certainly won’t go bankrupt with supplementation in the 10’s of grams per day. Let us know how it works out!by wolfpack - AFIBBERS FORUM
OSA will make your heart work harder at night and, over time, enlarge it thus contributing to the atrial "stretch" that we all know is an important pre-cursor to a-fib. I've done the at-home study using the pulse oximeter and electrodes. That is what most insurers will pay for versus an in-lab study. Mine showed mild apnea, which I chose to treat with sinus surgery which I belieby wolfpack - AFIBBERS FORUM
Disability would be occupation dependent. Largely, no, but there are cases where regulations prohibit working certain jobs (airline pilot, commercial truck driver, etc).by wolfpack - AFIBBERS FORUM
I'm 44, diagnosed at 41, so it's not crazy for younger folks to have AF. Plenty do. What form of magnesium are you taking? You want to use the amino-acid chelated form for the best bioavailability in oral consumption. We loos for the Albion TRAACS label. Taurine is also good, but 15g/day might be a bit too much. Is there a need for that? I take 2g/day for comparison purposes. I agby wolfpack - AFIBBERS FORUM
I only took the one PIP propafenone last month and haven't had to again. Prior to my ablation, I was on the XR version 2x/day.by wolfpack - AFIBBERS FORUM
More: Electroporation Seems like this technique seeks to move ablation back into the pulmonary veins rather than encircling them as is done with RF and cryo. What about ablation outside the PVs, as we all know is necessary in some folks for the permanent relief of atrial arrhythmia? I don't see an answer to that. Also, the paper mentions ventricular fibrillation as a possible side effeby wolfpack - AFIBBERS FORUM
Pompon, It is true, the EP can only ablate what he or she can see during the procedure. "Rooting out" ectopic sources involves careful stimulation and mapping of the entire left and right atria. This all speaks to skill of the operator. I'm my case, that wasn't done. I was PVI-only by an operator with somewhere around 1,000 cases under his belt. My choice given the localby wolfpack - AFIBBERS FORUM
No. AF to VF requires an accessory pathway around the AV node, such as in Wolff-Parkinson-White syndrome. Those things are congenital. You're born with them or you're not. It isn't something that can just spontaneously happen. Exercise conversion can and does work, but it is a bit hit-and-miss. Don't get discouraged if it doesn't work sometimes. I've had plenty ofby wolfpack - AFIBBERS FORUM
My opinion. RF is better than cryo. That being said, operator experience matters. RF can blow a hole in your heart if done improperly. RF can also pinpoint spots of activity whereas cryo can only isolate the pulmonary veins. So, more powerful tool but larger risks if in the hands of the wrong person. As always, use wisely the power of choice!by wolfpack - AFIBBERS FORUM
Exercise conversions worked for me mainly in the mornings. Early on I was taking only a beta-blocker (first cardiologist, fired soon thereafter) which I didn't know at the time was contraindicated for vagal AF. Those days I'd get second episodes starting around noon, which converted poorly with exercise. When I got overly frustrated with this one night, I slammed a couple of beers in diby wolfpack - AFIBBERS FORUM
AF is a re-entrant rhythm (as is flutter and even v-tach). It is the ability of electricity to flow around and around in a circuit consisting of autonomous cardiac muscle cells rather than being "pulsed" from the SA node to the AV node. In flutter that circuit is often a circle in the right atrium. In AF, it's some kind of a mess in the left atrium. The PVI is supposed to introduceby wolfpack - AFIBBERS FORUM
Quotelibby I also see halos around lights and in my peripheral vision as I move my head (mostly at night), but I can't remember if I had some from the Flecainide and now it's just worse. That's quite likely a side-effect of Flecainide rather than Eliquis. Flec is famous for vision problems.by wolfpack - AFIBBERS FORUM
Quotekong2018 Luckily I've got rid of the fear mostly by reading the book The Power of Now by Eckhart Tolle. It's not about afib but how our mind work. That's a different process for each person, I'd guess. For me, I decided to test the theory that AF wasn't life threatening. My first set of doctors gave me horrible advice (take benzo, stay out of the gym, increase betaby wolfpack - AFIBBERS FORUM
Ablation CAN eliminate all ectopics, but I wouldn't use the word "expected". The primary goal of ablation is to stop the AF or, more precisely, to stop the ectopics from being able to initiate AF. That is what the EP world will call a success. In my own case, I suffered ectopics for pretty much an entire year after ablation. I credit careful supplementation with their subsequent reby wolfpack - AFIBBERS FORUM
QuoteAB Page And the hopelessness and fear is gone. The elimination of panic is Step #1. That should be the goal of any support group, forum and, yes, even healthcare providers! As for ablation, when done properly, I would call it a very effective treatment for AF. I wouldn't call it a cure.by wolfpack - AFIBBERS FORUM
I'm curious, in the context of teaching hospitals how does one know if students are or are not on the catheters? That has always been a concern of mine, as my ablation was also done at a teaching hospital although I know for a fact that the EP was the only operator in my case. I wonder if it is in all cases.by wolfpack - AFIBBERS FORUM
Aspartame is evil. Stay away! Excellent choice there.by wolfpack - AFIBBERS FORUM
Great read by Dr Chambers, Jackie. I was surprised by the left-handed link. I’m a “southpaw” myself. I could seriously be creating Digoxin inside my brain? Wow!by wolfpack - AFIBBERS FORUM
What is the form of magnesium? Bisglycinate chelate is the best for oral consumption. There are also skin oils. I have not tried those.by wolfpack - AFIBBERS FORUM
Yes, it is common. Think about what’s happened. The ablation has changed the electrical substrate of your heart. It’s going to behave differently than before. It may not be able to sustain AF bit still experience many ectopic beats. EPs will label that a success. If it’s not going into full-blown AF anymore then there isn’t really a surgical option. You can ask your EP for a low dose anti arrhythby wolfpack - AFIBBERS FORUM
QuoteCarey . I can'r recall hearing of anyone newly diagnosed in the last few years who was put on warfarin. Unless there is a comorbidity that requires anticoagulation for which DOACs are not approved. That’s rare, but it does happen. Lupus or anti phospholipid syndrome come to mind.by wolfpack - AFIBBERS FORUM
Clear enough. Yes, the cryo-balloon can only perform PVI. It’s very likely inferior to RF, but a lot of that is going to depend on the skill of the operator.by wolfpack - AFIBBERS FORUM
QuotePompon But I'm suspicious about the fact that afib may be induced artificially, while its natural triggers stay a mystery. It is done by isoproteranol (fake adrenaline) injection into the left atrium via the catheter. That'll induce a-fib even in the healthiest of hearts - just won't sustain very long. In our cases, it will and then the EP can map out areas of errant electriby wolfpack - AFIBBERS FORUM
QuotePompon Well... Considering the answers here above, may I think I've been unlucky having afib 12hrs before my procedure ? Is it part of the risks? It's fine to be in AF going in to the procedure. They were going to induce it anyway. My rhythm on the morning of my ablation was AF with 55bpm average ventricular rate.by wolfpack - AFIBBERS FORUM