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The one caveat with that is that Flec can promote flutter which, being a more organized rhythm albeit still very fast, can transmit 1:1 to the ventricles. That is very debilitating. That is why flec is almost always prescribed with a beta blocker alongside. I have had success myself with Propafenone stand-alone. The flutter risk, as I understand it, is lessened. Good luck, and do be carefulby wolfpack - AFIBBERS FORUM
That would be Dr Natale, who is often mentioned around here. I’ll be making an appointment when the time comes.by wolfpack - AFIBBERS FORUM
I was AF free for 2.5 years post ablation. I just had a breakthrough two weeks ago, which was disappointing to say the least, If it comes back in force, I'm going to Texas. That's it.by wolfpack - AFIBBERS FORUM
Yes, it does. Mine were happennig every night like clockwork.by wolfpack - AFIBBERS FORUM
You’ll soon find out if you haven’t already that hospitals are the bar-none worst places to treat AF. It’s a nuisance to them. You need to get at least a cardiologist and better an EP with a regular office and see them on an appointment basis. Things will get better.by wolfpack - AFIBBERS FORUM
Quotejoey1974 They had mentioned vagal as well, how would you go about trying to Avoid that trigger?... You don’t. You could try not sleeping at all but I’ve heard that’s fatal after about 3 weeks! I had (have) vagal-AF as well. It would start just because the sun went down. I’d be sitting on the sofa or lying in bed not doing anything at all. Nothing to be done about that! The good newby wolfpack - AFIBBERS FORUM
The other anti-arrhythmic that is “safe” to start outside of the hospital is Propafenone (Rhythmol). Certainly something you can ask your cardiologist about. Any of the other AARs will require initial dosing in the hospital for 3 days, as they can prolong what’s called the QT interval (ventricular depolarization to repolarization). That’s risky for v-tach which is danergous, hence the observatby wolfpack - AFIBBERS FORUM
OSA increases the workload on the heart at night when it is supposed to resting. So in the long term that can enlarge it, contributing to the atrial “stretch” that is well known to be fertile ground for AF. Nighttime episodes are correlated with increased vagal tone and are a common symptom of vagally-mediated AF. I wouldn’t say definitely that a hypoxic episode at night isn’t a trigger, but rby wolfpack - AFIBBERS FORUM
Perhaps there’s a hereditary component to why some folks’ pulmonary veins develop autonomous electrical activity, but proof isn’t there right now. They are often a trigger for AF because they are distant from the heart’s natural pacemaker, the sinoatrial (SA) node. Normally the SA node depolarizes faster than all the other tissue in the heart muscle. Thus it dominates the pacing (heart cells areby wolfpack - AFIBBERS FORUM
Stroke risk comes from the atria not contracting in an organized fashion. Rate is defined as the average ventricular contractions per minute. In AF, the atria are fibrillating at around 300 bpm. The average ventricular rate comes from the degree - which can vary - of “block” through the heart’s AV node, which links the atria and the ventricles. So, in an AF rhythm, think of the atria as spastic aby wolfpack - AFIBBERS FORUM
Quotealxndr01 Metoprolol is supposed to control the heart rhythm. Metorprolol is a beta-blocker and is supposed to control the heart rate, not rhythm. Rhythm control is a completely different set of drugs.by wolfpack - AFIBBERS FORUM
I'm trying it right now. The more I think about it, the more I'm convinced I have a pulmonary vein reconnection. Prior to my index ablation, I could reliably sense and episode coming on. There would be anxiety and PACs ultimately culminating in full-blown AF. Now, the breakthrough episode of two week's prior came without any warning whatsoever. I also notice an marked increase in Pby wolfpack - AFIBBERS FORUM
The "reversal agent" for Coumadin (warfarin) is simply Vitamin K. Warfarin is a vitamin K antagonist, so overwhelming it with vitamin K makes it ineffective. That's why it comes with dietary restrictions. Foods high in vitamin K (many greens) will lower a patient's INR out of the therapeutic range. Andexxa is a "decoy protein" that causes the active element in Eliby wolfpack - AFIBBERS FORUM
That is good news! I wonder how long until ER departments nationwide will have it in their pharmacies and will have trained their physicians in its use?by wolfpack - AFIBBERS FORUM
Same Status, yes, but a chemical cardioversion is less stressful on the atria than an electric one.by wolfpack - AFIBBERS FORUM
Tell the nurse that you are an AF patient, and what meds you are on. They will likely prescribe a laxative called Go-Lytely, which is electrolyte sparing and uses more Miralax (polyethelyne glycol) as opposed to straight magnesium citrate. It should not cause burping, but there will be plenty of passing gas after the procedure is done.by wolfpack - AFIBBERS FORUM
QuoteCarey Not when placed by someone with adequate training and experience. He's doing you no favors telling you stuff like that. I doubt he has much actual knowledge of the Watchman. One of the most useful skills in AF (or any) disease management is to know what “I don’t know” sounds like.by wolfpack - AFIBBERS FORUM
QuoteCarey Suffice it to say that if you need more than two, you're probably not dealing with a competent ablationist. I’m going to draw that line at one for myself, and seek top notch care if (when) this beast rears its ugly head again. But that’s me. I’m tenacious. If you told me there was a bigger nuclear bomb you could drop on AF, I’d be pressing the red button before you could blby wolfpack - AFIBBERS FORUM
Quotelibby Is there a blood test to tell if Eliquis is working correctly? In short, no. A hematologist could certainly administer one (prothrombin time) but it typically isn't done, and unlikely any insurance would pay for it in the context of AF ablation. On the morning of your ablation, you will take your last Eliquis (or somewhere thereabouts, do whatever the docs tell you). During tby wolfpack - AFIBBERS FORUM
Joules are not Volts. Different units. If you apply a voltage to a resistive load (R), you dissipate power as P = V^2/R. You'd then integrate P over the time that V is applied to get energy (E) in Joules. So, E = int( V^2/R dt) (J) Don't know how you're going to do that math with paddles and a light switch! Please, nobody go electrocuting themselves. My guess as to howby wolfpack - AFIBBERS FORUM
Cardioversion is DC, not AC. And it’s synchronized to the rhythm unless the rhythm is v-fib. Let’s not go sticking utensils into power outlets!by wolfpack - AFIBBERS FORUM
Yes, about the same as any other form of AF. What's more important is the skill of the EP rather than the "type" of the AF.by wolfpack - AFIBBERS FORUM
Potassium is easy to get from foods. Magnesium, not so much. You’d want to purchase a good, over the counter supplement such as magnesium glycinate. You can get pills or powder forms. Just don’t mix the powder in the beer!by wolfpack - AFIBBERS FORUM
Alcohol is going to deplete you of electrolytes as well as generally dehydrate you. As to when all of that “catches up with you” is probably variable. I’m guilty of it myself, as I suspect many of us are. Heck my last episode on Monday followed my 44th birthday party which may or may not have involved a beer keg. Can’t confirm nor deny. If you know you’re going to indulge, why not supplemeby wolfpack - AFIBBERS FORUM
Right hand, left hand. Roughly a Lead I presentation.by wolfpack - AFIBBERS FORUM
Here goes... 1. Monday’s episode 2. Monday’s episode shortly after conversion 3. Monday’s episode long after conversion and... 4. Just for grins, AF on the morning of my ablation 2.5 years ago. I was off meds for 2 days at this point.by wolfpack - AFIBBERS FORUM
Maybe, but that's not something a GP should really be doing. You should see a cardiologist.by wolfpack - AFIBBERS FORUM
Who the heck put Flec into a kid? I don't even want to think about that! Yikes. Understand the 3x/day now. I hope it works out. If you "graduate" to the next level of AARs, you'll get the 3-day hospital stay-cation. Best to avoid that if at all possible. And, remember, amiodarone is a curse word. Don't use it.by wolfpack - AFIBBERS FORUM
As I understand Flec (my dad takes it), it is normally BID (2x/day). To be at 300mg/day you should be on 150mg mornings and evenings. But that is a large dose. I would ask them to try titrating down to 50mg BID and see how that works. You can always go back up if needs be. As you're no doubt figuring out - YOU manage AF. The doctor's aren't going to do it. They are resources toby wolfpack - AFIBBERS FORUM
For the record, we're not doctors and we don't play them on the Internet! Now that's out of the way, yes, George, mine do look similar to yours post-conversion although the rates are lower (I was about 73 bpm after converting). That was with 12.5 mg metoprolol and 150mg propafenone, so there was definitely some beta blockade going on from both drugs. If I can figure out googlby wolfpack - AFIBBERS FORUM