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It's possible you are capturing some sort of meta-stable state between NSR and AF. I know in my case, as I've seen many times on Kardia, that immediately after converting I will see regularly spaced QRS complexes at a higher than normal rate and still a somewhat "noisy" baseline with barely recognizable P-waves. I attribute this to the atria "waking back up" after haby wolfpack - AFIBBERS FORUM
There is no "rule" for episode length. It is individual-specific. Generally, if an episode is less than 3 days old, it can be cardioverted without a TEE (trans-esophageal echogram, aka "swallowing a telephone receiver"). Stroke risk is significant even after about 6 hours of AF, so depending on one's CHADS-Vasc score, anticoagulaton therapy may make sense. Again, thisby wolfpack - AFIBBERS FORUM
For what it’s worth, I don’t think that rhythm is anywhere near dangerous. With a regular ventricular rate of 80 you will be hemodynamically stable. The risk, I’d guess, is the same as AF, and that would be clots forming in the atria. Sensible anticoagulation would mitigate that.by wolfpack - AFIBBERS FORUM
Karen, Increase the mag and decrease the EP who won’t listen. Flec is notorious for vision “floaters”. 50mg BID is an option if you’re a really small person, but 100mg BID is pretty standard. Propafenone is another option, but it has secondary BB effects and if combined with a BB may very well make you feel like you’re dragging a boat anchor while running. Did for me. Maybe ask about Propafby wolfpack - AFIBBERS FORUM
I haven’t stopped exercise. In fact, after converting a Monday night I was on the treadmill Tuesday afternoon. No problems. Did my daily 5-miler Wednesday and today with biking in the evenings. No issues. The Hope is that this episode was a “blip”. The plan is to move onto more advanced EPs if (when) it isn’t. I just hope I don’t have to fire my cardio to make that happen because I really likeby wolfpack - AFIBBERS FORUM
I see a what would be a normal ECG, just missing P-waves. I guess that's why they say "Accelerated Junctional Rhythm". I'm taking that to mean AV node depolarization at a rate near 80 bpm, which is about double what it would normally be. That's definitely a puzzler. A bit of advice - if you can edit the picture, you might want to blank out any personal info, like yoby wolfpack - AFIBBERS FORUM
Quotehoundym Could ablation help bradycardia? Not really. Post-ablation you will likely notice an elevated heart rate, but that is due to the inflammation caused by the procedure itself. Once that subsides many people report rates returning to normal. Quotehoundym Is ablation targeted to a particular portion of my heart based on my specific test results, or does it target same area in all wby wolfpack - AFIBBERS FORUM
I have a bunch of 5mg free samples, so that's why I ask. If I got an RX for 2.5mg, I'd have to pay.by wolfpack - AFIBBERS FORUM
Can you cut the 5mg pill in half to affect a 2.5mg BID dose?by wolfpack - AFIBBERS FORUM
Thanks for the answer! After only 7 hours of what wasn’t even a “flopping fish” feeling in my chest, but rather a “small bird in a cage fluttering about” I’m tempted to say my atria weren’t that stunned. Cardioversion occurred either naturally or with marginal help from 150mg of propafenone. I’ll take all of the under consideration as I consult myself on continuing anticoagulation protocol.by wolfpack - AFIBBERS FORUM
Well, misery loves company. I’m on it, too, for one month courtesy of a 7 hour AF episode yesterday. I still don’t understand the rationale. Assume the following: 1. Cardioversion worked (either chemical or electrical) 2. You weren’t anticoagulated beforehand So, either a clot formed or it didn’t. What does eliquis do post-facto? Does it “eat” the clot, if it exists?by wolfpack - AFIBBERS FORUM
Thanks. Missed that. Like I said, big guess. Red herring, in fact. Asked my cardio his opinion on exercise. He seems to think there’s no upper limit short of triathletes. I’m not so sure.by wolfpack - AFIBBERS FORUM
I also used this product on my vinyl siding last Saturday. It's supposed to be non-toxic (citrus based I think, at least it smells that way). I used a power sprayer but the wind literally bathed me in that mist. Should've worn more than shorts and t-shirt. The bottle doesn't say what's in it, but it does make you cough in fits if you get it up your nose! Maybe I inadverby wolfpack - AFIBBERS FORUM
I should also add that I did start d-Ribose at 5g/day a few weeks ago. As I understand it, this is supposed to be helpful - not the opposite. But it does bear mentioning as a recent change.by wolfpack - AFIBBERS FORUM
It's tough to figure out the right "dose" of exercise. Zero, obviously, is a poor choice. What's too much? I guess it's a learning process. Maybe I'll alternate running and cycling days instead of piling them on top of each other. If AF progresses, though, I think it might be time to give TCAI a chance. I'm 44 years old and in otherwise fine health. There&by wolfpack - AFIBBERS FORUM
CHADS-Vasc is 0 for me. Cardio wanted me on it I think in preparation for a cardioversion, which clearly won't be necessary. I'll ask at today's follow-up. One thought I had was the fact that I did increase my iodine (potassium iodide) supplement from 250ug to 1mg/day a couple months ago. I wonder if that has anything to do with it? I certainly don't feel hyperthyroid (notby wolfpack - AFIBBERS FORUM
My bike rides typically include hill work which really elevates the pulse. But not for very long, maybe 5 minutes.by wolfpack - AFIBBERS FORUM
Altogether 7 hours of the most comfortable AF I’ve ever experienced. Weird. At this point I’m not tempted to rush headlong into ablation #2. I’ll take a wait and see approach. Cardio wants me on Eliquis for a month. I’ll get a second opinion from the EP, and maybe even a third one from yours truly. Honestly, I don’t see the need. Opinions?by wolfpack - AFIBBERS FORUM
I failed to mention the 10 mile bike rides I’ve added in the evenings now that the weather has warmed up. Again, seems like not that much but arguing with the data is kind of dumb. I am an engineer after all!by wolfpack - AFIBBERS FORUM
Converted. Only had 12.5mg metoprolol and 150mg propafenone a couple hours ago. Maybe that did it, or maybe it was the beer and pizza. Either way, don’t care! Very surprised at the TOTAL lack of warning signs and the adrenergic onset. I’m totally open to ideas here. I’m beginning to think it might be time to de-train from the running. 5 miles/day, 6 days/week might be too much. I never wouby wolfpack - AFIBBERS FORUM
Going to try for chemical cardioversion with propafenone tonight. My cardio got me in this afternoon. This is really weird. I’ve never had an adrenergic triggered episode and there were zero warning signs. I haven’t had PACs in a while. Funny thing is I’m taking my dad to see my EP tomorrow for a flutter consult. Won’t he be surprised when I bring in my rhythm strip!by wolfpack - AFIBBERS FORUM
Rate starting to slow. Probably will soon. Funny thing is it doesn't feel bad at all. I'm tempted to go run again to see if that'll do it.by wolfpack - AFIBBERS FORUM
Dang! Didn't make it 3 years, as I write this. I took off from a crosswalk signal while doing my daily run and I could feel the beat get really hard instantly. Then the rate didn't come down in the shower afterwards, and by the time I got a new battery to replace the dead one in my AliveCor (Kardia) since I haven't used it in forever I was able to record it. 122 bpm and irregulaby wolfpack - AFIBBERS FORUM
It never caused AF for me, but it always contributed to "jumpiness" - PACs and a general feeling of nervousness so I just learned to leave it alone. I never had a strong desire for caffeine so it was an easy choice.by wolfpack - AFIBBERS FORUM
QuoteBillyjeans Have you ever heard of anyone trying the supplement GABA? I just recently found this and thought it was curious. Yes. It makes you sleepy. I doubt it has any first order effect on AF, but it may help to calm a person. I use it nightly, as I have terrible problems getting to sleep. It works.by wolfpack - AFIBBERS FORUM
I would repeat Shannon's comments (paraphrasing, of course) in the other thread about skepticism regarding the "shiny new thing" in AF treatment. What we have here in terms of ablation, risk-management and supplementation is the status quo for AF and will remain so for quite some time. The future may hold some sort of targeted, genetic treatment vector for AF. We should all keep anby wolfpack - AFIBBERS FORUM
Quote What is a "heart block"? I just had an echo a few weeks ago and I was in NSR and they said everything was fine. It is the abnormal delay or outright failure of the AV node to transmit the pulse from the atria to the ventricles. It comes in degrees. 1st degree is just an abnormal delay and isn’t really serious as long as the patient is symptom free and the delay shortens under eby wolfpack - AFIBBERS FORUM
The sore throat is almost certainly from the breathing tube that was inserted while you were anesthetized. Good to hear it's gotten better. The key now is to just take it easy. I totally understand the blissful feeling of NSR. I know a guy who jumped on a treadmill and ran for 30 minutes only 8 days after his ablation - and AF reoccurred. I had some pretty harsh words with him about his fby wolfpack - AFIBBERS FORUM
QuoteCatherine Is it pissible that sometimes we injest food bourne germs? It's not possible. It's guaranteed. Especially if you make your own fermented dairy products! That's where stomach acid is so critical. It kills those little buggers - the vast majority of them anyway. Not sure if gallbadder would necessarily be part of a routing physical. You'd have to make a speby wolfpack - AFIBBERS FORUM
AV node is the atrio-ventricular node. It is the “gate” between the heart’s atria (upper chambers) and ventricles (lower chambers). It is responsible for passing the electrical activity in the atria down to the ventricles. In Afib, it will often reject every other pulse from the atria (something called 2:1 conduction), which is why our atria may fibrillate at something like 300 beats per minute,by wolfpack - AFIBBERS FORUM