Ok, so it’s for v-tach but still pretty impressive. It may serve as an indicator of just how far the catheter ablation technology has come along.by wolfpack - AFIBBERS FORUM
SVT means Supra-ventricular tachycardia. In other words, above the ventricles. So, no, SVT and v-tach aren’t related unless there’s an accessory pathway around the AV node, which connects the atria to the ventricles electrically. The AV node is more refractory (lazy) than the atria so the pulses don’t all make it through. Thus the flutter rates of 150-ish while the atria are humming at 300. Or thby wolfpack - AFIBBERS FORUM
Plain vanilla PVI shouldn’t reduce atrial kick very much if at all.by wolfpack - AFIBBERS FORUM
At 18 days you’re atria are still quite swollen. Anything can cause ectopics. Stress, activity, the weather on Mars. Don’t pay too much attention to it. Just ride out the blanking period and report anything really upsetting to your EP.by wolfpack - AFIBBERS FORUM
Ooh, slippery slope here... In addition to the donation link mentioned in the other thread, I’d like one that sends more vodka to Putin. Or French wine to Xi. Signing off now. Promise!by wolfpack - AFIBBERS FORUM
Difficult to say without a picture but if you are seeing P waves with little to no delay between them and the QRS complex that points to accessory pathway around the AV node (all of which are congenital and don’t just come and go) or possibly a junctional rhythm (AV node depolarizing without stimulation from the SA node). Again, it’s impossible to say without the trace. Preferably a multi-lead (6by wolfpack - AFIBBERS FORUM
You can just do repetitions to failure with lower weight amounts versus trying to get that one press at 225lb or whatever.by wolfpack - AFIBBERS FORUM
Moderate strength training is totally fine. What you want to avoid is trying to look like Arnold Schwarzenegger in his “Conan the Barbarian” days. Excessive lifting, especially bench presses, puts compressive strain on the atria and adds to stretch which begets AF. It also wrecks valves as an added bonus.by wolfpack - AFIBBERS FORUM
Beta blockers may be contraindicated in cases of vagal AF. I know from my own experience that the introduction of betas made my nightly episodes also occur in the middle of the day. They also lowered my resting NSR rate to nearly 40 and gave me tunnel vision. Great fun!by wolfpack - AFIBBERS FORUM
ANP. Atrial natriuretic peptide. (Also BNP, brain natriuretic peptide, which is produced in the atria. Medicine gets SO much wrong). Your body is shedding sodium as fast as it can to try to lower heart rate and blood pressure. Mag may convert you over time, but probably not. If you’re uncomfortable and anticoagulated, as you say, you can always go to the ER and request a cardioversion. Theby wolfpack - AFIBBERS FORUM
The standard dosing for Eliquis in the context of AF is 5mg BID (2x/day). The 2.5mg dosing is for DVT (deep vein thrombosis) or PE (pulmonary embolism) prophylactic treatment.by wolfpack - AFIBBERS FORUM
Quotecirenepurzalot Don't you need vit D WITH vit K? I was researching it recently. Vitamin K2 MK7. Vitamin D3 will increase intestinal absorption of calcium. The K2 MK7 helps direct that calcium into the bones as opposed to muscle cells where it causes cramps or arterial walls where it causes stiffening and high blood pressure.by wolfpack - GENERAL HEALTH FORUM
No. A surface EKG - any kind - can only see the electrical activity on the outside of the heart. To figure out AF or flutter or PVCs you need to map the activity on the inside of the heart, and the only way to do that is with catheters.by wolfpack - AFIBBERS FORUM
Ken, I believe I sent you a PM a few days back, but if for whatever reason it didn’t go through I’ll try again. It contained the names of my local cardiologist and EP.by wolfpack - AFIBBERS FORUM
The PPIs cause electrolyte problems and the GERD inflames the esophagus, which abuts your left atrium. In my book, that can’t be good for AF.by wolfpack - AFIBBERS FORUM
QuotejohnnyS Wolfpack, Are you saying that b-12 and zinc relieved or fixed your GERD? I’m saying that they are both related to stomach acid production, and that it is a lack of stomach acid that precipitates GERD in many cases. If you don’t digest your food quickly in your stomach, then every time you sit down or lie down all that undigested mess pushes up against the upper esophageal sphincby wolfpack - AFIBBERS FORUM
Amen. I used them for 2 years following an esophageal ulcer and I’m convinced it was a contributing factor in my AF. I’ve been taking B12 and zinc supplements for two years now and I get zero reflux. Seriously. I’d have to eat an entire extra large pizza slathered in hot peppers to get reflux. It just doesn’t happen anymore. Thank God I stopped listening to conventional wisdom on GERD!by wolfpack - AFIBBERS FORUM
Hi Ken, If you are in Raleigh, NC - as I am - it shouldn’t be hard to find a specialist. We are sandwiched between Duke, UNC, and WakeMed. I’d be happy to share with you the names of my cardiologist and EP.by wolfpack - AFIBBERS FORUM
QuoteGeorgeN Liz, since you are vagal (and the BB properties of Propafenone), wondering if flec might be a better med to try chronically once you get the anti-coagulant situation sorted. BB properties of Propafenone do exist, but they are low. About 1/20th of metoprolol. Flec is almost always RX’ed with a beta because of the flutter risk, I took Propafenone (Rhythmol) for months without a beby wolfpack - AFIBBERS FORUM
I was ablated in 2015 and remain AF free today, although I have figured out how to create AF or bountiful runs of PACs and maybe some super short flutter runs by oversupplementing iodine. Weird. But, hey, back off the supplement and it all goes back to normal. I’m still noodling that one out but overall I’m not worried one whit about AF and I do what I want both diet and activity-wise. Will itby wolfpack - AFIBBERS FORUM
Afrin will also quit working over time if you continue to use it. And it’ll burn up the tissue in the sinuses. It’s really not a great med at all. I avoid it. I went with a septoplasty surgery to alleviate my chronic right side congestion 3 years ago. It sucked and the recovery was brutal (part due to my steadfast refusal to take opioid pain relievers) but I’m glad I did it.by wolfpack - AFIBBERS FORUM
I jog all the time and I’ll get PACs sometimes. I just ignore them. If I were you I’d do whatever I wanted. Jog. It won’t hurt you.by wolfpack - AFIBBERS FORUM
I'd worry more about the fire risk than AF!by wolfpack - AFIBBERS FORUM
Quotepgrove1 I know it probably sounds like whining but at 34 and having episodes every 2 weeks (even if they are only short) makes me super apprehensive about my long term prospects. It should do the opposite. You have paroxysmal AF, not long-standing persistent, and you are very young. Even a greenhorn EP can't kill you (well, he/she'd have to try really hard). Time is totally on yoby wolfpack - AFIBBERS FORUM
It totally depends on the patient and probably how much burning was done during the ablation. It wouldn’t surprise me one single bit if it took a year. Patience is key. Of course, let your doctor know if you’re feeling really uncomfortable.by wolfpack - AFIBBERS FORUM
Your atria are swollen. They got branded from the inside with the equivalent of a soldering iron, assuming your ablation was RF catheter. Imagine if you took a red-hot poker out of your fireplace and pressed its tip against your upper arm, held it there for a few seconds, and then released it. How long would that be red and swollen? Could you do push ups same as before? Of course not. It takes tiby wolfpack - AFIBBERS FORUM
How much water do you drink in a day? Don’t overdo it. That’ll flush things out.by wolfpack - AFIBBERS FORUM
What was her rate during the AF episode? How long was the episode? That’s what I would use to decide on the BB. If it was short (< 1 day) or the rate was under 100 bpm then I would argue with the docs about the BB. Or push for a pill in pocket approach if she’s easily able to tell if she is in AF or not. Also I hope she’s not paying top dollar for Toprol, which is the brand name for the genby wolfpack - AFIBBERS FORUM
GoLytely is mostly the same as Miralax in that it has the polyethylene glycol. But Miralax doesn't have the electrolytes that GoLytely does. I don't think you'll get the same effect using just Miralax alone. I would ask for the GoLytely. And if you do take Miralax don't take it with Gatorade or any other sports drink containing food coloring. Water only. Food colorings will stby wolfpack - AFIBBERS FORUM
I suppose it’s possible, but the ventricles really only respond to adrenaline (sympathetic nervous system) by increasing something called inotropy which is essentially the “forcefulness” of the contractions. The parasympathetic nervous system (vagal) has relatively little effect on the ventricles. Pacing, in a normal heart, happens in the atria. Specifically the right atrium, which is why all ofby wolfpack - AFIBBERS FORUM