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QuoteGeorgeN 1g to 250ug, wow, that's a factor of 4,000 (or did you mean 1mg). Yes, 1 mg. A 4x increase. Thank you for the correction. 4000x would only be employed in the event of a radiological disaster! AF be damned in that case.by wolfpack - AFIBBERS FORUM
QuoteBarry G. I once read that iodine deficiency is a cause of Afib hence my getting deeply into the subject. . Yes, but over-supplementing it can also bring on AF in some. I was one. I’ve had two recorded episodes post ablation. The first was in April 2018 and lasted about 7 hours. I had recently increased potassium iodide (liquid) supplementation to 1g/day. After the episode converted I stoby wolfpack - AFIBBERS FORUM
That's a good question. They're only pre-selling now so I guess I'll find out in about 4-6 weeks.by wolfpack - AFIBBERS FORUM
AliveCor just started pre-selling the Kardia 6L. It’s a six-lead EKG. You hold it between your fingers and also on your left knee. It will trace leads I, II, III, aVR, aVL, and aVF. I pre-ordered one. Do I think it’s really necessary for diagnosis of atrial arrhythmia? No. But I’ve gotten to be kind of a nerd on this stuff and with disposable income I figured why not. Remember your cardiologist oby wolfpack - AFIBBERS FORUM
Quotekatesshadow I should have said the "height" of the QRS. Does your answer still apply? Height (Y-axis) is voltage and that’s going to depend heavily on the individual. It really doesn’t mean much. Realize that a surface EKG is measuring the electricity flowing over the heart from the outside of your body. Through muscle and skin. That’s going to be lossy. The timing (X-axis) of tby wolfpack - AFIBBERS FORUM
QuoteBarry G. I was under the impression that ablation of Atrial Flutter is so simple Professor Jais in Bordeaux could probably do the ablation using a candle ;-) Cheers, Barry G. Right atrial (typical) flutter, yes. Left atrial (atypical) flutter, no. That is a briar patch. Even the best in the world will be in there for hours trying to sort it.by wolfpack - AFIBBERS FORUM
I'd guess flutter while you were in the gym which converted on its own by the time you reached the EKG machine. Your atria were still stunned after the alleged flutter episode and had shortened refractoriness. This is very common when converting from either AF or flutter. Every time I've done it, my resting HR will hover in the 70's for half a day or so until it calms back down toby wolfpack - AFIBBERS FORUM
Under 50 and it's going to say "Bradycardia". Would it register AF if the rate were under 50? Tough to say, but it's also just about impossible to fib with average ventricular rates under 50. I came close myself once with a 55, but in reality most AF rates are going to be upwards of 100 for rate-controlled patients and well over that for non-rate controlled.by wolfpack - AFIBBERS FORUM
My wife's last ECG was littered with abnormalities because the technician only entered the first digit of her age. So the machine dutifully reported SERIOUS problems for a pediatric, 4-year old heart. Don't trust what the computer annotates. Yes, the docs should spend more time explaining but you can probably get a pretty good answer around here.by wolfpack - AFIBBERS FORUM
It’s also money. Ablations are cash cows.by wolfpack - AFIBBERS FORUM
Quotekatesshadow I've read numerous times that Afib itself is not dangerous, but the fear factor is still there for me. That’s normal. I went into AF 3 years post ablation out of the blue while running. Weirdest thing I’d ever experienced. It wasn’t the least bit uncomfortable and I didn’t even stop running. So that kind of killed the fear factor for me. I still get ectopics from time tby wolfpack - AFIBBERS FORUM
Probably the size of the atria (enlarged) and the amount of fibrosis (scarring) in them. 20 years of LSPAF will create a lot of electrical remodeling. I could imagine that over time a patient could become used to the rhythm and not be so symptomatic. It is a quality of life issue. I think we all react similarly to initial AF episodes. I was also dizzy and short of breath the first few timesby wolfpack - AFIBBERS FORUM
Interesting. How does a trans-septal puncture have neurological effects? Does it fail to heal, thus allowing deoxygenated blood to cross over into the left side of the heart and create a mild hypoxia in the brain?by wolfpack - AFIBBERS FORUM
Not if the rate is controlled. Under 100 bpm and anticoagulated will pretty much minimize any risk from AF. It’s a patient’s choice whether or not to live in permanent AF. I personally wouldn’t make it. I’d insist on durable restoration of NSR. But at the end of the day it is always personal choice. Just make sure the patient is the one making the choice and not the physician. Get second or evenby wolfpack - AFIBBERS FORUM
I’m not sure if we’re talking about the same thing, but the QT interval is the time between ventricular depolarization (QRS complex) and repolarization (T wave). If that’s too long then you can get a reentrant rhythm in the ventricles. QT interval also needs to shorten with increasing HR, thus it is often quoted as QTc (QT corrected). There are a number of formulas for doing this, each having itsby wolfpack - AFIBBERS FORUM
Propafenone and Flecainide, the “first line” anti-arrhythmics, are often started outside of a hospital setting. They don’t prolong the QT interval, which is the main reason to put a patient under 48 or 72 hour observation. A prolonged QT interval carries a risk for ventricular arrhythmia, which is bad. Now, if a patient has significant co-morbidities or the starting dose is a maximum one, then thby wolfpack - AFIBBERS FORUM
You won't have sufficient stomach acid for a while which will make food stay in your stomach much longer possibly causing reflux as it pushes open the esophageal sphincter when you sit or lie down. If you plan on fasting I suppose it's okay but not something I would try myself. I just drink the regular, diluted solution.by wolfpack - AFIBBERS FORUM
Elemental matter, other than oxygen, is useless to the human body. If you can find it on the periodic chart, you can’t eat/breathe/drink it. It will always have to be in some compounded form that can cross the intestinal wall and be metabolized by the liver into an ionic form of the element circulating in the bloodstream.by wolfpack - AFIBBERS FORUM
Taurine is an amino acid, but one that the body doesn't make. As the name suggests, it comes primarily from red meat. It's a useful supplement for folks who are vegetarian/vegan. If you consume meat, however, then I wouldn't put it at the top of the list for supplementation. If you don't want to take it, that's fine. I'm not aware of a beta-blockade effect from taby wolfpack - AFIBBERS FORUM
As long as you have healthy kidney function, you can take magnesium to bowel tolerance if you wish. Start with 400mg daily and ramp up. Use a highly bioavailable source such as magnesium bisglycinate (amino acid chelated). Avoid the cheap stuff like magnesium oxide or magnesium citrate. Taurine is safe up to several grams per day. Just don’t go crazy with it. Potassium should always be sourby wolfpack - AFIBBERS FORUM
The Kardia won’t say Bradycardia until the rate is below 50. Tachycardia is over 100.by wolfpack - AFIBBERS FORUM
Rate control to < 100 bpm and anticoagulate. Then you have nothing to worry about for days or weeks until you either convert or get shocked.by wolfpack - AFIBBERS FORUM
A-fib is a progressive disease. No one should take discouragement at having to face it more than once. The decision to wait is perfectly rational. I’ve made the same.by wolfpack - AFIBBERS FORUM
Ditto what Carey said regarding heart disease. Just say no. If you say yes, 99% of medical professionals will assume you mean blocked coronary arteries, cardiomyopathy, and/or valve replacements.by wolfpack - AFIBBERS FORUM
I’m on one so far. I’ve had some AF breakthroughs, the longest lasting about 7 hours at the three year post ablation mark. I have not scheduled a second ablation because at this point I see no need. I expect at some point in the future to need a follow up procedure but I am committed to stretching the index procedure as long as I can. I am convinced that this site has helped me to do exactly thatby wolfpack - AFIBBERS FORUM
The app is on your smart phone or tablet. As long as you have it set to auto-update then you shouldn’t need to do a thing. If not, depending on the type of device, you’ll need to go to the App Store or Google Play or whatever the equivalent is and manually update it. I wish I knew exactly how to do that in every instance of mobile device but, alas, I do not.by wolfpack - AFIBBERS FORUM
I noticed in the latest app update that the Kardia has added "Bradycardia" and "Tachycardia" to its list of possible findings. Previously, a normal rhythm below 50 BPM would be called "Unclassified". I used to get those all the time. Now it says I'm bradycardic, which is correct for me. I think this adds more weight/concern to any reading that's called &by wolfpack - AFIBBERS FORUM
Upper GI scope? It shouldn't be a concern. Just be sure to tell them (especially the nurses) about your AF history. The anesthesia would be the bigger concern, I would think, than the endoscope.by wolfpack - AFIBBERS FORUM
Imagine someone smashed a cinder block on your face and you’ll get the idea! I definitely have improved flow. I used have almost complete to complete obstruction of my right side, now that rarely happens. I suspect the surgeon did some mild damage or created some mild scarring very near the trigeminal nerve. If anything inflames my sinuses I get splitting headaches on my right side. Pain behinby wolfpack - AFIBBERS FORUM
Quotesmackman Dr. Natale put me on 2.5 Eliquis after this report. I was on 5 mg. Of course both 2x a day. Bad luck on my part but Enjoy NSR But I hate the OAC You really don’t need to worry a whole lot on the half dose of Eliquis. It’s not very much. If you stopped it, you’d be at normal coagulation in only a few hours. But I get it. We all hate it.by wolfpack - AFIBBERS FORUM