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Yes, it does. That's why people who've been on beta blockers for a long time have to wean off slowly. Your body overrides it by producing more adrenaline and by creating new receptors.by Carey - AFIBBERS FORUM
Okay, glad to hear you're still doing the consult and I totally understand your need for relief. We're all rooting for you to find it permanently.by Carey - AFIBBERS FORUM
Megan, did you really mean a sinus node ablation? Or did you mean an AV node ablation? Very different things.by Carey - AFIBBERS FORUM
PFA can only do a PVI, and I'll be surprised if that's sufficient to terminate persistent afib. Most likely the EP will have to do a combination procedure PFA/RF, or a second RF ablation.by Carey - AFIBBERS FORUM
I think the ones on the bottom shelf are early models.by Carey - AFIBBERS FORUM
You're having a hard time catching a break. I'm sorry.by Carey - AFIBBERS FORUM
Multaq is an antiarrhythmic, so the goal is eliminating arrhythmias, such as atrial tachycardia. When you say it has slowed your heart rate down, how much do you mean? What is it at night now and what was it without the Multaq? A QT of 480-510 is concerning, but how did you calculate it? Can you get in to see someone who can get a 12-lead on you, even if it's just a walk-in clinic?by Carey - AFIBBERS FORUM
Sounds like you're looking for more of a textbook, like something a med student might use in a course on the subject. Is that about right?by Carey - AFIBBERS FORUM
Yeah, they do have a major interaction. Multaq can raise your serum levels of colchicine to dangerous levels. You should stop one or the other until you talk to your EP.by Carey - AFIBBERS FORUM
I'm among a handful of people here with a Watchman, but as Jake pointed out, a Watchman and ablations are totally different things. If you don't want an ablation then don't get one. It's that simple. A Watchman might allow you to stop taking anticoagulants, but it's not going to do anything for your afib.by Carey - AFIBBERS FORUM
Eeeeh.... maybe don't try to hold out for a week if you're showing allergy signs.by Carey - AFIBBERS FORUM
Quotecalvin Alberta wait times are insane! I phoned an EP in Guadalajara Mexico and he said he could do the ablation in the next 10 days but the price was $45,000USD so way out of my price range. That's nuts. You can get an ablation with Natale for that much or maybe even less. And any EP who can do an ablation for you in less than a few weeks isn't the EP you want.by Carey - AFIBBERS FORUM
I've been on several cruises with afib, and I spent 2 weeks in Italy just a couple of months after an ablation. Do you have any metoprolol or another rate control drug and an anticoagulant? That's all you really need. If you don't have any, ask your doc for a supply. If you go into afib, take the drugs to keep your rate down and go about your business. Might be uncomfortable, but yby Carey - AFIBBERS FORUM
No, it's not known to be pro-arrhythmic. That strip looks to me like a mix of flutter and afib, but hard to say for sure from a short bit of single-lead ECG. I would suggest hanging in there for a week if you can.by Carey - AFIBBERS FORUM
Wait, they want to do open surgery solely because the MitraClip hasn't been around long enough?! I think you need to evaluate the risks and benefits here. Open heart surgery is a very big deal with a long recovery period and major risks. Are you having this done at a major medical center?by Carey - AFIBBERS FORUM
Extremely unlikely that flecainide caused your flutter.by Carey - AFIBBERS FORUM
Quotejoshua things have sure changed in 15 years - used to be the conversions were performed in an OR with at least an attending anesthesiologist & cardiologist in addtition to the OR nursing crew... this was done in an ER exam room, with ER Doc, nurse & an RT.... It goes farther than that in the US. Paramedics can do them in your living room, a moving ambulance, anywhere. There wonby Carey - AFIBBERS FORUM
The regurgitation is your first priority. Everything will get better when that's fixed. If you do end up with afib/flutter after the Maze, and enough time has passed that you're sure it's not a transient thing, then yes, seeing someone like Natale would be the next step. You'll be a complex case, so someone of Natale's caliber is essential.by Carey - AFIBBERS FORUM
Give the Multaq a few days before drawing conclusions. Like many drugs, it takes a while to reach full serum levels.by Carey - AFIBBERS FORUM
Quotecornerbax What I'm saying is if everything is a success, And all other heart function is solid, would There still be issues or any kind due to the Left Atria size? No. LA size in and of itself does no harm. It only increases your risk of developing afib, but you're already there so that's not really an issue.by Carey - AFIBBERS FORUM
Quotecornerbax I wonder how it would of went if you Were the patient, Carey and this guy Was saying all of this to you. I would ignore him and seek advice from an expert in Maze procedures. You've heard from one, but if you want to be sure a second opinion can never hurt, so find another surgeon who does a lot of Maze procedures, schedule a consult, and ask them. Your left atrium isby Carey - AFIBBERS FORUM
Days won't matter. Remodeling happens over the course of months, not days. And like I said, don't expect flecainide to terminate flutter. It almost never does. But it's worth trying as a preventative, and you've got to get it onboard before the cardioversion. Without something to prevent the flutter from returning, cardioversion is almost a waste of time. As for an ECG,by Carey - AFIBBERS FORUM
I'm betting the cardiologist was a general cardiologist and not an EP or interventional cardiologist. A lot of general cardiologists are fairly ignorant of the state of the art in afib management and hold opinions formed decades ago. If I'm right about him being a GC, I wouldn't put a lot of stock in his predictions. I've never heard anyone quote a 30% chance of success for aby Carey - AFIBBERS FORUM
QuotePixie Could you explain a little why diminutive p waves happen. A previous ablation would be the most common reason, and in my case that's exactly why. Your atria typically don't contract as forcefully after an ablation, and that produces smaller P waves. It can also simply be because you're using a Kardia or wearable device. Things that measure from your hand or arm have aby Carey - AFIBBERS FORUM
QuoteJAYHAWK I assume that if the normal EKG indicates I am in arrhythmia the Kardia would indicate a false positive as well. I missed the part where a 12-lead said you were in an arrhythmia. What did it actually say? And did a cardiologist agree with that assessment? Doctors who know their way around an ECG ignore those diagnostics they spit out. An ECG on me will always declare that I'by Carey - AFIBBERS FORUM
No, they don't all have the same impact. You need to talk to your doc and get them onboard with finding a solution that works for you.by Carey - AFIBBERS FORUM
That's pretty weird. Diltiazem is used as a BP med. I take it for that purpose. Are you sure it was the diltiazem that upped your BP and not something else you didn't recognize at the time?by Carey - AFIBBERS FORUM
I have a long history with flutter, and at least for me no drug could convert it, including flecainide. Flutter's like that. It's a stable rhythm that can continue on its own for a long time. But flecainide was good at preventing it. If I were in your shoes, I would ask to start flecainide and then do a cardioversion a couple of days later. That presents a much better chance of successby Carey - AFIBBERS FORUM
It's bad to be over 100 for a long period of time. Bad as in heart failure bad. Don't do that. Ask you doctor to prescribe diltiazem instead. It doesn't suck the life out of you like metoprolol does.by Carey - AFIBBERS FORUM
Y'all are actually quite lucky. When I first got into EMS pacemakers didn't have activity sensing. When you got a PM it was set to 80 bpm and that was that. Asleep, walking, running -- didn't matter; 80 was what they got.by Carey - AFIBBERS FORUM