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As long as the metoprolol continues to keep your resting heart rate well under 100, the AF will not damage your heart. Your atria may enlarge somewhat, but that's not harmful. The odds of flecainide + cardioversion getting you out of AF and keeping you out aren't particularly high. So if you're asymptomatic, the metoprolol agrees with you, and you're feeling good, I wouldnby Carey - AFIBBERS FORUM
Quoterocketritch In the past I have always chalked this up to dehydration, over training or meds. I suppose that maybe I might have been dehydrated but not sure. I'm currently on 25mg of metoprolol which at that low of a dose had never affected me before. Thoughts??? Dehydration will increase your HR, not lower it. And I think you underestimate metoprolol. 25 mg may be a low dose but itby Carey - AFIBBERS FORUM
Isolating or even removing the LAA does NOT reduce stroke volume or cardiac output, it does not cause heart failure, it does not affect thirst, it does not cause hypertension, it does not cause salt or water retention. When I find time I'll go through your list of alarming stuff that is almost all incorrect and answer in detail. Take a look at the citations in Hans' article. Theyby Carey - AFIBBERS FORUM
Quotesusan.d I did beforehand. “ What it can do in about 60% of patient is reduce the LAA's ability to pump effectively”. Thus my post. I’m getting pac often since the cardiovert. Always happens after a cardiovert. Then I have to use my watch ekg for 5-7 beats to see if I am in nsr. That’s why I’m on alert and sometimes alarmed with AF, hospitals and covid19. But you understand that thby Carey - AFIBBERS FORUM
Quotesusan.d I didn’t know ablation of the LAA affects ones heart’s pumping capacity! Does it lower ones ventricle ej rate %? Shannon or Casey or George can you give me some info? Please read my response to Leo right before the post you're getting alarmed about.by Carey - AFIBBERS FORUM
QuoteLeo J This should be ablation 101 education given to those considering the procedure so they can make a fully informed decision. Before my ablation I new nothing of LAA isolation or the probability of reduced a pumping action. To be clear, isolating the LAA doesn't reduce your heart's pumping capacity. What it can do in about 60% of patient is reduce the LAA's ability to pumby Carey - AFIBBERS FORUM
QuotePompon Does it only work for PVI ? No, it can be used anywhere in the atria, and probably the ventricles as well. I expect it will become the technology of choice for all ablations in the future.by Carey - AFIBBERS FORUM
Quotesusan.d there was a 6.6% rate of all-cause death Okay, now I understand where you got that number. It includes all the people who died regardless of cause. Most of those people would have died whether they had a Watchman or not. The death rate associated with the Watchman device is far below 1%. Please be careful when interpreting study results. It's easy to misinterpret them.by Carey - AFIBBERS FORUM
Quotesusan.d I took 3 doses of multaq since yesterday. How many doses before I am protected? There's not really a good answer to that question other than "now."by Carey - AFIBBERS FORUM
If it's not coated then sure, you can do it yourself, but if it's not soluble in water you're going to have a really hard time getting a consistent dose even with vigorous shaking.by Carey - AFIBBERS FORUM
QuoteElizabeth If you have to spend 3 days in the hospital to see whether you can take a certain drug, and you are deemed able to take it, what are the chances of at a later date you will have side affects (and they could be deadly) from taking the drug. Practically zero. The danger of Tikosyn is that it can prolong what's known as the QT interval. That's why they monitor you in theby Carey - AFIBBERS FORUM
Quotegmperf D-PO01-036 - Histologic Failure To Endothelialize Watchman And Watchman FLX LAAO Devices At Autopsy (ID 55) That's kind of meaningless since it was only 3 patients. There is NOT a 6.6% death rate associated with the Watchman device. There's no way it would have been approved by the FDA or in Europe if it had that kind of risk. There's no way I would have gotteby Carey - AFIBBERS FORUM
Quotesusan.d 6.6% deaths WHAT? Where are you getting that number from?by Carey - AFIBBERS FORUM
QuotePokey I contacted a compounding pharmacy and they want $200 to compound it. Then I would pay them. You've spent who knows how many thousands of dollars over the years and now all you have to do is pay somebody who knows what they're doing $200 per month for a month or two to do it right. Problem solved. Really, don't try to cheap out on stuff this serious.by Carey - AFIBBERS FORUM
Googling around I can't find an authoritative answer. The pills aren't score so that usually means they can't be split. You need to ask a pharmacist. Walk into your local pharmacy and ask to speak to the pharmacist. Not a clerk, not a tech -- a registered pharmacist. They will know or can find out for you. That's what they're trained for and what they do and they'reby Carey - AFIBBERS FORUM
It's a coated tablet, so I doubt you can crush it. Those coatings are usually intended to allow the pill to pass through the stomach without dissolving, so crushing it would probably result in a tablet with no effect. But to be sure, I would find a compounding pharmacy and call them and ask.by Carey - AFIBBERS FORUM
Hi Salwa, welcome to the forum. There are three people here who received the Watchman FLX (myself, AB Page, above, and Robbie), but the only person I know of who's received another type of closure device is Shannon.by Carey - AFIBBERS FORUM
Sorry to hear this, but no reason to kick yourself. It's not something you did.by Carey - AFIBBERS FORUM
Why are you so desperate to avoid a cardioversion? It's a safe, quick, trivial procedure. You found two studies that might have some relevance, but it will take weeks or months to investigate. And your doctor may not even be willing to prescribe testosterone treatments if you're merely "less than optimal" (probably won't). Meanwhile, you'll continue to deal withby Carey - AFIBBERS FORUM
QuoteNotLyingAboutMyAfib This is heart remodeling from being in AF for a prolonged period ? Weakens the muscle and heart learns to pump in this odd way? Yes, remodeling is the word. There's an old saying that goes "afib begets afib." The more time you spend in AF, the more your heart adapts to that conduction pattern, so it becomes more likely you'll stay in AF. But theby Carey - AFIBBERS FORUM
QuoteNotLyingAboutMyAfib Here's the problem right now. The current cardi (unwarranted as far as I can tell) has re-frightened me into oblivion about the use of flecainide due to a high CAC score I don't know where your doc even got that idea. The contraindications for flecainide are structural heart disease, heart failure, recent MI. A high CAC score simply isn't a contraindicaby Carey - AFIBBERS FORUM
Nice to know! (Wish this site had a like button.)by Carey - AFIBBERS FORUM
Quotewolfpack I just put one on yesterday. I was using a belt sander on rough cut lumber for a new picnic table I’m building. A dust mask would have been perfectly adequate. I hope that N95 was something you had lying around in your workshop since long before covid was an issue. It's total overkill for cutting lumber.by Carey - AFIBBERS FORUM
Every N95 mask you buy from any source is an N95 mask medical providers won't have available. There is no reason for the average person to be wearing an N95 mask.by Carey - AFIBBERS FORUM
Sorry about your frustrations, but pretty much everyone here has been there, done that. You're not going to find discoveries everyone else has overlooked for the last 3000 years. Your choices are drugs, surgery, ablation, or complex solutions as described by George, Steve Carr, and a few others. And I agree with Anti-Fib. You're making too much of the success of this. Give it a try andby Carey - AFIBBERS FORUM
QuoteNotLyingAboutMyAfib It ain't worth only 90 hours of NSR. I need this one to stick. I would gladly do an ECV for 3-4 days of NSR. In fact, there was a time in my life when I was doing just that. I was in the ER being cardioverted 2-3 times per week. Trust me, it is worth 90 hours of NSR, or at least it was for me. An ECV is a nothing procedure. It's an hour or two out of your lby Carey - AFIBBERS FORUM
I have a hard time seeing all the NOACs becoming unavailable. Eliquis is manufactured in Puerto Rico (a US territory), Xarelto in Puerto Rico and Germany, Pradaxa in Germany, and I think Savaysa is manufactured in Japan (not 100% sure but the company is Japanese). If all those drugs became unavailable, the logical fallback would be warfarin. It's cheap, generic, and easily manufactured by alby Carey - AFIBBERS FORUM
What Anti-Fib said. There's a good reason why that article has zero comments even after 12 years. It's loaded with misunderstandings on the author's part. He seems to think ECV is considered a long-term treatment, which it certainly isn't now nor was it in 2008. It can be part of long-term treatments, but nobody considers it a treatment expected to provide lasting resultsby Carey - AFIBBERS FORUM
QuoteDriver Guess if I cancelled the ablation my heart would go right into afibb day after cancelation Consult a gentleman by the name of Mr. Murphy. He has a law about such things.by Carey - AFIBBERS FORUM
No, aspirin has a higher bleed risk. It's also much less effective at preventing clots. Until you're through the blanking period, you need to remain on an anticoagulant. If you think the Eliquis is responsible for the nausea, ask your doctor to switch you to Xarelto or Pradaxa.by Carey - AFIBBERS FORUM