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Since your rate is well controlled there's no rush. I would wait until things settle down. Basically, when the hospital is willing to do non-urgent procedures again, I would take that to mean it's safe enough.by Carey - AFIBBERS FORUM
The number one criteria you need to be looking at in choosing an EP to do an ablation is experience. How many AF ablations has the doctor done? The answer needs to at least be many hundreds but preferably many thousands. This is not a procedure you want done by someone who's doing a dozen or two per year. The center where it will be done also needs to be high volume, and not just a high voluby Carey - AFIBBERS FORUM
NO, and he needs to quit stopping it.by Carey - AFIBBERS FORUM
What George said.by Carey - AFIBBERS FORUM
Sure, you can experiment with lowering the dose. If you end up back in flutter please don't blame me! But that's what I would try first if I were you. If 75 works for you, that's a fairly low dose so it's likely 50 might work as well. I doubt you need a high dose.by Carey - AFIBBERS FORUM
Vitamin K is irrelevant to NOACs like Xarelto so no problem with that, but 400 mg of magnesium on top of the 400-500 you're already taking is probably going to put you in the bathroom all day. I would stop the other magnesium you're taking if you decide to take this.by Carey - AFIBBERS FORUM
I would try just doing a 50 mg dose and see if that does the job for you. If it does, problem solved!by Carey - AFIBBERS FORUM
Interesting. I've never heard it called a Pappone ablation. What you had done is generally known as a pulmonary vein isolation (PVI) ablation or simply an RF ablation since PVI is the standard and has been for almost 20 years now. Anyway, back to your question. Since your ablation was successful for years, that almost certainly means it hasn't failed but rather that you've develby Carey - AFIBBERS FORUM
Hi, welcome to the forum. Sorry you found the need to join but you're in the right place. A couple of questions.... What do you mean by a Pappone ablation? There is an EP named Carlo Pappone in Milan Italy. Do you mean he did the procedure? What is Airborne?by Carey - AFIBBERS FORUM
Definitely not a mistake, and your ablation wasn't a failure. The fact that you've had no sustained AF without flecainide this far out proves the ablation was successful. I know the ectopics are annoying, but they're not AF. What you're experiencing is common even with successful ablations. I can't promise they'll diminish in the coming months, but they most likely wby Carey - AFIBBERS FORUM
Agree with wolfpack there's no reason to take metoprolol.by Carey - AFIBBERS FORUM
Since she's taken her last dose, I'd say just wait and see if they go away. If they don't, buy a Kardia or Apple Watch and find out what it is. There's no way to distinguish between PACs and PVCs from how they feel. And the thing is, if you do find out which they are, it's not going to have any clinical significance either way. No one's going to treat her for PACby Carey - AFIBBERS FORUM
I don't know how you're going to convince a drug store to supply you with a generic made by a specific company. They buy generic drugs in large lots from established suppliers based mainly on who's cheapest. I'd be very surprised if they could accommodate a request for a generic from a specific company. And even if they could, you'd probably get a pill that's just liby Carey - AFIBBERS FORUM
I have to agree that posts about statins, LDL, diet, nutrition, etc. are better suited for the general health section, so I'm moving it.by Carey - GENERAL HEALTH FORUM
QuoteNotLyingAboutMyAfib Safin - what disclosures do you have about statins: Sold them? Prescribed them? Taking them? Nope, nope, nope. We're not going to engage in innuendo and unsubstantiated suggestions of corruption here. If you have evidence that someone is engaging in unethical behavior, PM one of the moderators, provide us with your information, and we'll take care ofby Carey - GENERAL HEALTH FORUM
Well, the stuffy nose thing may just be an individual quirk. It's not something I've ever heard before from people with AF. The arrhythmia you describe sounds like it's probably PACs, which can definitely feel like AF is about to begin because they often do trigger it. But if your burden has decreased, then kudos for you! We rarely hear that around here unless someone's had anby Carey - AFIBBERS FORUM
Any chance you have some mild heart failure? Have you had a recent cardiac workup, like a stress test and/or echocardiogram? One of the symptoms of fluid overload, which is often a consequence of heart failure, is a runny nose/stuffy sinuses. And what are these other arrhythmias you speak of?by Carey - AFIBBERS FORUM
QuoteNotLyingAboutMyAfib Carey - what number of people can be reached out to for participation? Well, that's hard to say. The site has thousands of registered members, but reaching out to them individually by a mass email or something like that would be a major undertaking we're not prepared to do. The vast majority of them are lurkers who read and never post, so you're unawarby Carey - AFIBBERS FORUM
Well, there's truth to what Pompon said, but Natale spends a huge amount of time traveling and training other EPs. In fact, the time he spends training is what led to Cleveland Clinic not renewing his contract years ago despite the fact that he does the training on his own time and money. If he stopped doing procedures and I needed one, I would definitely seek out one of his proteges. Aby Carey - AFIBBERS FORUM
Depends on location, hospital, etc. Not all elective procedures nationwide have been postponed.by Carey - AFIBBERS FORUM
I've heard this criticism many times and it burns my ass. (pun intended) Natale burns what needs to be burned and no more. His success rates trump probably every other EP in the world, so calling him "too aggressive" is just plain baffling and makes no sense. That's like saying Babe Ruth hit baseballs too aggressively. Where he excels is knowing how to map the sources of Aby Carey - AFIBBERS FORUM
I meant the 11-1/2 ounce cans, not the big jugs. Cold or warm is your choice, but cold tastes better. If you combine it with exercise, all the better. Maybe wait an hour after drinking it. I used to do things like jog up and down the stairs at home, or walk briskly up a steep hill. Nothing really intense, just enough to get the heart rate going. I'll give you a call later today.by Carey - AFIBBERS FORUM
QuoteMadeline What do you mean about cardioversion being problematic now with COVID-19? Just all the risks associated with going into hospital &/or that they might be too busy with corona pts & not even doing cardioversions? Yep, all the above. A HR of 125 isn't life-threatening so the ER isn't going to see you as an emergency. And the cardiology department is going to see itby Carey - AFIBBERS FORUM
I see no problem whatsoever with sharing the name of a doctor who has been recommended by a widely recognized EP.by Carey - AFIBBERS FORUM
Yes, you'll have to stop the flec/met a few days before the procedure. When they send you instructions they'll tell you exactly when. They'll probably have you stop the flecainide 5 days beforehand and the metoprolol a day or two before. Flutter is a not an uncommon complication of AF ablations -- and you're talking to a guy who knows that in spades -- but considering who&by Carey - AFIBBERS FORUM
The tachycardia is almost certainly flutter. A cardioversion would be the obvious answer, but that's problematic right now with COVID-19. The only things that ever terminated flutter for me are large doses of potassium (easiest way is 2 large cans of low-sodium V8 juice, guzzled all at once on an empty stomach), and sometimes exercise. The exercise had to be intense enough that under normby Carey - AFIBBERS FORUM
I don't have any published information I can point to but I have heard reports that COVID-19 patients are experiencing high rates of hypercoagulation problems. Clots causing kidney failure, liver failure, heart attacks, and strokes have been reported in higher than expected numbers with hospitalized patients. I'd say if you're on an anticoagulant (or should be), now isn't theby Carey - AFIBBERS FORUM
Without a recording there's no way for us to know what the tachycardia might be, but assuming it's a regular rhythm the most likely suspect would be atrial flutter. If often goes hand in hand with AF. The BP could be stress, but 240/120 is more than stress and isn't something you can allow to continue untreated. That's dangerously high. To repeat Anti-Fib's question:by Carey - AFIBBERS FORUM