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Natale simply got tired of coddling Mandrola and quit doing so. Mandrola seems more interested in recent years in building a following on WebMD by writing adversarial opinions. To hear him tell it, ablations are bad, LAA isolation is bad, isolating the posterior wall is bad, LAA occlusion devices (eg, Watchman) are bad. In fact, to hear him tell it, afib is your fault for leading a bad lifestyby Carey - AFIBBERS FORUM
I've been taken off it (and Eliquis and warfarin) several of times. You just stop taking it. There is no taper procedure. I don't know where this legend comes from about needing to taper comes from but I've seen no credible evidence of any sort of rebound effect. The black box warning isn't about hypercoagulability. It's simply a warning about stopping the drug withoutby Carey - AFIBBERS FORUM
Good for you! Have you made travel plans yet?by Carey - AFIBBERS FORUM
Um, collagen? ;-) They're made to be absorbed by the body so they can't contain much else.by Carey - AFIBBERS FORUM
Quotekbog hoping for NSR to continue so I can stretch a return to Austin to the summer months I sure hope you like HOT weather.by Carey - AFIBBERS FORUM
Quotesmackman I am assuming that you do not buy the statin controversy. I want go into details because I am assuming you know about it. We have individuals on this forum who will not take a statin. What is your take on statins and the Heart? Personally, I lucked out with the cholesterol genes (unlike the afib genes). I've always had low totals and great HDL/LDL ratios despite eating a lesby Carey - AFIBBERS FORUM
The usual end result of too much magnesium is diarrhea. At least for me, 750 would definitely be too much.by Carey - AFIBBERS FORUM
Sue, there's no reason to be afraid. Just take your normal meds at the usual time every day no matter what your heart is doing. You'll be fine.by Carey - AFIBBERS FORUM
Having tachycardia or afib is no reason to skip your normal meds. I'm not sure why you would question it. That's what those meds are for.by Carey - AFIBBERS FORUM
No, it's not the beta blockers. Metoprolol can slightly elevate triglycerides and decrease HDL, but the key word there is "slightly." I'd seriously consider a statin if I were you. I'd be surprised if your doctor never mentioned that.by Carey - AFIBBERS FORUM
I don't think a low dose is likely to achieve the PIP effects you're looking for but by all means approach it as carefully as you feel comfortable with. The general idea behind PIP is to hit it with a high dose as early as you can. As long as you're taking a rate control drug with it I don't think you have much to worry about.by Carey - AFIBBERS FORUM
QuoteElizabeth I wonder if this procedure will be once and done. Only if the operator is skilled at finding and mapping sources of afib. That aspect won't change, and that's the skill that separates the true experts from the rest of the crowd. If you don't ablate the right places, it doesn't matter what technology you use. However, it should vastly improve outcomes with skilby Carey - AFIBBERS FORUM
1:1 flutter caused by flecainide is very rare. It's so rare that some EPs don't think it's necessary to take a beta blocker with flecainide. But if you are taking a beta blocker (or diltiazem) with it, you really don't need to worry about it. I used flecainide as a PIP with flutter that was a lot faster than 155. EP's instructions were metoprolol first then flecainideby Carey - AFIBBERS FORUM
Quotehwkmn05 I was looking for a credible source, which escapes me other than a few older sites, that BBs destroy heart muscle eventually. I don't believe that's true. After all, beta blockers are a mainstay of treatment for heart failure and heart attacks and proven to be lifesaving for those patients, and those are the people who can least afford loss of heart muscle. I think maybeby Carey - AFIBBERS FORUM
Quotesafib Is it true that flecainide requires a beta blocker to be taken with it? It's not required per se, but it's true that most EPs will insist on it. The risk of 1:1 conduction is extremely low, especially if you only have afib rather than flutter, but if it does happen it could be fatal. I know what 1:1 feels like at 250, and I don't think I would survive it at 300. Iby Carey - AFIBBERS FORUM
Quotehwkmn05 Just curious why you despise Beta Blockers which are used more widely for anything from high BP to PVCs, vs a black box warning med? I'm one of those people who beta blockers just suck the life right out of. Major fatigue. They make me feel like I've got weights tied to my arms and legs. Just climbing a flight of stairs seems like an aerobic effort, and climbing a tough hby Carey - AFIBBERS FORUM
Personally, I would choose Tikosyn because flecainide requires you to take a beta blocker with it and I despise beta blockers. But the more logical choice for most people would be flecainide. It's safer, cheaper, we have decades of experience with it, and it does not require a hospital stay. If you're reading something that says it does, that's the original FDA recommendation fromby Carey - AFIBBERS FORUM
If I were you I'd go for a cardioversion. After all, why not? It's a couple hours out of your life and the worst case is it gives you a break for a few days or weeks. Best case, maybe months. Don't expect a permanent cure but in my view at least one cardioversion is always worth trying. I would go ahead and schedule the touch up at the same time. With any luck the cardioversion wilby Carey - AFIBBERS FORUM
Any tablet that's scored can be cut in half. That's why the manufacturer scored it.by Carey - AFIBBERS FORUM
Going home the same day has nothing to do with the mapping technology they use. That's purely a decision based on risk assessment. Almost all centers in the US require an overnight stay no matter what sort of mapping they used.by Carey - AFIBBERS FORUM
Quotesafib Again, this is not correct. If the results hold up, this means that a potentially large population of those with paroxysmal afib may not have to be anticoagulated for life, including those with CHADs of 2 or larger. There are many issues with anticoagulation including, cost, compliance, bleed risk, and surgical complications. Although the study is far from definitive, it is wrong to asby Carey - AFIBBERS FORUM
I don't think so, or at least not yet. It's time to modify your lifestyle factors and see if you can beat it. Maximize dietary influences -- eat a high potassium, low salt diet (easy: the basic Mediterranean diet). Rule out or get treated for sleep apnea. Get your thyroid levels checked. Supplement magnesium. Exercise more. Do all that for another 12 months and see how it goes.by Carey - AFIBBERS FORUM
Quotesafib That is incorrect. The results are startling in that they suggest (i) there is a quantified risk associated with afib independent of comorbidities; and (ii) the risk is associated with the total burden and not with the longest duration. I don't think (i) is startling at all. As for (ii)... eh, maybe. One study doesn't warrant conclusions. Mainly, I think slicing and dicingby Carey - AFIBBERS FORUM
I don't think there are solid answers to your questions except maybe #4. There's conflicting evidence on how long it takes for clots to begin to form during an afib episode, with one study showing it's only minutes. That study may be an outlier because the study population was older and sicker, but still, nobody has a firm answer to the question. So if I were you I would take the Pby Carey - AFIBBERS FORUM
From your study: QuoteFindings In a cohort study of 1965 adults with paroxysmal atrial fibrillation, a greater burden of atrial fibrillation (≥11%) on 14-day noninvasive, continuous electrocardiographic monitoring was associated with a significantly higher rate of thromboembolism while not taking anticoagulation vs a lower burden. These are completely expected results.by Carey - AFIBBERS FORUM
QuoteJakeL What else will the doctors need to know to determine if I can stop Metoprolol and Eliquis? Stopping the metoprolol is up to you. You can stop it any time you want and only take it when you go into tachycardia (>100 bpm heart rate). If you find that you go into tachycardia more without it, then use your judgement about taking it daily. You shouldn't allow yourself to be in tacby Carey - AFIBBERS FORUM
There is no percentage that's dangerous as long as rate is controlled and anticoagulants are taken. After all, people in longstanding persistent afib have 100% burdens and they live just as long and just as healthy as anyone else.by Carey - AFIBBERS FORUM
QuoteElizabeth There are a lot of people that take a blood thinner and live with their AF, I could do that as my AF is not very bad, I hardly feel it, I just get a little more tried, but I could pace myself. If I could get Cardioverted and then get off the drug, I wouldn't hesitate but to think I have to be on a drug like tikosyn forever is not something I would look forward to. Itby Carey - AFIBBERS FORUM
Flecainide is okay but I sure wouldn't choose amiodarone over Tikosyn. And there's almost no point in doing a cardioversion and then stopping whatever drug you're on. That's just a stopgap measure; the afib will be back.by Carey - AFIBBERS FORUM