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QuoteCarola Because beta blockers deplete muscular energy and strength and can cause muscle pain What beta blockers do is block the effects of adrenaline. That can cause fatigue, which might feel like muscle weakness to you, but if you're experiencing muscle pain, there is another cause. It's not the beta blocker.by Carey - AFIBBERS FORUM
It works similarly to digoxin, which used to be used routinely in afib treatment but is now known to be an inappropriate choice. Unlike digoxin, which at least has known dosing parameters, you're on your own with herbs and supplements.by Carey - AFIBBERS FORUM
QuoteSueChef why did I need to be hospitalized that first time? You didn't. The trouble is the ER docs feel compelled to do something and all they have available is cardioversion and rate control meds. Since you weren't on anticoagulants the cardioversion is risky, and managing afib with rate control meds isn't an emergent problem so it's not really what ER docs do. Soby Carey - AFIBBERS FORUM
But what are you trying to achieve? You seem to be looking for an antiarrhythmic and an anticoagulant from alternative sources, but you've never told us what you're situation is.by Carey - AFIBBERS FORUM
1. Most antidepressants aren't stimulants. Not sure where you heard that. Some stimulants can often provide the same effect, but the two aren't the same. 2. It would require a huge, unreasonable, and unknown amount of fish oil to provide the same anticoagulant properties as something like Eliquis, warfarin, etc. 3. No, and the herb is known to be toxic. From what I've read Iby Carey - AFIBBERS FORUM
CoQ10 is no substitute for metoprolol. It won't do the same job at all, so that's probably why you had a miserable night. I would go back to the metoprolol. Not sure why you think metoprolol causes muscle weakness and pain. It doesn't. It can cause general fatigue, but not muscle weakness and definitely not pain.by Carey - AFIBBERS FORUM
Quotepmcaz Very interesting, I thought it was normal, but I never had a surgery before so what do I know. I did threw up violently on the ride from post-op to my room the first time. The nurse laid on my wounds with all her weight (and seemed extremely concerned about me puking). In hindsight I bet that had something to do with the "monster bruising"? Ah.... Yeah, could be. What shby Carey - AFIBBERS FORUM
Quotepmcaz Pineapple. My boss said "eat a bunch of pineapple before and after and you'll have no bruising". I didn't believe him then but sure do now! First time monster bruising...this time size of a dime on each leg. Coincidence? Maybe, but I'm a believer. Monster bruising shouldn't happen. You might have had some nurses who don't know how to apply prby Carey - AFIBBERS FORUM
QuoteBarbcat Carey, are you saying it's better to have Medicare Advantage or worse? I can't tell what you mean. I have regular Medicare. No, I wasn't saying one is better than the other. I was only asking because if you had Medicare Advantage, there's a good chance Natale would be out of network for you. But since you've got traditional Medicare you're good toby Carey - AFIBBERS FORUM
QuoteDaisy My Pacemaker has that algorithm and it seems to work well. I occasionally feel it kick in. It isn’t going to work all the time but it definitely helps Afib burden. I remember you mentioning that and I think you're a lucky one. From what my EP said and what I've read, it wasn't successful enough to justify implanting in afib patients who otherwise didn't need one.by Carey - AFIBBERS FORUM
You say you have Medicare at Stanford. Does that mean you have a Medicare Advantage plan? Or do you have traditional Medicare. It's going to completely change the picture if you have an Advantage plan (but you can change that if you do).by Carey - AFIBBERS FORUM
QuoteDavrosT Anyway, have any of you guys ever been told yours are 'intrusive', and what level do they have to get to to be considered instrusive? The standard cardiologists use to decide if PVCs warrant ablation is 20,000 per day, or about 13 per minute (every single minute of the day). To my knowledge, there isn't a comparable standard for PACs because PACs aren't easilyby Carey - AFIBBERS FORUM
Quotecirenepurzalot I think the overwhelming majority of people here agree that Dr Natalie is awesome! I haven’t heard anything negative yet! That’s great. Yes, he is. And his name is spelled Natale, not Natalie. It's pronounced na-TAH-lay, not like Natalie, nat-a-LEE. Sorry, don't mean to pick on you. I see this misspelling all the time and just used your post as an opportunby Carey - AFIBBERS FORUM
Quotecirenepurzalot When you leave the Texas Cardiac Arrhythmia Institute, after an ablation, do you have to constantly wear some type of monitoring device for a while? Or will a Kardia suffice? (I don't live in TX.) A Kardia will suffice. At least two years ago their procedure was they wanted you to take a Kardia reading once per week and email it to the NP you're assigned to. And thby Carey - AFIBBERS FORUM
Quotesafib What I meant was that imaging can play a role in screening not for whether afib originates in the LAA, but rather for the stroke risk associated with the morphology (structure) of the LAA in the presence of afib. This type of imaging and risk stratification is not usually carried out in the paroxysmal population from what I can tell. Despite having undergone an MRI with contrast, a Cby Carey - AFIBBERS FORUM
It shouldn't change the financials at all. It's a normal medical procedure and Medicare won't care one bit. And I don't think any gastro doc will have a problem with it, rural or not. It's not all that unusual. There's no reason he would even need to have a discussion with Natale. Just call Natale's office, ask them to send the protocol to him, and let him haby Carey - AFIBBERS FORUM
What George said. I replied to you about this on another thread.by Carey - AFIBBERS FORUM
You don't need to find a workaround yourself. Natale has a bridging protocol for times when you need to come off Eliquis. Ask his office to send it to your doctor.by Carey - AFIBBERS FORUM
Quotesusan.d I got that but I still cannot have inflammation after 4.5 months and the pvc frequently has increased. Berkeley heart lab inflammation tests came back with better scores post ablation than pre ablation. You absolutely can and do have inflammation 4.5 months post-op. The elevated resting heart rate that almost always follows ablation can last over a year, and that's due to inflby Carey - AFIBBERS FORUM
Quotesusan.d I always hand write additionally instructions to consent forms I sign. Unless the doctor counter-signs those changes I doubt they would have any legal weight. But this really just isn't a concern. The only way you might wake up with an unexpected pacemaker would be if something happened during the procedure that made it a lifesaving requirement. That's something I'by Carey - AFIBBERS FORUM
Glad to hear that. It probably is just a migraine but better safe than sorry!by Carey - AFIBBERS FORUM
The 60% figure is about right. So if your afib originates in the LAA, here are your choices: 1) Isolate it, be free of afib, and have a 40% chance of also coming off anticoagulants. 2) Don't isolate it and have a 100% chance of afib continuing and remaining on anticoagulants indefinitely.by Carey - AFIBBERS FORUM
Did you read the conclusion? QuoteThis study revealed a noticeable prevalence but relatively benign prognosis of new-onset VAs post RFCA for AF. Increased serum leukocyte counts ≥50% post ablation appeared to be associated with new-onset VAs, implying that inflammatory response caused by the ablation may be the underlying mechanism. In other words, the PVCs are a reaction to inflammation andby Carey - AFIBBERS FORUM
Quotesafib My understanding is that possible LAA involvement is neither screened for (using imaging) nor is LAA isolation beneficial in the paroxysmal afib population. There's no way to screen for LAA involvement using any type of imaging. That can only be determined during the procedure by actually mapping the source(s) of the afib. I don't know where you read that LAA isolationby Carey - AFIBBERS FORUM
Quotelds001 Also, is a TIA a warning of a larger stroke? Yes, Linda, it is, and I think you should seek immediate medical care. A 911 call would be a perfectly reasonable thing to do right now.by Carey - AFIBBERS FORUM
There are articles out there about things that increase NO production like beats, and I think they have value. Supplements, not so much.by Carey - AFIBBERS FORUM
There are dozens more BP meds that can be tried. To give you an idea how many there are, see this list. I doubt a nitric oxide (NO) supplement will be a problem with Eliquis because NO is produced by almost every cell in your body. It also has an extremely short half-life measured in seconds, which is why I don't think NO supplements can possibly do anything for you. One supplement tby Carey - AFIBBERS FORUM
Typical atrial flutter is caused by a signal going around the right atrium. So if you're facing a person and that flutter wave a visible light, you would see a light going around in a circle like a clock on the wall (it might be going counterclockwise but that would still be typical). Atypical flutter is when that flutter wave is revolving anywhere else. Merely being in the left atrium maby Carey - AFIBBERS FORUM
There are dozens of BP meds. What have you tried? I don't think anyone can tell you much about a supplement because whatever's in it this month might not be what's in it next month.by Carey - AFIBBERS FORUM
Quotesmackman Carey, You got the watchman basically free right? If I would of had that opportunity I would have jumped on it like stink on a skunk. You also say your cost for eliquis is minimal. That’s not the case with me and many others. What if I need surgery in the future? That is just one of my concerns that you really do not have to consider. You can get off Eliquis without having to worryby Carey - AFIBBERS FORUM