![]() |
![]() |
![]() |
![]() |
![]() |
![]() |
It's normal sinus tach with regular PVCs about every 4 secs. The PVCs make it look irregular superficially but it's not, actually. Other than the PVCs, the rhythm is regular so that is not afib. The lack of P waves means nothing since you can't count on seeing P waves on any handheld/wearable device. That might be what fooled your EP. He might not realize the Kardia doesn't reby Carey - AFIBBERS FORUM
Pradaxa is the one that's completely different from the others. It's a different drug that works by a completely different mechanism from Eliquis, Xarelto, etc. So if I were in your shoes I'd sure give Pradaxa a try before I went back to warfarin with a long drive for INR checks. And to be really honest with you, with your history of TIA and ongoing flutter and afib, I donby Carey - AFIBBERS FORUM
The link you provided doesn't work, but I replied to your email. I don't think it's afib. You're throwing a bunch of PVCs but in between the PVCs it looks like normal sinus tach.by Carey - AFIBBERS FORUM
Quoteggheld I had detectable P waves since my ablation up until the most recent two EKG's so the Cardiologist must wonder if something's going on in my Atria in recent months that wasn't before. Oh, okay, I see. Have you had a routine physical lately that included the usual blood work? I don't think it's anything to worry about afib-wise, but I think you'd want toby Carey - AFIBBERS FORUM
Diminished P waves are common following an ablation and don't have any prognostic value at all. They're just a reflection of the fact that your atria have ablation lesions that interrupt the propagation of electrical impulses, and those impulses are what the ECG is recording. After multiple ablations, the last one by Natale in 2017, I have very small P waves that are barely detectable.by Carey - AFIBBERS FORUM
Interesting. 12.5 mg is a trivially low dose so the fact that it's effective for you is a good sign. I think he's right that the ectopics will settle down in the coming weeks.by Carey - AFIBBERS FORUM
If it was the EP it sounds like then I'm quite surprised. It could be you're not the simple case you thought you were.by Carey - AFIBBERS FORUM
You just stop it. There's no reason to taper. There have been claims there's a rebound effect and it needs to be tapered, but I've only seen a single study about that and I was underwhelmed and unconvinced by it. People start and stop anticoagulants routinely every day and no harm has been observed.by Carey - AFIBBERS FORUM
QuoteMarkF786 Has anyone here had a similar experience? Oh yeah, in spades. Three failed ablations by the same EP with the same results as you -- reconnections a few months later. You can read my entire saga here. Give it at least another couple of months before you make any decisions, but if you still need flecainide in, say, March then I would do two things: 1) Do NOT allow your currentby Carey - AFIBBERS FORUM
QuoteJim Benton I suggest that you check the price of Andexxa. I show the wholesale acquisition cost of the standard dose regimen is $24,750, and the high-dose regimen is $49,500. Yep, but that's okay because you're never going to receive the drug because you're never going to need it. The company that makes it knew you'd never need it, so they priced it according to the expby Carey - AFIBBERS FORUM
QuoteElizabeth There is no reversal agent for Xarelto, is that right? Nope! Andexxa is the reversal agent for Xarelto and it's available in the US. It also works for Eliquis. I predict that you'll never need it and no one else here or anyone you've ever heard of will need it, but it's available in the extraordinarily unlikely event you do.by Carey - AFIBBERS FORUM
QuoteCarola The rhythm or beat seems strong (pounding), fast and steady, not erratic like Afib. It is more like tachycardia, I think.,. Atrial flutter is fast and steady too, not erratic like afib. It's impossible to distinguish flutter from atrial tachycardia or sinus tachycardia by how it feels, by feeling your pulse, or even by using a Kardia or Apple watch. You can get some clues,by Carey - AFIBBERS FORUM
QuoteJoeM If I do decide to pursue an ablation I would look for someone with plenty of experience. Who did yours? You're exactly right to look for someone with plenty of experience. And "plenty" should mean a thousand, preferably a lot more. I made the mistake of allowing a highly regarded EP with excellent credentials to do my first three. Two other more highly regarded EPsby Carey - AFIBBERS FORUM
QuoteGregH At this point, I am most interested in how to 'reverse' the AF . You and almost everyone else who visits this site. I'd say the most obvious first step for you is getting your eating disorder under control and getting your body back in a normal status. Once you're there, you can work on the afib. Maybe it will settle down on its own once you do that.by Carey - AFIBBERS FORUM
I don't know of any research in this area but it wouldn't surprise me at all if afib could be a consequence of anorexia. Will it improve after normalizing your eating habits and getting your body back in order? It's possible but I don't think it's predictable. You mention being a former cyclist. How hard core were you and for how long? Like how many miles per week at wby Carey - AFIBBERS FORUM
QuoteElizabeth Now Carey did you talk to her (just kidding, need a little levity). Yes, I'm secretly a Xarelto sales rep so I gave her an all-expense paid trip to Hawaii.by Carey - AFIBBERS FORUM
Although colonoscopy preps are notorious for throwing your electrolytes off and causing afib episodes, it's virtually impossible that the effects would still be present a month later. Your body is actually pretty good at regulating electrolyte levels unless you're doing something that works against it. Do you take a diuretic by any chance? Diuretics are a common cause of chronic electroby Carey - AFIBBERS FORUM
How fast is racing? It's common for afib episodes to start in the early morning hours so are you 100% sure it's a normal rhythm? Note that it begins near the end of your last dose of carvedilol and ends shortly after you take the next dose. Carvedilol is a beta blocker, so it slows your heart rate. The timing seems like a pretty big coincidence.by Carey - AFIBBERS FORUM
QuoteElizabeth Carey:: I am over 80, I weigh a few lbs over 132, I weigh 138, my Creatinine is 0.89, the lab value is 0.60 - 88 mg/dl , so I think I should be taking the 2.5 Eliquis . You meet one of the three criteria and you're close on a second (weight), so it's a judgement call on your and your doc's part. You seem really intent on getting on a half dose of Eliquis eveby Carey - AFIBBERS FORUM
Quotesafib It is not foolish at all. There are good reasons for preferring Eliquis. If there wasn't an alternative I would agree with you, but there is. The advantages of Eliquis over Xarelto are so minimal as to be meaningless. I can't imagine why anyone who suspects they have an allergy to a drug would lower the dose when a completely different and equally safe and effective drug isby Carey - AFIBBERS FORUM
Quotesafib I don't agree that reducing dosage is not useful as a tool for assessing and ameliorating side effects, especially if there are some benefits to be had with remaining on a particular drug. I didn't say it has no role, but reducing a dose to what might be an inadequate level would be foolish when there are four perfectly good alternatives available. Also, allergies often donby Carey - AFIBBERS FORUM
Oh, no question that ectopics can be heard. But really, all one needs to detect afib is a couple of fingers. The irregularly irregular pulse of afib is unmistakable and no other arrhythmia produces that. So just feel your pulse for 30 seconds and if there's just no predictable rhythm at all, you're in afib.by Carey - AFIBBERS FORUM
QuoteElizabeth Perhaps dropping the 5 mg. to 2.5 mg. might help me. That's not how you find out if a drug is causing your problem. You change to a different drug. You've got four other drugs so plenty of options.by Carey - AFIBBERS FORUM
QuoteElizabeth A question is in my mind which I didn't think to ask the doctor and she is gone for the day now. Could the Eliquis cause my immune system to weaken so that is why I got Shingles, and if that is the case, that isn't a good thing. No, Eliquis has no effect on the immune system. Sorry about the shingles, but it happens to a lot of people with perfectly fine immune systemsby Carey - AFIBBERS FORUM
QuotePompon Isn't listening to the heart with a stethoscope easier with a skinny patient ? Yep.by Carey - AFIBBERS FORUM
Quotesusan.d Carey, you should know from experience with knowing Natale procedures- how long (ball park) would someone who had an ablation need to remain on Eliquis? Sure, and the answer is one month to forever depending on the patient. But Elizabeth hasn't had an ablation. She's looking at a cardioversion, and the standard of care is anticoagulants for one month following a cardioverby Carey - AFIBBERS FORUM
Quotekeeferbdeefer Were you a candidate for another ablation Carey, since you were getting so many PACs for so long? Sure, but the PACs weren't what made me a candidate. It was the afib and flutter that occurred on top of the PACs that made the ablation necessary. PACs only rise to the level of annoying.by Carey - AFIBBERS FORUM
QuoteElizabeth Hopefully I can go into NSR when I get cardioverted, but that wont be until the 16th of Jan., unless they up the date. Even if I do go into NSR can the Eliquis be stopped? Not until a month after the cardioversion, and then it will depend on your CHADS-Vasc score. In the meantime, like Joe said, just switch to one of the other NOACs.by Carey - AFIBBERS FORUM
Quotekeeferbdeefer Here's mine. I had to provide a link. They happen mostly in the afternoon if I exercise a little. Once I sit down and chill, they go away. Heavy exercise in the morning or after 8:00 pm, no problem. I believe these are all atrial. So that's "good". Those are PACs in a trigeminal pattern (every third beat). They're harmless. For most of 2017 I exby Carey - AFIBBERS FORUM
The ectopics you're experiencing are most likely PACs, not PVCs, and therefore 100% not dangerous. If you've got a Kardia you can capture an example and post it or email it to me and I'll tell you what they are if you're not sure. And yes, you're expecting too much too soon. Ectopics can go on for a long time after an ablation and there is no "they'll be gonby Carey - AFIBBERS FORUM