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I agree with everything Pompon said. I had both afib and flutter, and I don't think the flutter ever triggered the afib, but the reverse sure happened. My episodes would often begin with a very irregular heartbeat that was undoubtedly afib, but then within seconds it would turn into flutter, which is very regular. I actually had multiple flutter circuits. An ablation in 2014 found and eliminby Carey - AFIBBERS FORUM
QuoteZb3 Well that sucks... I thought if the ablation was successful you would be cured forever. I think Anti-Fib is maybe being a little overly pessimistic. A well done ablation will never fail. The lesions formed are permanent and can't heal over. However, afib is a progressive disease so new sources of ectopy can form later that are outside the isolated areas. That's how you'dby Carey - AFIBBERS FORUM
Oops, sorry. I was being inattentive and didn't notice you weren't the OP.by Carey - AFIBBERS FORUM
Quotekatesshadow I recall someone on this forum stating that metropopol they thought caused their heart failure... Someone - maybe Elizabeth? - has said that a beta blocker caused "heart block." If I recall correctly Ah, that's different. Beta blockers can cause heart block, but that's very different from heart failure. It's very unusual for that to happen, buby Carey - AFIBBERS FORUM
Metoprolol doesn't prevent afib. All it does is control your heart rate once you go into afib. It does not cause heart failure; quite the opposite, in fact. So are you having afib episodes? If not then I don't even know why you're taking it. Talk to your EP about this and ask why.by Carey - AFIBBERS FORUM
QuoteZb3 @carey - do you think it would be beneficial if I try drop it to 100mg of flec a day so then I have more room to use it over time. Though if I’m getting breakthroughs I guess that means it’s stopping working already. No, I don't think that will help. All reducing the dosage will do is make afib episodes more likely. But the fact that you've had breakthroughs doesn't meanby Carey - AFIBBERS FORUM
That sounds like a very reasonable doc and a good decision. You can toss the point for being female, by the way. It's officially no longer counted in anticoagulation decisions.by Carey - AFIBBERS FORUM
You're very young to have afib, and starting you off on flecainide wasn't the greatest decision in my opinion. You could live another 60 years, and I guarantee flecainide isn't going to keep working that long. Parking a young person like yourself on antiarrhythmic drugs that will eventually fail just isn't a good solution. You said it was prescribed by a cardiologist. Doesby Carey - AFIBBERS FORUM
I would be really skeptical of this article. First, there's a HUGE problem with it. The author doesn't actually reference the study he's talking about, so we can't read it for ourselves. For all we know the reporter misconstrued it, the study was shoddy, used very small sample size, used incorrect statistical methods -- there are all sorts of potential problems that we canby Carey - AFIBBERS FORUM
Quotebettylou4488 I am trying to also understand that CHAD score .. does PIP factor in and how. Like if i am NOT in A-fib does my risk go up or is it simply because i was in Afib at one time. EP doc tomorrow PIP doesn't figure into your CHADS score. In short, yes, your risk goes up when you're in afib and comes down when it stops, but to my knowledge nobody has hard numbers on justby Carey - AFIBBERS FORUM
Quotekatesshadow Honestly, I have no idea of the bed tilting thing they did had anything to do with restoring sinus rhythm. Could have just been a coincidence. And could have been they were just trying to get the IV in and not even trying a maneuver. The video just seemed similar to my experience. They were just trying to get an IV. They were using gravity to move blood to your head and neck toby Carey - AFIBBERS FORUM
That article makes me chuckle and I'm surprised it got published. I wouldn't put too much stock in a single case report that's really kind of bizarre. If you want to try vagal maneuvers go right ahead. George's link explains several ways to do them and you can find videos on youtube demonstrating them. Like I said earlier, I wouldn't get your hopes up because they rarelyby Carey - AFIBBERS FORUM
Vagal maneuvers are usually more successful with SVT than with afib and flutter.by Carey - AFIBBERS FORUM
Nope, but anyone with afib that causes a rapid heart rate (over 100) needs to take a rate limiting drug to avoid heart failure. Beta blockers are the most common but there are also calcium channel blockers like diltiazem and verapamil, and in the past digoxin was used but it's no longer recommended for afib unless the person also has heart failure. If you're afib is paroxysmal and yby Carey - AFIBBERS FORUM
Quotekatesshadow My EP told me to stop Eliquis. He said if I did have an episode, I should take one. Okay, that's interesting. You probably have a forward thinking EP who's willing to "break the rules" in order to provide better care for their patients. I'd keep him or her.by Carey - AFIBBERS FORUM
That's ridiculous. Talk to TCAI and ask them to help. Not only would I appeal the decision, I'd also file a complaint with the state insurance board.by Carey - AFIBBERS FORUM
QuoteMadMax Could you point me in the direction for the for and against arguments on the PIP blood thinner arguments? I've never seen arguments for or against it, just individuals deciding on their own they're going to do it. I've never heard of a cardiologist recommending it and the manufacturers don't.by Carey - AFIBBERS FORUM
QuoteDolomites They last at maximum for 15 seconds And for that reason I doubt that any EP would recommend or even be willing to perform another ablation. Episodes lasting less than 30 seconds are considered sustained and generally aren't treated. I would expect at most you may be offered a beta blocker. But wearing the Holter monitor is a good idea so at least you'll know what it is.by Carey - AFIBBERS FORUM
Quotetobherd By the way, Salwa, who's a nurse I believe, in Dr. Natale's office, said they don't use the CHADs score to determine this anymore...just the TEE. Has anyone else heard that? Obviously I don't speak for Natale and his staff, but I don't think it's quite that simple. I believe they use the TEE to determine whether you can come off anticoagulants, but tby Carey - AFIBBERS FORUM
Quotekatesshadow My ? was why a person stopping it has a higher stroke risk? They don't have a higher risk of stroke than they did before taking the anticoagulant. They simply lose the protection and return to the risk level they had before.by Carey - AFIBBERS FORUM
QuoteElizabeth George: Most people don't do all that you did perfecting your diet. Mark your calendars! I agree with Liz again. George, you've got to admit that your methods are on the extreme side and most people won't be able to replicate them.by Carey - AFIBBERS FORUM
Actually, what you're experiencing isn't rare, or at least might not be depending on your answer to my next question. Has this tachycardia you experience been recorded on ECG? Do you know what it is? Also, what meds are you on?by Carey - AFIBBERS FORUM
Did he also tell you how long after the episode to continue taking it? When I was using Eliquis on a PIP basis, my EP said it would be a good idea to continue it for a week after the episode ends.by Carey - AFIBBERS FORUM
Hi Irene, Nice blog but two things in the third paragraph could use some tweaking. Afib isn't the same as flutter, and although it's more common for flutter to occur in the right atrium, it can occur in either. I had it in both.by Carey - AFIBBERS FORUM
With two 30-minute episodes per month and a CHADS 0, I wouldn't take anything. Aspirin isn't a benign drug.by Carey - AFIBBERS FORUM
Plenty of people have had arrhythmias, PACs, etc. during their blanking period, but the chest pain is unusual and not normal. Have you discussed this with your EP?by Carey - AFIBBERS FORUM
Yes, subtracting the female point is legit so you're a 1. That's according to the new afib guidelines just issued in January (that's posted here somewhere). Being a 1 it's a judgement call. You've got some other issues going on that your docs are probably factoring in so I don't know what I would do if I were in your shoes, but with your complex issues I'd beby Carey - AFIBBERS FORUM
One episode doesn't cause remodeling. It's prolonged and/or frequent afib that causes remodeling. Yes, stopping afib does cause some remodeling in the opposite direction, but it's probably never complete. There's not really an easy way to precisely measure remodeling, so there aren't going to be exact numbers for this.by Carey - AFIBBERS FORUM
Do you know your CHADS-Vasc score? It's hard to have a discussion about this without knowing it. You can calculate it here.by Carey - AFIBBERS FORUM