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If there were a lot of PACs it might, but I wouldn't pay much attention to the diagnostics from an EKG. Doctors sure don't.by Carey - AFIBBERS FORUM
Quotesmackman Can anyone explain my missing A Wave or my results above from my Tee? Your LAA was isolated, right? That's a common finding with people who've had their LAA isolated. An E:A ratio over 2 usually indicates diastolic dysfunction as George mentioned, but if your LAA has been isolated that's kind of a false indication. It doesn't indicate diastolic dysfunction butby Carey - AFIBBERS FORUM
Quotetsco Everyone acts like potassium is so damn dangerous i.e. 99 mg max otc. I guess it had me wondering or being overly cautious Oh man, I could tell you stories about the potassium paranoia among medical professionals. For two years the only thing that could control and terminate my flutter-from-hell was potassium (250 bpm). Based largely on articles found here in the archives, I purchaby Carey - AFIBBERS FORUM
Diminished P waves do indicate diminished atrial contraction. Mine are very diminished but I've never noticed any decline in cardio capacity so it's just an anomaly on paper. If any medical professional ever diagnoses afib based solely on missing P waves, I would seriously question that person's knowledge and their ability to interpret an ECG. The hallmark of afib is an irregulaby Carey - AFIBBERS FORUM
Quotetsco Uh oh!!!!! These are 20 s and I do break them in half......is that dangerous somehow......???? No, it's not dangerous. It likely turns your extended release tablet into a rapid release tablet, which means it will probably be absorbed and then excreted quickly, doing very little for you. The dosage is so small to begin with I don't know why you're splitting them. Whatby Carey - AFIBBERS FORUM
On closer examination (and after flipping your image to the normal orientation) you're right, that is bigeminal PVCs. Yeah, that must be uncomfortable.by Carey - AFIBBERS FORUM
As a general rule, earlier is better than later. Waiting gains you nothing and afib just becomes more difficult to ablate the longer it continues. There's also the fact that antiarrhythmics like flecainide almost always become ineffective sooner or later, and they can even become pro-arrhythmic. You'll be free of the meds, and you'll probably find that your energy levels and overalby Carey - AFIBBERS FORUM
Those are actually PACs, not PVCs. PVCs are bigger and wider since they originate in the ventricles. But you're right that they're not dangerous, just really aggravating.by Carey - AFIBBERS FORUM
QuotePompon I can live with some ectopics, but the bigeminal pattern as in ex. 2 is a really bad sensation. I know the sensation very well. I used to experience bigeminal PACs that would last for weeks at a time, so I sympathize with you. I've got a stack of Kardia readings that look just like your #2 recording.by Carey - AFIBBERS FORUM
I think what you're going to hear from any EP, even ones who "get it," is you're going to need to back off the intensity a little. I and many others continued our athletic pursuits following ablations without problem. I've done 50+ mile bike rides in hilly terrain days after an ablation with the EP's full blessing. But I don't compete, so I'm sure my intensby Carey - AFIBBERS FORUM
Sorry if I was direct but sudden extreme weight loss, disabling SOB, and chest pain are alarming symptoms that suggest you need to be in an ER right now. And since you didn't say a word about having had any medical investigation it appeared you were just going it alone assuming these things were all caused by SVT. You then said you were worried something else might be going on, and I agree tby Carey - AFIBBERS FORUM
QuotePompon 1) There are p waves. Why is it (unsustained) afib and not runs of ectopics? 2) OK. 3) Is it atypical flutter ? It's irregularly irregular. It looks like what I see in 4), but it's not interrupted. 4) Same question as for nr 1. 1) Yes, there are a few P waves but they come and go the same way the regularity comes and goes. You can call it runs of ectopics if you want bby Carey - AFIBBERS FORUM
Quoteemv54 You may well be right, but I ask because the research strongly suggests that there are significant differences between how endurance athletes and less active people respond to the various ablation options. Same applies to medication. I'm unfamiliar with this research. I'm having a hard time imagining how ablation results would differ other than the obvious fact that athleteby Carey - AFIBBERS FORUM
Happy Thanksgiving to you and Magdalena!by Carey - AFIBBERS FORUM
Quoteajr1960 The biggest issue I’m having right now is the SOB if I walk a normal distance. I’ve NEVER had this before so its very concerning. My HR is NSR in the 90’s when it happens but I can’t handle the SOB and weakness it causes. I’m really worried something else might going on. I have no appetite and I’ve lost 12 pounds in 2 weeks. My day now consists of sitting on my couch all dayby Carey - AFIBBERS FORUM
QuoteKen May be, but frequency and length seem like the greatest factors determining stoke risk. It seems like the risk would be exponentially higher for someone having weekly episodes compared to someone having one, two hour episode per year. I agree that seems likely but I'm unaware of any data that actually examines that question.by Carey - AFIBBERS FORUM
I would be surprised if there's an EP in either country who specializes so narrowly. There are sports medicine doctors, but they're typically not cardiologists and certainly not EPs. I don't know why experience treating patients who engage in endurance sports would be important for an EP since the treatments are going to be the sameby Carey - AFIBBERS FORUM
QuoteKleinkp When the operator is in your heart can he/she tell if triggers are beyond PVs? Yes. And if they're good at what they do they'll be able to locate the precise locations and ablate them.by Carey - AFIBBERS FORUM
Age, etc. is built into the math by using CHADS-Vasc score of 2, which gives the risk factor of 1.9% I used. You can calculate other CHADS scores by substituting the risk for that score in lieu of 1.9%. No one knows with certainty how length and frequency of afib episodes affect risk, so there's no way to account for it. Right now, the best data available data say that afib carries a sigby Carey - AFIBBERS FORUM
If they're scored, sure, that indicates it's okay to split. But an ER tablet that's not scored should never be split.by Carey - AFIBBERS FORUM
1) Afib 2) PACs in a bigeminal pattern 3) Not afib, probably flutter 4) Afib with a couple of PVCsby Carey - AFIBBERS FORUM
Quotewolfpack OPERATOR SKILL MATTERS. There’s just no overstating this. In my opinion, RF in the hands of a highly skilled operator will outperform cryo. What he said. Cryo is a reasonable approach if it's your first ablation, you're paroxysmal, and your EP isn't highly experienced. It gives you roughly a 65% chance of success. If it's not your first ablation, if you&by Carey - AFIBBERS FORUM
Have you considered consulting your doctor, nurse or clinic and having your warfarin dosage adjusted? That's the usual solution.by Carey - AFIBBERS FORUM
QuoteKleinkp What determines where in the atrium the ablation will take place? How is it determined to isolate only pulmonary veins? It takes place where the pulmonary veins enter the left atrium, which is on the roof of the atrium. The balloon freezes a circle around the PVs thereby creating lesions that turn into scars and electrically isolating them. The pulmonary veins have been foundby Carey - AFIBBERS FORUM
Quotecolindo The maths I suspect was dreamt up by the drug company. Even with a 30% chance of having a stroke, means a 70% of not having a stroke, still good odds. Nobody dreamed up the odds. As for the math, I did the calculations on cumulative risk. It's basic high school level probabilities and it goes this. If the annual risk of having a stroke is 1.9% then to figure the risk overby Carey - AFIBBERS FORUM
QuotePompon I once suggested this analogy with a battery charging and discharging, because after an afib episode (the discharge), I was sure to be afib free for a couple of days (the recharge). There was such a pattern. Now, it's already different, which means the behaviour of my vagal tone and the reactions in my heart chambers are evolving. I also experienced that pattern for many yearsby Carey - AFIBBERS FORUM
What wolfpack said. You can't be cutting extended release tablets. And taking 10 mEq 3-4 days per week is a waste of money. A glass of orange juice has more potassium than that.by Carey - AFIBBERS FORUM
QuoteJoe Thank you! Any particular reason why you don't want CBA? The reason i'm asking is because my EP refered me to his 'boss' who does cryo but i don't know if it is with a balloon until i see him in December. Got a previous impression that it is the operator rather than the method used??? Cryo is always done with a balloon. It's more of a cookie cutter, oneby Carey - AFIBBERS FORUM
QuoteElizabeth What kind of math are you doing--future values table? Simple probabilities. High school math. QuoteAnticoagulants cause hemorrhagic strokes Actually, no they don't. Something else causes the bleed to start. Anticoagulants only delay the clotting. But that's beside the point. I was just trying to answer her question.by Carey - AFIBBERS FORUM
And it's always important to remember that stroke risk is usually given as an annual risk, and that means over time it's cumulative. So, for example, if you're a CHADS-Vasc 2 you have about a 1.9% risk of stroke occurring in any given year without anticoagulants. Well, that doesn't sound too bad, right? But if you do the math, a 1.9% annual risk of having at least one stroke oby Carey - AFIBBERS FORUM