You may not need to stop it at all. This is a question for the oral surgeon.by Carey - AFIBBERS FORUM
Quoterocketritch If memory serves me right death from falling from lladder statistics are pretty high. "The study, published in the most recent Morbidity and Mortality Weekly Report (MMWR), found that falls remain a leading cause of unintentional injury mortality nationwide, and 43 percent of fatal falls in the last decade have involved a ladder."by Carey - AFIBBERS FORUM
Quoterocketritch I have 2 friends that have fallen off of ladders several times,stone sober, breaking multiple body parts. My time as an EMT taught me there are some things people fear that they shouldn't, and other things they don't fear that they should. Ladders are very high on the should list.by Carey - AFIBBERS FORUM
The size of the font used here is fairly normal for web sites. It's your browser. Hold down the ctrl key and press the + sign. Repeat until the text is the size you like.by Carey - AFIBBERS FORUM
Quotewolfpack My two cents, anyway. I'll throw in two more. After 6 ablations I haven't noticed any significant performance reduction. But while I was on meds? Oh hell yes. All of them had profound effects on me. Beta blockers were like tying lead weights to my arms and legs. Sotalol was the worst. Flecainide capped my HR at 105 no matter what I did. Tikosyn made my heart rate drby Carey - AFIBBERS FORUM
I think maybe I know where the 20% number comes from. It's not cardiac output. It's the "atrial kick." That's the blood pumped into the ventricle when the atria contract, which adds about 20%. It's true that an ablation can lower that number, but afib lowers it to zero so it's not exactly the trade it might appear at first. Loss of the atrial kick would mattby Carey - AFIBBERS FORUM
QuoteGregH Post ablation, there is a risk of 20% reduction in cardiac output (call it reduction of VO2). This is being studied and evaluated by a few cardiologists I have worked with who have good data to support the theory. I'd love to see the data on that because a 20% reduction in cardiac output from an ablation sounds like a seriously botched ablation. No such reduction should occur anby Carey - AFIBBERS FORUM
QuoteGregH Ablation was not something I considered until recently, given my age and decrease in cardiac output. What do you mean by decrease in cardiac output and what does that have to do with an ablation?by Carey - AFIBBERS FORUM
That's a long, complex article to boil down into simpler language. That would be a bit of a project. QuoteI might be dreaming, but if genes can be turned on then shouldn't we be able to turn them off if we know what to do/do the right thing??? Sure, that's called gene therapy, and I firmly believe that's where the eventual cure for afib will come from. But the hard partby Carey - AFIBBERS FORUM
A single city with a huge problem caused by political corruption hardly makes a case for US drinking water being unsafe. Regardless of Detroit, it's generally considered the safest in the world.by Carey - AFIBBERS FORUM
Quotejpeters "Bottom line: A good water filter can turn ordinary tap water into a healthy and cost-effective source of pure hydration for your dog and the entire family." "A source of pure hydration" -- what the hell does that even mean? (Answer: Nothing whatsoever.) Not paying for water filters is even more cost effective.by Carey - AFIBBERS FORUM
The US has some of the safest public water supply in the world. It's usually safer than bottled water. I'm really tired of reading alarmist crap about it aimed at drumming up sales of useless crap.by Carey - AFIBBERS FORUM
If you're taking an anticoagulant and develop a GI bleed, you might want to have your doctors investigate further.by Carey - AFIBBERS FORUM
Quotejpeters Drink? "In fact, while showering, your body absorbs 6 times the contaminants it does when you drink 8 glasses of water." Who or what are you quoting?by Carey - AFIBBERS FORUM
QuoteElizabeth I had an ECHO done this last Aug. I have had episodes of AF off and on for almost 20 years. The discussion about LA velocity probably only changes when it is isolated. My LA ef is 65%. You're mixing up the left atrium (LA) and the left atrial appendage (LAA). An external echo can't see the LAA. Only a TEE can see it and measure LAA flow velocity. That 65% number youby Carey - AFIBBERS FORUM
Quotemwcf Which seems to imply that previous AF (and presumably quite a high cumulative burden of it over many years rather than a couple of short episodes) - even when managed back to NSR with a successful ablation results in slower LAA velocities than non-AFrs. I didn't get the impression that the paragraph quoted above relates only to those who as part of their ablation/s have had their Lby Carey - AFIBBERS FORUM
QuoteCarolyn23 I am trying to figure out what triggers my episodes. I thought it was alcohol but this morning I work up and an episode had started befor I could eat or drink anything. Any ideas or has this happened to others. A first for me.episode was very mild. Everyone with afib tries to figure out their triggers, but in the end it's mostly a waste of time. I was rigorous about testingby Carey - AFIBBERS FORUM
Wow. When it comes to complex cases you might wear the crown around here. My advice to anyone with a complex case is you need the absolute best EP you can find, and hands down that would be Dr. Andrea Natale in at the Texas Cardiac Arrhythmia Institute in Austin, TX. My advice to you would be to book a consultation with him.by Carey - AFIBBERS FORUM
Quotemwcf So previous AF results in lower LAA velocities. No, LAA velocities only matter if your LAA has been isolated by an ablation, which the majority don't. If that hasn't happened, you can ignore the whole LAA issue.by Carey - AFIBBERS FORUM
Quoterocketritch Personally even at 45 I would be hesitant to go off the Eliquis. Or at that point would something like a daily aspirin be recommended? A 3.6 increase, unless maintained for a period of time seems a small amount to make such a decision. I'd also be hesitant. I would want a comfortable margin above the minimum number. I've heard from others that did meet the 45 criteriaby Carey - AFIBBERS FORUM
Quotejpeters I wonder how anyone would know the exact percentage of where clots come from. That's supposed to be true for everyone? If 90% of clots form in the LAA, that doesn't mean you eliminate 90% of ischemic strokes by sealing it off. Clots from other areas are just as likely to get released, and it only takes one. If you did have a stroke, I guarantee that your doctor wouldby Carey - AFIBBERS FORUM
Quotemwcf Stating the obvious maybe, but given the current scientific consensus that fibrosis comprises an at least significant component of atrial myopathy then I’m struggling to see how a Watchman could reverse fibrosis. It doesn't. It's simply that 90% of all clots that form in the left atrium form in the LAA. So if you close the LAA you eliminate 90% of ischemic strokes. The remaiby Carey - AFIBBERS FORUM
Quotejpeters Curious why getting a Watchman would cure all atrial myopathy. I wondered about this also when I read about the 60% decline (in dementia) for people on AC's with afib diagnoses, since one of the possibilities included comorbidity (mini strokes by clots coming from other veins, etc, vs just the atrium?). Particularly interested myself is I'm getting past the blanking period.by Carey - AFIBBERS FORUM
Quotetobherd So Carey Carrie...you say that high BP will kill you with or without Afib, but that wasn't the question. If you no longer have high BP because it is well controlled with meds...and you no longer have Afib (because you've had a Natale ablation), then why does BP still register on the CHADS score? And again, isn't this score for people who currently have Afib?? Becausby Carey - AFIBBERS FORUM
Quotetobherd So that doesn't make sense to me on the CHAD score. What's the point of lowering your BP if they still consider that you have high BP on any measurements done? Because hypertension will kill you all on its own with or without the afib. QuoteAlso...if I don't have Afib anymore, why do I even need to have a CHAD score? Because afib is a disease -- atrial myopathyby Carey - AFIBBERS FORUM
Short-term use of NSAIDs is okay according to two of my EPs. By short-term they meant a few days, not weeks.by Carey - AFIBBERS FORUM
Quotetobherd It's funny...a lot of people treat you like you still have Afib, in spite of a successful ablation, including my Cardiologist. When I called the office recently, the Physician's Asst. told me my cardiologist had rated me a 5 on the CHAD's score! While I did have high BP, it's under control with meds now...so not sure why she would rate me so high.....anyone haveby Carey - AFIBBERS FORUM
Quotejpeters Sure is weird, aspirin gets a bad rap yet Dr. Natalie says to take it for life, head-scratcher. L I wonder what Boston Scientific says about it. I don't think they can afford yet another fiasco. Natale did not say to take it for life. The study protocols recommend it, but he did not establish the protocols.by Carey - AFIBBERS FORUM
Quotejpeters I thought they said previously that wasn't necessary. Natale said privately that he doesn't think it's really necessary, but it's what the study protocol recommend. It's phrased as a recommendation, though, not as a must do.by Carey - AFIBBERS FORUM
Quoteggheld You seldom mention your own situation but it seems to me after your most recent Natale implant that it may be time for you to give up blood thinners, or maybe you already have. Let us know your status, please, as the future of many may depend upon the success of you and others in your study. You're too kind. Thank you. I stopped Eliquis a month ago following a TEE to verifyby Carey - AFIBBERS FORUM