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Quotedartisskis Just a question was it first procedure for you or it was a repeat ? And were you persistent or just paroxysmal as I am ? Ha ha.... Definitely not my first. Read this. I was paroxysmal for many years, but around 2008 the episodes started becoming steadily more frequent. They went from 1-2 per year to monthly and finally to weekly. The trend was clear that I was headed for perby Carey - AFIBBERS FORUM
Quotebolimasa Yeah he's an EP, appears to be a hot shit EP... (thus my low expectations for him spending time on my questions; at least his PA seemed decent!)) I hope he is actually good, especially if I get the ablation. Yes, Dr. Marrouche is widely known and has an excellent reputation. QuoteDo you have any idea what the chicken/egg answer is (I have yet to read much about PACS)by Carey - AFIBBERS FORUM
I would imagine Jackie will pop in here shortly and answer. She had a second ablation with Natale many years after her first. I have an isolated left atrial appendage (LAA) from an ablation with Dr. Natale last August. Yes, that means either anticoagulant for life or a LAA closure device such as a Watchman. I'll be in Austin a little over a month from now to have a Watchman inserted. Thaby Carey - AFIBBERS FORUM
Quotebolimasa My question #1 is: Is it normal to have PACs or other arrythmia issues along with Afib? Or is that really another issue? Yes, that's very common. QuoteMy ER ECG report said I had a "Nonspecific ST and T wave abnormality" when I asked the doc about this he said something to the effect of that being just a bunch of stuff they put in the report (he clearly was notby Carey - AFIBBERS FORUM
QuoteSam Step one was to contact Bordeaux via stephanie.xxx@xxx.fr. Sam, you might want to do Stephanie a favor and edit your post. Remove her address and tell people to PM you for her email address. Spam harvesters collect email addresses posted on forums and once they find it, you'll be buriedby Carey - AFIBBERS FORUM
Those numbers are misleading. For example, "1 in 25 were harmed (having bleeding)". It's natural for people to compare that to the other number "1 in 25 were helped (preventing stroke)". The natural conclusion is they are equal risks and benefits, but that's not at all the case. What matters with bleeding is where the bleeding is. Bleeding in your GI tract is generalby Carey - AFIBBERS FORUM
Conclusion: Not having afib beats having resolved afib, which beats having unresolved afib. Not surprising results, but not surprising results are important too.by Carey - AFIBBERS FORUM
QuoteKoli She has seen the GP again today and, with a bit of pressure, has agreed to take her off the medications (for three months) but without any alternative medications. That now worries me as I read one should not just stop taking them What you've read is correct. She should not stop the Pradaxa. You need to find another GP because this individual is going to kill your wife. I'by Carey - AFIBBERS FORUM
QuoteFrankInFlorida re: Carey's statement "Yes, no question that Trump and the GOP have intentionally sabotaged the ACA over the last year, but..." Surely you know, that entire "thing" of "Obamacare", was put onto the public, clearly knowing it would fail, "prices would become ridiculous" with the intent of UK / Canada style "one provider"by Carey - AFIBBERS FORUM
Quotehwkmn05 Pradaxa has caused short term memory loss, but probably not dementia. Some studies report they actually prevent dementia, but Im not buying all of that report. So she was fine before Pradaxa and now showing signs of dementia? Gee, what a coincident! Key word here posters is ALARMING SIGNS. Medicine is full of coincidences. She's also taking a beta blocker, and Koli didn'tby Carey - AFIBBERS FORUM
QuoteThe Anti-Fib Carey said "You're either in afib or you're not, and if it's not 100% of the time then it's not persistent. " If it's 100% of the time, that would be "Permanent AFIB". Persistent AFIB is defined as lasting longer than 7 days, or requiring medical intervention (like Cardioversion) to return to NSR. I didn't intend my definiby Carey - AFIBBERS FORUM
Sure, I've been diving with afib. Afib is no reason to avoid things like scuba diving unless you experiencing fainting episodes.by Carey - AFIBBERS FORUM
Quotejpeters I've heard this come up repeatedly, with the understanding that it takes time for the heart to heal and form scar tissue. It does, but there's no evidence I'm aware of that normal levels of exercise interfere with that process. Every EP I've dealt with has been of the opinion that you should return to your normal activities as soon as you're past the 3-5 daby Carey - AFIBBERS FORUM
I'm surprised flecainide has remained effective for you for 10 years. Congratulations. It doesn't remain effective for most people for that long. No, I don't think there's any such thing as masking persistent afib. You're either in afib or you're not, and if it's not 100% of the time then it's not persistent.by Carey - AFIBBERS FORUM
I think Koli is probably in the UK?by Carey - AFIBBERS FORUM
I very much doubt that physical activity after the procedure had anything whatsoever to do with the outcome. A durable set of lesions is a durable set of lesions no matter how much exercise you're getting.by Carey - AFIBBERS FORUM
The GP is trying to keep your wife alive with the Pradaxa. It's extremely unlikely that it explains her cognitive decline. Not sure why you think a calcium channel blocker will be a big improvement over the bisoprolol but it probably wouldn't be any worse. But mainly I think you need to move beyond a GP. She needs a neurologist and a cardiologist.by Carey - AFIBBERS FORUM
QuoteDucatiRider I just think that maybe I need a touch up. I think you're quite likely right. It's common, even with the most experienced EPs.by Carey - AFIBBERS FORUM
I think there's a much simpler explanation here: Quotekeep blowing out hard What you did was actually a Valsalva maneuver, which has long been known to terminate atrial arrhythmias in some people.by Carey - AFIBBERS FORUM
I'm afraid you probably need to give up on the idea of a PIP and start taking the flecainide and metoprolol on a daily basis. I'm also afraid that at three months you're unlikely to see any improvement from here on out. I could be wrong and you could be a unique case, but in general if an ablation hasn't succeeded within the blanking period then it's not going to. Whaby Carey - AFIBBERS FORUM
Quotewhitehaven If I do decide to stop taking warfarin, what is the majority consensus of which drug to take with the lease amount of side effects? How old are you?by Carey - AFIBBERS FORUM
jpeters is right. The very nature of warfarin requires dosage adjustment in response to INR results. If you're not willing to adjust the dosage then warfarin is the wrong drug for you. As it stands now, whatever benefit you perceive from not increasing the dosage is completely negated by the far greater risk of stroke you're subjecting yourself to.by Carey - AFIBBERS FORUM
Quotejpeters Continued use of aspirin keeps coming out on searches: Sure, but keep in mind that most of what's published out there is several years old, and naturally everyone approached it with a great deal of caution in the early days. But what I posted above is from personal communications with Drs. Natale and Rodney Horton, both of whom have done thousands of Watchman implants and areby Carey - AFIBBERS FORUM
Quotejpeters Be great if you didn't need to stay on aspirin for the rest of your life after closing off the LAA appendage. A seminar I attended on AFIB noted that aspirin was virtually useless in preventing strokes. Aspirin is good at preventing clots from forming on the device itself, which is why it's used during the first six weeks after the device is inserted. But your heart endotby Carey - AFIBBERS FORUM
If you're living with afib (or, with someone who is), and you'd like to become educated on what to do if you're at risk for a stroke but can't (or prefer not to) take blood thinners, this webinar is for you. On June 15 at 3 pm CDT, you’ll learn about options for avoiding a stroke, featuring renowned electrophysiologist and Associate Professor of Medicine at Vanderbilt Universiby Carey - AFIBBERS FORUM
Quotejpeters get it now? (probably not) Well, you're right because I don't know what point you're trying to make. If you want to convince me of something, I recommend starting with credible, peer reviewed science, not clairvoyants from the 19th century. If you can't find credible science to back your thinking, then that's either because you're not making the efby Carey - AFIBBERS FORUM
QuoteJoe If you have anything to back up that Edgar Cayce was a bulltish artist (as you implied, Carey)- i'd like to know. I implied nothing of the sort, and I don't need to provide evidence of anything. That falls to the guy making the claims. I simply don't think a clairvoyant born in 1877 who had some theories on nutrition is a reliable source of information. I'm prettyby Carey - AFIBBERS FORUM
Hi Lindz, welcome to the forum. Sorry you found the need to find us. Your cardiologist's plans make sense. Although it would be kinder to do a TEE to rule out an atrial clot and cardiovert you right away, putting you on Pradaxa for a month instead is common practice. You didn't say how fast your heart rate is but I'm guessing it's not super high or he probably would cardioby Carey - AFIBBERS FORUM
Edgar Cayce? Really?by Carey - AFIBBERS FORUM
Nope, you're still well within the blanking period. Bumps in the road are to be expected and they do not predict outcome. Relax, deal with them as best you can, and expect that they'll slowly diminish in the coming weeks. You're good. :-)by Carey - AFIBBERS FORUM