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QuotePompon I think all those improvements on ablation techniques are fantastic, but they only relieve the symptoms of AF. Only?by Carey - AFIBBERS FORUM
QuoteThe Anti-Fib How would this be done? Ha ha! I have no idea. I wasn't serious about actually trying to cardiovert oneself with electrical outlets. Although anecdotally it seems a random electric shock might sometimes stop afib, it's not something I would recommend trying intentionally.by Carey - AFIBBERS FORUM
I wouldn't worry about your BP, or at least not for now. The cardiologist was correct to take you off the beta blocker due to your RBBB, but maybe he didn't do it so gracefully. The NP's suggestion isn't a bad one. A small dose of beta blockers are usually okay for people with RBBB, but how low is your heart rate? It might need to be compensated with a lowering of the diltiazeby Carey - AFIBBERS FORUM
QuoteJoe Like the video at the end. NZ man uses electric fence to get back to NSR! Lucky he didn't have any clots hanging about. I have a friend who has afib. A few years back he was headed to the hospital for a cardioversion. When he touched the door to the hospital that was supposed to open automatically, it apparently had a short and shocked him. To his surprise, he suddenly realized thby Carey - AFIBBERS FORUM
Impossible to say for sure but it's possible. You've been suppressing the effects of adrenaline for so long that stopping atenolol suddenly would subject you to a strong response. Palpitations, rapid heart rate, and all the other things that go along with a fight-or-flight response aren't surprising, so that could be triggering your afib. Is the afib entirely due to stopping the atby Carey - AFIBBERS FORUM
QuotePompon Can it be caused by the flecainide? I'm only taking 50mg two times a day... It's not impossible but I doubt it. However, if you are having v-tach episodes then flecainide is something you probably shouldn't be taking. Like I said, your EP needs to see that recording.by Carey - AFIBBERS FORUM
You need to show that to your EP. That's v-tach.by Carey - AFIBBERS FORUM
You're unlikely to get new opinions from any EP on that ECG. The opinion you already got is pretty much what anyone is going to say.by Carey - AFIBBERS FORUM
Extremely unlikely a tech would have programmed it other than how it was prescribed by your doctor. The question is probably when, which doctor, and why. By all means you need to demand answers.by Carey - AFIBBERS FORUM
QuoteJoe I asked the cardiologist about clot formation. He said that it can happen in two hours. Wonder if he is overcautious? He's probably basing that on a single study that found that clots could form very rapidly (even less than 2 hours), but that study was based on very sick elderly patients with significant heart disease. So yes, I think he's being overly cautious. On the otherby Carey - AFIBBERS FORUM
Quotewolfpack If I can figure out google drive I'll post them. Much easier: http://postimage.orgby Carey - AFIBBERS FORUM
Ah, so it is doing overdrive pacing. That would definitely explain what you experienced.by Carey - AFIBBERS FORUM
Quotemwcf that certainly looks pretty much like NSR except for the lack of (or barely discernible) P waves. They're discernible but they're inverted. That's what makes it a junctional rhythm. If not for that then yeah, it would be NSR.by Carey - AFIBBERS FORUM
I've never heard of a 3 day criteria. The guidelines used to say <48 hours but that's been called into question recently as being far too long. In any case, I wouldn't want to be without anticoagulants for any episode lasting more than a few hours.by Carey - AFIBBERS FORUM
Yep, accelerated junctional rhythm. I see what he's saying about afib being visible in V1, but why it wouldn't be apparent in other leads is a mystery. By any chance are you taking digoxin or were you at the time?by Carey - AFIBBERS FORUM
Nobody can tell you whether flutter is always going to accompany your afib. You'll just have to wait and see. Also not sure why you were being paced since I don't know how it's programmed. That's definitely a question for the pacer clinic or your EP. It's possible it was programmed to pace in response to afib, which is known as overdrive pacing. The idea is to give yourby Carey - AFIBBERS FORUM
You'll need to set permissions on that file to make it publicly visible. I can't access it.by Carey - AFIBBERS FORUM
QuoteElizabeth After 4 days in a Heartrate of 80 what made me stop pacing and go into my normal heartrate of 60? Hopefully the pacer lab will have some answers for me tomorrow, I don't know what the explanation would be, but hopefully your EP will have an explanation after he reviews the pacer report. I think you're really going to have to insist on hearing it from him because what yby Carey - AFIBBERS FORUM
Quotehoundym Thanks very much to all--great information. Does anyone have knowledge of electrophysiologists in the Pittsburgh area? Yes, and boy did you luck out. He's a Natale protege and although Philly isn't Pittsburgh, it's as close as you're going to get for this kind of EP. Go see this guy.by Carey - AFIBBERS FORUM
QuoteElizabeth The copy of my ECG finally got to my doctors office, he left before it got there, however his nurse can read them. I think there's a communication problem here. There's no reason that afib wouldn't be apparent even if you were pacing, but she was probably trying to keep it simple for you. I think she must have assumed that if you're pacing then you're nby Carey - AFIBBERS FORUM
Quotehoundym Could ablation help bradycardia? No, but stopping the beta blocker will. Unless you had bradycardia before starting the drugs, that's most likely the cause of the bradycardia. QuoteIt seems that many posters here know when they are in a Fib. Sometimes I do, but not sue if feeling palpitations necessarily equates to A fib. How can I tell the difference? As Wolfpack said,by Carey - AFIBBERS FORUM
Quotewolfpack Can you cut the 5mg pill in half to affect a 2.5mg BID dose? It's not time release so that's probably okay, but Eliquis does come in a 2.5 mg dose.by Carey - AFIBBERS FORUM
Oh, sorry, I was thinking you underwent a cardioversion. Since you didn't, I stand by my original opinion that I would probably skip the Eliquis.by Carey - AFIBBERS FORUM
Quotewolfpack So, either a clot formed or it didn’t. What does eliquis do post-facto? Does it “eat” the clot, if it exists? Excellent question! It turns out that cardioversions have a "stunning" effect on your atria. For several weeks following a cardioversion your atria don't move blood as efficiently as normal and clots become a risk factor even though you're in a normaby Carey - AFIBBERS FORUM
Quoterocketritch My exercise trigger was always recovery from a hard effort when cycling or running. Ditto. I have never experienced afib or flutter during exercise, but I have many times in the hours following it, especially when it was a long bike ride in warm weather. I think I know why. For two years I watched my potassium levels carefully because I was able to control my afib/flutter aby Carey - AFIBBERS FORUM
QuoteElizabeth If this is flutter, does It always happen after an episode of AF or just sometimes? Not always, but everyone is different. I went two years with flutter being the only arrhythmia I had, then afib reappeared and they mingled together. Sometimes the afib would initiate the flutter and sometimes it was the other way around.by Carey - AFIBBERS FORUM
If you go to the Products page on their site and click the product you used, look for the tab labeled SDS. Click that and it's the product's safety data sheet. Looks like pretty benign stuff mainly.by Carey - AFIBBERS FORUM
Keeping your payment would be extraordinarily unethical. I seriously doubt they would do that.by Carey - AFIBBERS FORUM
Quotewolfpack Cardio wants me on Eliquis for a month. I’ll get a second opinion from the EP, and maybe even a third one from yours truly. Honestly, I don’t see the need. Opinions? You're CHADS-Vasc < 2? If so, and if these episodes aren't frequent and don't last more than a few hours, I'd probably skip the Eliquis.by Carey - AFIBBERS FORUM
I don't think there's a lot to be analyzed there. The positive news you can take from it is, as you said, that the afib isn't really sustained. Your heart keeps trying to do the right thing so as the ablation lesions heal, hopefully it will gradually settle down into a normal rhythm.by Carey - AFIBBERS FORUM