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There's no problem. Like any drug there are pros and cons and those pros and cons will vary from person to person. 1- Eliquis has a better safety profile with older patients. 2- Pradaxa might have interactions with other meds the person is taking (that's the reason I was switched from Pradaxa to Eliquis). The same can be true of any of the anticoagulants so there's nothing spby Carey - AFIBBERS FORUM
I'm not quite sure what we're discussing here.by Carey - AFIBBERS FORUM
That's the name that always comes up when people talk about EPs in Arizona. I don't know a lot about him except that he has a good reputation. The only negative I know is that he does FIRM ablations, which I think are nonsense (and I've had one).by Carey - AFIBBERS FORUM
QuoteElizabeth Carey: Are you saying that you are on a blood thinner? So many on this site have had ablations and are on blood thinners. The last time I was on Coumadin I had a problem and had to stop, when I stopped, two weeks later I had a slight nose bleed (I never got them) and coughed up some blood clots. Yes, I'm on Eliquis. I've also been on Pradaxa in the past. After twoby Carey - AFIBBERS FORUM
I really like this site for understanding ECGs. I think it's presented very well and understandably for non-medical people. The specifics of how to measure rates on an ECG are covered here.by Carey - AFIBBERS FORUM
Quotetsco I appreciate the help Carey. Looks like about 4-1/2 to 5 between the end of a T wave to the beginning next P wave (when I have a P wave). That's the longest. Most are about 4 For future reference, just measure between the R waves, the big peaks, which makes it easy. But what you provided is close enough. Each big box is 0.2 seconds, so five of them is one second. What youby Carey - AFIBBERS FORUM
Obtaining potassium without supplements is trivially simple and obtaining potassium via supplements is actually rather difficult since supplements are limited to 99 mg per dose by law in the US, which is less than the potassium contained in 1/4th of a banana. Don't waste your money on potassium supplements. Roughly in order of potassium content: Low-sodium V8 juice Coconut water Potaby Carey - AFIBBERS FORUM
Quotetsco My bp is ok and I am seeing some long pauses here and there. How long is long? Do you see the grid displayed on your recordings? Notice that it's divided into large and small boxes. How many large boxes do you see between the beats that seem to be pauses?by Carey - AFIBBERS FORUM
PACs alone don't cause pauses. There are many possible causes, including meds. How's your BP? Low BP is the most common reason for dizziness. Although the Kardia does average the sample to display a HR, any pauses would be obvious in the recording. Just look for unusually long gaps between beats.by Carey - AFIBBERS FORUM
QuotePetros I have both a cardiologist and an EP and they both said the same thing. Their only other options for me are either tikosyn (even more dangerous than flec) or cardiac ablation (success rate only about 60% and 4 hour operation or so). You're quoting success rates for average EPs doing ablations in small, low-volume centers. You might want to look into the success rates of highby Carey - AFIBBERS FORUM
QuotePetros After this event my cardiologist advised completely discontinuing flecainide as it could cause VT if used after a heart attack (which she said I had had). That's not advice you ask people on the internet to second guess. Stop taking the flec and don't even use it as a PIP. I used flecainide successfully for several years but then the day came that I was told it was too danby Carey - AFIBBERS FORUM
Amiodarone should be a drug of last resort.by Carey - AFIBBERS FORUM
Get that appointment with Natale, go with his advice, and don't worry so much about the Eliquis and drugs and vitamins. You'll be fine.by Carey - AFIBBERS FORUM
QuoteNickC Problem is all of these blood thinners are lethal Much less lethal than strokes.by Carey - AFIBBERS FORUM
Quotetobherd Carey - can you please clarify what you were saying when you wrote about Eliquis and the brain. It's unclear what your message was. Sorry, I'll try to clarify. I wrote mainly about nose bleeds and such, so please don't mix my comments about that with comments about brain bleeds. Very different things. What I wrote is quoted below with the parts about brain bleedingby Carey - AFIBBERS FORUM
QuoteShannon over a trans-Pacific flight though they might have a life-vest onboard modern airliners that might possibly keep things ticking until landing but not entirely sure about that. No way. Life vests (of the sort you're talking about) aren't in the public domain and won't be anytime in the foreseeable future. Some airlines carry AEDs (all US airlines are required to), butby Carey - AFIBBERS FORUM
Quotetobherd Carey - are you saying that you have seen many cases of Eliquis causing a brain bleed, and therefore a stroke? I would hate to think that the agent that is recommended for avoiding a clot is even more dangerous for potentially causing a stroke in a different way....it sounds like a no-win situation. No, I didn't say that at all.by Carey - AFIBBERS FORUM
I don't think that pacemaker is doing what you think it is. As I understand pacing modes, it sounds like she has some degree of heart block and the PM is set to provide both an atrial and ventricular beat if her heart doesn't provide either one naturally. That keeps her healthy and alive but doesn't control afib. But whatever her situation, a pacemaker doesn't eliminate thby Carey - AFIBBERS FORUM
Fibrillator is right that flecainide usually does lose effectiveness eventually. Some people get many years out of it and others just one or two. In addition to losing effectiveness, it can also become pro-arrhythmic. Both problems are common with several antiarrhythmic drugs. Anti-Fib's experience was extremely unusual for flecainide, and what I heard there was a whole lot of medical buby Carey - AFIBBERS FORUM
If you're calcium levels are low, supplements aren't going to do you any harm and in fact will help avoid joint and skeletal issues. You really, really don't want to develop osteoporosis. It's also just as essential for heart function as magnesium, so I'd check with the doc and get on a calcium plan.by Carey - AFIBBERS FORUM
I'm sorry to tell you this but flecainide has nothing to do with your hip pain and an ablation won't make any difference. You need to look for other causes of the hip pain.by Carey - AFIBBERS FORUM
QuoteFibrillator ABpage, do you notice any difference when you have that small occassional glass of wine? Though king of a pointless question I know as we are all different but I am asking anyways. As you say, we're all different but alcohol in moderation makes no difference to me and never has.by Carey - AFIBBERS FORUM
QuoteJohnBM Okay thanks for all your support. I shall start enzymes and HCl for the stomach, and next afib episode take a metoprolol, wait 30 mins then take 50 mg of flec. Any final comments? Best Wishes and long NSR to ye all.: I'm glad to see that your EP told you to take the metoprolol first before the flecainide. That protects against the one serious (but rare) side effect of flecaiby Carey - AFIBBERS FORUM
QuoteThe Anti-Fib Admission to a Hospital for monitoring when initially using Flecianide is the FDA protocol. That's very rarely done these days. I've been started on flecainide several times without any hospitalization or monitoring and I know dozens of others who've done the same. In fact, I can't recall the last time I heard of anyone being hospitalized to start flecainidby Carey - AFIBBERS FORUM
There's no benefit whatsoever to allowing yourself to remain in afib one second longer than necessary. Side effects are minimal to non-existent for most people, so by all means, take the Tambocor (flecainide). Personally, I wouldn't resume the Omeprazole. Proton pump inhibitors taken long-term aren't a good idea.by Carey - AFIBBERS FORUM
Quotewolfpack Yes there are reversal agents for the new DOAC (direct oral anticoagulation) drugs like Eliquis and Xarelto You sure about that? I thought the Eliquis reversal agent got sent back for further testing last year and hasn't been approved in the US yet.by Carey - AFIBBERS FORUM
External bleeds aren't what you need to worry about with anticoagulants. Even nosebleeds, which can be dramatic as Jackie described, aren't life threatening. I spent 15 years in EMS and have seen dozens and dozens of severe nose bleeds. I've seen houses that looked like murder scenes due to nosebleeds, especially with people on warfarin and home oxygen (oxygen dries your nasal passby Carey - AFIBBERS FORUM
When you say you have a pacemaker that controls your afib, do you mean you had an AV node ablation? If so, an AV node ablation doesn't prevent afib; it only prevents it from being transmitted to your ventricles and causing a rapid, irregular heartbeat. Your atria will continue to be in afib following an AV node ablation, so the need for anticoagulation doesn't go away. Also, the needby Carey - AFIBBERS FORUM
I have absolutely no time for or interest in debates about the FDA, conspiracy theories, Big Pharma, and all the other boogeymen of the alt-health world. Let's all just remember that the supplements industry is a huge business with billions of dollars at stake. Anyone who thinks the people manufacturing and selling supplements, and the people writing books about supplements, and the peopby Carey - AFIBBERS FORUM
With a rate of 79-83 I wouldn't do anything. Are you sure you haven't reverted back to a normal rhythm? If you want a consult with Dr. Natale, you do that by simply calling the Texas Cardiac Arrhythmia Institute at the number found on their website and ask for an appointment with him. Expect to wait months for the appointment.by Carey - AFIBBERS FORUM