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Quotelibby Obviously, no one is immune to complications. Did any of you have tamponade, cardiomyopathy, LA/esophageal fistula....? I did not experience any of those things from any of my six ablations. I've followed several afib and medical forums for many years and I've only heard of one case of tamponade (which resolved successfully). I'm sure there have been complications I dby Carey - AFIBBERS FORUM
QuoteKen Personally, I think the medical field over prescribes blood pressure medications I think quite the opposite, and the results of the SPRINT trial are hard to argue with. The previous hypertension guidelines doctors have followed for years were just plain wrong and needed to be changed. Would it be better for people to lower their BP through lifestyle modifications? Of course, but weby Carey - AFIBBERS FORUM
Hi Patti, Welcome to the forum. Sounds like you've had a rough go of it. I'm confused by your EP's plans. It makes no sense to put you on a heavy hitting drug like amiodarone prior to an ablation. The usual procedure is exactly the opposite. And prescribing amiodarone at all for someone your age and health status is really... questionable. I think you need to put anotherby Carey - AFIBBERS FORUM
Quoteamyorca I haven't had clear directions on how much metoprolol and diltiazem to take. It should say right on the prescription bottles. QuoteMy cardiologist is not an electrophysiologist. In fact, I have never heard of that. Now I will research this. An electrophysiologist is a cardiologist who specializes in the electrical systems of the heart and arrhythmias. That is absolutelby Carey - AFIBBERS FORUM
QuoteJoe After a couple of days they took an ECG of the heart. This involved holding my breath in for some seconds and at other times holding my breath out for some seconds in order for the operator to get a good image of the heart. I believe you meant echocardiogram.by Carey - AFIBBERS FORUM
Quoteamyorca I stayed in bed all day and finally converted to NSR around 6:30 pm. So I was in afib for 7 hrs. Maybe this will reset these constant short bursts of afib. It all seems like a guessing game. I can't function when I am going through this. I am trying to run my own businesses and deal with life. I just want a solution. I can't even get into seeing my cardiologist until Jby Carey - AFIBBERS FORUM
QuoteGeorgeN If you sample on a regular basis during a day (say with an AliveCor), you would not rule out short duration afib, between your sample times, but you would rule out long duration afib. Hence the question is "what duration would be acceptable from a stroke risk perspective?" Good question. Speaking purely for myself, I would accept one week of continuous monitoring toby Carey - AFIBBERS FORUM
I don't quite understand why you reduced your potassium intake, but it's extremely unlikely to help and extremely likely to do exactly the opposite. The evidence you have before you seems to confirm that.by Carey - AFIBBERS FORUM
I think many people assign way too much importance to the concept of vagal vs. adrenergic afib.by Carey - AFIBBERS FORUM
The question shouldn't be solely about whether the ablation was successful or not. The main question should be what your CHA2DS2-Vasc score is. If you've got a score of 4, for example, then you should remain on anticoagulants no matter how successful your ablation was. Same with LAA isolation with a low flow volume, as wolfpack mentioned. Consider this: A lot of people who have had aby Carey - AFIBBERS FORUM
Silent afib is called silent because patients are unaware of it, so things like an AliveCor aren't going to catch it. The EP's concern apparently is that Susie could be experiencing afib without realizing it. It could happen during sleep, for example, or she could simply be asymptomatic. I know people who run, lift weights, etc. and yet they're in persistent afib but feel absoluteby Carey - AFIBBERS FORUM
Quotewolfpack In broad strokes, I’d say it depends on mediation. Vagally mediated AF is unlikely to become persistent or permanent. Adrenergically mediated AF, on the other hand, tends to be progressive. What do you base that on?by Carey - AFIBBERS FORUM
I don't have the specs for either device so can't say. I don't know what they're basing their statement on about the Laqua being unreliable. When I first obtained mine, I validated it by doing the following: 1. Go to lab, have bloods drawn. 2. Walk back out to car and immediately use Laqua to test saliva. This happened within 2-3 minutes of the blood draw. 3. Compareby Carey - AFIBBERS FORUM
Be aware that the Cardymeter is a pretty outdated device now. The newer HORIBA LAQUAtwin (horrible name) is much smaller, simpler and easier to use.by Carey - AFIBBERS FORUM
I agree with George that an implanted device seems like overkill. I understand your EP's concern. Silent afib does exist, does cause strokes, and hard core runners are particularly prone to afib. So given your age, history, and zeal for running, it's prudent to check. Although I love the AliveCor, it doesn't monitor continuously so it's not going to catch silent afib unless yoby Carey - AFIBBERS FORUM
Today marked the end of my blanking period following an ablation by Dr. Natale in August and I haven't experienced so much as a stray PAC since the procedure. 100% sinus rhythm. I failed five ablations by three other EPs previously, so I know what to expect from ablations, and the complete stability I've experienced since his is not what I expected. Even successful ablations usually havby Carey - AFIBBERS FORUM
Yes, George is right, but that's academic and we're confusing the matter. My point was that with a slow flutter you're most likely not even going to be aware of it unless someone happens to catch it on ECG because it doesn't come with the flopping fish sensation of afib. Only when the rate is high does it become symptomatic. I had at least 5 separate flutter circuits at variouby Carey - AFIBBERS FORUM
Okay, something like a 4:1 conduction is possible, but it would likely be asymptomatic since flutter is typically quite regular. Flutter someone notices isn't going to be slow.by Carey - AFIBBERS FORUM
No, atrial flutter always produces tachycardia. In fact, that's part of its definition. You'd need an ECG or at least something like an AliveCor to know what's actually happening during these experiences. You might find this helpful.by Carey - AFIBBERS FORUM
Only 14 patients in that study had a common pulmonary vein, which is a tiny sample. I don't think it's meaningful. There would be a lot more published on this if it were real, and a guy like Natale who's done thousands of ablations would be aware of it. I think you can safely disregard the issue. As I said, what makes an ablation a success is the person doing the ablation, not howby Carey - AFIBBERS FORUM
Afib is a side effect of Corlanor, affecting 5-8% of the patients who take it. So the afib could be a result of the procedure, the drug, or both.by Carey - AFIBBERS FORUM
Yes, you have a chance of it happening again, but afib following any ablation is common and often transient. Did your EP not explain the blanking period to you? Any sort of atrial arrhythmia for the next 3 months may be a result of the procedure and shouldn't be viewed as being permanent. Make sure to tell your EP about it. He may want to put you on an antiarrhythmic and/or beta blocker duriby Carey - AFIBBERS FORUM
Millions of people with afib have been on flecainide for decades without problems. I've been on it myself multiple times and never had a problem with it. Overall I think it's one of the safest, most effective antiarrhythmics there are with the fewest side effects. Although now and then you'll encounter someone who did have negative side effects from it, those people are uncommon. Iby Carey - AFIBBERS FORUM
Since none of my EPs ever said anything about this, I got curious and checked with Shannon, who checked with Dr. Natale. Dr. Natale's answer is it makes no difference. Common pulmonary veins don't predispose you to afib nor are they more likely to be triggers.by Carey - AFIBBERS FORUM
No stats but I also have a common pulmonary vein and I'm not the example you're looking for to confirm your conclusions. Don't let that dash your hopes, though. What really matters is the training and experience of the EP doing the ablation. Care to share the data you found that says afib can be more common with common pulmonary veins and that it can be an isolated trigger?by Carey - AFIBBERS FORUM
Quotesafib I see no evidence the Healthy Origins or any other nonpharma grade Mg glycinate product is verifiably better than Dr's Best. Exactly right. Without laboratory analysis by an independent organization, all supplements are equally suspect and all are likely sourced from countries with even less regulatory oversight than the US.by Carey - AFIBBERS FORUM
QuoteGeorgeNThe original moderator came up with this concoction to reduce his PAC's, you could see if it helped you < That's the article I read three years ago that led me down a path to being able to completely control my afib/flutter for almost two years with no drugs at all. Although I'm sure it's tasty, I think it's overly complicated for using daily. The only acby Carey - AFIBBERS FORUM
QuoteBarbless Is it possible my AFib event structurally changed my heart to now be an easy trigger for PAC's. Will letting myself have these PAC's make future ablation harder if I get more AFib? Has anyone been able to address these head on? I don't think ablation is worth it at this point until I show more history of AFib. Trying to do my homework because it definitely seems AFibby Carey - AFIBBERS FORUM
Quoteemv54 I've had LPAfib for around 10 years What is LPAfib?by Carey - AFIBBERS FORUM
Water retention isn't even a rare side effect of amitriptyline, and water follows the law of gravity. You see it first in your lower extremities (ankles) rather than being evenly distributed. Rapid weight gain, however, is a common side effect of amitriptyline and unlike water retention it tends to be evenly distributed. I'm afraid that your friend is gaining weight, but it's probaby Carey - AFIBBERS FORUM