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What's the medication? And is it limited to swollen ankles or a more generalized retention with weight gain?by Carey - AFIBBERS FORUM
QuoteElizabeth It would depend on a person's age, if you are younger than 75 than an ablation and any succeeding ablations, watchman any blood thinners meds would be different. If one is in their late 70s and beyond then I say again "why go through one or more ablations, maybe a watchman and blood thinners. Sure, age matters, and so do other factors, but when considering ablation I tby Carey - AFIBBERS FORUM
Quotemwcf I just looked a list of Flecainide interactions here: and if that's to be believed one pretty much can't take ANYTHING (including Ranolazine) along with Flecainide - including any BB to take with a PiP Flecainide dose as many here have done/do (including me). That link is inaccessible, but if it says you can't take beta blockers with flecainide it's dead wroby Carey - AFIBBERS FORUM
I don't think it matters in the least. A properly done ablation blocks the sources of afib, so what caused those sources isn't particularly relevant. If the errant signals are blocked, they're blocked. I also think all afib except that due to obvious causes like valvular afib has a genetic component. The fact that your mother and her sisters had it doesn't makes your afib aby Carey - AFIBBERS FORUM
Your risk of embolic stroke (stroke from a clot) is much, much higher than your risk of hemorrhagic stroke (stroke from a bleed), so I'm afraid he's quite right. Any well informed doctor in the world would agree with him on this. You're in the same boat as people who are afraid of flying. They're perfectly happy to drive to the airport, which is by far the most dangerous paby Carey - AFIBBERS FORUM
I'm another one of those people. In exchange for an isolated LAA, I got rid of afib and intractable flutter at rates of 230-250 that multiple EPs had been unable to stop. Best trade I've made in my entire life, bar none. People with afib who undergo no ablations at all usually remain on anticoagulants for life too, plus they're usually on beta blockers and often antiarrhythmicsby Carey - AFIBBERS FORUM
Quotejennifer92151 I have a cardiologist who is worthless. Where do you get serum testing? Through a lab or by working with a doctor? I would like to know my levels, but I don't know where to start. You start with a doctor and a routine physical. Basic blood work from any GP will include an electrolyte panel, which is something that anyone with diabetes should be doing periodically. Youby Carey - AFIBBERS FORUM
I would urge great caution with potassium supplements to anyone with diabetes, and that includes artificially boosted foods like LS V8. Diabetes and kidney dysfunction go hand-in-hand, so any use of potassium should include frequent monitoring of electrolyte levels and kidney function. In fact, although I've used very high doses of potassium with great success, I always tell people with diabby Carey - AFIBBERS FORUM
It's not a matter of it working or not. It's a matter of purity. The Chinese have a dismal quality control record. If they can't be trusted to manufacture baby formula that doesn't contain toxins added to reduce cost, what can they be trusted with?by Carey - AFIBBERS FORUM
Good question and nobody can predict what insurance companies will do or when, but my guess is you'll see them start covering it in the coming year as 5-year data becomes available. It won't be all of them at once, of course, and no doubt there will be holdouts, but I think it's on the horizon. How insane is it that American health care is dictated by for-profit companies that hby Carey - AFIBBERS FORUM
QuoteJackie Just FYI….. I just learned that Doctor’s Best was sold to a Chinese company last year. Sigh... there goes another good source. Thanks for posting this. I won't take drugs/supplements manufactured in China because, quite frankly, their track record with food and drug safety is miserably bad.by Carey - AFIBBERS FORUM
QuoteGeorgeN 300 mg is the standard PIP flec dose for those who weigh more than 70 kg (154#'s), 200 mg for those who weigh less. Good point. QuoteThis excretion can be so strong that potassium is also excreted as the body tries to keep the sodium potassium ratio in balance. Best practices are to supplement with 5g/day of sodium (about 12.5 g sodium chloride salt) and additionally potaby Carey - AFIBBERS FORUM
That's great but most likely it won't last. Cardioversions aren't curative.by Carey - AFIBBERS FORUM
50 mg is actually a pretty small dose. The usual dosage for using flecainide as a PIP is 300 mg. However, checking with your doc first would be wise. I very much doubt that fasting makes you more (or less) vulnerable to afib. Not being on an anticoagulant is the risky thing you're doing, especially with the diabetes and being female. I don't know how old you are but that makes yoby Carey - AFIBBERS FORUM
Quoteanneh thnx maybe I shouldn't even be on it if my risk is so low, its because I am 79 that they put me on it, I worry alot about getting a hemorrhagic stroke from being on it =:0 anne h No, being 79 and female with afib, your risk of ischemic stroke is much higher than your risk of hemorrhagic stroke. You need to be on it, but being off it a couple of days is no big deal.by Carey - AFIBBERS FORUM
For a simple procedure like that they might not require you to stop at all, but if they do, a brief stoppage of an anticoagulant for a day or two is such a trivial risk for you that it's not worth worrying about. Seriously, your stroke risk even without taking Eliquis at all is in the 1-2% range, so divide that by 365 and you get an increased risk of about .0005% per day when you're offby Carey - AFIBBERS FORUM
An ablation last May isn't likely to improve further with more time. Generally, the ablation lesions are as good as they're going to get by about 3 months and you're well past that mark. So no, it's not too soon. It's not unusual for a "touch up" to be required after an ablation, so I would probably go ahead with it. However, if the second procedure isn't fby Carey - AFIBBERS FORUM
I lived by the so-called 48-hour rule for a couple of years but I no longer believe it has much validity. Afib is a chronic disease and too many strokes happen to people with afib who haven't been in afib recently to rely on any sort of time criteria. Go by your CHA2DS2-Vasc score instead. If your afib still occurs paroxysmally, you probably need to remain on ACs regardless of your score.by Carey - AFIBBERS FORUM
QuoteCC66 My new EP left me a reply this afternoon, about my metoprolol concerns; he thinks 12.5mg taken with the flecainide won't be harmful, based on "it's such a small amount." It is a small dose. Maybe try it to see what it does to you under normal circumstances? That beats finding out during your next afib episode.by Carey - AFIBBERS FORUM
QuoteGeorgeN I assume you DON'T have bradycardia when you are in afib, so this would likely not be an issue for you. Jackie has posted a similar protocol for on-demand flec. She takes her beta blocker and waits 30 minutes before taking the flec. < Flec, at least in me will leave me with a heart rate in the 80's after conversion. This slowly drops, over a number of hours, back toby Carey - AFIBBERS FORUM
QuoteCC66 He also said I should be taking 12.5 mg Metoprolol every time I take my 100 mg Flecainide for my episodes, to prevent a flecainide-induced double-speed arrhythmia (sorry, I don't know the name for this---he said if you take flec when you have flutter not afib, it causes this issue). The term you're looking for is 1:1 ("one for one") conduction. This is something tby Carey - AFIBBERS FORUM
QuoteAB Page Thanks Carey, that's very reassuring. I always wondered if it really mattered that I wore one, and I do 24/7. I'll get mine updated asap with mention that I'm on Eliquis. Yeah, get that updated because the Eliquis matters a lot more than the NSAIDs. You're not likely to be given NSAIDs in an ambulance or ER, but being on anticoagulants will definitely matter toby Carey - AFIBBERS FORUM
QuoteAB Page I wear one for my extreme NSAID allergy. As a former EMT, did you look for them? Do most? Absolutely. If the patient isn't capable of answering questions reliably then it's a mandatory assessment step. Failing to notice one when it mattered would be the kind of fundamental mistake that gets you fired and maybe sued.by Carey - AFIBBERS FORUM
No need to apologize. Your second post added details not clear in your first. I don't know what happened here but it sounds like amio's toxic effects happened. I would want to hear the second opinion. I still don't understand why they think a pacemaker will replace amio. Mass General is generally a good choice so please report back.by Carey - AFIBBERS FORUM
Quotewolfpack If I were on long term anticoagulation therapy, I’d seriously consider a tattoo to that effect. Although you’d probably have to lie to the tattoo shop about the anticoagulation! Come to think of it, that presents an interesting quandary. “Why do you want a tattoo that says Eliquis?” “Um, no reason...” I was an EMT in a former life. I would recommend a medical alert neby Carey - AFIBBERS FORUM
My advice is to make the appointment and do as Dr. Natale directs. :-)by Carey - AFIBBERS FORUM
Regardless of BVO, Gatorade and all "sports drinks" are total crap you should avoid. If you're looking for electrolyte replacement then things like coconut water and low-sodium V8 are much better choices. Or better yet, plain water with a little high-potassium, high-salt snack like peanuts accomplishes the same thing in a much healthier way, besides being cheaper and tastier.by Carey - AFIBBERS FORUM
Shannon would be the guy to answer this. I'm sure he'll be along shortly.by Carey - AFIBBERS FORUM
Quotewolfpack It's fair to point out that a lot of this forum and its users deal with "lone" AF, or AF not caused by valve replacements or other heart surguries. That's not to say that there isn't expertise here, but do be careful mapping treatments for lone AF to valvular AF. The objection to amiodarone amongst the LAF community is grounded and well understood, but Iby Carey - AFIBBERS FORUM
QuoteThe Anti-Fib I don't think your bed-ridden the 3 days, doing the Dofetilide. My Doc told me I could get up and move around in the Hospital. If it was me I would find out exactly what the 3 days will be like. Been there, done that. You're not bedridden at all unless there's something else going on. You're free to do anything you want as long as you stay within range ofby Carey - AFIBBERS FORUM