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QuoteJoyWin PS: My EP is excellent and is an internationally respected electrophysiologist who performs all types of ablation procedures from the most simple to the most complex and regularly performs procedures that have failed elsewhere. He is internationally recognized as one of the world's leading researchers in the field of heart rhythm disturbances and has been instrumental in describby Carey - AFIBBERS FORUM
Did the same EP do both? If so, do not use that EP again. They don't know how to make durable lesions. You might want to read this if you haven't before. Is that very fast heartbeat a regular rhythm? If so, it's most likely atrial flutter (which is a type of SVT, so you're not wrong).by Carey - AFIBBERS FORUM
QuoteMark I have been in the the Kardia “Supraventricular Ectopy” for about 24 hours now with resting bpm in the 50/60s. Would I likely be prescribed a calcium channel blocker? Maybe, but that's a pretty low heart rate. Most doctor would be cautious about lowering it more.by Carey - AFIBBERS FORUM
An ER isn't going to do anything for him unless he's experiencing symptoms at the time such as chest pain, shortness of breath, etc. The scheduling issues are across the board for all specialists these days because they're all totally swamped following COVID. People didn't go to the doctor for two years, so now there's a huge backlog. Plus a lot of doctors said "by Carey - GENERAL HEALTH FORUM
QuoteKingFizzy I have a knife guy That's something I've never heard someone say before.by Carey - GENERAL HEALTH FORUM
I've had five in total and plan to go for #6 next week. I know the risks and the stats, and that's all I need to know. COVID can be far worse than afib and the vaccines simply work. In fact, they work far better with fewer side effects than anyone would have predicted in 2020. And even if vaccinated, long COVID is still possible (unlikely but possible). I know a guy who had long COVby Carey - AFIBBERS FORUM
After three? Try five. I'm the guy with six, and Natale was the one to put an end to that ridiculous series of failures six years ago. I agree with gloaming. Get back on Natale's list. I doubt it's something he missed. More likely it's new ectopic sources that have appeared after the touch-up procedure. Afib is a progressive disease so it's prone to doing things like thatby Carey - AFIBBERS FORUM
I've had adenosine a few times. The only thing I can say about it is you'll know what cardiac arrest feels like after you've had it. It only lasts a few seconds, but it's not a pleasant few seconds. Most atrial arrhythmias can be diagnosed from an ECG alone. The adenosine is usually reserved for when they're trying to distinguish between AVNRT and AVRT (two types of Sby Carey - AFIBBERS FORUM
Quotekenn_green Sometimes the data is very noisy and I have to keep restarting data collection with the Kardia Mobile to get a clean EKG. Is that typical? I have a 6L, and sometimes I have to switch from single lead to 6-Lead to get a decent EKG. Yep, definitely common. A Kardia is no different than a real ECG. You need to be sitting, have the Kardia on a surface in front of you, and remainby Carey - AFIBBERS FORUM
Makes no sense because it's probably pure coincidence. A high heart rate isn't always afib by any means. There are other atrial arrhythmias. The most likely culprit would be afib's evil cousin, atrial flutter. It's characterized (usually) by a regular, rapid heart rate. A rate of 150 is very common, but so is 120. There are others such as SVT and atrial tachycardia, but myby Carey - AFIBBERS FORUM
QuoteKingFizzy We don't know and that's the point of testing. And how do you know you're testing the right thing? The clotting cascade is a ridiculously complex process involving many factors. Just a diagram of the process will boggle your mind, and different substances affect different steps. Personally, I prefer to rely on the clinical trials already conducted on thousands oby Carey - AFIBBERS FORUM
Tech seems to be a for-profit university based in the Canary Islands. I know nothing about them. Are you in the US? If so, pretty much all state universities have distance learning programs these days and it would likely be less expensive and higher quality. And be aware that there are no nurses on this forum that I'm aware of, so this probably isn't the best place to ask. I would sby Carey - GENERAL HEALTH FORUM
No, they're not similar. Multaq's mechanism of action isn't fully understood and it has characteristics of all four classes of antiarrhythmic drugs while flecainide is clearly a class I drug. I've been on both, flecainide first. I didn't change because it stopped working, but rather my circumstances changed. Multaq and flecainide were both useless against my flutter.by Carey - AFIBBERS FORUM
Quotegloaming Is this the hybrid procedure where one week they pierce the area below the sternum and probe up behind the heart to ablate the sub-pericardial tissue near the LA? And a couple of weeks later they do a normal catheter ablation inside the LA? That's not what I understand a hybrid procedure to be. I understand it to be a Maze procedure combined with an RF ablation.by Carey - AFIBBERS FORUM
QuoteSdweller Thanks Carey...can I ask why you would never do a hybrid? Shannon's response from a few years ago that George helpfully linked to is why.by Carey - AFIBBERS FORUM
Go to Natale and be done with it. I would absolutely not do a hybrid procedure. PS- I corrected the spelling of Natale's name. A lot of people think the name is pronounced the same as the English female name Natalie, but it's an Italian name and it isn't. It's pronounced na-TA-lay (not NA-ta-lee).by Carey - AFIBBERS FORUM
I find that list of symptoms rather ridiculous. Bedwetting, diarrhea, constipation... seriously?by Carey - AFIBBERS FORUM
Why do you believe that your program is safer and/or more effective at preventing clots than simply taking the Eliquis twice daily?by Carey - AFIBBERS FORUM
There are reasons why I take 1/2 dose Eliquis instead of aspirin. Being only an animal study, I'll wait for confirming human studies to have an opinion on aspirin and fibrosis.by Carey - AFIBBERS FORUM
No, that is definitely not something anyone should expect following an ablation. Have you seen anyone about this other than the EP who did the ablation? This is a job for your PCP first and foremost, and for them to refer you to a specialist if necessary. And one obvious question: Have you been tested for COVID?by Carey - AFIBBERS FORUM
A lot of ectopy can fool not only the Kardia but many doctors as well. And it can reach the point that there's really no functional difference between a lot of ectopics and afib, so the distinction isn't really meaningful.by Carey - AFIBBERS FORUM
QuoteMeganMN So it appears that in Norpace and Propafenone, they lengthen the refractory period of the atrium. So I still can't figure out why those two drugs have worsened the atrial tachycardia. Because the class I antiarrhythmics are known for that. I don't think there's a definitive answer to your question about mechanism. There are a half-dozen other antiarrhythmics tby Carey - AFIBBERS FORUM
I think the narrowing of the refractory period would be the main culprit. When you make the refractory period shorter, it gives more time for an errant impulse to trigger a response. I saw this firsthand when I learned how to control my flutter with potassium. Potassium does the opposite and widens the refractory period, and if you widen it enough it can stop the repeating circle of flutter by caby Carey - AFIBBERS FORUM
If I were you I would stop the propafenone. It's the same class of drug as flecainide and seems to be behaving the same, so I would just stop. Talk to them about something entirely different like Multaq or sotalol.by Carey - AFIBBERS FORUM
QuoteWhyMe It's funny cause on any surgeon's website you go to, they always make it sound like most ppl that go there get their problem fixed for good, and that just a few will need a second touchup but after that second try 95% of ppl are "cured" blah blah blah. I say BS, to me it looks like only a tiny % is "cured", everyone else is told to come back for more and mby Carey - AFIBBERS FORUM
Let's not resurrect a 10-year old thread. If you want to ask that question, then just make a new topic and ask it.by Carey - GENERAL HEALTH FORUM
Done. Folks, if you want to communicate directly with another individual here, use a private message (PM). You can do that by clicking the "PM" link just to the right of their name at the top of a post. If you post personal info here on the forum like phone or email address, it's visible to the entire world because you don't have to be a member here to read posts, and spamby Carey - AFIBBERS FORUM
Follow Natale's advice.by Carey - AFIBBERS FORUM
QuoteWhyMe So my question is....am I reading too much into this Yes.by Carey - AFIBBERS FORUM
No, don't know a way to DM her. She has 425K subscribers so I'm sure she gets buried with DMs and messages all over the place. She probably doesn't even read them.by Carey - AFIBBERS FORUM