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Quotesusan.d I must be dense. If your afib is blazing away, isn’t it quivering your atria thus enlarging your LA? That’s the MO of afib-it quivers and not beats normally to empty chambers. It’s doing an afib monkey dance regardless. It shouldn’t differ between the actual pumping/quivering of an AFib episode and that of a successful monkey cage AFib blazing away except for heart rate I suppose. Iby Carey - AFIBBERS FORUM
The only benefits of cryo over RF are that it's quick and it's simple, which means inexperienced EPs can do ablations with a decent chance of success. It can only do a basic PVI, so it's not useful at all for complex cases and touch up ablations.by Carey - AFIBBERS FORUM
QuoteDaisy Question about the crazy monkey: before an ablation does his crack habit affect the SA node and mess with it generating a steady beat? And to follow, after a successful ablation is it that his craziness is caged and thus doesn’t affect the SA node…or is the problem before an ablation something entirely different? Afib has no effect on the SA node and neither does an ablation. Duringby Carey - AFIBBERS FORUM
Quotesusan.d What about my atria, while disconnected, still beating as fast as 297 but I don’t feel it? Or my 110hr afib which I do feel? Won’t afib contribute to enlarging my left atrium? Yes, it probably will contribute to LA enlargement, but again -- so what? It's not harmful in and of itself. The 110 tachycardia you're experiencing isn't afib. It's sinus tachycardia,by Carey - AFIBBERS FORUM
Jais seems to be conflating two things: surgical removal of the LAA vs. isolation by ablation. Isolating the LAA doesn't have a significant effect on left atrial function. Only the LAA's pumping ability is affected, and that's a tiny portion of left atrial output. About 40% of the people who have an LAA isolation procedure retain sufficient LAA pumping quality that they don'tby Carey - AFIBBERS FORUM
Quotesusan.d Wouldn’t a surge protected GFCI outlet prevent this? Nope. There are no consumer-grade devices that can stop the electrical surge from a direct or very near lightning strike.by Carey - AFIBBERS FORUM
QuotePavanPharter I was a little freaked out the first time I encountered thunder snow. Lightning, thunder and snow all at the same time. Was expecting blood and locusts but went back inside and fell asleep. Speaking of thunder snow, this is a true story.... One day a few years ago it was a cold, windy day in February with a mix of sleet and snow. I was shocked to suddenly hear a loud clapby Carey - AFIBBERS FORUM
QuotePeggyK I have read, however, that it can increase the effect of eliquis?? Should I be worried about that? Nah. It's a very modest interaction. Probably more than half the people in the world taking Multaq are also taking Eliquis, and I've never heard of any EP adjusting the dosage because of it.by Carey - AFIBBERS FORUM
I replied to your other question about it. I don't know what side effects you've read about or where you read it, but Multaq has few, if any, side effects for most people. Are you mixing it up with amiodarone?by Carey - AFIBBERS FORUM
Multaq is probably the safest antiarrhythmic out there. There's no reason to be worried about it. It's generally the "mildest" antiarrhythmic there is. For example, it was completely ineffective at preventing my afib when it was in full swing, but Natale gave it to me for a month after my ablation with him just as your EP wants to do. In that role it worked beautifully withby Carey - AFIBBERS FORUM
The warning not to use it with MI and HF patients remains in place. Nothing new has been found to change that, and I think it's unlikely anybody will study that aspect again since it's too dangerous to try. As long as you haven't had an MI and don't have HF, it should be okay to continue using it.by Carey - AFIBBERS FORUM
QuoteJoe You could try challenging a strong muscle e.g. the deltoid prior to taking the Aspirin. If strong, then put the Aspirin under your tongue and challange again. If it stays strong (same as initially) the Aspirin is probably not the problem. On the other hand, if the muscle weakens then i'd not tke the Aspirin. You need someone to do the testing for you. That's a strange test.by Carey - AFIBBERS FORUM
Okay, so it does work well for you. I'd say you can kick the ablation can down the road a bit, maybe far enough that PFA will be available outside clinical trials, but as you've probably noticed from many of the replies, it won't last forever. Flecainide almost always eventually becomes ineffective or even pro-arrhythmic. Could be months, could be years. No way to predict except thby Carey - AFIBBERS FORUM
I don't know about others, but when I have to watch a 28-minute video to understand something that I could probably read about in less than 5 minutes, I tend to just skip right over it. A half hour is a lot to ask, so you've got to at least provide a summary that makes me think it's worth investing a half hour. Plus, with videos there aren't usually supporting links to folby Carey - AFIBBERS FORUM
QuoteMartyM However Aspirin amplifies the symptoms of my Afib.... Why do you think so?by Carey - AFIBBERS FORUM
QuoteJohnnyk80 Flecainide completely stopped my 34% afib burden in its tracks. For how long?by Carey - AFIBBERS FORUM
I'm not sure I understand your question and I think you're probably overthinking it. Quoteif Dr. Natale referred me to a doc he has confidence in, he must know that doctor does not do his own TEE but has a cardiologist do them, just like in Austin, No, there's no reason that doctor doesn't do his own TEEs. Like I said before, remember that all EPs are cardiologists firstby Carey - AFIBBERS FORUM
I haven't read up on the science of this specific question recently, so I'm just going on my understanding of heart function in general.... A chamber of the heart in fibrillation doesn't really pump at all. It just sort of quivers in a completely uncoordinated way. That's why ventricular fibrillation is fatal. The main chamber of your heart is just quivering and not pumpingby Carey - AFIBBERS FORUM
So you stopped taking aspirin and you've been afib-free ever since for many days now? I'm a wee bit skeptical because aspirin has been a mainstay afib prescription for decades.by Carey - AFIBBERS FORUM
When you're wondering what a drug might do to you, it's better to seek the facts than asking people what it did to them because everyone is different and this forum is a tiny sample size, especially when you're asking about uncommon drugs. According to drugs.com, palpitations are a "less common" side effect of this drug. So there's some reason to be cautious, butby Carey - AFIBBERS FORUM
QuoteDean If Tim could talk he would say to the vets “up yours!!” Umm, I don't know. Running around like a 2-year old is probably mostly the result of the prednisone. It does that. And maybe the wonderful results you've gotten are the combination of the two? Prednisone has proven anti-cancer effects, so it having a synergistic effect with the natto is entirely possible. Whatever tby Carey - GENERAL HEALTH FORUM
Quotesusan.d 230-250 atrial heartbeat or ventricular Carey? My pacemaker recently pre ablation clocked my atrium hr @ 303 and another at 306. Since my av node ablation I didn’t feel any of the 49 episodes the 24 hours post ablation @ 256 to 259 hr that my pacemaker clocked. Go figure. Carey- are they deliberately non symptomatic because my av was destroyed? Similar to your monkey cage —scarby Carey - AFIBBERS FORUM
I didn't see that particular document but I was made aware of all the horrible things that can happen when anyone sticks a catheter into your heart for any reason, which is mostly what that list is. The problem is, you show that list to anyone and they'll be an instant "NO!" even if the procedure is necessary to save their life. The list doesn't include the odds of eacby Carey - AFIBBERS FORUM
QuoteKindog Carey, The point is that this study suggests a huge number of undiagnosed cases. What study are you referring to?by Carey - AFIBBERS FORUM
I've always been skeptical of that 15-30% figure. It may be true for some people, but not all. More than once I found myself in afib while out on my bike. Miles from home with no cell signal, there's only one option: get on the bike and start riding. I would try to take it easy, but the terrain here is hilly, so there's only so much taking it easy I could do. I was always able to rby Carey - AFIBBERS FORUM
I doubt there are enough undiagnosed cases of afib out there to significantly alter the stats. Most asymptomatic afib is persistent, so that means to escape detection you have to avoid ever having a medical professional take an EKG, listen to your chest, or feel a pulse (or buy an Apple Watch). At least one of those things is likely to happen even in the most cursory visit to a doctor's offiby Carey - AFIBBERS FORUM
QuoteKen Absolutely. It's hard for me to imagine someone not knowing or feeling what their heart is doing. I suspect how lean or fat one is plays a role in this. Maybe, but I know a guy who's a lifelong athlete and very fit. He's in his 70s and runs marathons. He has longstanding persistent afib that was diagnosed entirely by chance a few years ago during a routine physical.by Carey - AFIBBERS FORUM
That strip is regular in a few places, but overall it's mostly irregular. Could be a mix of flutter and afib, which is common, but I can't call that strip flutter.by Carey - AFIBBERS FORUM
That would be a good idea, yeah, and they might decline to do the surgery anyway.by Carey - AFIBBERS FORUM