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Yeah, I kind of doubt that 99 mg/day of potassium is actually even doing anything. That's less potassium than a small glass of orange juice. Might want to consider substituting cheaper, tastier OJ, or a dozen other cheaper, tastier things. Do you like kiwi fruit? Kiwi has 215 mg of potassium per fruit.by Carey - AFIBBERS FORUM
QuoteJohnBM He has stopped the Sotalol, and now wants me to take Flecainide 50 daily with Bisoprolol 1.25. I am going to wait a few days as I still feel rough from the Sotalol, and want it to be totally out of my system before starting a new regime. Echo and stress test were normal, the afib came on as I was cooling off from the test. Normally I take a small amount of Metoprolol if the hr is hby Carey - AFIBBERS FORUM
QuoteGeorgeN I know both Shannon and Carey were two of the people here with one of these meters. I think the real time feedback was helpful for some of them. I'm not sure if the new meters work as well for this purpose. If by "new meters" you mean the meters currently available from Horiba, yes, they work better than the (now ancient) Cardymeters. They were selected by NASA forby Carey - AFIBBERS FORUM
QuoteGeorgeN Unfortunately the Conference Proceedings link there is incorrect. We'll get that fixed. In the future, if you or anyone else comes across a broken link, please PM me to let me know.by Carey - AFIBBERS FORUM
Glad you're upbeat about it. As I said before, a touch up procedure is common even with very good EPs and usually successful. Let us know how it goes, okay?by Carey - AFIBBERS FORUM
That translation is terrible so who knows what that report says. Also, you're mixing up the pulmonary veins and pulmonary artery. The pulmonary artery carries blood from your right ventricle to your lungs. The pulmonary veins carry blood from your lungs to the left atrium. So totally different things and no one has ablated either of them.by Carey - AFIBBERS FORUM
Yes, that's correct. Tumeric, fish oil, and all those other things people call blood thinners don't actually thin the blood or change its viscosity. The only thing that actually thins the blood is water.by Carey - AFIBBERS FORUM
Just so we're all on the same page.... Blood thinners do not thin the blood, which is why I never use that term. The drugs we call "blood thinners" interfere with the blood's ability to form clots, but they don't do so by any sort of thinning process. If you're well hydrated, your blood will be as thin as it needs to be and that's really all you can do to keeby Carey - AFIBBERS FORUM
Tikosyn is usually effective -- if you can tolerate it. That's what that 3-day hospital stay is all about. They have to make sure that it doesn't widen what's known at your QT too much (basically, that's the width of each heartbeat on an ECG). If it does, you'll be sent home and won't be able to take it. I spent a few months on it, and it worked well for me with veryby Carey - AFIBBERS FORUM
Eliquis raises INR but they don't know why and they don't know what the significance is. All the DOACs work via a different chemical pathway and there's just no need to measure anything. If you're taking the pills correctly and consistently, they are effective. It's funny how nobody asks this question about any other drugs, only the DOACs.by Carey - AFIBBERS FORUM
I very much doubt it's inconsistent at all. They don't want to guarantee consistency because they know perfectly well people will split tablets to save money if they do that. But think about it: if they truly can't guarantee consistency then they can't guarantee dosage either, and that would get the product pulled from the market. I spent the last 20 years of my career workingby Carey - AFIBBERS FORUM
I've stopped Multaq 3 times. Never weaned, just stopped. Like almost all drugs we discuss here, Multaq doesn't require weaning. The only drugs I can think of that are commonly used here that need weaning are beta blockers, and then generally only if you've been on them a long time (many months or longer).by Carey - AFIBBERS FORUM
Quotebettylou4488 also I have heard it discussed on this group that it Is 'better' to have a somewhat inconsistent heart rate.. like if you have a perfect beat to beat that isn't "normal". maybe I understood that incorrectly. . I think you may be referring to a little side comment I made recently. I was talking about seriously ill people in a hospital setting. It'by Carey - AFIBBERS FORUM
Vomiting can be a symptom of many things, including hypoxia. Hypoxia is usually caused by lung and/or cardiac issues, but it can also be secondary to infections such as pneumonia, sepsis and COVID. An SpO2 in the 70s demands an immediate ambulance response. Don't ever let yourself get that low again. Anything below 92 is cause for concern, and anything below 88 is cause for an ambulanceby Carey - AFIBBERS FORUM
We have a similar history and I definitely experienced the same thing. In fact, I could tell a day or two ahead of time when an episode was coming. Very hard to describe, but I could feel a sort of "tension" building. When the episode was over, that feeling was completely gone and I knew I wouldn't go back into afib for a least a while. It was like some sort of tension or pressureby Carey - AFIBBERS FORUM
Sinus tach is anything above 100 due to normal reasons (ie, exercise). If you're working hard enough to hit 150 and above, it's still sinus tach as long as it returns to <100 once you stop and rest.by Carey - AFIBBERS FORUM
Not all EPs work the same. Quite often the decision to stop the meds following an ablation is determined by simply stopping them and seeing what happens. After two months, it's getting close to the time to find out. Call the EP's office and ask about stopping them. Or, if you wish, you can do it on your own. The worst that can happen is afib, in which case you can simply resume the medsby Carey - AFIBBERS FORUM
How about you cool down and stop putting words in my mouth? I don't understand why you post data and then turn around and poo poo it. It's published in a reputable journal, so that says the authors expect the data to be taken seriously.by Carey - AFIBBERS FORUM
No, 30 hours isn't long enough to cause hypertrophy. I would wait them out.by Carey - AFIBBERS FORUM
It's a conference paper published in a major peer reviewed journal, and it presents data collected as part of a study, so it's a study. I agree it wasn't published independently outside of a conference proceeding, but I don't understand why that matters. I simply responded to the data you presented and explained why find it flawed and misleading. A large part of my motivationby Carey - AFIBBERS FORUM
QuoteKwilk Do you have a link? I was referring to the study you linked to in your first post on this thread. Those results paint a grim picture for ablation patients that I don't think matches reality. I speculate that the reason is we're looking at an entire group of patients as if they're a homogeneous group, and I'm sure they're not. There are undoubtedly many patienby Carey - AFIBBERS FORUM
Quotegloaming Also, unless a person is on proton pump inhibitors, for one, why would a person be getting insufficient magnesium in her diet? Because western diets are deficient in Mg. That's because of obvious things like processed and fast foods, but more importantly soils have been depleted of it by decades of farming practices. So even if you eat a very healthy diet and avoid fast andby Carey - AFIBBERS FORUM
QuoteKwilk MAFSI is used to score all AF ablation patients regardless of outcome. If, as you maintain, all patients at 1-year are free of MAFSI symptoms if they no longer have AF episodes nor other arrhythmia, then investigators wouldn't waste their funding to survey that majority subset of patients. That's not what I said. My complaint with the scoring is they don't account forby Carey - AFIBBERS FORUM
Yeah, a pounding sensation can be part of flutter even at relatively low heart rates, so that was probably the flutter you were feeling.by Carey - AFIBBERS FORUM
But the scoring doesn't differentiate between failed ablations, drug-induced symptoms, and successful ablations. Can you find data on that scoring system that only includes successful ablations with no antiarrhythmic or rate control drugs? That's your question, after all.by Carey - AFIBBERS FORUM
Yes, he would need to address both in your upcoming ablation because they have different causes. Flutter feels like sinus tach and looks like sinus tach on a single lead device like a Kardia or Apple Watch. But on a 12-lead ECG flutter shows itself with multiple P waves in between each QRS. Wikipedia has a great image of flutter on an ECG. That's your atria beating faster than your AVby Carey - AFIBBERS FORUM
I'm surprised that Stanford is still doing FIRM ablations and I'd love to see their data that shows better outcomes because all the data I've seen say quite the opposite. For example, read this, and note that eliminating a "rotor" doesn't really mean anything, so what you're left with is a procedure that's about 60% less effective than a standard PVI. In fby Carey - AFIBBERS FORUM
I've never experienced any of those symptoms after an ablation, successful or not. I can only recall two people from 3 separate forums who've reported stuff like that a year out, and they both had significant procedural complications. I would expect almost all those symptoms to be associated with a failed ablation, comorbidities, or drugs.by Carey - AFIBBERS FORUM
Most of the things that would exclude you would be pretty major findings such as heart failure, hypertrophic cardiomyopathy (enlarged heart), significant valve disease, any other sort of heart disease that would require treatment first, or unusual anatomy that would make ablation impossible. Slightly sclerotic valves won't rule you out. All in all, if your overall health is good it's uby Carey - AFIBBERS FORUM