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QuotePompon The "flutter" parts have little UP and down variation, since it's a regular rhythm. Right ? Right. Afib presents as rapid changes in rate because it's so irregular. By that I mean that the R-R intervals are all over the place, so if you take, say, 5-second samples you'll see one sample measuring at 150 bpm and the next one at 40 bpm then the next at 140. Butby Carey - AFIBBERS FORUM
QuotePompon Is this flutter ? Looks like it but hard to be sure off a single lead. BTW, the site doesn't support attaching images, so next time make it a link instead. I edited your post to fix that.by Carey - AFIBBERS FORUM
QuoteThe Anti-Fib "Fluttering has made it into my file along the way. Not sure if that is because of me describing an anxious feeling in chest or it showed up on 14 day or 30 day heart monitor readings. I did get a few unusual readings while on 30 day monitor folling EP increasig Flec to max dosage. Could have been panic attacks or reaction to increase Flec or Met. Not had since) " Aby Carey - AFIBBERS FORUM
A potassium level of 4.0 is perfectly fine and will in fact make arrhythmias less likely, particularly atrial flutter. I actually agree with his decision.by Carey - AFIBBERS FORUM
Okay, then you had longstanding persistent afib, no question about it. Is it possible that if an effort to stop it had been made earlier it would have been successful? Maybe, and maybe even probably. Maybe you had paroxysmal afib all along but that cardiologist never bothered trying to stop it. But I don't think it changes the ablation decision much. Whether it's inherently persistent oby Carey - AFIBBERS FORUM
During those three years, did you have multiple ECGs that showed afib? Don't know how long you've had the Kardia, but did it continuously show afib during that period too?by Carey - AFIBBERS FORUM
I don't think the BP and heart rate are anything to worry about. As for the chest discomfort, have you had a general cardiology workup, such as a stress test? Also, how old are you and what gender?by Carey - AFIBBERS FORUM
Quotesusan.d Lots of people here fly for hundreds to even a thousand miles to see Natale. I think geography is secondary when finding a skilled EP. Geo is looking for a local EP to handle follow-up care, not an ablation.by Carey - AFIBBERS FORUM
QuoteDigoxin is still routinely prescribed for patients with atrial fibrillation Only by general cardiologists who haven't kept up with their continuing medical education. I haven't heard of an EP prescribing digoxin in the last 15 years. I would refuse it.by Carey - AFIBBERS FORUM
Your cardiologist put you on digoxin? So he's a general cardiologist and not an electrophysiologist (EP). Is that a correct guess? Have you ever been diagnosed with heart failure?by Carey - AFIBBERS FORUM
I assume you've been diagnosed with COVID? I would absolutely take them both. You can't stop the Xarelto after an ablation and COVID increases the risk of abnormal clotting. Bleed risk isn't what you need to be worried about right now.by Carey - AFIBBERS FORUM
QuotePompon Propafenone is the same class of rhythm drug as flecainide, with some slight bb properties. If flecainide does not work or has unbearable side effects, it'll likely be the same with propafenone. Yep, I agree with this.by Carey - AFIBBERS FORUM
Quotesusan.d “tachydysrhythmia”. Fancy term for a heart rate over 100 that isn't normal but we're unable to identify. Maybe you need to find an alternative location you can seek out when it's that hot and stuff like this happens.by Carey - AFIBBERS FORUM
QuoteDini Has anyone had a TEE? Many of us have. I've had 4 or 5, maybe 6 TEEs (lost count) and 15-20 cardioversions. If they put you under temporarily using propofol, it's really a nothing procedure. Most of your time will be spent being bored waiting for doctors to show up. Then when they do they'll knock you out for a few minutes, do the TEE then the cardioversion, and youby Carey - AFIBBERS FORUM
The question is, what is this tachycardia? Is it a regular or irregular rhythm? Do you have a Kardia or any other sort of device that will show the rhythm?by Carey - AFIBBERS FORUM
Well, it seems your experience shows it could be. Misdiagnosis is always possible, especially in a single ER visit.by Carey - AFIBBERS FORUM
Yes, he had a stroke. Yes, he needs to be on an anticoagulant because he's at high risk of having another, which might just polish him off or worse. And yes, he needs to see a cardiologist. This is not a GP's arena and the GP should know that but elderly patients often get the shrug off because, you know, "they're old and they're going to die soon anyway."by Carey - AFIBBERS FORUM
QuoteJohnBM I have also read of the intermittent use of NOAC's for only a period after an episode (2 weeks) and then ceasing same. Does anyone have experience of this regimen? Yes, I did that for almost 2 years. I went through a single bottle of Eliquis in that entire time. However, I was a CHADS-Vasc zero at the time, so my EP was okay with it. Whether that's an option for you or anyby Carey - AFIBBERS FORUM
Okay, I should have qualified my statement. Once you go to an Advantage plan it's difficult to switch plans or go back to traditional Medicare. If another Advantage plan is willing to take you, THEN they can impose underwriting requirements. But there are no qualifying conditions to enter into any Medicare plan for the first time.by Carey - AFIBBERS FORUM
QuoteLLA I’ve heard that Afib is a disqualifying condition if one is applying for a Medicare That is not true. There are no disqualifying conditions for any Medicare plan.by Carey - AFIBBERS FORUM
Deaths due to stroke isn't the number to look at because many strokes don't result in death. The outcome can be all over the place from minor to severe, including outcomes that are far worse than death.by Carey - AFIBBERS FORUM
Holiday heart isn't usually treated beyond the moment. An ER will probably administer diltiazem to slow it down, but that's about it. Other causes like heart surgery might be treated but whether it needs an anticoagulant will be determined by their CHADS-Vasc score, not just the fact that they're in afib.by Carey - AFIBBERS FORUM
Quotetobherd It's interesting that some doctors want us to continue on low dose aspirin, but say it's OK if we decide on low dose Eliquis instead. Don't they do different things? Probably more accurate to say they do the same thing but in different ways.by Carey - AFIBBERS FORUM
Yes, look up "holiday heart." The same thing can happen with major surgery, especially heart surgery, also serious illnesses and trauma.by Carey - AFIBBERS FORUM
Quoteczk 40 year old male, had afib 5 times in the past 4 years, and have been using 50mg flecainide PIP for some of the attacks. The past 3 weeks I have had weekly episodes, all converting with flecainide, the last happened last night. My EP usually takes several days to get back with me, but I sent them a message. My question is, should I be concerned with this progressing quickly to a morby Carey - AFIBBERS FORUM
Hi, welcome to the forum. People are on all sorts of different meds and have all sorts of different side effects, and sometimes none at all. What are your problems with Eliquis and Xarelto?by Carey - AFIBBERS FORUM
Quotesusan.d Great site Carey. MDCalc.com? Yeah, that's my go-to site for all medical tests, measurements, etc.by Carey - AFIBBERS FORUM
In my opinion, no. The Moderna vaccine has proven to be the safest, most effective vaccine available. I'm guessing you're not a male between 12 and 39 years old, so why are you worried about this?by Carey - AFIBBERS FORUM
Sweet! You're almost one year exactly ahead of me, which means we're both crazy for scheduling an ablation in Austin in the summer.by Carey - AFIBBERS FORUM