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There are bunches of BP meds to choose from, so that's not a problem. Once you've been off the metoprolol a few days check your BP and talk to the doc if it's higher than it should be.by Carey - AFIBBERS FORUM
Quotetobherd Do you believe that everyone over a certain age should be on Eliquis as a preventative for a stroke? I wouldn't say everyone, but if you have a high CHADS-Vasc score and a low HAS-BLED score, a low-dose anticoagulant would likely reduce strokes overall. But I'll be surprised to see doctors prescribing them for that reason. GPs/PCPs aren't generally familiar with prby Carey - AFIBBERS FORUM
QuoteLoisA My first question maybe there’s some thoughts here is with the success of ablation on genetic Afib. I’ve been told ablation is not as successful when the Afib is genetic which is certainly seems to be in my family.. I don't know who told you that but they were wrong. The origins of the afib don't matter because however it started it's all the same once it does, and aby Carey - AFIBBERS FORUM
I've heard it from one or two others. You're taking it with a full meal, right?by Carey - AFIBBERS FORUM
The CHADS-Vasc calculator Jackie linked to isn't something specific to the Watchman. It's a standard CHADS-Vasc score calculator and is on that site solely to help people investigating the Watchman. It's not customized for Watchman recipients. I guess they should have asked first but I suppose it never occurred to them that someone with a Watchman would be using it. There are alby Carey - AFIBBERS FORUM
The advice is get vaccinated. Afib won't kill you, but COVID will. Or almost worse, it may leave you with long COVID. Read up on it. You really, really, really don't want long COVID. I know a guy who had it, and he was sick and unable to work for over a year.by Carey - AFIBBERS FORUM
The CHADS-Vasc score isn't really applicable following a Watchman implant. Regardless of your score prior to the Watchman, once you have it your risk of stroke becomes the same as people who've never had afib. When asking if you should continue anticoagulants or aspirin following a Watchman, keep in mind that the Watchman was specifically designed for people who can't take anticby Carey - AFIBBERS FORUM
They're excluding patients who've been previously diagnosed with persistent afib, which he has.by Carey - AFIBBERS FORUM
QuoteGeocappy Probably. What happens when I stop the Metoprol completely? Your resting heart rate will rise a little more, your BP may rise a little also, and you'll probably have more energy. Metoprolol causes some degree of fatigue in most people, with some people (like me) experiencing severe fatigue from it. Eventually your heart rate and BP will probably come back down to your norby Carey - AFIBBERS FORUM
I didn't think your post was aimed at me. I just thought it was pretty harsh on the people here who haven't been able to manage their afib without drugs or ablation, which is the vast majority of them. If Geo wants to test his caffeine theory I say go right ahead, and I've told him that in private. I think blaming 3 years of persistent afib on caffeine is wishful thinking, so yoby Carey - AFIBBERS FORUM
No, that study only looked at major cardiovascular events such as heart attack, stroke, etc. It didn't even consider afib. Afib can be triggered by inflammation from any source and all vaccines can cause a temporary spike in inflammatory processes, so it's probably not surprising that it can trigger afib in some people. But I wouldn't consider that much of a reason to avoid theby Carey - AFIBBERS FORUM
QuoteQue How many PACs are considered problematic? No matter the number, it's only problematic from a quality of life perspective. They cause no physical harm and EPs generally won't treat PACs or PVCs with anything other than drugs until they're in the 20K per day and above range. They might then attempt to ablate PVCs in some cases, but rarely PACs. There was a period inby Carey - AFIBBERS FORUM
QuoteThe Anti-Fib The people always recommending Ablation on this site are the ones who failed to manage their own Afib, thus they tend to be more pessimistic about Afib prognosis. Failed to manage their own afib? Seriously? That's really unfair to a lot of people; you're patient blaming. If you think afib comes in one flavor and it's always manageable, you're very wrong, pby Carey - AFIBBERS FORUM
That's a question you need to pose to Natale because the answer will be different for different people. Do you need an anticoagulant because you have a Watchman that's been verified leak-free and properly seated? The answer is probably not, but there's more to consider.... I could have stopped all aspirin and Eliquis after my Watchman four years ago, but I chose to continue a haby Carey - AFIBBERS FORUM
QuoteJoe After my aprx 4 month of permanent AF in 2015 i was told that my left atrium was very large. After a year or so of being in NSR and having another US i was told that my left atrium was almost back to normal. At the beginning of this year i had an US and was told (after specifically asking) that my atrium was only slightly larger than normal. No mention of fibrosis (possibly not visible oby Carey - AFIBBERS FORUM
Quotesusan.d Carey- didn’t you get failed ablations (5?) from top tier hospitals such as Yale and a couple from other prominent hospitals before getting a successful ablation from Natale?? Yep, I've had failed ablations from some of the finest. I don't blame the Yale EP much because he told me going in that I was a very complex case, that I most likely had multiple flutter pathways,by Carey - AFIBBERS FORUM
QuoteJoe Given that AF is due to cardiomyopathy and Strophanthin is said to improve cardiac circulation Not exactly. AF is thought to be due to atrial myopathy, which isn't the same thing as cardiomyopathy and may not be caused by the same factors. Specifically, unlike the ventricles, it may not be due to circulatory issues at all but more likely atrial stretch and fibrosis. So improving cby Carey - AFIBBERS FORUM
I agree with Mark. I would place very little value on being listed on that web site, or any doctor rating web site or publication for that matter. I think those sites can be useful for finding other information like what insurance they take, where they're located, etc, but I think they're next to useless for judging actual skills and experience. They're often little more than populby Carey - AFIBBERS FORUM
QuoteMark Returned to NSR about 1 am Friday morning. So about 4 hours in aFib and whatever. Don’t know if the extra 75 mg of Flecainide helped or not. But thanks to everyone for your thoughts and advice. Flecainide sure has its “drawbacks. Makes me wonder if I should even be on it despite not experiencing the side effects mentioned. My EP hasn’t suggested anything else. Thanks again. Glad yby Carey - AFIBBERS FORUM
Four years out you're at very little risk, but the question of whether you need to stop the aspirin is still debated, as you've discovered. Personally, I think stopping the aspirin is such low risk that I would do so. I'm also four years out from a Watchman but I'm on a half-dose of Eliquis instead of aspirin. When I asked about stopping the Eliquis for hernia repair surgery jby Carey - AFIBBERS FORUM
Sure, it's definitely possible that COVID was behind the increase, and that might last a while. Give it time. Cleveland Clinic is a good place to start looking, but look at the EP specifically. Even CC has rookies.by Carey - AFIBBERS FORUM
It's untrue that vagal afib rarely evolves into persistent afib. Regardless of what tends to trigger your afib, afib is a progressive disease and in most cases will eventually evolve into persistent afib. That might take years, but it will probably happen eventually. Since you've dived into the Afib 101 archives you know there are people here who manage their afib on their own using varby Carey - AFIBBERS FORUM
Just stop taking it. You can taper it if you want but there's no need.by Carey - AFIBBERS FORUM
Claimed by who? Where? Never heard of it before but a quick googling suggests it's a rather dangerous substance.by Carey - AFIBBERS FORUM
There are still EPs out there hitching their wagon to the FIRM horse and that's pretty much what they're talking about in that study, but they don't use the term FIRM. They refer to "rotational" drivers. Well, that's what FIRM was all about: this idea that there are "rotators" in the atria that sustain afib. Natale has poo-pooed the concept from the beginniby Carey - AFIBBERS FORUM
It just means sources of afib. In this case they're referring to sources other than the pulmonary veins. The second article you linked to also refers to FIRM ablations, and you can pretty much ignore any study involving FIRM. It was a nice theory but it didn't hold up.by Carey - AFIBBERS FORUM
I think all you're seeing is your AV node was 12 years younger 12 years ago. The ability of the AV node to sustain high rates drops with age.by Carey - AFIBBERS FORUM
There's not much significance, really. Are you taking any sort of beta blocker or calcium channel blocker? If so, that suppresses your rate.by Carey - AFIBBERS FORUM
It was a general cardiologist who left him in afib, which is something many of them are prone to do. When finally referred to an EP, the EP went to flecainide and cardioversion.by Carey - AFIBBERS FORUM
I'm a wee bit skeptical. Two correlations looks like coincidence to me. Did you look at all her episodes and see how many correlated or just a few?by Carey - AFIBBERS FORUM