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Yep, totally normal. In fact, I wouldn't be surprised if it goes higher.by Carey - AFIBBERS FORUM
I think you absolutely should. If your situation is that complex then you should seek out the specialists who understand it, which probably means more than one.by Carey - AFIBBERS FORUM
Yes, it's a thing. There aren't a lot of them because three board certs is long, hard program, but do a fellowship in cardiology, adult congenital cardiology, and electrophysiology and that would make you an adult congenital electrophysiologist. I found programs at Yale, Cleveland Clinic and other top-shelf centers.by Carey - AFIBBERS FORUM
Enlightening post, thank you. Quotebettylou4488 In a nutshell imho, It is good to get multiple opinions from the people that do it. I wonder also- is there a post on here of "all the questions you should ask an EP?" I am sure there is. Not that I know of, and if there is it's probably out of date by now, so there's going to be a new one. It will be a group effort. Standby Carey - AFIBBERS FORUM
First off, how high was high and was it the only out outlier result? If it was just slightly out of range, and particularly if it was a lone outlier, then it probably doesn't mean anything. Otherwise, it could indicate inflammation somewhere in the body, and we all know inflammation can trigger afib. But I doubt the monocytes are responsible. As George suggested, I would expect they'by Carey - AFIBBERS FORUM
QuoteLenlec Cheers Carey. Does one Af attack mean the rogue signals have now permanently found A pathways even after just 3 months ? I wouldn't interpret a single episode to mean anything at all, particularly since it followed 3-4 beers.by Carey - AFIBBERS FORUM
One episode doesn't a failure make, particularly after 3-4 beers. You just need to wait and see how it goes. Are you on any meds?by Carey - AFIBBERS FORUM
QuoteGeorgeN Note that either link is fine and you'll end up at the same place. We use Paypal as our credit card processor, so whether you use a credit card or Paypal, your payment will be processed through Paypal. I used this link that said there were no fees deducted because of the non-profit status. Do both links do this? Yes, no matter how you get to our donation links they all wby Carey - AFIBBERS FORUM
QuoteJuggsy75 there are days now where I do wish I hadn’t had it as since two years post ablation I have daily constant pvcs, these are more debilitating I find than my AF The trouble is, there's no way to know if the ablation caused the PVCs. Since an ablation doesn't get anywhere near the ventricles, it's unlikely that it did. How many do you have each day? If you're exby Carey - AFIBBERS FORUM
Thanks, George! Note that either link is fine and you'll end up at the same place. We use Paypal as our credit card processor, so whether you use a credit card or Paypal, your payment will be processed through Paypal.by Carey - AFIBBERS FORUM
Pompon's right that you're not going to find a consumer grade device that can record an ECG during exercise. You'll have to stop and be still for 30 seconds to get a recording with your Kardia. The Apple Watch won't detect afib when your heart rate is over 120, which it probably will be during exercise. I've also heard they won't provide support if you've been dby Carey - AFIBBERS FORUM
QuoteKleinkp Carey if Natale stopped/retired today who would be your short list of go to EP's? Oh, man.... You're asking for the list I just explained why we can't provide. Making a list like that is HARD! If someone here needs a recommendation, we can help with that, but we have to know their particulars first and then we can all group-think the best recommendation, but I donby Carey - AFIBBERS FORUM
First off, thank you for the research, the collection of links, and the praise. QuoteDavid_L When I first heard about Natale I wanted to find out more about him. If there are thousands coming here then going to him, why not put a sticky post up that contains links so a newbie can come up to speed as they try to make up their mind why people are so enthusiastic about Natale? As useful as tby Carey - AFIBBERS FORUM
Quotesusan.d If one schedules a watchman, do they get a TEE prior to measure the LAA for the correct size watchman? You probably get two. One the day before to confirm no presence of clots and one during the procedure to size your LAA.by Carey - AFIBBERS FORUM
For top EPs, yes, both adenosine and isoproterenol. That EP did everything right and was meticulous. They didn't skip anything.by Carey - AFIBBERS FORUM
Well, it's always possible for any invasive procedure to trigger existing afib, and that would include everything from dental work to a Watchman implantation. But no way the Watchman actually caused his afib. He had afib to begin with. It's possible the procedure triggered it, and it's also possible it's just a coincidence and he would have been in afib again if hadn't haby Carey - AFIBBERS FORUM
The training is apparent. That ablation report reads a lot like a Natale ablation report. Glad it went so well! Expect a few bumps in the road in the coming weeks, but I doubt any will be more than that.by Carey - AFIBBERS FORUM
Afib or flutter doesn't matter. Watchman devices don't cause either one. The person you quoted is drawing an incorrect conclusion from a coincidence.by Carey - AFIBBERS FORUM
Poll answer: NO. And if there's anyone in this world who might experience flutter, it would be me. There are no reports of that in the literature and no one I've ever heard of has experienced it either. Did that someone you heard it from happen to have anything to back up their claim? The Watchman and several other LAA occlusion devices have been in use for years so unheard of claimsby Carey - AFIBBERS FORUM
I would be concerned that you have something more than afib going on, but it sounds like your cardiologist has chalked it up as afib and isn't going to investigate further. A simple thing for them to do, for example, would be to have you wear a monitor for a month to see what's actually going on when you experience these symptoms. But since they don't seem interested in finding outby Carey - AFIBBERS FORUM
QuoteBrian_og Apparently I will have a urinary catheter at some stage as well. Yikes. Not sure when that comes out. I know it sounds like yikes! but trust me, that catheter is going to be your friend when you're lying there flat on your back for 4 hours and you've just been pumped full of saline for the last few hours. They might offer to remove it before you're allowed to get uby Carey - AFIBBERS FORUM
Quoterocketritch After my 2nd ablation failed my local EP was talking to me about a laparoscopic type ablation where they would work from inside and outside the heart. Cant remember what it was called but same principle as the maze scaring the heart from both outside and inside. I was contemplating it until I found this site and spoke with Dr Natale. That's the hybrid procedure somebodyby Carey - AFIBBERS FORUM
Quotesusan.d I already had two ablations that included atypical flutter. It’s not easy to find. What’s a plan B that isn’t a nuked AV ablation? An EP capable of finding it and ablating it. Most EPs will just do what's known as a roof line, meaning they'll burn a line across the roof of the atrium in an attempt to block the flutter circuit. It's usually done as a blind procedure,by Carey - AFIBBERS FORUM
I considered a Maze procedure at one time but quickly ruled it out for the following reasons: Even the mini-Maze procedure is a significant surgical procedure with all the risks that surgery entails Recovery time is weeks, not days, and much more uncomfortable Atrial flutter is a very common side effect If flutter occurs, an RF ablation will be needed to eliminate it In my mind these isby Carey - AFIBBERS FORUM
Have you considered that keto diets cause significant water loss? Dehydration is an afib trigger for almost everyone, so try substantially increasing your water intake while on a keto diet.by Carey - AFIBBERS FORUM
QuoteRobbiecriss Do you exercise aerobically with your issues? Yes, and although I've been in NSR for 3 years now, I never stopped riding my bike, even at the height of my afib and 250 bpm flutter. I average about 100 miles per week in warm weather, and there's no such thing as flat ground around here so every ride is aerobic. The ASD was just an incidental finding on a TEE, and sinceby Carey - AFIBBERS FORUM
QuoteDavid_L (i) Are the benefits of early rhythm control limited only to ‘early’ AF (i.e. diagnosed within the previous 4–6 weeks) or can they be extrapolated to AF of longer duration? I think this has been answered in the last few years and the answer is yes, but it requires advanced training and a ton of experience. That EP at your local hospital with the impressive academic credentials? Noby Carey - AFIBBERS FORUM
Quotebettylou4488 I still struggle with this.. should I (at the age of 55) just stay here in afib. My rate is controlled. (with Cardizem). I can't really successfully take beta blockers. I've been in afib since July 7. You're in persistent afib, which will be called longstanding persistent afib next July if you're still in afib. If you decide to just live with it, it wby Carey - AFIBBERS FORUM
Quotebettylou4488 There is no one who regretted it long term who you have met? just checking I read that right... Because my circle is smaller than yours and I do know those people.. Yes, you read it right. I guess we need to define "long term." Sure, I know people who came away from ablations worse off than they went in, and I count myself among them. Multiple times, in fact. It toby Carey - AFIBBERS FORUM
QuoteDavid_L I'd like to hear more of your story. That link George posted is the whole story.by Carey - AFIBBERS FORUM