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QuoteGill Thanks Carey, I didn’t know that half-life and physiological effects were different things. So if someone had a bleed would it be better for them to be on Eliquis? And what is the state of play on reversal agents? I doubt it would make all that much difference with a bleed whether you're on Xarelto or Eliquis, but I suppose Eliquis would have a slight edge. There is a reversby Carey - AFIBBERS FORUM
I'm sorry, but I don't understand your response. I don't think any of his lab work is an afib actor. He has afib; it's that simple. Looking for a "why" is a futile search because no one knows why people have afib, but it's not due to light and circadian rhythms.by Carey - AFIBBERS FORUM
I think perhaps either you misunderstood something they said, or someone was spouting their med school knowledge without thinking about how you would interpret it. Delayed bleeds following head trauma are unicorns. Yes, they can happen, but they are vanishingly rare. If you got a CT scan and clearance from the ED doc, you're good to go. Your EP is unlikely to disagree and really shouldn'by Carey - AFIBBERS FORUM
QuoteMuntz My question to you my friends... is there a med that will keep afib away? Is there a med out there that's the most successful on reducing ectopics which really are so worrisome to me but my cardiologist says benign. Docs say my heart is structurally sound, so what's up with afib showing up? Are they missing something? At 68 now it appears afibs starting to get more frequentby Carey - AFIBBERS FORUM
I kind of figured you were going to say a general cardiologist. I recommend that you see an electrophysiologist (EP) instead. An EP is a cardiologist who specializes in heart rhythm disturbances and the electrical conduction system of your heart. Think of them as the electricians of the cardiology world while general cardiologists are the plumbers. You have an electrical problem, not a plumbing pby Carey - AFIBBERS FORUM
Hi Joe, welcome to the forum. Sorry you found the need to look us up. Just because you don't experience symptoms doesn't mean much. That's pretty common with people who are in longstanding persistent afib as you apparently are. The thing is, afib presents two dangers to you. The first one is stroke risk. You said nothing about being prescribed an anticoagulant. I hope that was jby Carey - AFIBBERS FORUM
Rate control alone is what everyone living with longstanding persistent afib relies on. That's their daily life. But I'm guessing that doesn't describe you since you're asking. I've failed multiple ablations, some drugs worked for me, others didn't, and some worked sometimes but not other times. So it's hard to know how to answer your question. Could you telby Carey - AFIBBERS FORUM
QuoteGill Carey - if they both have similar half lives then why is one a single dose and the other a twice-a-day? Good question. As it turns out, Xarelto actually has a shorter half-life than Eliquis (5-9 hours for Xarelto, 12 hours for Eliquis). So how can it be that it only needs once daily dosing while Eliquis requires twice? It's because the physiological effects of Xarelto lastby Carey - AFIBBERS FORUM
Your potassium levels probably bounce between 4.2 and 5.4 on a daily basis, if not hourly. That's perfectly normal. Your kidneys know what they're doing and your potassium levels will change rapidly on an hourly basis. Honestly, looking at two random snapshots in time days apart tells you absolutely nothing unless one or both measurements are way out of bounds.by Carey - AFIBBERS FORUM
Switching anticoagulants or even stopping them isn't going to help heal a hemorrhoid. It's not bleeding because you're taking Xarelto; it's bleeding because it's not healed. Anticoagulants don't cause bleeding, they only prolong it. So get the hemorrhoid healed and it won't matter what you take because it will stop bleeding and then Xarelto can't prolong thby Carey - AFIBBERS FORUM
QuoteGeorgeN A high sugar diet can cause insulin dysregulation, depending on the person. The blood sugar you have 12 hours fasted is provided by the liver. If your glucose is high, it can be that your insulin system isn't handling what is being produced. That's my point. Something else is going on. Maybe the diet is part of the issue, but it's not the direct cause.by Carey - AFIBBERS FORUM
Is it still 518? Sotalol shouldn't be started with a QT higher than 450.by Carey - AFIBBERS FORUM
The dosing instructions for Xarelto specifically say to take it with "the evening meal." That means a full mean, not a snack, though a sandwich could be considered a meal. Surprisingly, Xarelto and Eliquis have similar half lives.by Carey - AFIBBERS FORUM
Eating a high sugar diet doesn't cause high blood sugar 12 hours after your last meal. (Black coffee is just water so it doesn't matter.)by Carey - AFIBBERS FORUM
No to all three, and I've never heard of these three markers being associated with AF. However, chloride is an electrolyte, so when it's out of normal range it can definitely cause heart rhythm disturbances. And high MCH can cause tachycardia. If those numbers are significantly out of normal range I would investigate further. I don't believe AF can be the cause.by Carey - AFIBBERS FORUM
Were you fasting prior to the blood draw? If so, that blood sugar would concern me. The 48-hour rule was never based on sound science. It was more just clinical judgement aka educated guesses. I wouldn't rely on that. And for people who've had an ablation that isolated their LAA, and who either haven't had a TEE to verify blood flow in the LAA or didn't meet the minimum reqby Carey - AFIBBERS FORUM
The reality is there isn't much difference between Xarelto and Eliquis. If once per day dosing is important to you, choose Xarelto. But you must take Xarelto with a full meal, so if that's a problem, choose Eliquis. If you can get one cheaper than the other, that's another good reason to choose it. Both drugs give you comparable protection when taken properly (remember that full meby Carey - AFIBBERS FORUM
Go figure. A Danish soccer player suffers cardiac arrest and the Afibbers ZX club is born.by Carey - AFIBBERS FORUM
If it makes you feel any better, I also had a 280ZX in 1983. Got married the same year, so not as many girlfriends. And although I never dressed in Miami Vice clothes, I do have a photo of my 280 parked in front of my father's house in Miami, FL where I grew up.by Carey - AFIBBERS FORUM
QuotePoppino Whats the difference between Cardiac Arrest and a Heart Attack? Cardiac arrest is exactly what it sounds like: It's when the heart stops pumping blood. A person who suffers cardiac arrest will drop unconscious immediately. Having no pulse, they are now considered clinically dead. If the person doesn't receive immediate CPR and other measures to keep blood flowing followedby Carey - AFIBBERS FORUM
Turns out he was defibrillated. The story is behind a pay wall so I've quoted the relevant section: Quote The doctor, Morten Boesen, led the work in giving Eriksen cardiopulmonary resuscitation after he collapsed during Denmark’s European Championship game against Finland. “He was gone. And we did cardiac resuscitation. And it was cardiac arrest,” Boesen said in a videoconference withby Carey - AFIBBERS FORUM
Yeah, translation error seems likely. I'm sure the medics had a defibrillator but the camera work is so awful that I can't tell anything more than 1) he collapsed, 2) somebody initiated chest compressions at some point, and 3) he was carried off the field conscious and alive. If the CPR really was justified then I'm sure a defibrillator was used because Denmark has competent EMby Carey - AFIBBERS FORUM
QuotePoppino They did cpr and a heart massage ( whats that?) The heart massage part is either a translation issue or bad reporting. He did not receive heart massage because that involves cutting the chest open, reaching in with a hand, and squeezing the heart rhythmically. Clearly not something you do on a soccer field. From a quick view of the videos, he left the field conscious and alertby Carey - AFIBBERS FORUM
Completely understand the problem with beta blockers. For some people, including me, beta blockers are like anti-activity meds. Glad to hear you're getting yourself off them.by Carey - AFIBBERS FORUM
QuoteKleinkp Truly life changing!!! Great to hear!by Carey - AFIBBERS FORUM
Quoteggheld Soon it will be time for delayed Colonoscopy so I presume the same procedure will be used. Yeah, except no need for the adrenaline.by Carey - AFIBBERS FORUM
Hurray! You actually tested it for 5 days before jumping to conclusions based on a single event! That's actually kind of rare but very much appreciated. Lidocaine is used as an antiarrhythmic in injectable form, so if some amount of it is absorbed into the systemic circulation from a topical application, it's quite possible it would have an effect on your ectopics, just like you suggby Carey - AFIBBERS FORUM
Do the surgery. The last thing you need is an oral infection, which poses its own threat to your heart because the lymphatic system of the mouth drains into the chest. That's how people end up with endocarditis from dental infections. The dose of adrenaline you're going to get is probably less than your body would produce on its own given a good bit of excitement.by Carey - AFIBBERS FORUM
QuotePoppino I can feel immediately that im at 90 rather than 55-75. .... Anxiety All of which are perfectly normal, so anxiety is the issue you need to address, not your heart rate. Unless you're under 50 or over 100, there's absolutely no reason to pay any attention to your heart rate. Those changes don't mean anything more than proving you have normal cardiac function.by Carey - AFIBBERS FORUM
It's not about toughness. You sure you've never had this experience since 2005? The fluctuations you describe are pretty normal. If you weren't checking your pulse constantly before now, you never would have noticed the swings.by Carey - AFIBBERS FORUM