They look essentially the same to you but the computer is seeing things you don't, and an EP might also. ECG interpretation is not a trivial skill. Small, subtle changes that are easy for an unskilled person to overlook can be meaningful.by Carey - AFIBBERS FORUM
QuoteNoTrigger My EP is highly skilled in a major hospital in San Francisco and has suggested either lowering the dose or try for another ablation. He had said a few weeks ago that there wasn't any other places left to ablate but seems to have changed his mind. He has left it entirely up to me to decide. He is also very fond of the AV node/pacemaker option as well - ugh! Your EP may be hiby Carey - AFIBBERS FORUM
I got 120 from doing a quick measurement on the QRS spacing. It could be off by 10 bpm because I only measured a small sample but the device averaged the whole thing. Anyway, 120 vs 111 doesn't matter. It's tachycardia either way and shouldn't be allowed to continue uncontrolled. By the way, it's not an echocardiogram. It's an ECG (or EKG). Totally different things. Anby Carey - AFIBBERS FORUM
Amiodarone is an antiarrhythmic, not a rate control drug. Amiodarone is very effective, but it does have serious side effects if used long-term. It also has a very long half-life so it takes weeks or even months to get out of your system after you stop taking it. So what does your EP actually want? A rate control drug or an antiarrhythmic? Since you just had an ablation I would imagine itby Carey - AFIBBERS FORUM
Definitely not afib. Could be flutter but it's almost impossible to diagnose flutter without a 12-lead. So it's sinus tachycardia, or flutter at worst. Whichever it is, the 120 bpm needs to not be allowed to continue.by Carey - AFIBBERS FORUM
Read the conclusion again and think about how it applies to you: QuoteCardioselective beta-blockers prescribed to people with asthma and CVD were not associated with a significantly increased risk of moderate or severe asthma exacerbations and potentially could be used more widely when strongly indicated. Well, they're right. The cardioselective BB didn't cause moderate or severe aby Carey - AFIBBERS FORUM
Yeah, you probably shouldn't be on a beta blocker.by Carey - AFIBBERS FORUM
Do you have asthma or COPD or has any doctor ever told you that you have reactive airway disease? Beta blockers should be avoided in general in people with reactive airways because they can exacerbate the condition.by Carey - AFIBBERS FORUM
TEE and SVT added, also ECV, which is the usual acronym for (electro)cardioversion.by Carey - AFIBBERS FORUM
Looks like bigeminy to me but with only 1.5 seconds of strip available, impossible to know what happens next. But whether it's bigeminy or trigeminy doesn't matter much. It's not clinically significant. It's just ectopy doing what ectopy does. When you post an ECG, please post the whole thing, not just a brief glimpse. It's really important to see at least 10-15 secondby Carey - AFIBBERS FORUM
OSA added, but if I see CA on this forum I would assume it means catheter ablation, so I think that's problematic as an acronym.by Carey - AFIBBERS FORUM
Well, if you're already going to do a cardiac MRI anyway you could ask about it.by Carey - AFIBBERS FORUM
To see fibrosis you need an MRI with delayed enhancement. But I can't see any reason for you to undergo one. If it shows you have (or do not have) fibrosis, so what? There's nothing to be done about it. I had one prior to an ablation because the EP wanted to know how much fibrosis he was dealing with and where it was. It's a long, expensive procedure. I doubt any insurance companyby Carey - AFIBBERS FORUM
CBTI Google it. Apparently, it's very successful and no drugs are involved, nor do you need to continue the therapy beyond about 6-12 sessions. I've heard multiple doctors praise it, including sleep experts.by Carey - AFIBBERS FORUM
Quotemjamesone Watchman often requires low dose aspirin for life. Subtle bit of distinction is needed here. Aspirin isn't required per se. That's the FDA's recommendation, but the truth is there's no good evidence to support it. As the implanting EP told me, the FDA recommends it mostly because they felt like they had to do something, not because there are good reasons for iby Carey - AFIBBERS FORUM
I made it a sticky quite a while back but it sat there for months with nobody making contributions, so I removed the sticky. I don't like to have too many stickies because they compete for space with active threads. But I've stickied it again for now.by Carey - AFIBBERS FORUM
I doubt it because a Watchman only prevents clots from escaping the LAA, but during an ablation clots can be generated in the left atrium from the septal puncture and from the burns. A Watchman can't stop those. I would ask the oncologist how ironclad the prohibition is on anticoagulants. If they could be used short term during the procedure then a Watchman might make it possible.by Carey - AFIBBERS FORUM
If you can't receive any type of anticoagulants, I don't think an ablation is possible.by Carey - AFIBBERS FORUM
Yes, he's been using it for quite some time because he was involved in the clinical trials.by Carey - AFIBBERS FORUM
Quotecornerbax With that said, should I be concerned about a very brief 39bpm rate during sleep? That wouldn't concern me, but you could always cut the pills in half and take 25 mg. Or you could even just not take it daily and use it only as a PIP when an episode begins.by Carey - AFIBBERS FORUM
It's interesting how colchicine seems to have found renewed interest by the EP community recently. I received it following an ablation in 2014 but then never heard it mentioned again until about the last year or two. I consider the EP who did that ablation the best of the 3 EPs who did ablations on me prior to Natale, and I still use him as a local EP (though I haven't seen him since prby Carey - AFIBBERS FORUM
Quotemjamesone I was under the impression that the "official" pass/fail was no events >30 seconds in months 3-6, so by that criteria, I already "failed" or came close to failing, have to check the exact dates. I've never heard of that criterion. The most common criterion I've seen used is no sustained atrial arrhythmias at 12 months post ablation without the uby Carey - AFIBBERS FORUM
If you have no more episodes in the next month your ablation will "officially" be a success. However, the episode at 6 months isn't a positive indicator. Your ablation lines should have been fully formed at that point, so a sustained episode of afib suggests you still have afib sources that haven't been fully isolated. I don't know what they ablated in your procedure, butby Carey - AFIBBERS FORUM
I ride a road bike and occasionally a mountain bike, but I'm pretty mellow about the mountain biking and mainly just use it to go places a road bike can't go. I've never curtailed my activities because of anticoagulants. I wear a good helmet religiously because head injuries are really the only kind of bleeding to be concerned about. Everything else will stop on its own or can be sby Carey - AFIBBERS FORUM
I don't think you're going to be able to use a MyChart portal until you're actually a patient with them, and I don't think that has happened yet. Typical wait times for a procedure with Natale are 3-4 months, though that seems to vary a lot. Some people get in much faster, but I think you're safe looking at that as a likely timeframe. Just talk to Norma and she'll geby Carey - AFIBBERS FORUM
Call TCAI and ask for Norma. That's probably who it was.by Carey - AFIBBERS FORUM
Assuming you haven't deconditioned much, it will come down. Don't worry about it.by Carey - AFIBBERS FORUM
Those are some long pauses after the PACs (1.4 sec). That could be what's making you dizzy. Talk to the doc. Can the pills be split? If so, maybe try a half-dose, and if not maybe try 1 dose every 2 days.by Carey - AFIBBERS FORUM
Many people have asymptomatic afib. Consider yourself lucky. Many people also experience a connection between GI events like big meals and afib episodes. Very common. The ECG shows lots of PACs. They're second beat in those 2 and 3-beat pairs. Those are common too.by Carey - AFIBBERS FORUM