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George is right that about 40% of patients with an isolated LAA can come off anticoagulants, and I also know someone whose numbers didn't make the cut at first, but they did a year later. But I wouldn't expect sufficient improvement over time unless you were near the cutoff to begin with.by Carey - AFIBBERS FORUM
Occasional PVCs and/or PACs are perfectly normal. There's nothing "bad" about them until they become excessive.by Carey - AFIBBERS FORUM
The official FDA protocol calls for people with a Watchman device to take a full-dose aspirin for life, but elsewhere in the world, that's not the case. It's standard in Europe for Watchman patients to take nothing at all after the first six weeks. Why the difference? It's just the FDA being super cautious and doctors feeling like they've got to do something. Why the aspiby Carey - AFIBBERS FORUM
The worst that could happen is it triggers your afib, but that's already happened so go get your vaccine. The vaccine poses absolutely no threat to you even if you have the typical reactions to it and you're still in afib. COVID, however, does pose a threat to you. There's no reason to wait and no reason to call your cardiologist.by Carey - AFIBBERS FORUM
QuoteElectroBlu Im also curious how soon after an ablation once can resume physical activities like this? I rode a 50 mile (80 km) bike ride in challenging terrain 3 days after an ablation -- with the EP's full blessing. In general, the only limitations I've ever followed after ablations were the lifting restrictions for the first week. (And trust me, don't mess with those restrby Carey - AFIBBERS FORUM
The general advice is you can take NSAIDs but just not for prolonged periods. A week, at most, is the guideline I've usually heard. So you can take them safely just keep it to less than a week, and that's usually long enough to get past the most painful part of injuries like this.by Carey - GENERAL HEALTH FORUM
I've never heard of Eliquis causing ED, and there's no reason I can imagine that it would. I very much doubt it's the culprit.by Carey - AFIBBERS FORUM
Quoteben saif Carey, I loved your simplification of the afib ablation situation as building a fence in front of a crazy monkey to stop him from escaping and do whatever he wants of destructions to his host. How can you describe in the same analogy the effect of anti-arrhythmic drugs especially the famous flecainide. Hmmm... kind of a fun question! Flecainide works by slowing conductionby Carey - AFIBBERS FORUM
Ahh, I hadn't considered that since I'm not well versed in Euro-UK politics, but it's believable.by Carey - AFIBBERS FORUM
My understanding is the EU has now determined the vaccine does not causing clotting issues. I don't find that surprising since it seemed really unlikely to me from the beginning. What does cause clotting problems is COVID. There's no question about that. I don't know how COVID would affect clotting in an afib patient, but it raises the risk of blood clots substantially in peopleby Carey - AFIBBERS FORUM
The result of sloppy BP measurements is almost always a false low reading rather than high, so the more likely error is people not being put on BP meds who should be. But really, no doctor should be diagnosing (or ruling out) hypertension based on a single BP anyway. There's just too much natural variation to base anything on a single reading. I wore an ambulatory BP monitor for a week tby Carey - GENERAL HEALTH FORUM
Quotesusan.d I was told by my NP that with age and genetic disposition it’s possible one can get new hotspot firings that were never ablated or exist beforehand and cause an af episode. So how can the cage be monkey proof? That's true, but in that case it's not that the monkey escaped. It's more like you acquired a second monkey and so now you'll need to add a new cage.by Carey - AFIBBERS FORUM
There shouldn't be any problem with nitro and afib unless you're prone to fainting. The two just don't have much to do with each other for most people.by Carey - AFIBBERS FORUM
QuotePompon Things that fool the autonomic nervous system don't disappear with burns in the atria. Quite true, but that's my point. A successful ablation means that nothing the monkey does in the cage can escape and cause harm elsewhere, so why would I care if the monkey is excited? I bet my monkey has been going ape shit for almost four years now but I've been totally unaware anby Carey - AFIBBERS FORUM
QuoteJeff W Coffee? Wow huuuuge trigger for most afibbers, right? You sure about that? That's what doctors have been telling afib patients for decades, and afib patients have been telling each other because their doctor told them, but there's actually little or no evidence to support it. In fact, quite the opposite. Some studies have shown caffeine to be beneficial for people wiby Carey - AFIBBERS FORUM
Think about what an ablation does. It doesn't stop the afib your triggers provoked. It simply contains it with a fence. Think of afib like a little monkey in your heart that goes ape shit when you eat or drink certain things. You spent years trying to keep the monkey calm by avoiding those things, but then one day an EP came along and put the monkey in a cage. That doesn't stop the monkby Carey - AFIBBERS FORUM
I wouldn't be in a hurry to ditch the Eliquis. I doubt Natale will be either.by Carey - AFIBBERS FORUM
I disagree re triggers and ablations. If you've had an ablation and you've been in normal rhythm for over 12 months without the aid of antiarrhythmic drugs (ie, your ablation was fully successful), then your former triggers just don't matter any more. Do what you want without fear. Obviously, that requires a "within reason" caveat because doing things like binging on alcoby Carey - AFIBBERS FORUM
Thanks, but I'll take the cardioversion, doc.by Carey - AFIBBERS FORUM
No more discussion about Trump or any other politicians or politics, please.by Carey - AFIBBERS FORUM
I don't know what your normal BP is but that variation is totally normal and unsurprising. BPs rise and fall during the day a lot more than people realize. For example, just getting out of a chair and walking across the room will increase your BP by 10 to 20 points for almost anyone. I also don't know what your BP machine thinks is an arrhythmia but I wouldn't pay much attentionby Carey - GENERAL HEALTH FORUM
Until someone obtains a recording demonstrating sustained VT, there's absolutely no reason for you to fear it. There's no way to get from where you were to some sort of stealth VT that nobody can see. That's not a real thing that happens. This is a mental thing you need to work out, not a medical problem, but it's having the same effects on your life as a medical problem soby Carey - AFIBBERS FORUM
I meant you'd have an ICD now if they had seen sustained runs of v-tach. You're right that NSVT doesn't usually require an ICD, but I'm skeptical you've experienced VT of any sort. Why do you think you have? As for why the change of mind, I would assume someone misinterpreted a result and got all excited before someone else reviewed it and calmed them down. You'rby Carey - AFIBBERS FORUM
Short bursts of v-tach are common and not usually reason for concern. The fact that they're unconcerned enough to wait for your appointment to talk about it should tell you they don't think you're in any danger. You're not, so don't stress out over it. It's probably just an incidental finding you wouldn't see again if you did another stint with the monitor.by Carey - AFIBBERS FORUM
Before flutter entered my life, I was always aware of impending episodes a day or two in advance. I could predict them with accuracy almost down to the hour. It's almost impossible for me to describe what I felt, but I definitely felt it coming. The best I can describe is it felt like a sort of tension or restlessness associated with my heart. It wasn't PACs or PVCs or anything arrhythmby Carey - AFIBBERS FORUM
I assure you there's no way anybody mistook v-tach for an atrial arrhythmia, and if anyone did see VT you'd have an implanted defibrillator right now. Your tachycardia is not VT related, nor is it related to that MRI. It just isn't. Go back to running and doing the things you enjoy knowing you're in no danger. The PVCs (if that's what they are -- more likely PACs) andby Carey - AFIBBERS FORUM
QuoteJuggsy75 then out of nowhere I had the hospital kind of mess up the findings of a holter I’d work, and rushed me in for a cardiac mri, which was fine, then when they questioned my monitor it was wrong somehow🤷🏻♂️🤷🏻♂️. Can you explain again what happened? I don't understand this. After two years of continuous normal rhythm, a sudden onset of lots of ectopics and tachy episodes isnby Carey - AFIBBERS FORUM
As long as we all recognize that the plural of anecdote isn't data then posting personal experiences is perfectly fine. I don't find it surprising that a vaccine could cause a temporary increase in PACs for someone with afib, particularly if it's a second dose, just as I wouldn't find it surprising that an illness, surgery, or a significant injury could do the same thing. Aby Carey - AFIBBERS FORUM
If you're asymptomatic then you can't be relied upon to detect when it starts and stops, and nobody can be relied on to detect it while they're asleep. So the only accurate way is a monitor you wear for a couple of weeks that records continuously. Generically known as a Holter monitor they go by various brand names such as Zio, but they're all the same thing. They just attachby Carey - AFIBBERS FORUM
QuoteJDfiB What then is the usefulness / purpose of this number other than knowing how much afib you've during a given time period? That's about it. It's not a hugely useful number for most people, and I've never heard the phrase spoken even once by an EP of mine (4). But knowing your burden and keeping track over time gives you an objective way of measuring progression. Isby Carey - AFIBBERS FORUM