And the same back to you and everyone else here! Merry Christmas (or whatever the heck it is you do!)by Carey - AFIBBERS FORUM
QuoteIngrid As far as not coming off Eliquis, in your opinion you think I should stay on it for at least 3 months post ablation - even though I am no having any active AF, but probably OK to come off at that 3 month point? Is that common prescription for most post ablation due to the risk of stroke being higher during the blanking period or something? Yes, it's standard practice for patiby Carey - AFIBBERS FORUM
Those 5-second bursts are nothing to worry about. They're ectopics, most likely PACs, and as long as they remain brief like that they're utterly meaningless and will probably go away eventually on their own. Your meds are pretty typical, but why the aspirin? Your EP prescribed it, right? That's rather unusual so it wasn't prescribed by a previous doctor and you've justby Carey - AFIBBERS FORUM
That article is informative but a bit old. There's no point in comparing Eliquis to warfarin at this point. It's already been proved superior to warfarin and has a lower bleed risk. The basic conclusions of that study stand for most people, but there's really no need to be looking at research studies. EPs have already done that for you and arrived at a consensus. As used in cliby Carey - AFIBBERS FORUM
Almost anything is patentable even if derived from a plant (hello, hundreds of drugs). You just have to do something more than serve the plant as is to obtain a patent. Drug discovery is a fascinating side of drug development. They spend years testing all sorts of crazy theories, plants, and compounds, and spend billions on the typical drug before it becomes a success, but most investigationsby Carey - AFIBBERS FORUM
I think you're confusing stroke prevention with afib. They're two completely separate issues and blaming drug companies that make anticoagulants for not curing afib is unreasonable. There are probably dozens of substances that have shown anti-AF properties in animals and petri dishes but have failed in human studies. That's pretty typical for all diseases and drugs. Just becauseby Carey - AFIBBERS FORUM
Then you would probably be put on aspirin only. Stints generally require aspirin.by Carey - AFIBBERS FORUM
QuoteElizabeth So what is right, I guess it depends on our bodies. Exactly. Your doctor was right because all adding aspirin would do is increase your bleeding risk, but Smackman's doctor was also right because he has an isolated LAA and a stint, neither or which you have. He takes the Eliquis for the isolated LAA and the aspirin for the stint.by Carey - AFIBBERS FORUM
That's great! But I take it that means you're not taking an anticoagulant? What's your CHADS-Vasc score?by Carey - AFIBBERS FORUM
Doubt it. I've never heard of anti-platelet drugs being used for that purpose. It's usually just an anticoagulant for 3 weeks followed by a repeat TEE to make sure the clot is gone. I don't think an anti-platelet drug like aspirin brings anything to the table in this situation.by Carey - AFIBBERS FORUM
Sam, you need a second ablation and you're not already on an anticoagulant? If you have enough AF to consider another ablation, you should almost certainly be on one and if you're not, you need to get on one ASAP. The usual time period required to be sure any clots that exist have dissolved is three weeks on an anticoagulant, so you should have plenty of time.by Carey - AFIBBERS FORUM
Chest pain can have several causes, and not all involve the heart. It's almost impossible for an individual to know whether chest pain is caused by the heart or something else, such as the esophagus, lungs, ribs, breast bone, gall bladder, aorta, spine, stomach, diaphragm, pleural space, and... probably a few more I'm overlooking.by Carey - AFIBBERS FORUM
Oh, didn't realize you were quoting.by Carey - AFIBBERS FORUM
I'm sure you didn't mean to say that only NY would be receiving vaccines or receiving them first. That's not true. Vaccines will be delivered to all the states based on population, and then it's up to the states to prioritize how they will be distributed within the state. Although the prioritizations are usually pretty similar (health care workers, first responders, high riby Carey - AFIBBERS FORUM
I only thought it was a miserably poor abstract because it doesn't give any specific of what they found or what conclusions they drew. It might be a great paper, but I don't have the time to read it to find out. That's what the abstract is supposed to do. I'm sure all their articles aren't like that. Just some people can write good abstracts and some can't. Itby Carey - AFIBBERS FORUM
Betty, can you find the paper stating it widens Qt? I'd like to see that.by Carey - AFIBBERS FORUM
I did my best to track down more than the miserably bad abstract that provides virtually no useful information about the content of the paper itself but have come up empty handed and I'm not about to spend $35 for a copy of the original. All I see are a bunch of broad generalizations based on... well, I have no idea what they're based on other than perhaps the researchers having watchedby Carey - AFIBBERS FORUM
QuoteGill We don’t know yet what damage has been done to his heart by his rate being 180+ for several months. Several months?! I didn't catch that part in your earlier description, but now you know where the heart failure came from.by Carey - AFIBBERS FORUM
Quotecolindo Is eliquis 100% guaranteed in preventing a stroke. That's a straw man question. There's no 100% guarantee of anything in medicine, but Eliquis does provide a predictable, reliable, proven level of risk reduction. So do all the other FDA-approved anticoagulants. I don't know of anything else that can make that claim.by Carey - AFIBBERS FORUM
Quotekarin My question for the group. How long would one take Eliquis PRN after an Afib incident? A week? That was the advice to me. But there aren't established guidelines for using anticoagulants prn in the first place, so there isn't really a right or wrong answer.by Carey - AFIBBERS FORUM
QuoteMartha Sue One question I have is when you all talk of NSR, does this mean no PACs? Or can you be in NSR and still have a lot of PACs/EBs? No, NSR does not mean no PACs. You can be in NSR and still experience PACs. That's true even if every other beat is a PAC, which is known as bigeminy. There was a time that I experienced PACs in a bigeminal pattern nonstop for weeks at a time thatby Carey - AFIBBERS FORUM
QuoteMartha Sue Thanks for your responses. I guess why I am doubting the success of my ablation even though I'm still in the blanking period is that I've had a worse time of things in the second month than the first month after the ablation, so it doesn't seem like things are going the right direction. But honestly, it's really the PACs that are the worst. The afib is abouby Carey - AFIBBERS FORUM
QuoteElizabeth i think your 6 min. time line for a clot to form after going into AF is not in line with most thinking. No, probably not, but those are the findings from a study done just a few years ago. The results raised eyebrows, but nobody yet has refuted them so far. I doubt it's that short a time period except perhaps with very ill people and people with sky high CHADS scores, but tby Carey - AFIBBERS FORUM
Ectopics are annoying as hell, but they're harmless. Don't worry about that. The flecainide and metoprolol should reduce them, and there's no reason to be afraid of taking them. Practically every cardiology drug known lists palpitations as a side effect, and probably 50% of all other drugs do too. Unless you see a side effect listed as "common" or "frequent" it&by Carey - AFIBBERS FORUM
I asked an EP I highly respect that exact same question once. His answer was, "Why wait? Just take it as soon as an episode begins." He's right. There's no consensus on how long it takes for clots to form during an AF episode, and at least one study has shown it can be as fast as 6 minutes. Following some randomly chosen period of time to wait accomplishes nothing, and mighby Carey - AFIBBERS FORUM
Has any other antiarrhythmic drug been tried? Flecainide or propafenone, for example? Although amiodarone no doubt is his best bet for remaining in NSR, it's not the only choice. I think his docs are just being a bit stubborn on that point. They should be willing to try other drugs if you insist. But, really, if he was so asymptomatic that he never even knew he was in afib, why not just sby Carey - AFIBBERS FORUM
QuoteElizabeth Slash and Burn isn't the only answer where is the stats on helping or perhaps curing AF without ablations. If Afib can stop for weeks or months then why is that possible. There are no known cures for AF other than ablation and Maze procedures. I know it seems like there ought to be but there just aren't. Like Ritch said, if you find the explanation there's a Nby Carey - AFIBBERS FORUM
You're describing an old school event monitor. Even the ones made 10 years ago didn't require you to do anything to catch the arrhythmia, nor did you have to hold them to a phone, so what you have is kind of ancient. There are many newer, much better monitoring devices that work entirely automatically and transmit their results by cell phone automatically. You just wear it and it wiby Carey - AFIBBERS FORUM
Quotesusan.d I’m very confident you had a successful ablation. I just wonder if your future aging and potential progression of the disease might hinder and affect you in the future from your exampled scenarios? Obviously not saying one should live in fear of cause and effect of these scenarios while living a full life...but instead weigh the benefits of remaining in nsr vs a thrill risk. Again evby Carey - AFIBBERS FORUM
Quotesusan.d Wait 12 months AF free? If there is a time frame of no firing of new wires that predicts true success, then that’s great. But folks write 13+ years passed and their AF returned so is 12 months the typical benchmark for a successful ablation or 13+ years later still part of the timeline curve?? The accepted criteria for a successful ablation is one year with no sustained tachy-arrhyby Carey - AFIBBERS FORUM