Quotebstevens After the initial ablation 7 yr ago I felt like I had been run over by a truck for a couple weeks but was fine after a month. Expect this touch-up ablation will be easier. This Watchman is new to me but I understand Dr. Natale has put in many. I intend to ask him about that. Touch ups typically are much easier since there's far less burning going on. And since he'll alby Carey - AFIBBERS FORUM
QuoteNotLyingAboutMyAfib Do they have to do a transceptal puncture to install it ? Yes.by Carey - AFIBBERS FORUM
I have one. Implanted Sept 2018, so two years now. The only question you need to be asking your doctor is how many they've done? You don't want to be their early learning experience. As for my experience, no problems whatsoever. I'm completely unaware of its existence and have been since the moment I woke up after the procedure, which only took about 20 minutes. Since there&by Carey - AFIBBERS FORUM
Vitamin K in all its forms is utterly irrelevant to Eliquis and all the other DOACs (Xarelto, Pradaxa, etc). Take as much as you want (within reason, obviously).by Carey - AFIBBERS FORUM
PACs are to be expected, and your heart rate is perfectly normal. Multaq is related to amiodarone but that's like saying tigers are related to house cats. Multaq is nothing at all like amiodarone. It's quite safe and has very few side effects. It's the mildest drug with the least amount of side effects you can be offered. I wouldn't hesitate to take it if I were you (I havby Carey - AFIBBERS FORUM
Welcome to not 2007! There is no age cutoff for ablations, particularly with Natale and comparable elite EPs. If your individual health situation is up to it -- and it sounds like it is -- it should be no problem at all. In the meantime, your cardiologist's plan makes sense.by Carey - AFIBBERS FORUM
How did this become about COVID?by Carey - AFIBBERS FORUM
Because during a prolonged procedure using general anesthesia, definitive airway control is essential to keeping you alive. If something goes south, they can't be taking time to scramble to establish an airway, a feat that's not guaranteed to be possible. Your life depends on that airway -- within just seconds or a handful of minutes -- so having it established before you run into troubby Carey - AFIBBERS FORUM
Quotewolfpack Given the possibility (remote) of atrial-esophageal fistula post ablation, Too soon for that. AEFs typically occur 2-6 weeks out because it takes time for the fistula to erode its way through two layers of tissue.by Carey - AFIBBERS FORUM
QuoteNotLyingAboutMyAfib If MDs knew WTF they were doing, this forum wouldn't even exist. Sigh... I should have known I had to be more specific. I was talking specifically about anesthesiologists and intubation. Anesthesiologists don't and can't practice on what they learned 30 years ago, and they don't engage in fuzzy medicine that's in danger of being found wrong bby Carey - AFIBBERS FORUM
QuoteNotLyingAboutMyAfib Mouthwashes have some use - I didn't say they were useless, but that article is about COVID-19, an extremely fragile, easily killed virus. Killing all the much, MUCH hardier bacteria in your mouth and throat can't be accomplished with anything safe to put in your mouth. And even if you could, it would regrow promptly, just like the bacteria that inhabit yourby Carey - AFIBBERS FORUM
The blood in your lungs was caused by the pneumonia. Pneumonia can cause bleeding in the lungs. Any mouthwash strong enough to sterilize your mouth and throat would probably kill you. It's just not possible to sterilize that area.by Carey - AFIBBERS FORUM
QuoteNotLyingAboutMyAfib Carey, where does all of the blood in lungs come from? Bleeding caused by the pneumonia. Blood from your atria cannot enter the airways and be coughed out. It's anatomically impossible. QuoteWouldn't debris (small particles) go from right atrium into lungs and cause those complications? No, pneumonia caused those complications. Anything that left your rigby Carey - AFIBBERS FORUM
QuoteNotLyingAboutMyAfib Carey thanks for answering and considering what happened here. I find it remarkable that pneumonia develops in hours without exposure unless it was from the inside out - meaning, saline, heparin and ablation debris ended up in lungs. What accounts for 12 oz + of blood being coughed up? BTW this is what they measured. I filled several towels and coffee cups with bloodby Carey - AFIBBERS FORUM
I don't know where you found the 1-4% number, but that's higher than the total for all possible complications. Pneumonia doesn't happen due to some transfer of material from the atria to the lungs. That's not even physiologically possible. It happens due to the introduction of bacteria into the lungs during intubation. It was probably aspirational pneumonia, which means youby Carey - AFIBBERS FORUM
Quotebillyb Anyone have similar experiences immediately post procedure? Yes I have; it's not unusual. Like your doc said, it doesn't mean the procedure was a failure.by Carey - AFIBBERS FORUM
But for someone who is deficient, that low absorption rate just means it's going to take all that much longer to restore normal levels, or possibly even make it impossible if they have a source of loss they have to overcome before they can begin making an improvement. I just don't see any benefit to taking a supplement with such a trivial absorption rate when forms with much better absoby Carey - AFIBBERS FORUM
I agree with George; it's very individual. Before my (successful) ablation, it was my custom to have a drink or two per evening of beer or wine, sometimes three or more at social events. So I did an experiment and gave up alcohol completely for a month. It made absolutely zero difference. I had the same number, same intensity, and same duration of episodes. But I know of others who say aby Carey - AFIBBERS FORUM
QuoteGeorgeN However Mg oxide has also worked for me. Could be you simply don't need much to set you straight, but you have to agree that a 4% absorption rate means 96% of your money is going down the toilet.by Carey - AFIBBERS FORUM
QuoteNotLyingAboutMyAfib My heart rate is now 131 all of the time. Sleeping, riding a bike, just sitting here. On met-suc or on diltiazem. Doesn't matter. Then you're probably in flutter. Flutter is often resistant to rate control drugs. In any case, you can't allow that to continue. Do you have a local EP? If so, get on the phone to them and arrange a cardioversion. Iby Carey - AFIBBERS FORUM
If it can reverse atrial scars, I wonder if it could possibly reverse an ablation.by Carey - AFIBBERS FORUM
Interesting. If that pans out in humans it could potentially be big, but it sounds like it would be more of a preventative than a treatment.by Carey - AFIBBERS FORUM
Even without the COVID issues I wouldn't seek a second ablation based on a single episode in 26 months. In fact, I wouldn't take the flecainide either. Since it was a regular rhythm it probably wasn't afib, so could have been flutter or atrial tachycardia, but either way a single episode doesn't justify intervention in my mind, especially since it was a fairly tolerable rate aby Carey - AFIBBERS FORUM
Liz, what I said was the pauses need to be evaluated separately from the ablation. I'm not saying CC66 should just ignore them. Not at all. I just think an ablation and a pacemaker all at once is too aggressive. She needs a more careful evaluation, preferably by a more experienced doc.by Carey - AFIBBERS FORUM
You've got two more drops almost as deep around the 15:00 mark, and there's no significant speed change there. Looks to me like you've got a lot of variability that doesn't correlate well with level of effort.by Carey - AFIBBERS FORUM
I understand that, but they're happening only on conversion, which makes them a different thing from pauses that happen at random. (If they were happening at random, a pacemaker would absolutely be required.) But if the AF is eliminated, there won't be conversions, so therefore no pauses either.by Carey - AFIBBERS FORUM
I agree that you should consider an ablation, but conversion pauses don't necessarily warrant a pacemaker. That should be looked at as a separate issue. One thing he really should have done is tried switching you to diltiazem instead of metoprolol. It's possible the metoprolol is responsible for or a contributor to the syncopal episodes. If it is, there should be no discussion of a paceby Carey - AFIBBERS FORUM
Quotecolindo I did a seach for SVT, but couldn't find any information. Try supraventricular tachycardia. Or just lookup AVNRT, which is one of the SVTs and the one the article discusses. Ablating AVNRT requires ablating very close to the AV node, so that's why there's a risk of causing heart block.by Carey - AFIBBERS FORUM
I can't imagine by what mechanism an AF ablation could reduce max heart rate. The procedure doesn't touch any tissue that controls or modifies heart rate.by Carey - AFIBBERS FORUM
It will only be applicable to people undergoing ablation for SVT, not afib.by Carey - AFIBBERS FORUM