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How do you plan to interpret the results from whatever 12-lead you buy? If you're counting on the machine to do it for you, I'm afraid you're going to be disappointed.by Carey - AFIBBERS FORUM
QuoteNotLyingAboutMyAfib The thread I posted to yesterday is no longer there but this is important enough to repost. Get off prevacid or any PPI - zol drug as soon as possible. Malcolm Kendrick has covered the damage that PPIs can do to the heart but now we have this in the age of covid. Have you read the comments on the Martin Spiegel thread? Have you actually read theby Carey - GENERAL HEALTH FORUM
Placing the leads is trivially simple. Remember, there won't be a big ECV pad in the way. I could teach anyone how in less than 5 minutes and there are instructions and diagrams all over the web.by Carey - AFIBBERS FORUM
Many people live with persistent AF and feel no symptoms at all. I know several people like that. If I were in persistent AF that was asymptomatic and could control the rate with drugs I didn't mind taking, I wouldn't do anything about it. I'd take my Eliquis and my diltiazem or beta blocker and go about my life. I wouldn't take antiarrhythmic drugs and sure as hell wouldnby Carey - AFIBBERS FORUM
You can buy used professional-grade 12-leads on eBay for under $1000. I've got one I'm going to put up for sale soon. I'll probably ask about $500. But a 12-lead isn't much use if you don't know how to interpret the results, and relying on the machine's interpretation is unwise.by Carey - AFIBBERS FORUM
Staying in AF for long periods is harmful if the rate is over 100. That can lead to heart enlargement and eventually heart failure. But a rate in the 70s won't do any serious harm. What it will do, however, is make AF more likely to continue or worsen. There's an old saying that "afib begets afib." That's because the heart actually undergoes electrical remodeling when youby Carey - AFIBBERS FORUM
No such device exists and probably won't anytime soon. Diagnosing AFL isn't as simple as AF. I've had multiple (non-cardiologist) doctors misdiagnose it. But in general if you have a history of flutter and your heart rate is over 100 for no reason and it's a regular rhythm then it's probably flutter. If it's under 100 then almost impossible to know without a 12-lead.by Carey - AFIBBERS FORUM
The article says the device is made of nitinol, which is exactly the same stuff the Watchman is made of. Nitinol is an alloy composed of nickel and titanium. I don't know if the Ultraseal is what Natale was referring to, but if it is it doesn't solve anything for you. The thing is, just because you have a nickel allergy doesn't mean you have a nitinol allergy. You really shouldby Carey - AFIBBERS FORUM
Chill, guys. We're in this together.by Carey - GENERAL HEALTH FORUM
The half-life of Eliqui is 12 hours. So at 8am you would have had 2.5 mg still circulating. At 9am you'd still have about 2.4 mg circulating and at 10am you'd have 2.3 mg circulating. In other words, an hour or two either way won't matter.by Carey - AFIBBERS FORUM
QuoteDaisy Any updates on expanded insurance criteria for approval? No, I've heard nothing about that, and I doubt Medicare and insurance companies will rush to cover it because of this. They've seen the evidence that LAA occlusion devices are cheaper than anticoagulants over the span of about 5 years, but they're slow to accept reality when it involves more money up front and leby Carey - AFIBBERS FORUM
Cold turkey is the usual. There have been concerns about stopping anticoagulants abruptly and at least one study seemed to provide evidence that it should be tapered, but I found that study rather flawed in its conclusions. In general, EPs don't believe there's a need to taper.by Carey - AFIBBERS FORUM
His doc wants him to keep taking it because stroke is often fatal or debilitating, while hematuria is rarely if ever fatal or debilitating. His current "solution" is a really bad idea. He's trading high risk for low risk. Bad trade. I can't say what treatment course would be typical because every patient's circumstances are different, but clearly he needs to see a doctby Carey - AFIBBERS FORUM
There have been a number of questions and discussions here about the Watchman device and a lot of questions about when the new model, the FLX, will be available. Everything I'd been hearing pointed to late 2020 or early 2021, but I heard from an extremely reliable source today that the FLX will probably receive FDA approval in August. The initial release will probably be limited, meaning youby Carey - AFIBBERS FORUM
QuoteNotLyingAboutMyAfib Any hope of PIP flec working after 60 days in AFIB? That's a solid maybe. I would bet against it, but it can't hurt to try.by Carey - AFIBBERS FORUM
Well, that's a matter of hospital policy that only your cardiologist can answer, but I really doubt it. The policy in most hospitals right now is to get everyone who doesn't need to be there out of there ASAP. Hospitals have for the most part got this COVID crap figured out. They're assessing patients the minute they walk in the door and segregating the ones with potential COVIby Carey - AFIBBERS FORUM
QuoteMadeline 1. Can I safely restart flec again at home after being off 3 weeks? I stopped it a day and a half before & got back on it on my own. I was able to get on sotalol on my own after stopping it without going the hospital/ekg route again. So, can I do this when I restart flec this time? 2. Do you think if I had to get ECV for flutter again, I should accept going through the ERby Carey - AFIBBERS FORUM
QuotePompon Yeah. I think Carey once got 1:1 flutter. . Once? I wish! It was dozens and dozens of times over a period of two years. There was a time I was in the ER getting cardioverted 2-3 times per week until I discovered that I could chemically cardiovert myself using high doses of potassium and a potassium meter. All information I found here in the library.by Carey - AFIBBERS FORUM
Flutter usually feels like a rapid but regular heartbeat. It can also be slow, but it will always be a regular rhythm, unlike AF, which is always irregular. What is flutter? Flutter is a self-perpetuating signal going around in a circle in one of your atria. Flutter tends to be resistant to rate control and antiarrhythmic drugs. Unlike AF, it tends to be a stable rhythm that can continueby Carey - AFIBBERS FORUM
Okay, I can see why my post was confusing, so let's make this simple and clear: Forget any CHADS scoring system other than CHADS-Vasc (this one). That's the only one you or anyone should be using. It's the current gold standard and all others are obsolete. As far as your AF issues go, you can ignore the point for being female. That makes you a CHADS 1, so that means anticoaguby Carey - AFIBBERS FORUM
Unfortunately, flutter (AFL) is usually less responsive to PIP than AF. Antiarrhythmics like flecainide often work well at preventing AFL but rarely work well at stopping it once it's going. Same with rate control drugs. They're often ineffective at slowing your heart rate during AFL. Cardioversion is often the only way to stop it. I don't think PIP is a good way for you to go.by Carey - AFIBBERS FORUM
You still get the point and it counts for everything except deciding on anticoagulation. So you're effectively a CHADS 1.by Carey - AFIBBERS FORUM
I think there are two factors that affect the results. First is the quality of the automated devices; they're not all created equal. Don't go cheap when you buy one, and forget wearables. Anything that doesn't have an inflatable cuff is worthless. Second is skill with a manual device. I've trained a lot of people to take BPs, and trust me, not everyone is good at it, and I inby Carey - AFIBBERS FORUM
I think the warnings about magnesium and cardiovascular/hypertension drugs are a bit alarmist. All they're really saying is tell your doc what supplements you're taking, which of course is always sound advice. They have to write stuff like that because you'd be amazed how ignorant many people are about the drugs they take. This forum tends to be an educated group, but much of the pby Carey - AFIBBERS FORUM
Okay, maybe not. I just thought maybe because dizziness and weakness in the extremities are signs of low BP. I'm sure you know all this but anxiety will definitely crank up your BP. Anxiety causes you to produce more adrenaline, and that means higher BP, faster heart rate, faster breathing -- all those "fight or flight" responses. I understand you probably don't want to goby Carey - AFIBBERS FORUM
I've taken both and never experienced any sort of side effects. Dizziness and feeling weak in the extremities could simply be it's dropping your BP too low. 100 mg is the maximum dosage for losartan.by Carey - AFIBBERS FORUM
You can relax and skip tonight's dose. During clinical trials for Eliquis subjects were given much higher doses than you took and suffered no harm. And given the half-life, you'll be just fine without taking more until morning just like the poison control pharmacist said. As for not seeing P waves, good luck ever seeing a P wave with a device that measures from your fingers. At leasby Carey - AFIBBERS FORUM
You might want to take a look at Sloan-Kettering's thoughts, particularly the "Do Not Take If" section: QuoteYou are taking any medications: Zeolites can bind with other substances and may neutralize stomach acid, causing your medications not to be properly absorbed or to be less effective.by Carey - AFIBBERS FORUM
You want to capture the full 7 days if possible, so if you can't keep it on by just pressing it back down then I would get some medical tape and tape it down.by Carey - AFIBBERS FORUM
You're very good at overthinking things, aren't you? I've lost track of what meds you're taking regularly, and since you mention both Multaq and flecainide, I'm really lost. I hope you're not taking both. My advice would be Multaq OR flecainide and then cardioversion. The supplements probably don't matter at all so do what you want with them.by Carey - AFIBBERS FORUM