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The usual practice for EPs in the US is to require the patient to remain flat in bed for six hours, but Natale uses absorbable collagen plugs to speed closure. With those you only have remain lying flat for two hours.by Carey - AFIBBERS FORUM
Unless you're very out of shape, 143 isn't normal for strenuous yard work. That's a rate you would expect for vigorous exercise such as running at a fast pace, cycling up steep hills, etc. And over an hour to recover back to <100 isn't normal either. Since the rhythm was normal, I'm going to bet you were very dehydrated. Most people seriously underestimate how muchby Carey - AFIBBERS FORUM
QuoteNotLyingAboutMyAfib Carey - I agree 100%. I'm tired of trying to walk the tightrope. I'm going for the ablation. I'm very glad to hear that. I was beginning to worry about you a bit, and I think you were torturing yourself with an impossible quest.by Carey - AFIBBERS FORUM
QuoteNotLyingAboutMyAfib Any chance that one becomes mg and k dependent like the Inuit did on vitamin c once they were introduced to citrus? You were born dependent on Mg and K+ in normal amounts. I don't think it's possible to become dependent on huge supplements, nor are huge supplements helpful. In fact, it sounds like you're pushing into some dangerous practices. Electrolytby Carey - AFIBBERS FORUM
Shouldn't be a problem but what sort of potassium are you taking and how much?by Carey - AFIBBERS FORUM
QuotePokey Woke up soaked in sweat, restless, couldn’t sleep etc. That sounds like withdrawal from the BB.by Carey - AFIBBERS FORUM
QuotePokey Would they be any better?? Don’t most of the same class of drugs pretty much have the same side affects, just different name?? They're not the same class of drugs and don't have the same side effects. Definitely worth asking your EP about.by Carey - AFIBBERS FORUM
I think you're going to find the airports to be virtual ghost towns, and the airlines have implemented distance seating arrangements. Also, contrary to popular belief, the air in airplanes is HEPA filtered before being recirculated, so it's a lot safer than being in a Walmart or hotel. I would wear a mask, but I think eye protection is overkill. There are BnBs near St. Davids, and liby Carey - AFIBBERS FORUM
None whatsoever. I've been on Eliquis since 2015. You know, if you're experiencing all those side effects, why not ask your doc to switch you to Xarelto or Pradaxa?by Carey - AFIBBERS FORUM
I don't have it handy to cite, but I recall seeing a paper about Epsom salts and it found that absorption of Mg through the skin was extremely minimal. You might want to search for that.by Carey - AFIBBERS FORUM
QuoteAB Page I don't recall ever seeing candy laying out in the waiting room at TCAI in Austin. I've made maybe a half dozen trips in the last few years. Ditto. I've seen no candy in the waiting room at TCAI. In fact, I've never seen candy in any waiting room at any medical facility in my entire life.by Carey - AFIBBERS FORUM
Great history, Jackie. A shining example of what can be accomplished with a combination of expert ablation and well-reasoned self-treatment.by Carey - AFIBBERS FORUM
QuoteNotLyingAboutMyAfib Right now, I take 900 mg glycinate (450 bid) and sip the mg hydroxide (4gm), potasium citrate (4gm), taurine (4gm) and ribose (10g) in a gallon of water everyday. Geez, dude, that's a boatload of electrolytes. I think you've gone beyond reasonable and you're potentially in dangerous territory. When's the last time you had an electrolyte panel drawn?by Carey - AFIBBERS FORUM
Too much of any electrolyte can cause serious problems. You never want to go too high or too low with any of the electrolytes because that always comes with potentially life-threatening consequences. But hypermagnesemia is rare in people with normal kidney function. Why are you taking different forms and how much are you taking?by Carey - AFIBBERS FORUM
QuoteNotLyingAboutMyAfib At it's core isn't AF an over conduction issue and that's what ablation seeks to remedy? No, quite the opposite. Keeping in mind that the mechanism of AF isn't fully understood, the basic problem is electrical barriers in your atria. When your sinus node fires, the signal travels as a smooth wave across the atria. That wave should move at the same spby Carey - AFIBBERS FORUM
QuoteNotLyingAboutMyAfib Most of my life - most everything I ate and did was tolerated (until it wasn't) so I find it hard to believe that x amount of substance A, B and C but no more e, g and f and a precise amount of H will find me in NSR. I completely agree with you. One thing to keep in mind is that AF is most likely caused by fibrosis in your atria. Fibrotic tissue is pretty much ineby Carey - AFIBBERS FORUM
QuoteNotLyingAboutMyAfib But at the same time this forum is equally full of people that were able to find a solution w/o an ablation. That's not really true. There are a few people here who have found ways to control their AF to minimize episodes, but no one claims complete control. (Well, Steve Carr does, but his sample period was so short that I'm extremely skeptical.) I'by Carey - AFIBBERS FORUM
QuoteNotLyingAboutMyAfib What bothers me is that I see many histories where an ablation does not work and my sense is that there is still a root cause unaddressed in these cases. The root cause in failed ablations is almost always an inexperienced EP who doesn't know how to make durable lesions or doesn't know how to find and ablate sources of AF outside the pulmonary veins. It'by Carey - AFIBBERS FORUM
Propafenone (Rhythmol) is in the same class as flecainide, so there really isn't much difference between the two. Tikosyn is a step up in effectiveness from both of them. If I were in your shoes right now, I would opt for the Tikosyn without further delay. I think you're kidding yourself with the propafenone and PIP and such. I've been down the road you're on and I've seeby Carey - AFIBBERS FORUM
Sorry to hear that. Sure, try the flecainide PIP once you've been off Multaq long enough. The half-life is 13-19 hours, so 2 days should be enough, 3 for sure. But I think you probably know where this is headed. ECVs aren't a long-term solution; they're just a band-aidby Carey - AFIBBERS FORUM
These are all good suggestions but the problem is the forum software is quite old and doesn't have a lot of features we'd all like to have. It's vintage early 2000s stuff and really not up to modern standards. An upgrade is in the plans, but as you might imagine that's not a simple (or cheap) project. For now, we're working on modernizing the main site, and that will hapby Carey - AFIBBERS FORUM
QuoteMadeline I would like to see if the flecainide is making these worsened symptoms of dizziness exaggerated, but I wonder how long one needs to stop a med to see the effects disappear. Would about 3 days seem safe enough to give a trial so I can see if I feel better? I will still continue my carvedilol. The half-life of flecainide is about 20 hours, so three days would reduce your levelby Carey - AFIBBERS FORUM
QuoteDriver I have my ablation scheduled June 10th. This might be flawed thinking but with all the extra saftey, sanitizing, social distancing etc etc. I'm probably less likely to get any virus let alone covid right now. I don't think it's flawed thinking. I think it's right-on thinking. I wouldn't hesitate to fly to Austin and do an ablation now if I needed one. Hby Carey - AFIBBERS FORUM
If you refresh the page after reading the active threads, you should see the bold go away. It's your browser caching the old page, not a problem with the forum.by Carey - AFIBBERS FORUM
Nothing terrible will happen if you skip the flecainide. Could you end up back in flutter again if you stop taking it for days? Yes, possibly, but there's no way to predict that with any sort of certainty. Is it possible you could stop the flecainide completely and remain in NSR? Yes, that's also possible, but again, no way to predict. Honestly, it might be worth stopping it for a fby Carey - AFIBBERS FORUM
People who are taking NSAIDs, particularly those using them chronically, obviously have a significant source of inflammation. So finding a correlation between NSAID use and AF isn't surprising. But as always, correlation doesn't equal causation.by Carey - AFIBBERS FORUM
Oh yes. Look around, he's posted quite recently and he's still the editor.by Carey - AFIBBERS FORUM
Quoterocketritch I've never understood this train of thought. If a person could take a drug such as flecanide and be AFib free why not go back that route? I understand that people can be asymptomatic with Afib but why not live in NSR if at all possible. I understand that it would mean adding another drug to the mix but still can't wrap my head around it. Maybe it's because of myby Carey - AFIBBERS FORUM
NSAIDs are no problem with AF; it's anticoagulants they're not so okay with. NSAIDs carry a bleed risk, so adding them to an anticoagulant increases the overall risk. The advice I've always gotten and which I believe is the formal guideline is that NSAIDs are okay for short-term use if you're on an anticoagulant, but not long-term. In other words, days or maybe a week or so arby Carey - AFIBBERS FORUM