Gary, I recall Jackie suggests potassium gluconate in "The Strategy." The amount she is talking about is mg of potassium by itself and what you are measuring is mg of the product, which includes the gluconate. Potassium, atomic mass:39.0983 Potassium gluconate, molar mass: 234.246 g/mol ratio: 39.0983/234.246 = 0.167 or 16.7% Georgeby GeorgeN - AFIBBERS FORUM
Hi Rick, Sorry to hear this. The bending over sounds like a vagal trigger to me. Your early morning episodes were vagal, too. I'm guessing the Metoporlol makes you more sensitive to vagal triggers. I'm wondering if another category of med could serve the same purpose without as many vagal issues - calcium channel blocker? < Possibly your increased weight is causing somethinby GeorgeN - AFIBBERS FORUM
Smack, For healthy adults, the recommended daily intake of potassium from food is 4,500 mg/day. The 360-780 mg suggested in the Urocit-K prescribing document represents ~10-20% of this. The dosing on your package is 99mg/day - as is required on all potassium supplements as there are those with compromised kidneys where additional amounts could be harmful. As mentioned above, I consumeby GeorgeN - AFIBBERS FORUM
Yes, that is what I'm saying. They are also using the citrate to change urine pH. I know I'm a freak, but I routinely take 4-8 grams of potassium a day without issue. I've taken 2+ grams of supplemental potassium/day for over 10 years. IF your kidney is without issue, any excess will be excreted in your urine. Some people are quite sensitive, I'm not. In your case, Iby GeorgeN - AFIBBERS FORUM
Smack, Urocit-K is prescription potassium citrate, prescribed to prevent kidney stones. In the prescribing information, < they recommend 30-60 meq/day in divided doses. That is 30-60 meq of potassium. From this < , you'll see that 10 meq of potassium is 1.08 g of potassium citrate The molar mass of potassium is 39 and citrate is 306.4. Translated, this would mean 3-6 1.0by GeorgeN - AFIBBERS FORUM
Hey Liz, CRP is a general measure of inflammation. I'm guessing your injury trauma did not have any effect on the heart. I've had orthopeadic trauma that did not cause afib. Heart specific inflammation and trauma - bypass operations, lung removal & etc can cause afib. The other side of that is that during my 2 1/2 month episode 10 years ago, I had a CRP reading of 0.15, soby GeorgeN - AFIBBERS FORUM
Kudos to Shannon for taking this over. He has a wealth of knowledge and I'm sure this is much more of a labor of love than one with a lot of remuneration. Thanks Shannon!!! Wishing Magda a speedy recovery. Hopefully you are able to travel home Thursday. Georgeby GeorgeN - AFIBBERS FORUM
Tim, I've used a huge amount and a variety of forms of mag to keep myself in rhythm for over 10 years. How do I know that it is the mag that works you ask... Because I've done A B A experiments (mag, no mag, mag). I did one when I'd kept myself in rhythm for 2 years and then thought the fillers in the mag were causing other issues. I quit the mag and had afib within 48 hby GeorgeN - AFIBBERS FORUM
I recall Hans set it up the way you want when the Phorum software was upgraded. If memory serves, there were a lot of complaints and Hans set it back to this...by GeorgeN - AFIBBERS FORUM
Lisa, Thanks! Georgeby GeorgeN - AFIBBERS FORUM
Hi Alex, For some, being prone on the left side is a known trigger for afib. This may not apply to you. It only did for me when my electrolytes were out of balance (too much Ca++). Georgeby GeorgeN - AFIBBERS FORUM
A poster here asked about issues with her hot tub pumps & etc after she put Espsom Salts in it (several years ago). My ex used to take frequent Epsom Salt baths and I'm not sure it was great for the tub surface. I've always just made supersaturated water/Epsom Salt solutions (or with mag chloride for "magnesium oil") for topical application. Simple and easy. Note Erlby GeorgeN - AFIBBERS FORUM
Hey Jackie, From your link: < "In a subsequent study comparing the potencies of K1 and MK-7 it was found that MK-7 was at least three-fold more potent than K1, which led to the following conclusion: Hematologists need to be aware that relatively low doses of MK-7 may have a larger impact on the stability of oral anticoagulation than vitamin K1. Obviously, a large study in patients oby GeorgeN - AFIBBERS FORUM
This link has a link to making your own lotions or creams with Epsom Salts < Nothing wrong with the bath, but putting on lotion might take a bit less time & effort on a frequent basis. Georgeby GeorgeN - AFIBBERS FORUM
Travis, Your significant increase in episode frequency would indicate an ablation is appropriate much sooner rather than later. Of course anything is possible, but I agree with Johnny, a Natale ablation is your best option. As it turns out, my best friend from childhood is also scheduled with Natale on 5 Mar. Georgeby GeorgeN - AFIBBERS FORUM
Tom, My episodes are usually of the 3AM variety (or at least early morning). Hence I just go to bed till I convert. Hopefully I go back to sleep, but usually I wait it out awake. I got the prone idea from the EP blogger, Dr. John, < . You'll note it worked for Shannon till it didn't in his comment on my post.by GeorgeN - AFIBBERS FORUM
Spectacular news for Magda & you, Shannon!!by GeorgeN - AFIBBERS FORUM
Tom, Here is Jackie's protocol, which is probably the safest < The original published protocol was 200 mg of flec immediately after start of afib for those weighing under 70 kg (154 pounds) and 300 mg of flec for those over 70 kg. This is what I've always done: I chew 300 mg of flec and swallow with water immediately upon noticing an afib episode. I then stay prone tilby GeorgeN - AFIBBERS FORUM
One traditional item you may wish to consider, while you are working out a non-traditional solution to your problem is on-demand or "pill in pocket" flecainide to convert quickly when you are in afib. I say this as it may allow you to absolutely minimize the amount of time in afib. This is important as "afib begets afib." In other words, both electrical and physical remodelby GeorgeN - AFIBBERS FORUM
Shannon, Woke up thinking about you and Magda this morning. Here are good wishes for a very successful procedure! Georgeby GeorgeN - AFIBBERS FORUM
Hi Ralph, When I first had afib, cyclicity was a part of it. I can relate. That only lasted 2 months, then I had my 2 1/2 month episode that would not convert. Several years ago, when my calcium was unknowingly too high, I started pretreating with low dose flec before bed. I ultimately titrated that down using the ginger instead. Georgeby GeorgeN - AFIBBERS FORUM
For what it is worth, I've generally used a mix of a variety of mag sources. In the body of this post < , I list them out. I've always been in the "whatever works for me camp.: Cheers, Georgeby GeorgeN - AFIBBERS FORUM
Hey Ralph, Have you tried organic ginger powder (perhaps before bed)? Although my situation was a bit different, my episodes are vagal and the ginger did seem to keep them from coming. Here is a search on my posts with "ginger" in them: < Likewise for Colin (Colindo) < For me, magnesium maxed to bowel tolerance and minimizing calcium are also important. Georgeby GeorgeN - AFIBBERS FORUM
Colin, There are some similar techniques that can work for adrenergic afibbers. They usually don't work for vagal afibbers as they are increasing the parasympathetic response (but there is no harm in trying). QuoteVagal maneuvers: Coughing, holding the breath, immersing the face in cold water, and tensing abdominal muscles as if having a bowel movement are called vagal maneuvers beby GeorgeN - AFIBBERS FORUM
Nancy, I choose chemical cardioversion (PIP - on demand - flecainide) immediately every time I have afib. My goal is to minimize time out of rhythm to as low as possible. The moment I know I'm in afib, I immediately go and chew up my 300 mg of flec and swalllow with water. This has happened as often as 4 nights in a row, two years ago, and once in the last 18 months. My 10 year histby GeorgeN - AFIBBERS FORUM
Anti, I'm 59. I've had afib for about 10 1/2 years. Below are a couple of my posts with my history. Briefly, I used to compete in high altitude distance races (>13 miles & 14,000' elev). It was a delayed response (~2 or 3) days after a 14,000' elevation training run. Almost all of my episodes would come on at 3 AM. After about 2 months of episodes everyby GeorgeN - AFIBBERS FORUM
Anti, Some of what you describe fits me well. I normally don't have a monitor on or feel PAC's after hard exercise - which doesn't mean they aren't there. The only situation I'd envision them would be with HIIT 20:10 Tabatas on a Schwinn Airedyne. When I did not have the electrolytes optimized, during my divorce, cold food (like frozen berries) or a large glassby GeorgeN - AFIBBERS FORUM
Craig, You might be interested in this thread: < Georgeby GeorgeN - AFIBBERS FORUM
Judianne, Here is a link: < To create one, just put < in front of the entire link (including http) without any space in between the sign and the http. Georgeby GeorgeN - AFIBBERS FORUM