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QuotePavanPharter Genetics. Prompted me to rerun Promethease on my 23andMe data to see if any updates. SnP's: 2 bad 14 good (one of these says I have to lowest risk for afib - if I am a white woman ...) 17 not set Years ago I was trying to see if my kids had inherited my risk (comparing my SnP's with theirs), and could not come to a conclusion. My daughter does havby GeorgeN - AFIBBERS FORUM
Anne, see Jackie's post on this topic here. I've successfully used the Golytely product she mentions in the post, which has extra electrolytes.by GeorgeN - AFIBBERS FORUM
Anne, see Jackie's post on this topic here. I've successfully used the Golytely product she mentions in the post.by GeorgeN - GENERAL HEALTH FORUM
Per Carey's comment, fructans, which are common in some nuts and other high fiber foods, can cause constipation in people who are sensitive (which includes me). This certainly isn't everyone, but if you are eating an high fibre diet and are constipated, you might search on foods with high fructan levels and see if you are eating a lot of them. If so, you could experiment by eliminatinby GeorgeN - GENERAL HEALTH FORUM
QuoteYuxi Apparently the walk I used to measure VO2max was below my Zone 2 heart rate, I was afraid to walk too fast. I will give a try next time with my Zone 2 HR to see if I get a better result. The One Minute Workout would be an interesting read. From what you've said, my suggestion is to not worry about VO2 Max for the time being. I'd find your MAF heart rate, which is nominallyby GeorgeN - AFIBBERS FORUM
A proper VO2 max test is a maximum test. It is really testing the glycolytic energy system (the three systems are phosphagen, glycolytic, and oxidative). The phosphagen is used when doing a max effort for ~<10 seconds, the glycolytic system is for relatively short term activities at high intensities and glucose is used anaerobically, the oxidative system uses glucose, fat, lactate aerobicalby GeorgeN - AFIBBERS FORUM
QuotePixie It came back showing “the left atrium size is severely dilated” Wonder if you had a lot of time in persistent afib with heart rates > 100 BPM? QuoteI contacted my EP here for clarification and did not get much help because she did not support my going to Austin. Curious if she didn't like Natale's approach or just wanted you to use her?by GeorgeN - AFIBBERS FORUM
QuoteShannon For those of you newer folks to Afibbers.org, not only did Hans leave behind a slew of great books to help enlighten you further, but you can also glean just what an impact Hans truly has had on this forum ... and in our lives ... by taking a dive back into our archives to around mid-to-late January 2014 up too around early February 2014 I believe, and just look for the thread titledby GeorgeN - AFIBBERS FORUM
Quotesusan.dWould a presenter automatically be manually skilled? You'd need to do more due diligence, but if they are on this list & they are skilled enough (been through a fellowship where this is taught as not all programs do) to be working in and around the LLA, they are in the upper tier, in my book.by GeorgeN - AFIBBERS FORUM
Travis, My experience is different. I had my first episode in early July 2004 (nearly 19 years ago). I was having episodes every 10-14 days lasting 9 or so hours and self converting. Around the end of August, an episode started that lasted about 2.5 months. It converted in 20 hours with a 300 mg dose of flecainide. Had one a month later that also took 20 hours to convert with 300 mg fleby GeorgeN - AFIBBERS FORUM
I'm no expert, but if I needed an ablation and I couldn't go to Dr. N, I'd select from the presenters at the annual ISLAA Symposium.by GeorgeN - AFIBBERS FORUM
QuoteYuxi Thanks George, do you know how long is the wait for Natale ablation? My friend says it is variable, based on how bad your situation is, they triage the list. As flec is working pretty well for him, he's not at the top of the queue. I'm guessing Carey may have more insight. Also, I think you can sign up to be on a cancellation list, if you are willing to go on short notiby GeorgeN - AFIBBERS FORUM
QuoteYuxi Thanks George and Carey, I will check with my EP next time. One question you could ask is if you should take a BB if you have a breakthrough and you increase your flec dosage for conversion. This would mitigate the flutter risk from the larger dose. Also, a friend, also diagnosed with afib in 2004, recently went on daily flec to hold him in NSR till he gets a Natale ablation. Duriby GeorgeN - AFIBBERS FORUM
1:1 atrial flutter is a risk with flec. The BB will mitigate that risk. My understanding is the higher the dose, the higher that risk is. 50 mg BID isn't a huge dose. This is something to discuss with your EP. I was prescribed 300 mg flec on-demand in 2004 without a BB (I weigh more than 154#'s (70 kg), which is the cutoff for 300 mg, 200 mg/day for those weighing less). I'veby GeorgeN - AFIBBERS FORUM
My understanding is cryo only treats the pulmonary veins. It that is where your problem is, wonderful! If not, you'll need RF to address the other areas. I have a local friend who had cryo many years ago and it is still durable.by GeorgeN - AFIBBERS FORUM
Quotetriplea I have not yet heard back regarding this but I cannot think of any reason I would have to wait 2 weeks before getting a cardioversion.. Are you on anticoagulation? In the absence of doing a TEE before the ECV they may require you be on anticoagulation for a period of time prior to the ECV.by GeorgeN - AFIBBERS FORUM
QuoteBJS My blood pressure has never been better. After weighing the side effects, I went off both medications on May 1 and am feeling better. Today (5/9/2023) primary care said fine to get off Dilitiazem but to stay on blood thinners - scaring the bejezus out of me regarding blood clots. She wants me to stay on them at least until I am set up with a new cardiologist in my state. (that's aby GeorgeN - AFIBBERS FORUM
Quotegreyhoundgal Have also been following Steve Carrs protocol. Here is a search on Steve Carrs protocol here for those who are interested. His most current version. Steve has done a very systematic analysis of the variables impacting his case.by GeorgeN - AFIBBERS FORUM
QuoteLeosmom I will ensure I drink a ton of water too! Dehydration can certainly be an issue, but be careful. Urine color, assuming you aren't taking a bunch of B vitamins, is a good gauge (even with B vitamins you can learn to tell the difference between their color and that of normal urine. See the chart in this article. You want pee ranging from lemonade-colored to a brighter shadeby GeorgeN - AFIBBERS FORUM
Curious with an AV node ablation and a pacer, why do you care about a Kardia ECG?by GeorgeN - AFIBBERS FORUM
metoprolol will keep your heart rate lower but won't prevent afib. A minute of afib is no big deal. Suggest slow breathing (5-6 breaths/minute through nose and diaphragmatically, but not "big" breaths. Breathe in as little as possible. See articles here. Suggesting this as it sounds like stress may be an actor in this.by GeorgeN - AFIBBERS FORUM
Right or left? If taking a 2 contact reading & if left, wet your belly to the left of your navel, then wet your right thumb and both contacts. Hold in right hand with thumb on contact and put left contact on belly skin and take reading. If want the 6 lead reading do as shown here but hold between two non-injured fingers on the injured hand and as normal on the other.by GeorgeN - AFIBBERS FORUM
QuoteNancy M The LTT at Orthopedic Analysis requires a physician's signature and prescription, so I'm not sure where to go from here on that. Don't know if my PCNP would sign it or if Ortho would accept her signature as she is not involved in the Watchman implant. Will have to email them about that. Also, Ortho stated on their website that the big labs like Questa won't doby GeorgeN - AFIBBERS FORUM
Steve's Figure 1 is very interesting. It makes it clear why so many get ablated. At 19 years, his probability of not being persistent is about 12%.by GeorgeN - GENERAL HEALTH FORUM
QuoteGeorgeN Susan, also anticoagulants don't reduce stroke 100%. From memory, warfarin reduced risk 50% and I think the NOACs are a bit better. Correction: "Compared with control or placebo, vitamin K antagonist (VKA) therapy (mostly warfarin) reduces stroke risk by 64% and mortality by 26%" Source and 10.1.4.1 Vitamin K antagonists " In a meta-analysis of theseby GeorgeN - AFIBBERS FORUM
Quotesusan.d “ He ordered that the Eliquis be stopped in preparation of the morning procedure. ” How is this standard care if they are stopping Eliquis before a scheduled ecv? Stopping acutely is different than having it prescribed for 3 or 4 weeks.by GeorgeN - AFIBBERS FORUM
QuoteCraigh No kidding!! His cardiologist wants him on an anticoagulant for four weeks before performing the procedure. I don't know if that's typical or not. I've never heard of that. He's had a couple of heart attacks through the years. Maybe that's a factor? I couldn't believe they were making him wait. This is standard of care, either be anticoagulated for 3-4by GeorgeN - AFIBBERS FORUM
Susan, also anticoagulants don't reduce stroke 100%. From memory, warfarin reduced risk 50% and I think the NOACs are a bit better. From this I figured it was best to reduce any controllable CHA2DS2–VASc risks as much as possible first, as the OAC risk reduction would be on top of that.by GeorgeN - AFIBBERS FORUM
Here is a post Shannon did 4 years ago on these convergent procedures.by GeorgeN - AFIBBERS FORUM
NT-proBNP did not go hand in hand with having afib, at least in my case. I've had afib for now close to 19 years and my most recent NT-proBNP was 52 pg/mL (<125 is optimal on my lab).by GeorgeN - AFIBBERS FORUM