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QuoteSunshine13 Do you know if the point for female is still counted ? Carey says no in this post: "When you do the score, check the box for being male, not female. Do that to remove the point for being female that is no longer counted in the score per the most recent guidelines."by GeorgeN - AFIBBERS FORUM
QuoteMaria23 May I ask who performed your ablations? In case Jackie doesn't log back on soon and see your question - Dr. Natale performed all of hers (the first at Cleveland Clinic in 2003 and the other two in Austin). I joined here about a year after her first and have followed her and Dr. N since. Here is a search of her ablation posts if you want to read more:by GeorgeN - AFIBBERS FORUM
QuotePixie websites list oral diltiazem as an antiarrhythmic drug and others do not. If someone is one year free of arrhythmias, but still on diltiazem, would you consider that a successful ablation? Diltiazem is in a class of medications called calcium-channel blockers. In the afib world, these meds would be rate control drugs, not a rhythm control drugs. I assume you may be on it for bloodby GeorgeN - AFIBBERS FORUM
QuoteJohnG I'm not sure if what Carey said can be echoed enough. The average American's diet is probably 5-10 to 1 salt to potassium these days. And, according to Loren Cordain (whom I've had my disagreements with), hunter gatherer's ratio was essentially reversed. This is one of the issues you'll find with some low-carb diet promoters. They'll say we evolvedby GeorgeN - AFIBBERS FORUM
It increased diastolic BP in this 40 year old study:by GeorgeN - AFIBBERS FORUM
Here are the 5, so you can see if it something you want to look at further. Myth 1: A low-fat diet is best for heart health. Myth 2: Eggs are bad for your heart. Myth 3: Red meat should be avoided at all costs. Myth 4: If you’re on medication for heart health, it means you can eat whatever you want. Myth 5: At some point, changing your diet isn’t enough to reverse damage already done to yourby GeorgeN - GENERAL HEALTH FORUM
Quotegloaming George, when I read several months ago of our Mg consumption, I was doubtful that you could live in any kind of equilibrium with that level of consumption. Not for long. But, I hafta say, you have this figured out, and I would have to agree with you that some of us are exceedingly poor absorbers of some of our nutrients. You especially. Just for ranging purposes, could you putby GeorgeN - AFIBBERS FORUM
Quotehds Perhaps the best news when it comes to magnesium is that most people don’t need to supplement for it. Unless you are taking a stomach-acid-blocking medicine, or have other gut absorption issues, you can pack your diet full of magnesium just by eating nuts, seeds, and greens—the more greens the better, in fact. If you do need extra supplementation, and you are concerned about the purity oby GeorgeN - AFIBBERS FORUM
Quotegloaming I have low kidney function, not out of 'normal' range, but rattling against the lower limit. Every time my blood has been taken and I see the results, my K levels are low. So, I drink about half a cup of coconut water each day, or I eat a couple of dried apricots as insurance. Beets are also an excellent source of potassium. When I first started looking at electrolyteby GeorgeN - AFIBBERS FORUM
Quotehds Thanks, that gives some more confidence. In a recent panel it came back as 3.8 for me (a little over a week ago). Serum potassium can change over the day, as the guys who used the Cardymeter will tell you. However, most afibbers have found that between 4.5 & 4.9 seems to be a sweet spot. Non afibbers seem to be able to tolerate much lower serum levels. I was discussing this wby GeorgeN - AFIBBERS FORUM
Quotehds I will tread carefully… the 1000mg seems a bit much to me, considering they put max 100mg in pills to avoid overdose. If you have normal kidney function, it will not be a problem. I've taken 10 grams as a bolus with no issue (I'm not suggesting others do this). However I do consume 4 grams over the day, every day. Also, as Carey suggests, I eat a lot of foods in my dieby GeorgeN - AFIBBERS FORUM
My suggestion would be to consume slowly over a number of hours, as potassium as a bolus will be very quickly excreted by healthy kidneys. My own experience is that any supplemental calcium can be a negative for me with respect to afib. I keep my intake to 4 or 500 mg /day from all sources. Your mileage may vary.by GeorgeN - AFIBBERS FORUM
QuoteMark Having taken that extra dose earlier, when it came time for my regular Flecainide dose, I crushed it and took it with a glass of warm water. I think I read on this forum ( don’t know who to give credit to) that by doing that it helps to get the meds into the system faster in a more concentrated form. . I think the OP mentioned that technique was particularly helpful when using it forby GeorgeN - AFIBBERS FORUM
QuoteCarey A Kardia reporting "possible afib" means it's reporting what it has identified as afib. I don't think it ever gets more certain than that. Lawyers made them add the word "possible," not the doctors and engineers who built the product. "Possible afib" is the terminology they use if you don't subscribe to their KardiaCare and KardiaCare Plusby GeorgeN - AFIBBERS FORUM
QuoteNancy M Not sure what a Zio is It is an 2"x5" ECG patch to be worn for 14 days at a time probably very similar to the BodyGuardian ECG.by GeorgeN - AFIBBERS FORUM
I don't know about afib, but if you have these SNPs, and supplement with B's they should be methylated B's.by GeorgeN - AFIBBERS FORUM
Quote67walkon I still don’t feel it. My Fitbit Sense 2 has an ekg function and it always comes back normal. But. I wonder if a Karelia device would be more accurate than my Fitbit? From Fitbit: "Fitbit smartwatches and trackers have optical sensors that can detect the pulse of blood that goes to your wrist with every heartbeat. The Fitbit Irregular Rhythm Notifications featureby GeorgeN - AFIBBERS FORUM
QuoteCarey Well, what are the actual requirements? Not the specific test, but the requirements of that test. Here is an article on the topic. Apparently there is lab in Chicago. When I was looking at it for teeth, everything I looked at referenced the Melisa serum test.by GeorgeN - AFIBBERS FORUM
QuoteCarey Of course there is. I'd love to know the lab as I was unable to find a US lab option when I was searching several years ago.by GeorgeN - AFIBBERS FORUM
I contacted Melisa.org during COVID lockdown as I had an infected root canal tooth that needed to be pulled and replaced with an implant. I was concerned about a titanium sensitivity. As Susan notes, it was not possible to get a sample from the US to Germany in 48 hours then. The Melisa people were very responsive and told me they didn't see issues with zirconia implants. So I just wentby GeorgeN - AFIBBERS FORUM
QuoteElizabeth When you say Pulse wave variability do you mean the pauses between some of the beats? So this 24 hr. BP monitoring isn't really too accurate? Then what about if my BP is taken in the doctors office is that accurate? Below is a graph of pulse waves in afib & NSR from this paper. As your ventricles contract, it pushes blood through your blood vessels. When you feel yoby GeorgeN - AFIBBERS FORUM
Quotehds if beta-blocker discontinuation is necessary, it is preferable to do so in gradual fashion if possible. Thank you, George, you're an amazing ally in the Afib community. ❤ Doctor's office told me to take 1/2 for now (12.5mg). Any thoughts how to more gradually wean off it? If you are stable at that, then (I'm making this up), I'd try to wean over 14 days.by GeorgeN - AFIBBERS FORUM
"7. Beta-blocker withdrawal. Abrupt discontinuation of beta-blockers can lead to a “rebound” effect characterized by tachycardia and hypertension. Patients with ischemic heart disease may have exacerbation of angina or acute ischemic events. In general, the risk of this rebound phenomenon decreases with increasing half-life of the beta-blocker. Carvedilol, sustained release metoprolol, anby GeorgeN - AFIBBERS FORUM
QuoteElizabeth I got a "after visit Summary" paper and on it I read that a 24 hr BP monitoring cannot be performed on patients with Atrial Fib. because the monitor has a difficult time taking the BP if the pulse is irregular. Liz, what I've noticed is that in afib, the amplitude of the pulse wave as well as the beat to beat timing are irregular in afib. I'm guessing the pby GeorgeN - AFIBBERS FORUM
Quotehds - Unfortunately Apple Watch doesn't seem to give me this data. I tried my Garmin but it seems not be able to record HR accurately in Afib. Numbers are much lower. Currently wearing a holter ( day 2 of 7 ). - The last episode without Metoprolol indicates approx. 110 but with peaks in the 130-160 range. - Typically 4-5 hours. But frequency starts to increase to every other day.by GeorgeN - AFIBBERS FORUM
Quotehds I had an episode last night and took 1/2 Metoprolol as instructed when episodes starts (12.5mg). During sleep my HR dipped to 32 for approx. 30 minutes. Not yet on Multaq. If you are recording beat to beat heart rate, are there pauses a lot longer than 2 seconds (I.e. 30 BPM)? When you don’t take Metoprolol during an episode, what is your average heart rate? How long do youby GeorgeN - AFIBBERS FORUM
Quotehds Thank you George. Have you seen any interactions with Metoprolol On the forum? I have a low resting and sleep HR. In the mid to upper 40's. I'm worried Multaq may drop the rate too low. Messaged my doc to be sure. It is a good question. My thought is, if you go on Multaq, do you need Metoprolol? Or perhaps take Metoprolol for rate control when you are in afib, but only on-dby GeorgeN - AFIBBERS FORUM
Quotehds My EP prescribed Multaq over Flecanide, to be careful. He wants to see echo/MRI first. Anyone has experience with Multaq? It is the mildest rhythm med. Dr. Natale commonly prescribes it after an ablation, during the "blanking period." Here is a search on Multaq on this site:by GeorgeN - AFIBBERS FORUM
Quotehds How much and how do you apply this? I have tried to find info how many mg is absorbed by the body per spray (or whatever measure). I wonder if it is possible to overdose on Magnesium. I've used magnesium supplementation for over 18 years as key part of my afib remission protocol. Assuming you have health kidneys (healthy kidneys will excrete any excess, unhealthy will let it accuby GeorgeN - AFIBBERS FORUM
Quotehds The Wim Hof method Was too hard for me. I read hyperventilating can be dangerous to some folks? Sure, not ideal for some. Both the low CO2 of hyperventilation and high CO2 of the long extended exhaled breath hold could be a trigger for some, especially with anxiety. The "triangle" approach I was describing above (box with no exhaled breath hold) should be pretty safe for mby GeorgeN - AFIBBERS FORUM