Quotehds Athlete with no other health issues. Is there a way to find what the top institution are for ablation? I don't mind traveling ( although the idea of flying scares me now). No idea what your athletic activities are, but chronic fitness can be a path to afib, it was for me 18+ years ago. Here is a thread on the topic. I found that endurance activity at a Zone 2 intensity as deby GeorgeN - AFIBBERS FORUM
Quotecaliforniagal I changed my health insurance this year in order to have Dr. Natale do an ablation, which would be my first 'procedure'. Communications with his team in Austin have been great and I'm scheduled for 3rd wk in April, UNLESS his May trial for Pulsed Field Ablations will be for those who have FLUTTER, which I developed last summer. (Until then my afib was 'mild&by GeorgeN - AFIBBERS FORUM
QuoteJoe George, any info on why it is advised against? Lung damage? Yes. This for example. Thomas Levy MD wrote a book, "Rapid Virus Recovery" and was censored by his state's medical board. Levy advocates that you can use 3% H2O2 from the pharmacy. I've read other docs who do use nebulized H2O2 (though recommend the pure stuff like you use) for respiratory viruses (andby GeorgeN - AFIBBERS FORUM
QuoteLoisA I’m not sure if paroxysmal can develop into persistent Afib, but I’m trying to be proactive if it can progress . Of course I’m always hoping new treatments are on the horizon for all of us. Yes it can. Doesn't mean it will, but is certainly possible. A number of folks here can share their stories of paroxysmal going to persistent.by GeorgeN - AFIBBERS FORUM
QuoteJoe I think what really helped to almost completely stop coughing was: 3ml distilled water with .5ml 12% pharma grade hydrogen peroxide in a nebulizer 1 x/day. Did that 3x Though controversial in standard of care and advised against, I have tried this in probably a 1% concentration. Yours would be .5/3 x 12% = 2%. I turn the distilled water into normal saline with 9 tsp NaCl/gallon. Iby GeorgeN - AFIBBERS FORUM
QuoteMikeN One issue with me is I am very symptomatic to the point of not being able to lay down; the flopping in my chest is too much. I have tried half heartedly in AFIB to take deep breaths before. When I hold the breath, my heart feels like it's jumping out of my chest so I stopped doing it. Do you have this issue George?? I could see this making it much less comfortable. Fortunatelby GeorgeN - AFIBBERS FORUM
I've posted a number of times about breath-hold conversions. Including here and here. My working hypothesis has been that it is high CO2 levels that are the mechanism, and in the first link, I posted a link to a paper where they demonstrated that high CO2 levels in breathing air in sheep were protective against afib. My general approach was to do a "Wim Hof" style breathing pracby GeorgeN - AFIBBERS FORUM
QuoteDovewing go for wolf mini maze and its over and no more thinners...check it out Beware of the atrial flutter that can be caused by the MM, but needs to be solved by an ablation. Wolf doesn't mention that. See:by GeorgeN - AFIBBERS FORUM
I've used potassium citrate powder for many years. 2 tsp = about 4 grams of potassium. I put this in around a liter of water and consume over the day.by GeorgeN - AFIBBERS FORUM
QuoteThe Anti-Fib If you have been in AFIB you may not realize how much better you feel in NSR, or you might not notice a difference, and that would still have value. I've had afib for 18.75 years. In the first 4 months, I had a 2.5 month episode for the last part of the 4 months. My resting afib rate was ~80 BPM. I felt fine. My EP wanted me to just stay out of rhythm. I proposedby GeorgeN - AFIBBERS FORUM
Quotegloaming It's a lot headier than most of us would prefer to have to deal with, but...have at it if you're inclined: You might be interested studying in the atrial effective refractory period (AERP). "In electrocardiography, during a cardiac cycle, once an action potential is initiated, there is a period of time that a new action potential cannot be initiated. This is termeby GeorgeN - AFIBBERS FORUM
I did find this with a search: . There are four main characteristics of PACs: 1. They are premature. That is, they occur earlier than you would expect if you were to measure the previous P-to-P intervals. 2. They are ectopic. Meaning they originate outside of the SA node. Thus, the P wave morphology would be different than the normal sinus P wave. 3. They are narrow complexes. Since theyby GeorgeN - AFIBBERS FORUM
Quotegloaming George, if I could impose upon you, would you have some links or files that might help me to understand more about the 'compensatory beats' you depict higher? The more I look at that graph, the more interesting it becomes to me, and I'd like to understand more. I did have a lot of PACs after the first ablation last summer. My heart rate was often near 95, and this mby GeorgeN - AFIBBERS FORUM
Drilling down in this, as far as I can tell, at least for the $ data, it is all based on Medicare billing. Since Medicare is ~45% of US healthcare, should be a good sample.by GeorgeN - AFIBBERS FORUM
Quotegloaming I haven't seen anything like that before Yes, not common, however in research these R to R data are sometimes extracted from Holter ECG data and presented as heart rate vs time as this is. It is called a "tachogram." Years ago, I put a strap on my demented mother and captured a short run of afib (I'd already felt it in her pulse, which is what prompted me to pby GeorgeN - AFIBBERS FORUM
Quotegloaming Thanks, Carey. Between you and Lindsey Ward, the outreach nurse with whom I have talked twice in the past 24 hours, you both offer encouragement and try to explain that a bumpy recovery is almost a rite of passage after an ablation. I coached one member here to use the combination of an app, Polar H-10 heart rate strap & some old Polar software to do long duration monitoringby GeorgeN - AFIBBERS FORUM
QuoteMarionGlenn I am an expat American living/working in Egypt and the UAE, dealing with LAF. I am looking for a reputable and experienced PFA provider in Europe. I would be grateful for any leads. Thanks. For Europe, PFA or not, the EP I'd choose is Pierre Jais in Bordeaux, Fr. See:by GeorgeN - AFIBBERS FORUM
Quotegloaming Still a way to go, and the improvements are not earth-shattering, at least not in any words anyone is willing to publish, but in a few months the tone may change.. My look at this from 30,000' is that the biggest benefit is lowering the risk of complications, especially with EPs who aren't at the elite skill level. From a "success" standpoint, I still think oby GeorgeN - AFIBBERS FORUM
I have no idea whether the meds will impact your heart rhythm. My thought is that these meds may help with the symptoms of high serum glucose, but aren't a root cause solution, which is probably only available through lifestyle modification. Have you pursued this avenue?by GeorgeN - AFIBBERS FORUM
Quotebneedell The EP has suggested I try flecainide for 2 weeks "for diagnostic purposes" to see whether or not it will help suppress palpitations. I read online from Cleveland Clinic: "What are the benefits? Flecainide is used only in people with serious, life-threatening arrhythmia. The medication can slow or block irregular heartbeat, preventing stroke and sudden cardiacby GeorgeN - AFIBBERS FORUM
QuoteJakeS What determines when you decide to go to the ED? I've been once - for my first afib episode in 2004. After a couple months of self converting episodes, I had a 2.5 month episode. The EP suggested I just stay out of rhythm as my afib heart rate, then, was < 100 BPM. I countered with a "Plan B" that included detraining from chronic endurance fitness, electrolyte sby GeorgeN - AFIBBERS FORUM
Here is a possible metabolic reason. I wrote this in response to a T1 diabetic friend who asked me about it. Here is the study: Listened to fructose researcher, Rick Johnson MD (University of Colorado School of Medicine), at a conference this weekend. Rick has over 800 published papers and a long track record of NIH funding. The talk this weekend is not publically available, but here isby GeorgeN - AFIBBERS FORUM
QuoteAmara I just moved to my area so used the tool to help me find a primary physician and general cardiologist. I liked that I could also look at the procedures they bill for and what their typical diagnosis mix is so I know where their strengths are and if I'm a good fit. Thanks for posting! My wife is in the market for an orthopedic procedure. We've had several recommendations fby GeorgeN - AFIBBERS FORUM
QuoteCarey Not sure where you read that vagal afib is unlikely to progress, but I don't believe that's true. In Hans Larsen's (founder of this site) 2003 edition of his book, "Lone Atrial Fibrillation, Towards a Cure," he writes, "There is no indication that vagal LAF involves any heart abnormality and vagal LAF rarely if ever develops into a permanent condition.&qby GeorgeN - AFIBBERS FORUM
Dronedarone (which the new drug is based on) is much less powerful than Amiodarone.by GeorgeN - AFIBBERS FORUM
QuoteYuxi George, if exercise is a delayed trigger for you, how many hours later? It really depends. My first ever episode (over 18 1/2 years ago) was several days after a training run on a 14,000' elevation mountain. Generally delay an hour up to 12 or 14. For me, it is a vagal trigger, so after I settle down. QuoteAlso, may I ask why you started taking 25mg Flec every day as prevby GeorgeN - AFIBBERS FORUM
As a non-ablatee, but someone who has been on this board for over 18 years, here are my thoughts. My understanding is that balloon cryo only addresses PVI issues. Given that you had a Natale ablation, my hypothesis is that what you are experiencing is likely due to the progression of your illness, not a failure in Natale's earlier ablation. Hence I don't think that cryo will solveby GeorgeN - AFIBBERS FORUM
QuoteYuxi After reading Afib Cure, I did a RBC magnesium test and a CRP test first time. My RBC magnesium test came out with a result of 6.4, according to the Lab, the normal range is 4-6.4. I don't always have bowel movement every day and certainly no abdominal cramping and diarrhea. So I am really surprised mine has reached the upper end of the normal range already. Should I continue takinby GeorgeN - AFIBBERS FORUM
QuoteCarey That's some impressive 100% correlation. I think it is a reflection of the participants/members using this site at that point. "Lone Atrial Fibrillation" was the focus of the site & I think those folks tended to be more in the athletic category. From that time long ago, I recall some published data that tall folk were more subject to afib, at least the LAF varby GeorgeN - AFIBBERS FORUM
In 2005 here, we did an informal poll on whether people considered themselves tall, athletic or both. Here are the results (source): M/F #Responding Athletic Tall Both Female 15 11 7 7 Male 19 19 17 17 Total 34 30 24 24 I'm guessing that none of the people responding as "Tallby GeorgeN - AFIBBERS FORUM