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Quotecolindo If the American Heart Association heart rate numbers are of no value where then can we get numbers that are of some value? People who have had an ablation need some guidance, at least during the blanking period. This is based on my afib experience, not studies. I've posted about Zone 2 as a limit a number of times. In the second paragraph of this post, I have a number of rby GeorgeN - AFIBBERS FORUM
Wonderful ablation report! Here is to continued NSR!!!by GeorgeN - AFIBBERS FORUM
Quotesusan.d I hired two strong guys tonight. They conked out after 1 hour 40 minutes so I lended a hand and helped with the closets being emptied. I smiled because they were so young with no afib and I, a decrepit old bat to many ER doctors, was faster. :-). I think this last EP did a good job. What an excellent report! Hope your move goes smoothly!!by GeorgeN - AFIBBERS FORUM
QuoteAmara Brakes on and finding a way to head to Austin..... I appreciate the reality check! FYI, here is Natale's info:by GeorgeN - AFIBBERS FORUM
Natale would be my number 1 pick, if you can go out of state & insurance covers.by GeorgeN - AFIBBERS FORUM
What is your situation? Are you looking for an ablation? Is your afib stil paroxysmal (intermittent) or is it longstanding persistent? If you are looking for an ablation, then the higher your afib burden, the more complex the ablation is that is usually required to solve the problem.by GeorgeN - AFIBBERS FORUM
QuoteAmara I'm looking for an electrophysiologist in Florida. I live in Jacksonville, but willing to drive and possibly fly if my insurance will cover an out-of-state doc. Not sure yet. Not close by for regular visits, but for an ablation, I suggest Sergio Pinski at Cleveland Clinic Weston He trained under Dr. Natale. Years ago we had a number of people who drove quite long distancesby GeorgeN - AFIBBERS FORUM
QuotePoetKim Is there any specific test for WPW other than looking at EKG when patient is in afib/arrhythmia/tachy? The last time i went to ER with afib, I asked the doctor if it could be WPW because my brother had it, and he said no, I don't have that. I think my brother's diagnosis of WPW has been done entirely from EKGs in ER. My understanding is ECG when out of rhythm. Here isby GeorgeN - AFIBBERS FORUM
QuotePoetKim Thanks for the info, George. I will read her story with interest. As an aside, my understanding is that WPW tends to have a strong inherited component. The mother of my friend I posted about above also had WPW. The two way path in the AV node is what gives WPW the ability to drive the heart rate really high.by GeorgeN - AFIBBERS FORUM
QuotePoetKim Thank you gloaming for the feedback. WPW is supposed to have a high success rate from ablation - higher than "ordinary" afib. i'm not sure if that's because the extra electrical pathways are more clearly identified in WPW, or what. I certainly hope it works for him. sorry to hear you are preparing for 2nd ablation. good luck with that. Have a good friend witby GeorgeN - AFIBBERS FORUM
Beware, some ill informed EPs will say, "lets ablate the flutter & see if the afib goes away." Run away from that EP & find one who will take care of both afib & a flutter in at the same time.by GeorgeN - AFIBBERS FORUM
QuotePavanPharter Very cool trick George. How did you do it? Thanks! Assuming you mean the transcript. On a computer (Mac in Chrome in my case), there are three dots ... next to Share below and to the right of the YouTube video. Click there and select Show Transcript. I turned off the timestamps to make it a little smaller to copy/paste as our software here was not happy with the amount ofby GeorgeN - AFIBBERS FORUM
Quotegloaming George, I forgot to thank you for your efforts to put it all in place for us. Thank-you! You are certainly welcome! QuoteYuxi George, thanks for sharing your experience and the links, this is really helpful As well, you are welcome!by GeorgeN - AFIBBERS FORUM
QuoteYuxi I wonder if someone successfully managed to avoid all his/her triggers (I know it's hard but presumably), will he/she be able to put Afib into remission? This is a bunch of stories put together in 2007 by member Peggy Merrill. It is kind of hard to find since the website got reorganized a few years ago. Here are other things from that time: I'll have had afib for 19 yeby GeorgeN - AFIBBERS FORUM
Quotegloaming Geesh! 90 minutes of watching vice 25 minutes of reading. Oh well,.... Here is the very short summary from a scan: Don't drink or don't drink more than 1/day. Anticoagulate with elevated CHA₂DS₂-VASc score Treatment is iterative: QuoteThe day-to-day of the drug is to suppress afib, they really should be helping you feel better. If they don't, you need to tryby GeorgeN - AFIBBERS FORUM
Second half: It was done at UCSF in 1982 and it was this procedure. They used a different form of energy, but it was essentially this AV junction or AV node ablation. Moving on to other therapies and imagining now we do want to obtain and maintain a normal rhythm. A common way to do this in those with persistent atrial fibrillation. It's not breaking, they're not reverting on theiby GeorgeN - AFIBBERS FORUM
QuoteKen Maybe someone will watch and post a brief summary (if there is something out of the norm). I won't be watching for an hour and a half. Here is the probably auto generated YouTube transcript (first half): My name is Tommy Dewland and I'm going to cardiac electrophysiologist here at UCSF. It is my distinct pleasure to introduce my colleague, Dr. Greg Marcus. Dr. Marcus isby GeorgeN - AFIBBERS FORUM
QuoteYuxi I was doing full deep breath, 4 seconds in, hold 4 seconds, then 6 seconds out. I am not sure about "breathing with the diaphragm into the lower lung lobes" though. For diaphragmatic breathing (which is suggested in many yoga relaxation breathing techniques), if you are on your back with one hand on your stomach and one on your chest, the stomach hand should go up and the thby GeorgeN - AFIBBERS FORUM
QuoteYuxi This morning when I wake up at 6am I practiced the deep breathing technique learned last night on YouTube. After a few minutes of practicing suddenly I had an episode. I am really confused, I thought deep breathing supposed to help calming down and lowing the heart rate, not triggering it? I'm a breath nerd and know that breathing is powerful. There are many different techniquesby GeorgeN - AFIBBERS FORUM
Quotehikerjim I've had proximal a fib for about 13 years. About 9 years ago, I had cyrobaloon ablation done at Ceders Sinai in Los Angeles. I was a fib free for about 2 years. Now , it a weekly thing. I'm looking at either doing it again at Ceders or possibly Dr. Natale when he comes to thousand oaks for the month.Any suggestions? Other than the darn a fib, I'm very active hikiby GeorgeN - AFIBBERS FORUM
QuoteBibi (Now I still don't really know what a "iatrogenic atrial septal defect" or a "right-to-left shunt" are, but they seem to be a temporary minor injury incurred during ablation.) Should I ever have one again, I will be prepared for that possibility. Iatrogenic means caused by a medical exam or procedure. Atrial septal defect is a hole in the wall (septum) thatby GeorgeN - AFIBBERS FORUM
Abstract Catheter ablation for atrial fibrillation creates an iatrogenic atrial septal defect by transseptal puncture, which may produce a transient right-to-left shunt. We encountered a 44-year-old man who presented with de novo migraine-like headache after cryoballoon ablation for atrial fibrillation. On reviewing the literature, we found additional cases in which migraine-like headache ocby GeorgeN - AFIBBERS FORUM
QuotecolindoAlso my resting heart rate has gradually gone up, now 76 bpm. Very common after ablations. This can last a year or more.by GeorgeN - AFIBBERS FORUM
Quotegloaming Three-hundred mg over 3+ hours is about as much as you'd want, I should think. 300 mg is the max you'd want in a day IF you are over 154 #'s. If under, 200 mg/day max, possibly less. susan.d had a very negative experience at ~122 #'s (after 15 years of good success with flecainide) and the EP gave her 300 mg. Otherwise, I do concur with Carey, that gettiby GeorgeN - AFIBBERS FORUM
In my post here, there is a link to the original PIP paper from 2004. In it they dosed flec at 200 mg for those under 70 kg (154#) and 300 mg for those over this weight. In my 36 year old son in law's case, the doc suggested going up 100 mg every 2 hours, if not converted. At 150 #'s, he now uses 200 mg because that is what it always takes for him. Farther in the same thread Iby GeorgeN - AFIBBERS FORUM
Quotefravi I just want to ask if somebody have noticed a correlation with the intake of magnesium and increase in BPPV episodes. I assume you are hypothesizing that an increased magnesium intake could block calcium into the cells & thereby cause BPPV? I'm a person who has taken lots of magnesium (as high as 5-6 g/day, now maybe 3.5 g/day) without issue. Years ago I looked into higby GeorgeN - AFIBBERS FORUM
QuoteSearching9 So what I'm likely observing is RVR in response to atrial fib. (see the example fitbit graphic above). I think I understand that this RVR has the capacity to do more damage to the heart then Afib without RVR. (I don't mean to suggest that Afib without out RVR should be ignored, just that the RVR may "raise the stakes") So, for the home user, the frequenby GeorgeN - AFIBBERS FORUM
Quotegloaming Yes....sometimes...for both questions. There is a syndrome known as 'rapid ventricular response syndrome' where the ventricle is compelled to beat in concert with a fibrillating atrium - RVR is anything over 100 BPM (or 110, depending on the source) at rest. A person can have afib with RVR and still have erratic (beat-to-beat) ventricular contractions. The exceptionby GeorgeN - AFIBBERS FORUM
QuoteKen S So before I contact my Cardiologist, and make him think I am a total worry wart. I wondered if at 148 lbs or 67kg, is 200mg at once, too much. I worry about adverse effects. Also can anyone tell me is 200mg at once roughly the same as 100mg twice a day. As far as how much is in your system at one time. Hi Ken, At 148 #'s (67 kg), you are within the guidelines for a 200 mgby GeorgeN - AFIBBERS FORUM