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QuoteCarey George, Mayo wouldn't add a warning for patients for a complex reason like that. I'm curious why the warning exists but I'm not finding that reason anywhere. I'm unclear exactly what you are referring to in my post. Are you are referring to 200 vs 300 mg for PIP flec? In original PIP flec/propafenone paper, "The dose of flecainide was 300 mg if the patientby GeorgeN - AFIBBERS FORUM
QuoteJoe George or anybody else - any experience with this device? Seems more comfortable than the Polar H10 but is it equally useful for showing irregularities - meaning is it clear and detailed to see a P wave? Cheers Joe, a couple of people have posted on using Wellue devices. Here is a search for their posts:by GeorgeN - AFIBBERS FORUM
QuoteKen S I am curious why everyone says you must wean off the stuff though. On European sites about Flecainide, they state it is not necessary, to do so. They simply say that after stopping it, your Afib might return. From my perspective, a valid reason would be to find a minimum effective dose, if that dose is > 0. As I posted here, at the end of 2021, because of a big increase in episoby GeorgeN - AFIBBERS FORUM
QuoteSearching9 Is anyone here using Fitbit (or similar) heart rate to monitor Afib episodes. Is this a reasonable method to track the history of episodes? Any pitfalls to be aware of? I've used a Polar H10 strap and an app (initially a Polar watch) to record the data for nearly 18 years. I've posted about this a number of times. If you have a device that will record beat to bby GeorgeN - AFIBBERS FORUM
QuoteAsympPACs Three days after my 3rd Pfizer, I ended up in the emergency room with 20%PACs and 10%PVCs, Troponin levels higher than 99% of general pop. 63yo that never had arrhythmia prior and had checked several times a year for normal heart beat. cMRI showed myocarditis. As I previously posted here, in 2021 I had an anomalously high number of afib episodes (for me). They were generallyby GeorgeN - AFIBBERS FORUM
Interesting, my diet is very high in purines: shrimp, oysters, anchovies & cod. My last uric acid test was 3.6 mg/dL, lower than the low end of the lab's range or 4.0-8.0.by GeorgeN - AFIBBERS FORUM
QuotePoppino George amazing ive been reading Wimhoff and ice baths. Uhhhhh haven’t been brave enough yet Its interesting stuff. Im intrigued and challenged Tom, it is like lifting. You start with a weight you can handle & work up. So for cold, start with 10-15 seconds at the end of a shower. Then go longer. After you've been doing this for a while, you can try colder. Dr. Søberg,by GeorgeN - GENERAL HEALTH FORUM
QuotePoppino Im 69. Testosterone level about 350 confirmed on blood work. Zero negative effects. Muscle vitality brain fog sex drive. Yet i have it. I would love to use even 1/2 dose every 2-4 weeks. Hey Tom, Saw this and thought of you. Basically about cold bath immersion followed by exercise and testosterone. I have a 100 gallon stock tank, that this time of year the water (aboutby GeorgeN - GENERAL HEALTH FORUM
Quoteandreas22 I am just wondering has anyone had ablation for Afib and did that help with the ectopics as well? Not on the ablation question, but there is a link in my post here to a guy who dramatically reduced his PAC's with diet change.by GeorgeN - AFIBBERS FORUM
In this vein, this guy found that reducing glucose in his diet dropped his thousands of PAC's/day dramatically. This thread also talks about glucose & afib. Also this thread on keto & afib.by GeorgeN - AFIBBERS FORUM
Since nobody else is responding. If you truly want someone besides Natale, a place I'd start is with the EP organizers and presenters at this conference on the LAA.by GeorgeN - AFIBBERS FORUM
As Pompom says, PAC's are common and especially in afibbers. Without a monitor, hard to tell whether yours are PAC's or PVC's.by GeorgeN - AFIBBERS FORUM
At a minimum you'd like a person who has done thousands of afib ablations, at a high volume center. I've been on this board for over 18 years. I don't live in TX and I would travel from any place in the US to use Natale, if it was time for an ablation. Eight years ago, my best friend from childhood, who lives in Houston, had long standing persistent afib. I strongly suggesteby GeorgeN - AFIBBERS FORUM
Quotevanlith Well pop. fenugreek, boron, l-citrulline, folate + vit D. I remember writing a very detailed protocol on this i believe on your thread about 2 years ago or so. https://www.afibbers.org/forum/read.php?9,181613,181631#msg-181631by GeorgeN - GENERAL HEALTH FORUM
High ferritin can also be an indication of inflammation, so have to look at the whole situation.by GeorgeN - AFIBBERS FORUM
QuoteThe Anti-Fib I believe when Propofol is given it lengthens the recovery time to get back to normal after the procedure, and that is why I don't want it. Assume you meant fentanyl?by GeorgeN - AFIBBERS FORUM
This paper shows a slight benefit to traditional CPR (" Conventional CPR is associated with better outcomes than chest compression only CPR for selected patients with out of hospital cardiopulmonary arrest, such as those with arrests of non-cardiac origin and younger people, and people in whom there was delay in the start of CPR."). However most of the research suggests the big deal isby GeorgeN - AFIBBERS FORUM
Reading the paper, almost all the subjects were using warfarin. There are issues keeping INR in the 2 to 3 therapeutic range. Other thoughts to keep in mind are a) there are other causes of stroke; b) warfarin or other anticoagulants do not provide 100% stroke risk reduction. There were 8 subjects in the OAC group with prior stroke vs 2 in the non OAC group. Lastly, subjects weren't ranby GeorgeN - AFIBBERS FORUM
QuoteJoyWin I think missing one dose is reasonably safe as long as you are not in AF. My non-medical observation is it depends on your situation. Those who've had ablation work on their LAA and have not passed the final TEE are in a much higher risk situation (unless they have a Watchman type device).by GeorgeN - AFIBBERS FORUM
Quotecaliforniagal Susan, No cardiologist (or a recent visit with an EP who wanted to do the Cyro PV albation), has EVER suggested Flecainide to me. I had a light case of paroxymal afib from 2015 until last September. According to a 2 week Zio Patch I'm now in atrial flutter all the time. Since beta blockers lower my BP too much, I was given a prescription for a low dose of Digoxin in Sepby GeorgeN - AFIBBERS FORUM
Quotesusan.d Maybe that’s why in Europe they use individual pill vacuum blister packs I speculate. I could be wrong I've purchased Tambocor (branded flec) from Europe in vacuum blister packs since 2008. It remains effective for a long time. As I noted in this post, I converted an episode in June 2022 with some blister packed Tambocor that expired in 2014 (I also have plenty of unexpireby GeorgeN - AFIBBERS FORUM
QuoteEliquis.com• Missed dose: If a dose of ELIQUIS® (apixaban) is not taken at the scheduled time, the dose should be taken as soon as possible on the same day and twice-daily administration should be resumed. The dose should not be doubled to make up for a missed dose Source: QuoteNHS (UK) If you're taking apixaban or dabigatran twice a day and you miss one of your doses, you shouldby GeorgeN - AFIBBERS FORUM
Quotetobherd If in fact Eliquis is recommended due to aging, then again..why don't doctors tell all their older patients to get on a blood thinner? In the paper I linked above, "Overall, ischemic stroke incidence (per 100 person-years) was 0.35 (95 percent confidence interval = 0.34-0.35) in the non-AFib population and 1.11 (95 percent CI = 0.84-1.45) in patients with AFib (p<0.00by GeorgeN - AFIBBERS FORUM
"I'm not saying that taking an OAC with a low CHA2DS2-VASc would not provide additional risk reduction, it will. " Some may wonder why I don't go for that additional risk reduction. It is a fair question. It is because I have a genetic risk for dementia. Given my genetics, I've been advised to consume a lot of DHA, have a very high (>12) omega 3 index as well toby GeorgeN - AFIBBERS FORUM
QuoteLaDonna With all of that. Dr. Bergs comments and other folks also mention the fact that potasium levels in food (aka veggies) aint what it used to be because of farming practices, less nutrients etc... Anyone here take potesium suppliement, possitives/negatives? Or do most try to rely on potasium from eating enough vegetables and what is enough vegitables? I concur with gloaming that anyby GeorgeN - AFIBBERS FORUM
Here is one article that looks at non afib stroke risk in the elderly. Certainly much lower than those with afib, however, it is nonzero. Also higher CHA2DS2-VASc had a higher stroke risk in non afibbers. Even taking an OAC doesn't give a 100% risk reduction. However the reduction is very material. When I did the exercise, I looked at OAC risk reduction for those with a high CHA2DS2by GeorgeN - AFIBBERS FORUM
Quotetobherd Dr. Natale was still encouraging me to stay on low dose Eliquis....apparently because I'm 69 and strokes are more likely as we age, even if they're not Afib related. At least that's my understanding of why he recommended continuing it. Barb, seems like you've answered your own question. It isn't Watchman risk, it is overall risk increasing with age. Itby GeorgeN - AFIBBERS FORUM
QuoteEzekiel I'm 37, male, and athletic. I'm curious about IVCD. Based on my own research, it seems like it might be sick sinus syndrome. Does anyone have any experience with this? Thanks in advance! Welcome Ezekiel, sorry you have a need to join our little group. I'm not a doc, just a guy whose had afib for 18 years. First, I'd wait for more analysis of the IVCD. Seby GeorgeN - AFIBBERS FORUM
Shannon & Carey, I appreciate you and all that you do to help affibers along the way to hopefully calm hearts. A Merry Christmas, Happy Hanukkah or a joyful holiday to all, whatever you celebrate! Georgeby GeorgeN - AFIBBERS FORUM
Quotesusan.d Am I wrong but the pulse trials also only ablate the PVI? I know Dr N uses both methods from reading a recent post but is it true most pulse trials are limited to the PVI? Is it because the tip is bigger? My understanding is this is for the trials. Probably because it is easier to standardize for analyzing trial results.by GeorgeN - AFIBBERS FORUM