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QuoteJohnBM If one takes flec daily, what happens if you get an afib episode? Max loading dose flec (meaning at one time, used to convert an episode) is 200 mg for someone up to 154 lbs (70 kg) and 300 mg over. So you'd subtract your daily dose from the maximum and use that as your max for the loading dose, of course depending on what your EP says.by GeorgeN - AFIBBERS FORUM
QuoteDaisy I also have a very high magnesium tolerance and need to take about 1200 mg of mag citrate daily to avoid constipation. I have a good diet and also take one 99mg capsule of potassium citrate daily. My potassium is usually 4.4 - 4.5 but I just wondered if there are other factors to consider since I take so much magnesium? Your potassium levels are good, so no need to adjust in my opiniby GeorgeN - AFIBBERS FORUM
QuoteJohnBM He has stopped the Sotalol, and now wants me to take Flecainide 50 daily with Bisoprolol 1.25. Is this 25 mg flec 2x/day or 50 mg 1x/day? The Bisoprolol with the flec is likely to mitigate the possibility of the flec initiating 1:1 atrial flutter. A pretty low risk at 50 mg/day. I'm a huge fan of minimum effective dose. You might ask the doc if you could do 25 mg/day fby GeorgeN - AFIBBERS FORUM
QuoteDaisy Jackie (same one who posted above) suggested that it is best to get magnesium levels in order first, then potassium. What should the magnesium to potassium ratio be? I'm guessing very individual. I have an absurdly high magnesium tolerance, if others (at least most) took the quantity of magnesium I take, they'd be on the toilet all day. I've asked a number of docby GeorgeN - AFIBBERS FORUM
Quotesusan.d He said I need to keep my potassium at 4.5 and get frequent labs. My cardiologist at home suggested 4.0 but there was never any labs to follow up. 4.0 wasn’t my magic number. Now I know 4.5 is. At the ER during my first (known) afib, my serum K was 3.1. 18 years hence, I don't recall all the details, but I recall that what I wanted was serum K >= 4.5 on a fasting test andby GeorgeN - AFIBBERS FORUM
QuoteDaisy Is the link to the conference room archive recorded somewhere on the site if we lose track of this post? In theory, it is on the affibers.org main page (not the forum) at the very bottom under research. Unfortunately the Conference Proceedings link there is incorrect. This Google search will find the correct link: conference proceedings afibbers.org This is the correct addressby GeorgeN - AFIBBERS FORUM
Quotecaliforniagal In searching for the following topic post about Aldosterone mentioned below by Jackie, I couldn't find it on the forum but DID see in the Data Base many 'boxes' to instruct the new 'fibbers about lots of topics, including ablations and flutter. I've always known I should be reading this forum with a fine tooth comb but now I'll follow through... bby GeorgeN - AFIBBERS FORUM
Quotebettylou4488 Thanks all I will have to see if my functional cardiologist checked my omega 3 index as I am not familiar with that. Bill Harris is the goto guy on omega 3 index. Two excellent podcasts: His testing company:by GeorgeN - AFIBBERS FORUM
QuoteGeocappy HR still at 80-85 (occasionally drops into high 70s). Suppose to start weaning off Metoprolol once I am totally off Flecaide in a week or so. Not sure if HR stays at current level. I would think weaning off 50mg of Met might allow my HR to get too high? If you are weaning off slowly, you should be able to see if your resting heart rate increases above 100 and use what you'veby GeorgeN - AFIBBERS FORUM
Quotebettylou4488 2) What is the real danger of too thin blood? That you are bleeding internally? I rarely (if ever) bleed on Eliquis. But to be honest, I was looking forward to my stupid turmeric tea in the mornings because coffee was giving my stomach upset and I was almost as satisfied with the tea. Plus it's healthy. I'm gonna lay off on the tea for now but I wonder the true daby GeorgeN - AFIBBERS FORUM
QuoteMac54 For those with similar situations, was wondering what you think about tikosyn and using it with the electrical cardioversion as the initial afib treatment? (It is dangerous to start reading about drugs on the internet, isn’t it?) Some kind of rhythm med would need to be used post ECV to keep you in rhythm in the circumstance of having had long duration (who knows how long) persistenby GeorgeN - AFIBBERS FORUM
QuoteDaisy I wonder how they make the tablets that would make the drug inconsistent through the tablet? "Contacted Sanofi, the maker, and they do not guarantee that the drug is consistent through the whole tablet" It probably isn't inconsistent, they just don't guarantee consistency. Since you are considering experimenting seems like the risk is low. Worst case is you havby GeorgeN - AFIBBERS FORUM
QuoteDaisy but someone here might have some knowledge about the "cutting" question. (It isn't scored but the shape would allow a clean cut with a pill cutter.) Read this post and the replies. Some have done it:by GeorgeN - AFIBBERS FORUM
QuoteEdda I was just wondering whether it is safe to take enzymes/probiotic tablets. My acid reflux came back after four years without any problems, even though I am on a very healthy diet. So I am thinking about taking a combined enzymes/probiotic tablet. I also for the first time took some melatonin (0.5 mg) last night, because the constant cough kept me up. Does anybody take those pills withoby GeorgeN - GENERAL HEALTH FORUM
Quotebettylou4488 so that is super interesting and I am going to try it with eggs in the morning. But I wonder.. if BPM increases could some of that be GERD/reflux related which would still be food 'sensitivity' but not in the same way as you are saying. (I have had sensitivity testing done and I had leaky gut and probably need to reboot all that anyway.). I' have a cold right noby GeorgeN - AFIBBERS FORUM
Quotemtwomey I have had paroxysmal afib for ~15 years and I've recently developed this curiosity and was wondering if anyone else experiences anything similar: My afib varies from month-to-month / year-to-year, but I probably have on average 20 or 30 afib episodes a year, almost always lasting 3-4 hours. I always convert on my own. I take flecainide+metoprolol daily. Most of the episodesby GeorgeN - AFIBBERS FORUM
QuoteJackie PS Sorry I can't get the Pdf file to hyperlink (???) but if you copy/paste the URL it will bring up the Exatest home page which is loaded with info. Your URL hyperlinked. By the way, I had someone ask me for a recipe for making my potassium water. I want to add that anytime we talk about taking magnesium or potassium supplements, it assumes a person has healthy kidneys. Hby GeorgeN - AFIBBERS FORUM
Quotesusan.d Will it ever reverse if I stop coconut water??. It should. Especially given your small body mass, 600 g carbs/day is a very large quantity. Amazed your glucose wasn't higher.by GeorgeN - AFIBBERS FORUM
QuoteLaniB How do we read the entire study? The abstract doesn't tell how much berberine they took or how often, for how long. Is it to be taken indefinitely? Any reason not to?by GeorgeN - AFIBBERS FORUM
QuotePoppino One thing i learned on this site yrs ago is that blood test mag is not a true measure - its your cellular magnesium and that the rda on potassium is 4400 mg a day. A level no one achieves unless they work hard at it. I also know this. Since i stopped alcohol and increased magnesium ive had zero pvc s not tachy and my RHR is lower 58-62 Great news Tom! Paying attention to what yourby GeorgeN - AFIBBERS FORUM
Quotegloaming Why up to several grams each day, or even half a gram? Has anyone had a blood assay that reported a deficiency in magnesium, specifically, and then been told to take supplements, or just to eat a better diet I don't expect others to do what I do, I only post my experiments and experience for information for others. During the first four months of afib in 2004, I had a 2.5 mby GeorgeN - AFIBBERS FORUM
QuotePoppino Anyway is too much mag a bad idea? Is 57-62 too low? Alcohol has been my no 1 trigger since day 1 in 2006 I recall alcohol being an issue with you since you first came here... I can't tell you whether your 800 mg mag intake is too much or 57-62 is too low for you. However, I take on the order of 3 grams (3000mg) +/- a day. My daytime resting heart rate is in the high 40&by GeorgeN - AFIBBERS FORUM
Quotebettylou4488 so what about bradycardia with berberine?by GeorgeN - AFIBBERS FORUM
QuoteKwilk Sorry if you've already thought of these things or read about them: Now a days, an easy to pick up language like R probably has some AI modules that could be trained on your personal data to predict onset 5 minutes ahead of time, then compiled for speed and run real time on your streaming ECG data. Thanks! That is interesting using RRI data. Here is the full paper: Atby GeorgeN - AFIBBERS FORUM
My current setup is posted above here: RR data are prone to artifact. I initially used a Polar S810 watch with a chest strap 18 years ago. The watch would store 8 hours of data and you would then download the data to the computer. The data files are ASCII so you can pull then into anything you want. The data I posted is from the app I use. The app exports four different files, one is heaby GeorgeN - AFIBBERS FORUM
Yes, you are correct. I still had the graph up in that software, so just changed the scale to ms. Here are the data in the graph, date, time & beat ms: 2022-06-02 02:29:12 +0000 1161 2022-06-02 02:29:15 +0000 1124 2022-06-02 02:29:16 +0000 1085 2022-06-02 02:29:17 +0000 1124 2022-06-02 02:29:18 +0000 1172 2022-06-02 02:29:19 +0000 1234 2022-06-02 02:29:20 +0000 1224 2022-06by GeorgeN - AFIBBERS FORUM
QuoteKwilk Your plot is average BPM vs time. Do you have the corresponding beat-to-beat-variability vs time? My plot is ACTUAL beat to beat heart rate vs time NOT average. Hence, the 7 beats that are likely PAC's near time 2:30:25 visually show the beat-to-beat-variability. I have the actual beat length for each beat in milliseconds in my data file and I can configure the plot to show tby GeorgeN - AFIBBERS FORUM
Quotesldabrowski Mini Maze does not require open heart surgery. Maze procedure is done usually when another heart issue needs surgery. You can look up Dr. Wolff - in Texas he does them all the time. He is considered to be the pioneer with that procedure. He also does LAA surgical closure when he does the procedure. There are also several centers around the country that offer this procedure.by GeorgeN - AFIBBERS FORUM
QuoteKwilk So for that, I'd want to see 10 second episodes, for example. Maybe with a lack of p wave, but I'm guessing the single lead consumer devices won't be able to tell on something that short. Note your Kardia wants 30 seconds. Below is a zoom of one of the heart rate elevations of mine that you zoomed in on. Note there are 7 beats in a PAC run. Maybe I could tell theby GeorgeN - AFIBBERS FORUM
I use a single edge razor blade on a cutting board as well as a 0.001 g scale to microdose prednisolone (1/7 of a 5 g pill) for my cat & 10mg of flec out of a 100 mg pill for myself. What I do is weigh a full pill, then compute what the weight of the dose I want is. For example, from memory, my 100 mg Tambocor (branded flecainide) weighs 270 mg. Hence I want 27 mg weight for my 10 mg dosesby GeorgeN - AFIBBERS FORUM