![]() |
![]() |
![]() |
![]() |
![]() |
![]() |
I know not what you are asking, but what you don't want is morbidity or mortality because of an ablation. There are cases of that. An ablation that doesn't cure your afib is not the worst outcome. For example, one of our moderators, Shannon, was living in Europe when his sister was going to have an ablation. He strongly suggested she go to Dr. N. He didn't find out tillby GeorgeN - AFIBBERS FORUM
Quotesldabrowski Recently a star football player in the NFL went into AFIB - 31 years old, After cardioversion, he went back to play. I get irritated when I see literature that states most AFIB is in the older population, since we know younger people are developing this. My Cardiologist told me he is seeing patients in 30's with AFIB. There are various theories around this, which I won'by GeorgeN - AFIBBERS FORUM
QuoteDaisy And, what are their success rates for different types of patients: paroxysmal, persistent, long-standing persistent. Many EPs won’t even tackle long-standing persistent, but if they do, what is their success rate? Success rate for long-standing persistent is at the top of my list & why my choice is who it is if/when I need an ablation.by GeorgeN - AFIBBERS FORUM
I recall from the early 80's reading research showing that if someone had a negative experience with any product or service, they were likely to tell 20 other people (this is obviously pre internet). However someone with a positive experience was likely to tell one, maybe two people.by GeorgeN - AFIBBERS FORUM
QuoteKwilk Thanks. As a side, in some other long lost thread here you mentioned nasal breathing and Zone 2 in the same thread. Do you use nasal breathing to keep your workouts below Zone 3 (when that is that is your goal). I was watching an Attia Q&A on Zone 2 last might, and did some browsing. His working def if I understand correctly is that Zone 2 is below lactate threshold, whichby GeorgeN - AFIBBERS FORUM
QuoteKwilk Would you say that when not in afib, which is all the time now for me, my hr variability now (under 2x daily flec) is the same as before I started the RX?. When I look at HRV averages overnight from my Oura ring data, I see no material difference in Sept & Oct 2021 and Nov & Dec 2021. I took 50 mg flec once a day before bed during Nov & Dec.by GeorgeN - AFIBBERS FORUM
QuoteKwilk My beat intervals were highly variable back when I was having noticeable episodes. Flec may have altered that as well. If those are 60 sec +- afib flase starts, then I'd want the device to alert me to those within 20 seconds of starting -- almost time enough to get a 6L recording. In a more perfect scenario, I'd learn of even shorter episodes, say 20 second duration.by GeorgeN - AFIBBERS FORUM
Diltiazem Extended-Release (24Hr) (Cardizem Cd)by Sunby GeorgeN - AFIBBERS FORUM
Another thought. Does your afib convert on its own, or with meds or ECV? If not on its own, then even once a day sampling would tell you that you likely haven't had afib during that day. If they do self-convert, how short a run are you trying to catch? The methods in my above post should catch just about every episode, but that might not be necessary. Say if you sampled with your 6by GeorgeN - AFIBBERS FORUM
This guy posted about a consumer ECG device, don't know the cost: I have used Polar H10 straps with an R to R (beat to beat) recording app that was built for researchers. This is a techy solution as you need to download the data through DropBox to a Windows PC (or virtual Windows PC on a Mac). Then do a visual examination of the data using no longer supported Polar software (I have anby GeorgeN - AFIBBERS FORUM
QuoteKwilk When is a second (or subsequent) ablation considered to be a "touchup"? When is a second ablation not a touchup? What are the statistics (see below)? For example, an initial ablation of all triggerable sources. Afterwards, a new or a latent trigger arises. Or the PV isolations don't hold. By statistics I mean statistics on what gets done during the touchup? If Iby GeorgeN - AFIBBERS FORUM
QuoteKiwiBlake Does anyone know if there is a link to Afib or are they completely isolated conditions. I don't know, but my guess would be unrelated. Possibly referred pain from trigger points (localized muscle spasms). In these links, the white or black X's are where trigger points can be and the red stippled area is where referred pain can be. Potential muscles: When youby GeorgeN - AFIBBERS FORUM
Quotebettylou4488 MOM I think is the oxide kind. (I'd be careful with that if you already have normal bowels but you could take drastically reduced amounts to start I suppose. The recipes I linked above react MoM with chilled carbonated water, in the first case, to make bicarbonate water. In the second, MoM is reacted with vinegar to make magnesium acetate. Both the bicarbonate and thby GeorgeN - AFIBBERS FORUM
Quotegloaming It's almost impossible since so many of us self-revert after a few hours, and in my case doing squat....just trying to relax, or going for a slow walk around the garden is as effective, and predictable, as anything else I have tried. I have not self-reverted since my 2 1/2 month episode at the end of my first 4 months of afib in 2004. Conversions were either with a loading dby GeorgeN - AFIBBERS FORUM
Not in the US, but my pick of somebody not in the Natale universe would be Prof. Pierre Jais, in Bordeaux Fr One thing you should be aware of is that not all EP fellowships teach the advanced techniques necessary to deal with difficult cases.by GeorgeN - AFIBBERS FORUM
Here is a search on all of Steve Carr's posts here: Steve is legit. One of the big pieces of his protocol is limiting calcium intake to < 400 mg/day. 2012 was a bad year for my relatively excellent, long duration, afib control.. I was going through a divorce and thought it was divorce stress. after 12 or so months, I went back and reread the literature and realized it could be cby GeorgeN - AFIBBERS FORUM
Everyone is different. I take magnesium to bowel tolerance (my tolerance is very high). For me any form of magnesium works for me, I'm a fan of powders so use magnesium glycinate and dimagnesium malate powders. As well I dissolve magnesium chloride flakes in water in a supersaturated solution, I dip tsps of it out and swallow (tastes very bitter). Most who consume my quantity of mag woulby GeorgeN - AFIBBERS FORUM
QuoteOzRob I will say that I think stimulating the Vagus nerve to stop AFIB must be done as soon as the AFIB begins. I will test this theory more. My experience with any non-med method agrees that you need to do it ASAP for it to work.by GeorgeN - AFIBBERS FORUM
QuoteEdda She gave me flecainide, but what if I take it and have an adverse reaction First, don't know how she told you to dose, but the max dose for those under 154#'s is 200 mg. At your weight, I'd probably start with a max of 150. Hopefully she prescribed a rate control med, like a beta blocker, to be taken either coincidentally with the flec or perhaps 20-30 minutes before.by GeorgeN - AFIBBERS FORUM
QuoteKwilk Hence ablating all the fibrotic tissue All? Where does that come from? "After PVI and PV entrance block have been confirmed, fibrosis guided ablation ensued. The operator encircled by ablating at the perimeter of the fibrosis, and/or completely covered all fibrotic areas with ablation lesions, and ensured loss of capture in the fibrotic isolated area at 10 mA stimulationby GeorgeN - AFIBBERS FORUM
QuoteKwilk I'm not sure I understand. Are you saying something different than "Findings do not support the use of MRI-guided fibrosis ablation for the treatment of persistent AF." I'll try. Carey is not saying something different. How about this. Afib likely has fibrotic tissue as an underlying cause. However all fibrotic tissue does not cause afib. Hence ablating all tby GeorgeN - AFIBBERS FORUM
QuoteKwilk Thanks for that link. 2+ hrs discussion. Only had time fore the first 40min, but something clicked in me regarding the importance of structured exercise as opposed to lifestyle exercise. So it's potentially a life-changing video for me. Thanks. They also mention how the hazard ratio for exercise is a magnitude greater than all other factors such as sleep, nutrition,....by GeorgeN - AFIBBERS FORUM
QuoteKen However, one issue remains, but the source (ablation, age, ?) has surfaced in the last 5 years. Maximal heart rate is only 125, achieved on a maximal stress test. I would like to see it higher. Peter Attia MD & Mike Joyner MD discuss max heart rate in this podcast. Unfortunately I don't have the timestamp for it as was driving while listening a month or so ago. I do recallby GeorgeN - AFIBBERS FORUM
QuoteSam My ablation worked for 13 months and 50 mg Flecainide has kept me in rhythm for over 18 months. Does anyone know if it is safe for me to use a Power Plate? I can't say it is safe for you as we are all different, but I use a vibe plate with similar specs most days without issue. This morning I did a series of 90 second Timed Static Contractions on the plate. I've got mineby GeorgeN - AFIBBERS FORUM
Interesting question. I'm sick (of any kind) very infrequently and haven't really thought about it. I recall getting throwing up on a SCUBA diving trip a month or so before my first ever afib episode. As well a few other times before that as an adult associated with sickness. One time in Mexico going out both ends associated with bad seafood. I think I might have had that since afibby GeorgeN - AFIBBERS FORUM
QuoteDaisy You can have them “buried” in the pectoral muscle. I know that yours is already in place but it is something to keep in mind for the future. Mine is buried in those more protected from bumps. I had a female relative who at 94 needed a PM replacement. She selected the "buried" approach as she didn't think the skin pocket approach looked good in a bathing suit! Then sby GeorgeN - AFIBBERS FORUM
QuoteLoisA I think we have to accept that there are many excellent EP’s out there doing great work to help us. Natale is one of them. The Dr. I’ve been talking to knows him and has seen some of his patients. Nonetheless,I don’t have a problem traveling to Austin,. Depending on the seriousness of the case, my understanding is that many fellowships do not train the advanced techniques that areby GeorgeN - AFIBBERS FORUM
QuoteQue Does anyone have any experience with Magnesium L-Threonate? It was recommended to a family member for migraines. I also suffer from occasional migraines. I wonder if anyone here on this form is familiar with this type of magnesium? I'm currently taking Natural Rhythm Triple Calm Magnesium with Magnesium Glycinate, Malate and Taurate. Here is a prior thread on the topiby GeorgeN - AFIBBERS FORUM
Quotesusan.d How long must one wait for the bivalent booster after covid? Is getting covid protect me for a bit? On this podcast: @ 1:41:15, Mayo Clinic researcher, Mike Joyner, talks about research on the use of convalescent plasma to treat COVID-19. He mentions that vaccinated people who get COVID have the best plasma. Other research I've seen suggest that the ability of a vaccineby GeorgeN - AFIBBERS FORUM
QuoteCarey The term is atrial myopathy, not atrial cardiomyopathy. The term cardiomyopathy means disease of the entire heart, aka structural heart disease. . I actually took her question at face value as long duration, high rate afib (meaning high ventricular rate during afib) can lead to cardiomyopathy.by GeorgeN - AFIBBERS FORUM