QuotePompon Que, how are the tracings while you're moving ? Usually, body motion induces lots of artifacts in the recordings... Years ago (maybe 14?) I borrowed a Holter monitor from a friend here who had his own. I recall wearing a tight fitting t-shirt during exercise to minimize artifact in the recordings. There are a number of papers on the topic of artifact during Holter recordings.by GeorgeN - AFIBBERS FORUM
QuoteGeocappy HR has gone from 67-70 up to 78-82. Likely due to the reduced Metoprolol.by GeorgeN - AFIBBERS FORUM
Shannon, one of our moderators, had a father who died of an afib related stroke and a sister with afib, where a botched ablation put her in nursing care for the rest of her life (Shannon had advised her to go to Dr. Natale, but Shannon was out of the country when she selected a different EP in another city). Shannon has had two ablations with Dr. Natale in Austin (one of the best, if not the besby GeorgeN - AFIBBERS FORUM
On a call with a friend last night. He and his wife are very healthy, very metabolically fit, active - but not excessive. They both got COVID a week or so ago. He had some bad gastrointestinal stuff after the head cold like stuff subsided. Turns out he also had afib (no prior afib before). So a big association with the bug. On the advice of an EP neighbor his wife walks with in the morninby GeorgeN - AFIBBERS FORUM
QuoteQue How many PACs are considered problematic? My at-home continuous ECG from Wellue indicates • SESSION 1 (18-hour period) 17 PAC Couplets • SESSION 2 (18-hour period) 5 PAC Couplets • SESSION 3 (11-hour period) 14 PAC Couplets • SESSION 4 (8-hour period) 709 PAC, 9 PAC Couplets Even Session 4 is less than 90 an hour or 1.5/minute average. Not a big deal. How are the distrby GeorgeN - AFIBBERS FORUM
Per Susan's comment. Here is Carey's story that he posted.by GeorgeN - AFIBBERS FORUM
QuoteMark Returned to NSR about 1 am Friday morning. So about 4 hours in aFib and whatever. Don’t know if the extra 75 mg of Flecainide helped or not. But thanks to everyone for your thoughts and advice. Flecainide sure has its “drawbacks. Makes me wonder if I should even be on it despite not experiencing the side effects mentioned. My 2 cents as someone who has used flecainide on-demand to cby GeorgeN - AFIBBERS FORUM
Hardy, Anti-Fib & Pompon make good suggestions. Along the lines of taking your pulse, suggest doing it when you are feeling well to get a good sense of what normal is. Also take a partner or friend's pulse for the same reason. If you have a smartphone, you could also get a Kardia device. This will allow you to take your own ECG when you feel different. On the US eBay, they are aby GeorgeN - AFIBBERS FORUM
Quotesusan.d My gosh! Used in historic period in Africa as an arrow poison. I can see why you might be interested as a cardiac remedy BUT it’s so dangerous!! It’s a rat poison. They tested it on rats. My interpretation of your link is that it is a very interesting substance. Obviously, as in many substances (including water), the dose makes the poison.by GeorgeN - AFIBBERS FORUM
How long are your episodes? If they are hours or several days, then not a big deal. If weeks and >100 BPM, then rate control would be indicated.by GeorgeN - AFIBBERS FORUM
QuoteThe Anti-Fib Persistent Afib can be several Episodes in a year. What makes it "Persistent" is that it doesn't resolve on its own within about a week, and requires an intervention such as an Electrocardioversion to return to NSR. 3 years of solid Afib would be called Permanent Afib. For example if I had 2 episodes in a year, and went and got Cardioverted at 36 hours on oneby GeorgeN - AFIBBERS FORUM
I concur with Carey. Here are some additional thoughts. 3 years of persistent afib is a long time for physical and electrical remodeling to likely have occured. Hence the boundary between NSR and afib is likely "thin." The 150x2 flec obviously converted you and is holding you in NSR now. You could step your flec dose down and see if you continue to hold. The reason to stepby GeorgeN - AFIBBERS FORUM
QuoteMadeline Hi, Last ablation in 2019, we found a super convenient AirBNB around the block from St. David's practically. It was comfy & convenient, but it stays booked up & I am looking for another. the problem is that by the time you find out you have dates to go get procedure, it is not far enough ahead to book easily. I don't really know what areas to look in - namesby GeorgeN - AFIBBERS FORUM
This suggestion is not specific to Dr. Natale. Ask the doc's permission to record the audio of the meeting. Some docs may not want this from a litigation perspective, however if they will allow it, you can go back and listen to the meeting for anything you missed. This is especially good for post operative meetings where you may still be recovering from anesthesia. Our longevity doc allby GeorgeN - AFIBBERS FORUM
Quotebneedell I am 7 weeks past afib/flutter ablation. Having some PACs but afib and flutter seem to have subsided, at least for now. My resting heart rate was about 65 before the ablation but now has gone up to 81. I am only on Eliquis....I do not want to take the rate and rhythm control drugs unless I have to. Have others experiences increased resting heart rate? If yes, does it go back doby GeorgeN - AFIBBERS FORUM
QuoteGeocappy I was notified on 4/19/22 that Dr Natale approved me for my ablation. I am just curious if anybody was scheduled for their ablation recently and when was their initial approval. Don’t want to bother Amy to ask if she has a ballpark estimate 3,4,5 months from approval date? I'd follow up. I have a friend who just contacted them a couple of weeks ago and she is on the calenby GeorgeN - AFIBBERS FORUM
Susan, here is the physician's prescribing information. You might want to read it. This quote is included. "New-onset or recurrent atrial fibrillation with rapid ventricular response and atrial flutter have been reported following Lexiscan injection."by GeorgeN - AFIBBERS FORUM
My take is if you are getting more than a PVI, you need to have a very top notch EP.by GeorgeN - AFIBBERS FORUM
I've successfully used PIP flecainide for 18 years. If nothing else, you should put off your ablation till pulsed field ablations (PFA) are standard of care as what you are doing is working reasonably well. Second, choose your ablating EP carefully if you do decide to get an ablation. Afib ablations are a combination of art and technical skill IMO. People around here commonly suggesby GeorgeN - AFIBBERS FORUM
Quotebettylou4488 im only on 50 am and pm. I don't know if I am a poor metabolizer of CYP2D6. I am familiar with what you are talking about because of head meds for our son but how do you KNOW if you are? what testing? . The xTAG® CYP2D6 Kit v3 is a qualitative genotyping assay, which can be used as an aid to clinicians in determining therapeutic stategy for therapeutics that are meby GeorgeN - AFIBBERS FORUM
QuotePompon An afibber does not equal another afibber. Aside of their AF, what have in common a patient with some health issues and adrenergic triggers and a healthy one with overactive vagal tone ? Can caffeine be bad for one and good for the other ? I'm obviously "vagal". In my case, caffeine does nothing but alcohol strongly increases the risk of having afib. I'm vagalby GeorgeN - AFIBBERS FORUM
Quotealdona I wonder if 20 mg is the standard minimal dose now for people who had few ablations and if there are people who do not take any blood thinner post-ablation or a smaller dose of 10 mg. The full prescribing info is here. Would it make sense to follow up with the prescribing doctor to understand their logic? In this brief prescribing info document, the lower afib dose is 15 mg -by GeorgeN - AFIBBERS FORUM
QuoteCarey It's very individual so all you can do is try it and see what happens. Moderation is the only rule. I concur. Have recently had correspondence with an afibber where alcohol is the primary trigger. In my case, a glass or two of red wine has never been a trigger for me. I no longer drink at all as alcohol negatively impacts my sleep quality, but afib was not part of my decisioby GeorgeN - AFIBBERS FORUM
Quoterel is very easy for her heart to accelerate to high rates with little exertion. In her case, a high carb diet seems to accentuate this issue. Also, copious Zone 2 training seems to ameliorate this acceleration. Wow George, this is a dead ringer for for me, thanks for sharing. High carbs (especially at dinner) puts me in the danger zone, and very little exertion while in this zone canby GeorgeN - AFIBBERS FORUM
Most of my knowledge of WPW is from a friend who has it and had a WPW ablation in maybe 2008. She got the ablation because of the Vfib risk, as she spends a fair amount of time in remote areas where help would be a long time in coming. She's also a volunteer ski patroller, so knows the risks well. In her case, the WPW is genetic, as her mother had it also. I do know that a WPW ablation sby GeorgeN - AFIBBERS FORUM
QuoteQue Hi All, I'm told by Drugs.com there is a moderate drug interaction between Magnesium Glycinate and Vitamin D3. What does everyone else think about this? All the best, Ryan Using cholecalciferol together with magnesium glycinate can lead to elevated magnesium blood levels, particularly in individuals with reduced kidney function. I think the reduced kidney function is thby GeorgeN - AFIBBERS FORUM
I should note for those who live at higher elevations, it is normal to see lower saturations. I live at 5500' (1676m), but travel to sea level and also sleep at elevations as high as 10500' (3200m). I wear a ring that records SpO2 (and heart rate) every 4 seconds overnight. At home, it is common to see an average saturation around 94 or 95% with maybe 1 drop per hour of 4% and a fewby GeorgeN - AFIBBERS FORUM
Pharmacies commonly say use before one year of issue. I’ve gotten meds with a much longer expiration date from the manufacturer, but pharmacy still puts the one year expiration date on their label. A pharmacist could give you a better answer, or the EP team doing the ablation.by GeorgeN - AFIBBERS FORUM
Here is an article on drug expiration dates. .by GeorgeN - AFIBBERS FORUM