Awesome Susan!! I assume ablation also??by GeorgeN - AFIBBERS FORUM
Quotealfrae13The heart rate is around 70 but irregular. I am also on propanol 120mg The propranolol is likely keeping the rate low. Before propranolol, was your afib rate over 100? "It mostly lasts only several hours but makes me shaky and weak." I presume you mean the afib? "Should I try PIP starting with 100mg or increase the daily dose to 100. Will go to see the cardby GeorgeN - AFIBBERS FORUM
Quoteadamh There were 2 pauses over 2 seconds, the longest 2.9 seconds occurring at 1:10 AM with sinus rhythm heart rate of 86 bpm. (this doesn't look good at all, could be apnea?) Possibly, see: A simple answer could be taping your mouth shut at night. See my post here, as well as the whole thread:by GeorgeN - AFIBBERS FORUM
There is a period of time in the cardiac cycle called the effective refractory period or ERP. It exists both for the atria and the ventricles. During this time, a p cell firing will not propagate, so no PAC or PVC. If a p cell fires outside of this window, then the signal can propagate and you get a premature beat. You can also think of this as a "backup" system. In other words, ifby GeorgeN - AFIBBERS FORUM
QuoteMadeline but controls my moderate benign essential tremor of hands. For what it was worth, this thread showed up on essential tremor. This guy said two things have helped his tremors: Wim Hof breathing and a keto diet. I know nothing about tremors, but have done Hof breathing (for probably 8 years) and keto (I've been keto adapted since 2009). So found it interesting.by GeorgeN - AFIBBERS FORUM
I get PAC's & PVC's daily, but rarely notice them. I only know as I will wear a beat to beat heart rate recording device when I sleep and can see them in the data. How people experience them is very individual. Gill (a woman from the UK), who is one of our members was ablated in 2003 in Bordeaux. Subsequently she's experienced a lot of PAC's (near 8000/day). Here iby GeorgeN - AFIBBERS FORUM
Here is what I recall, don't have a reference and my memory could be faulty. Sometimes PVC's (premature ventricular contractions) can feel like a pause with big beat after. I think this is because there can be little to no ventricular ejection of blood during the PVC beat. That is why it feels like a pause. Then the ventricles have a normal amount of blood filling them during the nby GeorgeN - AFIBBERS FORUM
QuoteMadeline Well, George, I certainly don't have low pulse rates & BPs like you do. I frequently can have high pulse rate. It was 92 late last night, but my BP was fine. I just don't understand it. It could be a latent after effect of your ablation. I don't know what your NSR resting heart rate was prior to your ablation, but commonly post ablation resting heart ratby GeorgeN - AFIBBERS FORUM
QuoteCarey And don't think that things like whitecoat hypertension are due to you being afraid of doctors. My wife has a perfectly normal BP that's typically 110/70-ish no matter when she measures it. But at the doctor's office she's often 140/80-ish. She's not in the least bit afraid of the doctor, his office, or the staff. I've known I've had white coat hypby GeorgeN - AFIBBERS FORUM
QuoteMadeline Does anyone know about what might be good for me? I want to: 1. Control heart rate. My BP is pretty normal most of the time even w/o beta blockers, but I can easily get over 120/80. My pulse is on the higher side, maybe ave 70-high 80s. 2. Control moderate benign essential tremor of hands. 3. The least adverse affect on lung function. From what you've described,by GeorgeN - AFIBBERS FORUM
QuoteMadeline I believe if I remember from this site one wants to keep their pulse rate below 100 for sure. Is it okay to run in the high 80s? I basically stay very busy either with physical or mental activity from sunup to sundown. I do meditate as well. But I tend to easily run a higher pulse, but not over 100. QuoteI had my Natale cardiac ablation in August 2020 & am doing great.by GeorgeN - AFIBBERS FORUM
jennifer, From what you describe, it does not sound like afib. I concur with Carey that getting a longer monitor from the doc makes sense. I also concur that the watch likely will interpret any irregular rhythm as possible afib. At the risk of posting something confusing, I will post some links to heart rate vs. time graphs. These are NOT ECG's. The hallmark of afib is that the beby GeorgeN - AFIBBERS FORUM
QuoteBob Thorton Thank you for your response. My cardiologist is not an EP. I do have an appt scheduled end of February with an EP so time will tell my future. I did wear a monitor, it showed I average around 20 pac’s daily and no afib was shown. Are the symptoms im experiencing afib? Anyother insight or suggestions is much appreciated. Bob, sorry to have you join us! I'm guessingby GeorgeN - AFIBBERS FORUM
Hi Barb, Sounds like the issue is not the distance, but the fact Dr. N doesn't normally do procedures in NY & doesn't have a "team" there. The folks I know that go to Austin can be in communication with that team (& same with the teams in CA). For others contemplating a procedure in the same circumstance, this sounds like something to ask about ("who can I cby GeorgeN - AFIBBERS FORUM
Quotebettylou4488 Thanks for all that GeorgeN. I really need to digest that. I would actually pay for a consult because I am in constant / permanent afib currently and may choose to stay here. I'm 55. I was looking for all that info above because I know you have posted before. I want to maximize what I do have. Anyway- if you ever consult as a.. consultant.. let me know. I'd payby GeorgeN - AFIBBERS FORUM
Here is the video link I presume you are talking about: In addition to afib, I have a genetic risk for Alzheimer's disease. Additionally, my mother had dementia and I not only share 50% of her nuclear DNA, but 100% of her mitochondrial DNA due to maternal inheritance. My afib and AlzD strategy includes (but is not limited to, by any means): - minimizing time in afib by optimizingby GeorgeN - AFIBBERS FORUM
QuoteAsympPACs My PACs are down to under 50 a day for the past three days! In my case, I definitely think it was glucose related. I've added to my daily exercise from light intensity brisk walking or 1.5-3 miles to also include 30-90 minutes of exercise bike riding at 100-120 bpm. I have a friend to is a Wolff-Parkinson-White (WPW) syndrome ablatee. With exercise she would get so manyby GeorgeN - AFIBBERS FORUM
Quoteadamh Yes, for Athletes, ablation is recommended from what i have read and seen videos on. For ablation, most here would recommend a very high volume ablation center with an EP who has done many thousands of ablations. Also one who has good success rates with the very toughest cases (not that you are a very tough case, just you want someone with that skill level). Skill at ablation is pby GeorgeN - AFIBBERS FORUM
QuoteAsympPACs (I might even get to drink a glass of wine and maybe a cup of real coffee.) Dr. Mandrola, in "The Haywire Heart" referenced data suggesting caffeine is not an issue with afib. From being on this board for 17+ years, I can say that some folks who thought they had a coffee issue found that organic coffee solved the problem. So it could have been pesticides. Of courseby GeorgeN - AFIBBERS FORUM
Here is an article: From this link: "A second-degree type I AV block occurs when conduction within the AV node itself is delayed in this progressive manner. It does not necessarily indicate intrinsic conduction disease, and rarely requires a pacemaker to be implanted. A second-degree type I AV block can be caused by AV blocking medications or increased vagal tone. AV nodal ischemia duriby GeorgeN - AFIBBERS FORUM
Quoteadamh First some background; I am a 48 year old male. I had my first known afib recently on Jan 11th and went to the emergency room. My highest Heart rate was 170-180. Pulse was just as high. They finally put me on 25 mg metoprolol tartrate and 5mg apixaban the next day which put me back to sinus rhythm within 6 hours. I was released on Jan 13. The hospitals were full so it took a day to geby GeorgeN - AFIBBERS FORUM
I was first prescribed Tambocor (flecainide) on demand in 2004, about the same time as it went off patent. As my usage was infrequent, I still had pills left after four years. I got more flec through a European Broker, goldpharma.cn (they broker through individual pharmacies in Europe). I would purchase "Apocard" which is made by Meda Pharma for sale in Spanish speaking countries. Mby GeorgeN - AFIBBERS FORUM
QuoteAsympPACs Exercising at 85-90 bpm did not seem to have good effect- so now typically I am aiming for 100-120. 7 years ago I was training at 150-160 bpm for an hour- hopefully when I get the all clear from the cardiologist, then I can work back toward that. I highly recommend listening to these Peter Attia podcasts podcast 1 & podcast 2 with Iñigo San Millán (University of Colorado Heby GeorgeN - AFIBBERS FORUM
QuoteDavid_L The pharmacy is Valisure. There is an excellent Peter Attia podcast with David Light, the Valisure CEO:by GeorgeN - AFIBBERS FORUM
QuoteTweez I can’t seem to find magnesium in it’s own here, they seem to come with another form of something. If it’s ok with the taurate added to it, I’ll increase the pills as you suggest Magnesium is going to be combined with something to make a compound: oxide, chloride, citrate, glycinate, malate, bicarbonate, taurate, acetate & so on. The oxide form is generally considered the leaby GeorgeN - AFIBBERS FORUM
Quotesusan.d I have a nebulizer. I called up my pulmonologist but he is out along with others in his practice. I didn’t get a rx drug for my nebulizer. I’m allergic to iodine and don’t feel comfortable breathing H2O2. Thanks George for your help. I’m too sensitive. Understand, how about nebulizing hypertonic saline solution. See here to make your own: Inhibition of Severe Acute Respiby GeorgeN - AFIBBERS FORUM
Great sleuthing, AsympPACs!! I've used a glucometer since 2006, just to optimize my metabolism. I've never had PAC volume as you have, but made the assumption that minimizing what I had would be useful, as you stated.. Also optimizing metabolism would optimize overall health. In this post there is info on Marty Kendall's work. I've found it useful. Another thing I&by GeorgeN - AFIBBERS FORUM
Quotesusan.d GP offers rx for ivermectin. I heard somewhere it’s arrhythmic. True to symptomatic people. I’m getting up to 10 tachycardias a day. What drug is afib friendly? Sent you an email.by GeorgeN - AFIBBERS FORUM
QuoteMikeN Thanks for the info. So my ventricular rate in AFIB is usually less than 100. Is that what is important or do I need the atrial beats to also be less than 100 to prevent heart failure? The ventricular rate is the important one. Atrial rate is usually around 300. The heart failure is associated with the ventricles.by GeorgeN - AFIBBERS FORUM