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QuoteSam3726 Ideas? Advice? Since your EP suggested more magnesium, you must have good kidney function. In that case (perhaps slowly increasing magnesium to near bowel tolerance. The other thought is my DIY version of timed release potassium I put 2 tsp of potassium citrate powder in about a liter of water. Then I slowly drink over the day. If you consume a lot of potassium at one timeby GeorgeN - AFIBBERS FORUM
Technical manuals are available here by name or product number: On this page They mention a "MyCareLink Heart™ mobile app on patient's smartphone or tablet" I have no idea what the app does. More info here:by GeorgeN - AFIBBERS FORUM
Hi Neal, Can't answer your question, but IF you decide to have an ablation, I would highly recommend Dr. Andrea Natale This is his main location , in Austin, but he does ablations at Scripps 1 or 2 days a month. Here is the announcement of him joining the Scripps team He would be your best bet for not having complications, in my opinion. Georgeby GeorgeN - AFIBBERS FORUM
QuoteTodd Any of you ever heard of the Hybrid Maze ? See my response in this thread. Specifically Shannon's post on the topic.by GeorgeN - AFIBBERS FORUM
QuoteBobsBeat George how many mgs when you take(chew) Flec? I take 300 mg (three 100 mg tablets).by GeorgeN - AFIBBERS FORUM
QuoteBobsBeat I've read somewhere on here about folks chewing it and maybe taking less mg to kick back into NSR (George?). Yes, that is what I do, I always chew it to make it take effect faster. It isn't a great taste, but I don't care. QuoteBobsBeat It's been 10 days off so far. Could I try a smaller amount of Flec sooner than the 3 weeks if necessary? Not a quby GeorgeN - AFIBBERS FORUM
Quote1ablation Seriously thinking of having another ablation and would like to contact Dr. A current patient may give you a better number, but this should get you there:by GeorgeN - AFIBBERS FORUM
All I can offer is that everyone in my "real" (vs digital) life that I've suggested go to Natale has been very happy they went. This includes my best friend from childhood. Also a local friend of a friend who presented with what 3 local EP's thought was vfib. From my 2017 post: "A friend of a friend presented with high rate V tach in July. They thought there mby GeorgeN - AFIBBERS FORUM
QuotePompon Could you consider 10 times the 97% chances of not having a stoke? From my statistics classes: For the 3.5% stroke risk it is 96.5% chance of not having a stroke. Looking forward 10 years, you'd have a 70% chance of not having a stroke. 10 year risk = 1- ((1-0.965)^10) = 1-(0.035^10) = 1-0.300=0.7 =70% Probability of of an event happening at least once in a sequencby GeorgeN - AFIBBERS FORUM
Quotecolindo Who thought that lot up? It's got to have more to do with blood quality I would have thought. eg. if your blood is thick and sticky it would more likely clot. If you are talking about the math, that is how these statistics work. If you are talking about the 3.5%/year for a CHA2DS2-VASc score of "3" then this paper goes into how they figured the risk. With CHby GeorgeN - AFIBBERS FORUM
Quotecolindo Why does the risk of stroke go up every year by 3%? Could it have something to do with your fibrinogen levels increasing? There has to be a reason. BTW a 3% chance of having a stroke is also 97% chance of not having a stroke. It doesn't go up 3% each year, the risk is, for a CHA2DS2-VASc score of 3, 3.2 or 3.9%/year, depending on the study, or an average of about 3.5%/yby GeorgeN - AFIBBERS FORUM
Quotebettylou4488 what is CS? I am guessing twilight but what does it stand for? conscious sedation See:by GeorgeN - AFIBBERS FORUM
You can always check your pulse ox with a manual pulse reading of the radial pulse.by GeorgeN - AFIBBERS FORUM
Quotekathleen1986 Chad score is three. Not sure I get how they calculate risk...do I have a one in 10 chance of stroke, 1 in 1000, 1 in 10,000? A 97 % chance of not having a stroke? The risk table from CHA2DS2-VASc (drop down just a little bit from where the link takes you. This is Annual stroke risk (%), so for a 3, it would be 3.2 or 3.9%/year, depending on the study Annual stroke riskby GeorgeN - AFIBBERS FORUM
Quotekathleen1986 Has anyone had this experience of rapid increases in episodes? Hi kathleen, can you tell us a little more about yourself? Age, other health issues & meds? Activity level? CHA2DS2-VASc score? Is your doc an EP (electrophysiologist)? I had my first episode in 2004. Initially I was having episodes every 10-14 days lasting 6-9 hours self converting. After 2 months tby GeorgeN - AFIBBERS FORUM
QuoteJoyWin I’ve recently had a haemorrhage in my eye (diagnosed with Wet Macular Degeneration) and my vision is impaired in that eye. There is no guarantee my other eye won’t go the same way. Not commenting on the OAC, but on wet/dry AMD. I first attended a presentation by opthamologist, Chris A. Knobbe, MD, at a conference in 2016 and another in 2020. Dr. Knobbe's website, book and Pby GeorgeN - AFIBBERS FORUM
Quotesusan.d Does a one time (22 hr flight without stretching) DVT count as a point? The point of HAS-BLED is to look at the risk of hemorrhagic stroke (bleeds) from anti-coagulation. Then you can balance against ischemic stroke (clots) looking at a risk tool like CHA₂DS₂-VASc.by GeorgeN - AFIBBERS FORUM
QuoteKleinkp Appreciate the guidance you guys! As can be expected their pretty scared as I'm sure we all were in the beginning. Their located 40 miles from Seattle. I told them last night they need to see an EP or 2 or 3! Regular cardiologists is fine to have but they need and expert on this. Also reiterated to not let convenience make any decisions for them in treating this. My undersby GeorgeN - AFIBBERS FORUM
What Carey said. I know a number of people with WPW. One, now about 70 got a successful ablation ~15 or so years ago at a local community hospital. I'd have never let the guy touch me for afib, but worked for WPW. I also know a number of people in their 30's that got successfully ablated in their teens or 20's. One of those was ablated at Cleveland Clinic. My 70 yearby GeorgeN - AFIBBERS FORUM
Quotesusan.d Carey- Is it safe to eat 1/2 cups of steamed spinach 2/week while on Eliquis? I space it 4 hours before-after a Eliquis dose. Eliquis works on a completely different pathway than Vitamin K (which impacts warfarin). So spinach or other Vitamin K rich green leafys should not be an issue with Eliquis (or other NOACs). This is the same answer as Carey gave on chlorella.by GeorgeN - AFIBBERS FORUM
Great news Ralph! Continued NSR to you!! Gill, I showed up here in 2004 and remember your posts since! Do you still dive?by GeorgeN - AFIBBERS FORUM
QuoteBrian_og Here’s a study done recently that says that aerobic exercise decreases severity or the chances of events. For both paroxysmal and persistent. So maybe if we drink and it increases our chances, but we exercise and it decreases our chances, maybe they even out 😊 Exercise is a double edged sword. If you are inactive, then adding exercise may help, if you are part of the smallerby GeorgeN - AFIBBERS FORUM
QuotePoppino Ok George, please put in laymans terms that Watchman study. 10 % leaks does that mean enough for clot dislodge? Hi Tom, in 10.5% of the cases in this study, there was a leak (so in 89.5% of the cases, no leak). 2/3's of the leaks were <=3 mm, 1/3 were > 3 mm. Most of the <=3 mm cases got smaller over time. The >3 mm did not. I believe these leaks can be fiby GeorgeN - AFIBBERS FORUM
In this study, about 10.5% of Watchman implants had a leak. "Results Relevant data were reviewed for 1,039 successful Watchman device implantations. One hundred eight patients (10.5%) met the inclusion criteria. The average PDL at 45 to 90 days was 3.2 ± 1.6 mm. On the basis of a median PDL of 3 mm, patients were separated into ≤3 mm (n = 73) and >3 mm (n = 35) groups. In the ≤3 mmby GeorgeN - AFIBBERS FORUM
QuoteIce Man My wife has chronic, low magnesium, which is the result of taking a proton pump inhibitor for many years due to severe GIRD. When her magnesium gets low, she starts trembling/shaking. As a part of my mineral balancing, my consultant suggested adding Betaine HCL to increase my stomach acid, along with digestive enzymes. Following her suggestion, I read and learned that mostby GeorgeN - AFIBBERS FORUM
QuoteLaniB Thanks George, I am taking Life Extension's 250 mg pyridoxine HCL . Is that the same? Yes, I believe it is a salt version that converts to pyridoxal-5-phosphate in the body.by GeorgeN - AFIBBERS FORUM
Are you taking B-6? If not, perhaps 100 mg, 2x/day of the pyridoxal-5-phosphate form. B-6 helps the body use magnesium. I've been going through a mineral balancing routine directed by a consultant using hair mineral analysis. Prior to doing it, I would have thought it BS, but the results with respect to my afib have been beneficial and the consultant's suggestions on target.by GeorgeN - AFIBBERS FORUM
Pixie, I believe it really depends on the facts and circumstances of your (or a person's) case. Are you early in your afib "career" with infrequent paroxysmal (converts on its own) afib? Are you longstanding persistent (afib only converts with cardioversion and may not stay in NSR long after)? What is your overall health? What is your CHA2DS2-VASc? I'm a strong aby GeorgeN - AFIBBERS FORUM
QuoteIce Man Ok, so why is it being recommended by my cardiologist? I'd like to know. You'd need to ask them. As I mentioned, I've used it successfully, but generally it does not come with the highest recommendation. I've used nearly every form, including some that I react other chemicals to make myself. They all are effective for me, but some folks get better resultsby GeorgeN - AFIBBERS FORUM
QuoteMel-O Can members of the forum relate to these feelings or maybe clarify things a bit for me? Your two big risks with afib are stroke and cardiomyopathy (heart failure). Your meds address both. The blood thinners address the stroke risk. The docs use a scoring tool, CHA2DS2-VASc to get a better handle on stroke risk. It is described here: Usually the 1 point for female sex is not cby GeorgeN - AFIBBERS FORUM