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QuoteMel-O Hi. I’m new to the forum, and new to having afib. I have read about magnesium, potassium, taurine, calcium. What are the right amounts to take? Is there a combo pill that people can recommend? Hi Mel-O, first, any electrolyte supplements are for those with good kidneys. If you have good kidneys, they will excrete any excess electrolytes. If you don't, the electrolytes can accby GeorgeN - AFIBBERS FORUM
Quoterattana Does anyone have any advise or warning about getting off of Solotal? I read the posts that the heart rate will go up for a couple of months. (nurse said this too) Does this mean that I am at greater risk of returning to afib? Sotalol can act as both a rate and rhythm control med. After ablations, it is common for the resting heart rate to increase. In fact, a higher heart rateby GeorgeN - AFIBBERS FORUM
This was previously discussed in this thread: My comment in the thread: My recollection of AFFIRM that Gupta mentions (I read many years ago and did not reread), is that it was based on "intention to treat." That is rate vs. rhythm control. So on the rhythm control arm, people were given rhythm meds, but they weren't necessarily in NSR, just given the meds. In other wordby GeorgeN - AFIBBERS FORUM
QuotePixie GeorgeN, you mention that many fellowship programs do not train EP's to isolate the LAA. Do you think that is because of what my EP said about differing EP opinions in the community because of the risks? I'm not connected enough to give an opinion. Someone like our moderator Shannon could give a better answer to that.by GeorgeN - AFIBBERS FORUM
Years ago, one of our members, Peggy Merrill, kept a "list" of people who had figured out protocols to mitigate their afib. During the end part of 2007, this was compiled and the results are here. If you read through, you'll find a number of folks who were helped materially when they solved their digestion issues. A little bit later, Jackie, who still posts, put tother thisby GeorgeN - AFIBBERS FORUM
I think it is individual, like many things. My doc wants us to concentrate on DHA for brain reasons. He wants' an omega 3 Index >10.5%. I got mine up to 17% last Nov. That was a bit over the top. My arms looked like I was on warfarin with a too high INR, especially as I bang them up rock climbing all the time. I backed it off a bit. Never had an impact on my afib. I think EPAby GeorgeN - AFIBBERS FORUM
QuoteCarey (Someone posted a list of the relevant ICD codes here recently. Wish I could find it.) But you should see descriptions related to inserting catheters, destruction of tissue, and words like that. Is this what you are looking for?by GeorgeN - AFIBBERS FORUM
Statistically, LAA isolation carries a 60% chance of needing lifetime anticoagulation or the installation of a device like the Watchman. This risk is stated going in. That being said, the only way to solve afib for some folks, especially with longstanding persistent cases, is with LAA isolation. Many fellowship programs do not train EP's to isolate the LAA. A recent example. Tom Poby GeorgeN - AFIBBERS FORUM
QuoteIDbill As you and I had begun to suspect, the graph form you presented is ONLY available with their premium subscription. Per my contact with Kardia support: Sorry to hear that! Sounds like this is frequent. You could go through the effort of doing this manually, with dividers as Carey suggests, counting and eyeballing dot "boxes" on the PDF output or whatever. If you doby GeorgeN - AFIBBERS FORUM
QuoteCarey Well, you kind of lost me with the various recordings. I'm not sure I remember what the point was. But for sure doctors have been analyzing ECGs with calipers for as long as there have been ECGs, and that's always been the default method of diagnosing afib. Sure, you can bring new technology into play, but my point was simply that you don't really need technology to idenby GeorgeN - AFIBBERS FORUM
QuoteLenlec My resting heart rate is 42 to 45 beats per minute at the mo. Run most days gym at night Just don’t want it going to 60 or. 70 Feel great Do I have the ablation? Heart rate increase after pulmonary vein isolation predicts freedom from atrial fibrillation at 1 year "Ablation of atrial vagal ganglia has been associated with improved pulmonary vein isolation (PVI) outcomesby GeorgeN - AFIBBERS FORUM
QuoteIDbill OK, I have been able to locate the Kardia App. version I have been using: it is 5.17.3-01be14300 This is called out as being the latest version (as of July 15, 2021). So, I seem to be operating with the current version. However this does NOT generate the HR graphs along with the ECG PDFs. Is there someone in your household with another phone you could set up a new account on? Theby GeorgeN - AFIBBERS FORUM
QuoteCarey That image is very low res and blurry, but I don't see big RR discrepancies between nearly every pair of R waves. I only see occasional discrepancies. I wouldn't call that recording afib. I think it's clearly frequent ectopics but not a sustained arrhythmia. Look at the scale! A small box is 4 BPM. Count the boxes between the beats. Look at the first few pairs. Weby GeorgeN - AFIBBERS FORUM
QuoteIDbill Thank you, George. I definitely want to explore this 'time series' HR graphing. I have only the original (2 lead) KardiaMobile with NO Kardiacare package. Not sure, then, that I can access this graphing feature. In any case I can find no 'button' in my App screens (I am on Android) which allows for a version update (or even any readout of what version I have.... miby GeorgeN - AFIBBERS FORUM
QuoteNatalie B So my cardiologist put me on 25mg of metoprolol which we then cut in half at my request because my heart rate goes a bit low. 40-50?! No blood thinner. He does not think I am at risk of a stroke. I’ve kept exercising, eating very well. Hydrating. Lost 7 lbs and have 7 more to go. Metoprolol likely won't keep you out of afib. You might discuss using it on an "on demand&by GeorgeN - AFIBBERS FORUM
QuoteIDbill if Kardia now has this data reduction/algorithm feature, which according to you is a sure idicator of Afib, then why does Kardia not use such a straightforward result as their summary indication of 'possible Afib' ?? Though I can see the PAC example above visually, it might be harder to write an algorithm saying it is PAC's & not afib. In my first post, above, Iby GeorgeN - AFIBBERS FORUM
Turns out that Kardia will do this for you. Make sure your Kardia app is updated to the latest version. If your app automatic updates are not on, go to your app store (iOS), Google Play Store (Android) and update it. 1st, create a PDF for the reading 2nd, on my single lead (not 6L) Kardia, there is a heart rate vs time graph on the second page. The left Y-Axis is the beat time inby GeorgeN - AFIBBERS FORUM
QuoteCarey Some variability is normal, and one or two big discrepancies here or there is also normal, but if there's a big discrepancy on almost every pair of R waves, that's afib. . Where this falls apart is something like this, which is an image from p 28 of the PDF I linked above. You will see a lot of big discrepancies between nearly every pair of R waves, but it is stillby GeorgeN - AFIBBERS FORUM
QuoteJDfiB Carey, at 14 ectopics per minute wouldn't it just be the same as afib? What makes it different? Afib is variably variable. Ectopic beats can occur around an NSR baseline. See my post here:by GeorgeN - AFIBBERS FORUM
IDbill, I'm not an ablatee, but I'll share what I've done with Kardia strips that people have sent me and asked for my opinion. One hallmark of afib is randomly random. You can visually look at a Kardia strip and see the variability. However it can be difficult to differentiate between other situations that can have variability. A way to visualize this better is to measuby GeorgeN - AFIBBERS FORUM
Pixie, I'm not an ablatee, but I've been a member here for 17 years, observing what people post on their ablation experiences. What I've observed with those who post about their Natale experiences is that a second or more ablation with him are generally due to: a) Passage of time, where the illness progresses, as ggheld notes. Another member here, Jackie, had her first Natby GeorgeN - AFIBBERS FORUM
QuoteGeorgeNthere are pacing cells in the atria that fire and then everything else follows from this. Amplifying the above, the signal starts (or should start) in the SA or sinoatrial node. This animation shows a "normal" heartbeat This is a PAC animation To clarify my first post. During the refractory period, the atrial and ventricular cells won't fire on their own.by GeorgeN - AFIBBERS FORUM
QuoteMerckx Does anyone have any really good, trusted resources that I can read (or watch/listen to) to get more information on what they are, why they are happening and possible treatments? Ectopic beats are either premature atrial contractions (PACs) or premature ventricular contractions (PVCs), depending on where they originate. A search of our site on PACs is here: A search of our siteby GeorgeN - AFIBBERS FORUM
QuotePoppino Natale talking about Olympics today. He s a freak. So is every tech and nurse. My arms are veiny And everytime i get an iv its an issue with valves etc. yesterday one try. I didnt even feel the iv! Dealing with Porsches not Model Ts Great comment Tom! A month ago, got together with a friend from Houston who I'd sent to Natale ~6 years ago. He was reminiscing how scepticalby GeorgeN - AFIBBERS FORUM
The two you posted look like NSR to my eyes. If you are using your thumbs on the device contacts, are you resting your hands on a table to keep them steady?by GeorgeN - AFIBBERS FORUM
Sending you best wishes for Natale magic and smooth NSR, Tom!!by GeorgeN - AFIBBERS FORUM
QuoteJuggsy75is something going on with my heart or is my kardia playing up. On my original single lead model, which transmits the data from the device to the phone via sound (the 6L is via Bluetooth), I made sure the contacts and my skin are damp. Can use a damp/wet paper towel or your tongue to do this, depending on preference. Then take off other "emitting" devices, like a smartwby GeorgeN - AFIBBERS FORUM
QuoteCarey Understood, but the number of people with afib issues who need chest MRIs is still a small number, even if we include breast cancer patients. Oops don't really happen with MRIs these days. All modern implanted devices come with MRI guidance, and that guidance is most are MRI safe. I don't think it's something you need to be concerned with. Curious as Shannon has told mby GeorgeN - AFIBBERS FORUM
Our thoughts will be with you next week. Good luck, Tom!by GeorgeN - AFIBBERS FORUM
Hi Russ, Remember when you got this back in the day. Thanks for the wonderful report!! Georgeby GeorgeN - AFIBBERS FORUM