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QuoteSiestaJimmy Does anyone have any insights on this? Here is a post Shannon wrote on the topic. This is a search which returns other posts/threads on the topic. Basically, a top line EP like Natale will have better results, with a much shorter recovery time than those getting a hybrid.by GeorgeN - AFIBBERS FORUM
QuotePoppino Ok educate me (us) why is Flecainide a type of risk? I used loading propafenone 600 mg back in my afib days. Tom, either propafenone or flec have risks. Your EP had obviously determined your heart was structurally sound, therefore a low risk and prescribed the med for you for that purpose as had mine. In my case, he specifically said I was a good candidate, he just didn't thby GeorgeN - AFIBBERS FORUM
QuoteCarey I sure wouldn't suggest trying it without his EP's blessing. I certainly agree.by GeorgeN - AFIBBERS FORUM
QuoteCareyIf it's been over a week then it's persistent AF. Very unlikely flecainide or anything else is going to convert him. Not saying this would happen to anyone else, but in 2004, I'd been out of rhythm for 2 1/2 months. EP gave me a script for PIP flec, and was going to give me some immediately in his office. Then he came back and said no, the literature said it wouldnby GeorgeN - AFIBBERS FORUM
Quotesusan.d 4. When you land home get another wheelchair attendant to the baggage carousel. Off topic. A friend's parents from Morocco came to visit him in the states (first time on an airplane). They are Berber peasants (goat herders) and speak Berber and some Arabic. They read and write nothing. My friend flew to NYC Kennedy to meet them. On the way home, they were flying from Dby GeorgeN - AFIBBERS FORUM
Quoteunangan I appreciate GN's posts.. I learn from them. Electrolytes, keep them up. Pay attention to the small signals. Keep posting. Quotesusan.d George- continue sharing your experiments. I, along with others appreciate your contributions. Thank you! Thanks for the feedback! I get a fair number of PM's from people who rarely or never post who appreciate my posts and have gby GeorgeN - AFIBBERS FORUM
QuotePoppino Ive been on 10 mg eliquis since prior to my 3/29 ablation cept some 5 mg in June when i went nsr. But lately ive had some weak tired lazy sleepy lethargic days lately. Is this a side effect of Eliquis? At all common? Im normally a ball of fire. My other meds are Propananol 10/10 which is lower than ever. HR 60s. BP 135/78 at 4 pm. I use cbd melatonin 15 mg a a few mgs of valium andby GeorgeN - AFIBBERS FORUM
Quotefujau64 Has anyone had the same problem with acid reflux Suggest reading this book: Why Stomach Acid Is Good for You: Natural Relief from Heartburn, Indigestion, Reflux and GERD Contrary to standard advice, most, especially as we age, have too little, not too much stomach acid. In fact the % with too much is extremely small. When we have too little, digestion slows down and food backsby GeorgeN - AFIBBERS FORUM
A "basic" ablation is a Pulmonary Vein Isolation Ablation or PVIA. This is pretty much standard for every procedure. Then the EP may go "hunting" for other "hot spots" to ablate. At the upper end of this is isolation of the left atrial appendage or LAA. Many EP's are not trained to do this. It is only done if necessary. For those who get the LAA isolated,by GeorgeN - AFIBBERS FORUM
Quotebettylou4488 I need a 101 here. Can someone send me to a link re what the different type of ablations are? The big difference is what is used to create the lesion sets. Cryoablations use cold or freeze the tissue RF or radio frequency use heat (most common) The new kid on the block is pulsed field (PFA) also called 'Electroporation', here is a 2019 thread on the topic:by GeorgeN - AFIBBERS FORUM
QuoteMadeline George, I wondered if New Century prices reflected the lab's fee for the blood draw. If so, the price is comparable to Jasonhealth.com, but on Jason it is easily understood how to order: pick available lab location, pick out tests, put in cart, then you see your total charge including the lab fee. But on New Century, I don't see a cart, they just ask you to go diby GeorgeN - AFIBBERS FORUM
QuoteCarey You're an analyst by nature, I think, and you dig doing all these experiments and stuff. This is certainly true. I've made a career of analyzing things for people. I look at afib, as well as my genetic risk for Alzheimer's as challenges to be solved. I know that many say that they see no trends in triggers for afib. I can empathize as I experience the same whenby GeorgeN - AFIBBERS FORUM
QuoteCarey Sure, R-R variability monitors can approximate some sort of afib detector, especially for techies like you who invest the time needed to learn to interpret them, but that's old technology that's been completely replaced at this point, and the average person here isn't into doing the analyses you like to do. You can buy a true ECG that can actually detect afib accuratby GeorgeN - AFIBBERS FORUM
QuotePompon Interesting. I don't see great amplitude variations in my tracings while in afib, despite feeling stronger and weaker beats.. That's maybe why my oximeter counts the beats reliably? Here is an example from 14 Jan 21. I converted an afib episode with a breath hold. The green line is the oximeter heart rate. Blue is from a Polar H10 strap captured with the Heart Rate Vby GeorgeN - AFIBBERS FORUM
QuoteCareyQuest offers tests to the public here. Does Century offer some advantage over using Quest directly? Clearly you'd think Quest could offer a better price than a 3rd party reseller of their service. Perhaps they don't want to undercut the Byzantine pricing & discounts they offer insurance companies? Hence New Century offers a better deal. I've not tried this, but aby GeorgeN - AFIBBERS FORUM
This page discusses consumer lab testing. In the US, I've found New Century Labs to be the lowest cost (info on link). They use Quest Labs.by GeorgeN - AFIBBERS FORUM
QuotePompon My cheap oximeter displays accurate AVG HR while in afib. Tested against my EKG monitor. That is excellent. I've got a couple recording and non recording oximeters. Mine generally fail on counting beats as the rate gets higher. At rates <100, they are pretty good, above that, they miss a lot of beats. I notice this on plethysmograph phone apps, too (using the lightby GeorgeN - AFIBBERS FORUM
QuoteCarey Forget all the sports-type monitors (Fitbit, Garmin, Polar chest straps, etc). Not a single one of them I've ever tried could accurately count a heart rate during afib. I've used Polar R to R recording monitors (meaning beat to beat & almost all are not) for ~16 years for afib. The real time display is averaged over 5 or so beats, so gives a good average, but does notby GeorgeN - AFIBBERS FORUM
QuoteCarey Sure, it's more variable with afib than with ectopics on top of NSR, but only if you have measuring devices. If you're simply feeling a radial pulse, the variability won't be that noticeable with afib, but with frequent PVCs and PACs it will be obvious. I'm only referring to manual palpating a pulse, not using anything involving devices. I do notice variability inby GeorgeN - AFIBBERS FORUM
QuoteCarey Also, with PVCs and PACs you'll feel particularly strong pulses when they occur, but with afib each pulse feels about the same. Not in my case, as I noted above, the pulse wave amplitude in afib for me is highly variable. One time, when I was playing with breath holds to convert an episode several years ago, only had my fingers and a camera plesmograph app on my phone with me.by GeorgeN - AFIBBERS FORUM
QuotePompon Afib is irregularly irregular. It's the only fully chaotic HR. Runs of PVCs (or PACs) always have normal beats in between. Mark was a UK afibber who provided these images of various rhythms to us maybe 15 years ago. These were captured with a recording heart rate monitor that records the length of each beat, reported in the graphs as heart rate. The Y axis is heart rate andby GeorgeN - AFIBBERS FORUM
Yes! Here is a prior thread on the topic. In this thread is a post where I show the difference in beat to beat heart rate with and without tape for me.by GeorgeN - AFIBBERS FORUM
Quoteunangan I'm new, is there a way to save a post for later reading other than commenting? Took three attempts to post, so tire and no glasses... but this interests me! Not from the site. Perhaps creating a folder in your browser's bookmarks and then bookmarking it there. This is a non-profit site, run by two volunteers, as well as folks who have been around for a while whby GeorgeN - AFIBBERS FORUM
If you are in rhythm, then I (a non doc) would look elsewhere, not afib. Is your BP low on the 3 meds? Perhaps one or more of the meds is the culprit? Have you looked into lifestyle adjustments that could possibly allow a normal BP with fewer or no meds? If you aren't in afib, then I don't see the point of putting you on a rhythm med. Perhaps taking one on-demand to convert you, iby GeorgeN - AFIBBERS FORUM
Quoteunangan My husband has reentered Afib after 2 years of his first bout which was seemingly CURED via cardioversion. Welcome! Cardioversions never "cure" anyone. Typically something has to change to maintain NSR after a cardioversion unless someone is very lucky. This could be a med, lifestyle change, a combination or whatever. This is a good resource: Discussing with tby GeorgeN - AFIBBERS FORUM
Quotebettylou4488 If there is a thread out there on it let me know .. I will go search as well. thanks. Scroll down to Shannon's comments in this thread:by GeorgeN - AFIBBERS FORUM
Though I realize not next door, In the study link in Ralph's post on Pulsed Field Ablations, notes they are recruiting in NSW. If it were me, I'd be looking into this, for what it is worth. Australia, New South Wales John Hunter Hospital Recruiting New Lambton Heights, New South Wales, Australia Contact: Research Coordinator +61 249214720 Principal Investigator: Bradlby GeorgeN - AFIBBERS FORUM
QuoteFidrych I am new...who is this Dr Natale. He is arguably the best ablating EP anywhere, at least in my opinion. His home base is in Austin TX USA , though he also spends a couple of days a month at two hospitals California, one in LA and one in San Diego. He is the guy that people go to when others have been unable to fix them.by GeorgeN - AFIBBERS FORUM
QuoteCarey Great results! Thanks for sharing, Ralph. I do think PFA will eventually replace RF in the near future. I was about to add "too late for me" but that's not necessarily true. Maybe 10 years down the road my afib monkey will escape the cage Natale put around it. If so, it's good to know there will be improved technology to build a new cage. Curious if PFA can nowby GeorgeN - AFIBBERS FORUM
Great news Ralph!!by GeorgeN - AFIBBERS FORUM