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A friend recently posted about his QuardioCore ECG monitor for iPhone < . This is an ECG chest strap that will monitor your ECG for 24 hours & is connected wirelessly (Bluetooth) to an iPhone. This are not officially available in the US (till it gets FDA approval) but can be had through eBay & Amazon from sellers in Europe in the UK. I didn’t do the price conversion math, but looksby GeorgeN - AFIBBERS FORUM
Here is a paper Prediction of stroke or TIA in patients without atrial fibrillation using CHADS2 and CHA2DS2-VASc scores < Stroke, TIA & death risk do increase materially in non-afibbers. I think there is a calculator where you can predict stroke risk by age with or without afib, including CHADs or whatever risks. There are also papers showing the impact of OAC (risk reduction).by GeorgeN - AFIBBERS FORUM
Quotecolindo The question is, WHY does the stroke risk increase each year? What is the cause? It doesn't make any sense that your risk factor can be 1.7 and the nest year it's approx double. WHY? What is the cause? Not per Carey's example, but stroke risk in general increases as we age, afibber or not. Just like blood pressure and heart disease risk. However, this is not trueby GeorgeN - AFIBBERS FORUM
Quotejpeters (People in the control group have more strokes over time as well). I'm currently in the land of very little and very spotty wifi bandwidth, so looking up studies is difficult Point is that the control group will have a non-zero stroke risk that increases with age. Also, as I recall, warfarin will reduce whatever your statistical stroke risk is in half, the studies of the nby GeorgeN - AFIBBERS FORUM
QuoteErin I don't think they ever diagnosed it. Since then I have had cancer surgery (endometrial) and there was no problem. So it may have been due to some medicine I was given. I would certainly ask the docs to sort this out, whether you have a bleeding disorder, before going on anticoagulation. I'm not sure what testing can be done.by GeorgeN - AFIBBERS FORUM
QuoteErin I am terrified of starting it because as a child I had blood clotting issues. Do you mean you took a very long time to stop bleeding?by GeorgeN - AFIBBERS FORUM
Mike, Are you on any flec? If not, I wonder if a modest dose of flec might be useful?? Cheers, Georgeby GeorgeN - AFIBBERS FORUM
Hi Mike, Sending positive thoughts your way. Cheers, Georgeby GeorgeN - AFIBBERS FORUM
Quotemwcf What Wolfpack says. Worked for me 2 years ago. That said,,I understand that it is increasingly being done by CT scan these days so as to be less invasive. You could try asking about that? I certainly will be next time I have one. Just did a CT in Aug. still have to prep. Among other things, they had me use mag cut.. 11 years ago, used GoLytely as Wolfpack suggests.by GeorgeN - AFIBBERS FORUM
I think it is highly variable among afibbers. For some, afib is very symptomatic and debilitating, others it is an annoyance. How is it for you? Do things like altitude changes bring it on? A trigger for me is the product of duration x intensity of exercise, so long duration coupled with high intensity. I've had afib in a three person snow cave I constructed and camped on the side of aby GeorgeN - AFIBBERS FORUM
QuoteCelticpops Can anyone recommend an EP in the Sioux Falls, SD, Minneapolis, MN, Denver, CO or Chicago, IL areas who does good work and actually listens to patients? A friend of a friend had what was diagnosed in Denver as VFifb (it wasn't). He was wearing a "shocker" vest in case he went into Vfib. They gave him very limited options in Denver, with a number of different EPby GeorgeN - AFIBBERS FORUM
docboss, There are kind of two categories of afibbers. The largest group are older and have many comorbidities. The second is generally younger (you are a bit of an exception - took you longer to get to afib - I started 14 years ago at 49) and are chronically fit. The latter group makes up 10-15% of afibbers in general. Many have shown up here over the years shocked that they could have hby GeorgeN - AFIBBERS FORUM
Mike, I"d go in for an ECV and not wait 48 hours. I assume you are on OAC. Or at least ask Janis what your strategy should be.by GeorgeN - AFIBBERS FORUM
QuoteCatherine It’s a real head scratcher to read that people discover they have AF during a routine physical exam. How could that be? Are these people just not paying attention to how their bodies feel? I ask because when I’m in AF, I flap around like fish out of water. Everybody is different. When I'm in afib, it is subtle. I know it but it isn't debilitating.by GeorgeN - AFIBBERS FORUM
QuoteAB Page Will be interesting to see if Apple’s sensor provides higher fidelity than Kardia. Both are obviously just single lead and have the limitations inherent thereof. While I’m a fanboy, I’m also skeptical. The current heart rate sensor is usually accurate, but when it’s wrong, it’s really wrong. It’s not unusual for it to double or half my actual rate. If the afib algorithm is aggressby GeorgeN - AFIBBERS FORUM
QuoteCatherine ....is paroxysmal AF more uncomfortable than chronic AF? I'm guessing this is very individual. For many, symptoms are related to rate. An uncontrolled high rate for a long time will lead to cardiomyopathy and heart failure, so staying at the high rate for a long term is not healthy. Hence a doc will make a huge effort to get the rate under control. QuoteCatherineDoes P-by GeorgeN - AFIBBERS FORUM
Mike, Sorry to hear. My thoughts are with you. Georgeby GeorgeN - AFIBBERS FORUM
I've used Goldpharma < for ~10 years to purchase flecainide. They are european and a broker. So you may see the same med quoted more than once, each coming from a different pharmacy. I recently ordered a med for a family member that came from a Berlin pharmacy. Both generic and name brand were quoted. I paid extra for the name brand. In the case of Eliquis (apixaban), It looks likeby GeorgeN - AFIBBERS FORUM
Spectacular!!! NSR to you!by GeorgeN - AFIBBERS FORUM
As of now, not an ablation candidate. However I have an ApoE 4 allele (3/4). Brain is very important to me as E4's don't do well with any brain insults. 11 years ago I did a colonoscopy where I could watch the video. I just redid it with a CT scan for the same reason. Not saying I wouldn't do it for a Natale ablation, but it would be a consideration. My E4/4 wife has the samby GeorgeN - AFIBBERS FORUM
What Pompon said. The "basic" approach to an ablation is a PVI <. A good ablationist, after the PVI, will try to chemically stimulate afib (assuming afib stopped after the PVI). If this results in afib, he/she will then look for and ablate other areas that may be triggering the afib. This may be repeated a number of times. This may require ablating around the LAA (electricallyby GeorgeN - AFIBBERS FORUM
My interpretation (reading the whole paper) is that a) afib is associated with a higher heart attack risk (perhaps because many afibbers have comorbidities); b) warfarin is associated with a lower heart attack risk in afibbers (note that this effect is much lower in those with a CHADs2VASC score of 1 or less (because they don't have the comorbidities). I think it would be perhaps more accuby GeorgeN - AFIBBERS FORUM
QuoteThe study showed that, among patients with AF, the risk of AMI was doubled for current users of DOACs and aspirin vs. current users of VKAs. The higher risk of AMI was also significant for past users of aspirin vs. VKAs. After stratification for gender, the risk remained significant only for users of aspirin. After stratification for stroke risk by CHA2DS2-VASc score, the risk of AMI rby GeorgeN - AFIBBERS FORUM
Over the years, Shannon has referenced the Desmukhs dtudy: < "The Desmukhs data for those who may not be familiar is from the large review of all Medicare cases from 2000 to 2010 that included all 93,801 U.S. Medicare ablation patients durung that period, and the overall significant increase in most complications noted in that study reflect the fact that >81% of all of these patientby GeorgeN - AFIBBERS FORUM
Very early in my afib career, I had a 2.5 month episode. I thought I was doing really well. I did a lot of exercise out of rhythm, determined not to let afib stop me. I converted with 300 mg of flecainide, 20 hours after taking the med. For the next month, I actually felt "high" and elated. Obviously afib impacted me much more than I was aware of. My body was very aware of the lacby GeorgeN - AFIBBERS FORUM
Great news!!by GeorgeN - AFIBBERS FORUM
QuotePompon I'm wondering if there is really a higher number of afibbers among athletes than among "not so active" people. Do you think the answer might be that there are much more symptomatic afibbers among athletes ? IOW, most athlete afibbers know they have HR issues, while other people might be afibbers who don't know they are ? In one study I saw on long term Finnish oby GeorgeN - AFIBBERS FORUM
Do you need calcium, yes. You just don't need too much. I took the dairy consumption data and hip fracture incidence from this table < and plotted them. It this associational, yes. But since dairy is a big source of calcium, it is reasonable to do. Years before I recall seeing that countries with calcium intakes/day <500mg had some of the lowest hip fracture rates.. Are there othby GeorgeN - AFIBBERS FORUM
Deniss, I do recall one or maybe a couple of people over the years that correlated taking oral magnesium with afib. I do not recall that sort of thing for topical magnesium. Georgeby GeorgeN - AFIBBERS FORUM