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QuoteAnneC Hi Liz, I don't have any input for you re the pacemaker as l don't have one (altho my EP says it is in my future), since your post about the puffing l have been trying it and it worked for the first time last night. I seem to go into afib after a run & sure enough it happened within a half hour of finishing. After a couple of tries l converted, however, it didn'tby GeorgeN - AFIBBERS FORUM
Quotelibby I'm Apoe 3/4 also! I didn't know about the bleed risk. Eliquis has a lower brain bleed risk than warfarin. The was the Apoe4 post < and on Eliquis <by GeorgeN - AFIBBERS FORUM
QuoteAnneC You mentioned that your afib burden is low - how often do you go into afib so that you need to convert with the flec? Well the answer is a bit nuanced. When I converted the 2 1/2 month episode, it took 20 hours. So did the next one a month later. I think that atrial stunning was a factor in that episode. It took about 4 or so months till I got my protocol reasonably tweaked as Iby GeorgeN - AFIBBERS FORUM
Doesn't have the variability of afib, but also doesn't appear to have "p" waves, absence of p waves is a hallmark of afib. Next time, if you hold one electrode in your right hand and put the other around your left hip or knee (anywhere in that part of the body, it will give more of a Lead II presentation, which will make the p wave, if it exists, more distinct. If you donby GeorgeN - AFIBBERS FORUM
QuoteMargaret George, how long have u had afib? Have u had abliation or just medication. This afib can. E a beast. I am in NJ and had my abliation at Morristown Medical Center I've had afib for over 14 years, and been on this board for that time. Within 2 months of my first episode, I had a 2 1/2 month persistent episode (cardioverted chemically with flecainide). I then proposed a planby GeorgeN - AFIBBERS FORUM
QuoteMargaret George, thank you. What supplement:pill do u take? My potassium is always low. Doctor says not to take potassium as could be dangerous. My. Mood test always show low potassium. I try and eat two bananas a day. Any advice greatly appreciated. Bananas are a double edged sword as they are high glycemic. The glucose can cause the body to dump more potassium. I put 2 tsps of potasby GeorgeN - AFIBBERS FORUM
QuoteMargaret I would love to know how much and what kind of potassium and magnesium tontake for afib. I had an abliation in March. Dealing now with depression. I live in New Jersey. Hi Margaret, The standard answer for magnesium is the glycinate form being most bioavailable. That being said, I take buckets of mag/day to keep my afib in remission (currently 2.5 g/day) and any form worksby GeorgeN - AFIBBERS FORUM
Quotejpeters Hard to say.. I was doing 85 laps swimming 7 days a week when mine kicked in (and I'm slender). Many athletes get it. That is not surprising. I too followed the path of chronic fitness to afib. Creating stereotypes, I look at paths to afib as either chronic fitness (usually younger) or those with many comorbidities in a bimodal distribution with many more of the later thanby GeorgeN - AFIBBERS FORUM
So two Natale stories. I live in the Denver area. A friend here went to the Univ Colo Health and his EP there gave him what I thought was bad and outdated advice. I suggested Natale. When he and his wife walked in the hospital in Austin, the volunteer docent asked where they were from. When they said Denver, she replied, you must be here to see that Italian doctor, people are always comingby GeorgeN - AFIBBERS FORUM
Quotebolimasa So it would be prudent for me to go ahead and try to get fixed now while all my other heart tests are so good? Not a bad idea, but you should talk to Shannon first about the EP you are considering in Utah. The EP that jpeters used ins San Fran was trained for quite a few years by Dr. Natale. Using the best EP is VERY important. If you want me to connect you with Shannon, leby GeorgeN - AFIBBERS FORUM
Quotebolimasa It seems to me like most of my 30 second scans are some other arrhythmia... sometimes with a beat or 2 or 3 that I *think* looks like it might be afib. I also get boughts of arrhythmia that seem regular like this one: That's not regular at all. That's definitely afib. This is where I am confused... as I see a pattern there.... 4 regularly spaced beats followed bby GeorgeN - AFIBBERS FORUM
P wave looks absent in much of it. 27 E looks better in regard to this.by GeorgeN - AFIBBERS FORUM
According to this study < Apixaban had a 41% lower incidence of ICH than warfarin, hence a better choice. Especially for those with one or more ApoE4 alleles. {Edit - didn't see the posts above when I posted}by GeorgeN - AFIBBERS FORUM
From another board: < and ~25-30% of the population have at least 1 ApoE4 allele... QuoteStacey 1. ApoE4 (genotype) doubles your risk of ICH (Intra Cranial Hemorrhage) 2. Warfarin doubles anyone's risk of ICH 3. The combination of e4 and warfarin risk of ICH is much greater than additive 4. People who have E4 have much poorer outcomes and more frequent death from ICH than from stroby GeorgeN - AFIBBERS FORUM
About 12 years ago, Mayo's published a 30 year study on Lone Afibbers that lived in Olmstead County MN, which is the MN location for Mayo. The upshot was the afibbers were actually healthier than the general population - likely because they were "Lone" and many were athletes. However as time wore on, they got all the comorbidities of the general population. I decided that wouldby GeorgeN - AFIBBERS FORUM
QuoteFibbin AFib Just a note, my first cardiologist told me magnesium supplementation was worthless. I showed him the studies, including the magnesium sulfate IVs that converted people into NSR in the ER. He still said it was worthless. I found a new cardiologist. 14 years ago, it took me till cardio #3 (an EP) to find one who was supportive of electrolyte supplementation. Magnesium has kept mby GeorgeN - AFIBBERS FORUM
ER is extended release, I assume, So that would be the difference. You could take your supplement over time to approximate it. 20 meq is 1500 mg of potassium. I take 4 grams a day as citrate. I mix the powder in my water bottle and drink it over the day to approximate the extended release. Georgeby GeorgeN - AFIBBERS FORUM
Wonder if a mindfulness approach might help with the anxiety: <by GeorgeN - AFIBBERS FORUM
QuoteCarey I don't know what "CR 74" means so haven't read his posts, but if normal dietary intake was causing him to become hyperkalemic then either he did indeed have some degree of kidney dysfunction or he was consuming outrageous quantities of potassium, far more than you can ingest even in the highest potassium diet imaginable. And if you understand how potassium affeby GeorgeN - AFIBBERS FORUM
QuoteJoe Interesting as always, Jackie! Dr Terry Wahls mention a study that shows if one's A1C level are > 5.2 for extended periods?, brain shrinkage is observed. So, maybe another benefit taking Berberine (if one isn't prepared to make the required dietary changes which would be cheaper and no doubt even better). BTW. she recommends < 5. Yep, & heart (CVD) disease startby GeorgeN - AFIBBERS FORUM
When I went to the ER (first and last time I ever did that) for episode #1, my serum K was 3.2. That put me on the trail of K, however as Carey says, serum K can change quickly. My experience was that once magnesium was taken care of, my potassium seemed to take care of itself. That being said, I have taken potassium citrate for years. Today I put 4 grams of k as citrate (in powder form) in mby GeorgeN - AFIBBERS FORUM
QuoteAnneC So far the only thing I have identified which will most likely put me into afib is a long run - not during the run, but within an hour or so of finishing (is this a vagal afib characteristic)? What have you found that causes you to leave sinus rhythmn? How long after the triggering event do you go into afib? Does the trigger seem to have any relationship to how long it takes youby GeorgeN - AFIBBERS FORUM
I find this very interesting. The risk of taking berberine for a year (per the study) or indefinitely vs. amioderone is extremely low. From the full paper: 2.2. Outcome Assessment. The primary outcome was presence of SR after antiarrhythmic treatment with berberine or amiodarone at 1, 3, 6, and 12 months. The secondary outcome included average time from onset of therapy to conversby GeorgeN - AFIBBERS FORUM
Quoterocketritch Never used UBER before so hopefully that will go smoothly. My experience in a busy area like Austin, has been excellent. Hopefully all goes well this & your ablation!by GeorgeN - AFIBBERS FORUM
Hi Tom, Go to Austin! Cheers, Georgeby GeorgeN - AFIBBERS FORUM
QuoteRichardLP My afib began years ago when my heart rate was near the anaerobic threshold. So you got afib during exercise at the anaerobic threshold? That would indicate an adrenergic trigger at that point. Though I concur with what wolfpack said about being vagal and ANP. Are you sure you don't have afib before you pee, or do you just realize you have it after? Any possibilityby GeorgeN - AFIBBERS FORUM
Quotebolimasa I've not gotten into the this far enough yet. What does lead 2 tell you? What Wolfpack said. However for your purpose, the reason for Lead II is a more prominent p wave. NSR should have regular R to R peak times/distances (on the recording) and a p wave. Though it can certainly get more complex than this, if the peak to peak times are irregular and there is no p waveby GeorgeN - AFIBBERS FORUM
Carey, If I had a different situation, like yours, I would certainly get my own 12 lead. I'm not saying it isn't valuable, just not for me in my situation.by GeorgeN - AFIBBERS FORUM
< Laboratory Measurement of the Anticoagulant Activity of the Target-specific Oral Anticoagulant Agents: A Systematic Reviewby GeorgeN - AFIBBERS FORUM
QuoteCarey Yeah, the consumer devices only provide a rhythm strip, although you can sort of squeeze out lead II with the technique George described. Today, you can buy a Chinese Holter for $500US < or a portable ECG with leads for $170 that can record 30 hours of single channel. < Years ago, I borrowed a Holter from a friend who used to post here. I played with it for a while buby GeorgeN - AFIBBERS FORUM