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Quotevanlith George i certainly will but i am hoping if afib is removed then the 2nd part.......SVT for me will be also cause it never gets to that point without the afib to start with, but i will let Da Vinci know. Ty George Understand. I'm pretty sure he'll do an isoproterenol challenge after he's fixed the afib to try to stimulate any other bad actors.by GeorgeN - AFIBBERS FORUM
Quotevanlith so i hope he addresses both like has been talked about in this thread....... I'd certainly bring it up with him. Don't keep quiet.by GeorgeN - AFIBBERS FORUM
Quotebolimasa Thanks. That is kind of what I thought. If that is correct, I'm a little disappointed in monitor because in the second scenario it just tells my I'm in arrhythmia, and I'd like to know is if I am in afib. Would the Kardio monitor differentiate between the two? Or is that why they have the subscription service to have your traces read? One of the hallmarks of afibby GeorgeN - AFIBBERS FORUM
Quotemjamesone The one EP I talked to said he rarely does afib ablations because of uncertain outcomes and the potential for multiple operations, except when the patient is in their 20's. He does however perform many SVT ablations because it is less invasive and the success rates are much higher. If an EP told me this, I'd be looking for an EP from the top tier. I've heard tby GeorgeN - AFIBBERS FORUM
Quoterocketritch I mentioned to him that I was pursuing and ablation with Dr Natale and he said that if he was willing to take my case that I should by all means see him. He also offered to do anything he could to help move the process along. He also offered to remain my EP locally for any follow up visits or tests I may need. A good doctor should be vested in the best outcome for your heby GeorgeN - AFIBBERS FORUM
14 years ago my EP said he could cardiovert me, but the hard question was how to keep me in rhythm afterward. He didn't have a good one, but i suggested cardoversion followed by me trying to stay in rhythm with electrolytes and him writing me a prescription for flecainide on-demand (PIP) for me to use to convert when the electrolytes failed. He agreed, I used flec to convert the 2.5 monthby GeorgeN - AFIBBERS FORUM
What Carrey says! In her case, I would only go to see Dr. N. The Mass guys have had 4 tries to get it done and failed. I concur that LAA is likely in her cards if it is to be fixed properly.by GeorgeN - AFIBBERS FORUM
Collin, I'd bookmark the pos(s)t in your browser. Georgeby GeorgeN - AFIBBERS FORUM
It doesn't sound like you have awareness of when you are in afib much of the time. Hence an on-demand med to convert probably doesn't make much sense. Also sounds like your episodes are too frequent to make that appropriate. For the monitor, You could keep a diary of times you are significantly exerting yourself on days. Then you could correlate that with the monitor results.by GeorgeN - AFIBBERS FORUM
You want a very high volume center, with a very high volume EP. Be certain he/she will do the ablation, not a fellow!!! If you are in the US my number one pick would be Andrea Natale in Austin - he's worth the travel! < Second would be someone who trained under him. Outside the US, I'd choose Jais or Hocini in Bordeaux Frby GeorgeN - AFIBBERS FORUM
If the BB is in fact helping to keep you out of afib, it indicates you likely have an adrenergic trigger < The reason the BB may work is because it is acting as a governor on your heart rate. Hence overriding this would be counter productive.by GeorgeN - AFIBBERS FORUM
QuoteAB Page TCAI also offered me the condom thingy, but I passed (no pun intended), because they tend to slip off. I'm guessing the worst case is it slips off and you pee on yourself. However someone else will have to clean it up. In the scheme of things, not the end of the world. I'd likely take that risk.by GeorgeN - AFIBBERS FORUM
I believe Shannon said they had a lab for this in Dr. Natale's hospital in Austin. However I don't recall anyone actually having the operation and reporting here.by GeorgeN - AFIBBERS FORUM
This is a reprint of the paper Joseph Kraft wrote in the mid-1970's. < A lot of people do an oral glucose tolerance test (fast for 12 hours, test serum glucose, consume 75 g glucose , measure serum glucose at 05., 1, 2, 3 hours). Kraft did this, only he tested insulin too and for 5 hours total. Everybody treats T2 diabetes as a disease of glucose. It is really one of insulin - geneby GeorgeN - AFIBBERS FORUM
Quotebolimasa (though my K was at the low end of normal) but one has to always wonder if 'normal' could still be a problem causing alteration to my personal normal. (yeah, grasping at straws when the probable cause is simply pudgieness nudging up my BP) Potassium can be an issue for us in the afib world. I know I strive to keep mine >4.0 or so. My first afib episode, I also wentby GeorgeN - AFIBBERS FORUM
Quotebolimasa the T wave abnormality was gone, but now I have prolonged QT. So Question #2: If you have Afib do you usually have a changing set of abnormalities?... I have been taking the med he prescribed (diltiazem), ( prolonged QT can be a side effect of diltiazem < Also, magnesium has been called "natures calcium channel blocker." Maybe there is a way to substitute maby GeorgeN - AFIBBERS FORUM
QuoteSocalsteve I’m very confused. You think rock climbing and skiing for 6-7 hours at a time is not chronic fitness? Makes my 60 mile bike ride seem like a stroll in the park. Please explain.! Steve, I have a sense of how much is too much for me. I'll give examples. A year or two ago it was a powder day (I was skiing in the Rockies at 12,500'). I can do laps all day withoutby GeorgeN - AFIBBERS FORUM
QuoteSocalsteve I turned 60 and rode my bicycle 60 miles on my birthday. So, pretty healthy for being 60. So there can be several paths to afib, in my opinion. One is with a lot of co-morbidities (BP, CVD, obesity, diabetes & etc). The other is chronic fitness. Over the years a lot of those who are chronically fi and end up here, wonder why their heart is having issues. I note that wby GeorgeN - AFIBBERS FORUM
Quotebolimosa I am confused... as I was under the impression that the docs wanted you take blood thinner for life if you were intermittent. Which it sounds like you are. Or is is a choice you've made? I was never prescribed anti coagulation long term. My CHADS2VASc < score is 0. Except for age, which I can't do anything about, I intend to keep it there. CHA2DS2-VASc Coby GeorgeN - AFIBBERS FORUM
Quotebolimasa So, curious, is there a reason you did not have an ablation? Or did you simply progress quickly beyond the point where that would help? At the time, 14 years ago, my EP did not think that ablation was appropriate for me, given the technology of the time. If my afib progressed past what it is now, I would consider it. I would not consider an ablation with the very light afib buby GeorgeN - AFIBBERS FORUM
Quotebolimasa Does anyone address the PACs as well as the Afib? I had my first afib episode 14 years ago next month, after that, episodes came every 10-14 days and lasted 6-9 hours, till two months in I had an episode that would not convert. It lasted 2 1/2 months and was converted with flecainide. My understanding is this puts me in the "complex" category should I need an ablationby GeorgeN - AFIBBERS FORUM
Will he at leaste ablate the WPW? I would suggest Andrea Natale, if you can do it: < I had a local friend of a friend (Denver) who had what they thought might be vfib. Hence they had him on a defibrillator vest all the time. All the local EP's only had poor med solutions and said it could not be fixed. I put him in contact with Dr. Natale last summer. He fixed it. My friend was iby GeorgeN - AFIBBERS FORUM
Collin, In the study, you'll also note the results were correlated with CHADS or a variant of that score. The unresolved had a higher CHADS score than the resolved. Hence risk is also proportional to CHADS score. Georgeby GeorgeN - AFIBBERS FORUM
Quotewolfpack Interesting. Certainly putting ALL afibbers, “cured” or not, on anticoagulation therapy will increase mortality due to bleeds. Hans Larsen (the founder of this site) used to go into this in great detail and addresses it in his book: < Thrombosis and Stroke Prevention 3rd. Edition: The Afibber's Guide to Stroke Prevention. Just a quick hit on what Wolfpack is talkinby GeorgeN - AFIBBERS FORUM
QuoteLeah H. I try to stop an afib by coughing deeply and strongly. Sometimes it helps for awhile. I do not understand the physiology behind it. Has it anything to do with the CO2 level or not? I'm guessing this would be a vagal maneuver, a strong cough would have an effect like bearing down. The vagal maneuver and the breath holding are going at it from two different aspects. People tby GeorgeN - AFIBBERS FORUM
AF - interpreting your request as for non pharma approaches to BP. I wrote this for the son of a friend who was trying to pass a flight physical to become an airline pilot. He did most of this and did lower his BP so he passed. The examining doc was curious about his pink colored urine - his response - doc I like to eat a lot of beets! From a friend who said this worked well (she's notby GeorgeN - AFIBBERS FORUM
Mike, My take is that the requirement to take flec chronically would be an indicator of the status of your system. That is, if you were having the same frequency of episodes, but not on a med, I would interpret that your system would be less likely to go into afib as opposed to needing to take the med all the time. What that means in terms of success %, I don't know. It would be a quesby GeorgeN - AFIBBERS FORUM
I'd also check and see what medical form and or examination is required by your school. It has been a long time, but I seem to remember having to do something in this regard.by GeorgeN - AFIBBERS FORUM
I have dived subsequent to starting my afib career, but not for quite a few yearsr. It was never a trigger. My afib is not debilitating. That would be my big concern. Georgeby GeorgeN - AFIBBERS FORUM
A Valsava maneuver will typically work for afibbers who have an adrenergic trigger, along with other vagal maneuvers, such as face in cold water < Unfortunately, they typically don't work for afibbers with a vagal trigger. If it works, that is wonderful!by GeorgeN - AFIBBERS FORUM