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Evolution of Paroxysmal Atrial Fibrillation to Persistent or Permanent Atrial Fibrillation: Predictors of Progression < Conclusions Moderate to severe valvular heart disease, larger left atrial size and cardiomyopathy predict progression of PAF to persistent/permanent AF. While higher BMI and cardiomyopathy predict progression to persistent AF, larger LA size and significant VHD prediby GeorgeN - AFIBBERS FORUM
Quotewolfpack In broad strokes, I’d say it depends on mediation. Vagally mediated AF is unlikely to become persistent or permanent. Adrenergically mediated AF, on the other hand, tends to be progressive. I read that when I first had afib. I was very vagal. Then I had a 2 1/2 month episode when had to be cardioverted chemically with flecainide. Statistics don't really mean a lot as anby GeorgeN - AFIBBERS FORUM
Not exactly the answer to your question, however an endpoint: Distribution and Risk Profile of Paroxysmal, Persistent, and Permanent Atrial Fibrillation in Routine Clinical Practice Insight From the Real-Life Global Survey Evaluating Patients With Atrial Fibrillation International Registry < Methods and Results—Real-life global survey evaluating patients with atrial fibrillation (Rby GeorgeN - AFIBBERS FORUM
Here is a search, you can find many stories here <by GeorgeN - AFIBBERS FORUM
Can you tell afib if you feel your radial pulse? If so, I'd check it a time or two daily and see if you notice any afib. Alternatively a monitor like the Kardia (AliveCor) would also check. Seems like an implant would be excessive in my opinion. Georgeby GeorgeN - AFIBBERS FORUM
QuoteCarey No, atrial flutter always produces tachycardia. In fact, that's part of its definition. I disagree. While the atria will be beating at a high rate and are in tachycardia, the ventricles may not. Just like in afib. People have shared tachograms with me when they are in flutter. Some I've seen have had a 4:1 conduction with a very stable ventricular rate of 75 BPM. Theby GeorgeN - AFIBBERS FORUM
Here is one reported study < Not sure I'd interpret the same way they did as it looks like nickel can get released early on.by GeorgeN - AFIBBERS FORUM
Jackie's Strategy: < It is possible that a very low carb diet could cause electrolyte imbalances leading to afib. Usually this is in the beginning and is because when insulin drops, it signals the kidneys to excrete sodium. This can be severe enough that potassium is excreted also, to maintain the sodium potassium balance. The standard advice is that a low carb diet is not a low sodby GeorgeN - AFIBBERS FORUM
Murray, no idea on the Jardiance, but since you are in Toronto, suggest you go see Dr. Jason Fung. His objective is normal blood sugars and no meds < I've been to conferences with him and he knows his stuff.by GeorgeN - AFIBBERS FORUM
Hi Travis, Have you read Hans' book on this topic < ? Georgeby GeorgeN - AFIBBERS FORUM
A doc who used to post here regularly did a long piece on Pectus Excavatum (which he had) < May be worth a read for you. For many years, I've used beat to beat sampling such as is described here < and < . Today I use a bluetooth strap with a phone app & then transfer the data to old Polar software for review. I will monitor fo 24 hours if you want. I initially usedby GeorgeN - AFIBBERS FORUM
QuoteCarey What is LPAfib? Maybe Lone Paroxysmal Atrial Fibrillation?by GeorgeN - AFIBBERS FORUM
I'm in between. I'm vagal. After afib came into my life 13.5 years ago, my case quickly progressed to a 2.5 month episode within the first 4 months. I figured out the chronic fitness brought me to afib so I detrained on chronic cardio. Also I needed a lot of magnesium (I've taken up to 5.5 g/day, now take around 2g/day). Later I learned that calcium (in food) over ~600 mg/dayby GeorgeN - AFIBBERS FORUM
I concur with Carey. When I didn't realize that my increased consumption of calcium (from stress eating wheels of brie during my divorce) was the culprit in severely diminishing my afib control, I was seriously contemplating a Natale ablation. Fortunately I figured out the root cause and that was not necessary.by GeorgeN - AFIBBERS FORUM
QuoteMurray L I've successfully used di-magnesium malate powder (20% mag by weight) from an equine source for ~ 7 years < Chatted with the lady who runs this shop at the time. It is made by Albion and is the same stuff marketed for humans (it helps my "marish" behaviour... ) dl=0 Tried that stuff but started stamping my hooves. Hilarious!!by GeorgeN - AFIBBERS FORUM
Mike, Shannon's dad & sister had/have it and he's had success with his Natale ablations. Cheers, Georgeby GeorgeN - AFIBBERS FORUM
Your link appears to be down for the moment. Looked at < and for mag carbonate, hydroxide & trisilicate it gives the same message for each: "flecainide + magnesium carbonate caution advised w/ frequent or high dose antacid use: combo may incr. flecainide levels, risk of adverse effects (renal excretion decreased in alkaline urine)" I commonly take mag citrate when I take flby GeorgeN - AFIBBERS FORUM
QuoteElizabeth Well George I do take Propafenone everyday---I take one 150mg. tab every night at bedtime, my Ep didn't like Flec. for me. What is the difference if there is some beta blocker in Propafenone or taking some beta blocker with Flec as it indicated to so? Liz It is a good question. I don't take a BB with flec (which I only use on-demand and I need it very infrequently), Iby GeorgeN - AFIBBERS FORUM
QuoteElizabeth George: I have read that if you get AF then you do have cardiovascular issues. I am vagal but this supplement that Dr. B said for me to take is CircuFlow, 3 tabs/day. I know what you are saying, that taking Hawthorne berry would not benefit us as it did for Dr.. B because he is adrenergic. However I take Propafenone (which has a beta blocker) and chew it when I get an episodeby GeorgeN - AFIBBERS FORUM
QuoteElizabeth George: He said that he was exercising and went into AF, so it was while he was exercising, he said he took Hawthorn berry and it stopped his AF. It is amazing, dr. Brownstein has done everything right, his diets etc. yet he got AF. Our DNA is powerful stuff, maybe doctor B will get a handle on AF that will benefit us. Liz. So sounds like an adrenergic trigger (as the afby GeorgeN - AFIBBERS FORUM
Could be low blood volume - getting enough (sodium) salt and water could help < Also POTS <by GeorgeN - AFIBBERS FORUM
QuoteElizabeth My doctor said it stopped his Af, exercising brought his episode on, I told him about this site and that a lot of people that do heavy exercises are prone to AF. Hey Liz, did he say if exercise brought it on during the exercise or some time later? Georgeby GeorgeN - AFIBBERS FORUM
Jenifer, Not really. After years of serum testing (which is a decent indicator, as opposed to magnesium where other tests are needed), I've found that if my magnesium intake is good, my serum potassium is in the 4's, which is where I want it. My diet has about 4+ g of potassium/day without supplementation. Should note, there is a lot of individual variability & what worksby GeorgeN - AFIBBERS FORUM
Sam, Natale does work out of San Fran, I don't think he does Scripts any more. I vaguely remember he may be coming to LA. You should contact Shannon via PM to find out for sure. Georgeby GeorgeN - AFIBBERS FORUM
A low carb diet should not be a low sodium diet!by GeorgeN - AFIBBERS FORUM
I've successfully used di-magnesium malate powder (20% mag by weight) from an equine source for ~ 7 years < Chatted with the lady who runs this shop at the time. It is made by Albion and is the same stuff marketed for humans (it helps my "marish" behaviour... ) Any mag works for me as long as I take it in sufficient quantity. Recently decided to try magnesium hydroby GeorgeN - AFIBBERS FORUM
Quotejennifer92151 George, do you mean 5 grams of sodium per day, or 5 mg? That sounds like a huge amount. Yes, 5 g/day. I was at a conference in August where Steve Phinney MD PhD < (who has been researching low carb diets since ~1980) specifically said this. He's also said it previously. I'm sure it is individual. I don't measure, but I do make sure I liberally salt everythiby GeorgeN - AFIBBERS FORUM
QuoteCarey 50 mg is actually a pretty small dose. The usual dosage for using flecainide as a PIP is 300 mg. However, checking with your doc first would be wise. I very much doubt that fasting makes you more (or less) vulnerable to afib. 300 mg is the standard PIP flec dose for those who weigh more than 70 kg (154#'s), 200 mg for those who weigh less. Yes fasting and a low carb dietby GeorgeN - AFIBBERS FORUM
Annie, A pacemaker's job is to set a "floor" which will keep your heart rate from going below that level. It will not keep you out of afib. There is a procedure known as an "AV node ablation" that can be used to treat afib, but is extremely out of favor. In this case the AV node is ablated and you are dependent on a pacemaker to keep your ventricles beating. The atby GeorgeN - AFIBBERS FORUM
Hey Mike, No advice. Just wanted to say Hi - it has been a long time we've been together on this forum! My guess, and that is what it is, is flutter. Though I will say, the few times someone gave me a beat to beat Polar heart monitor strip to look at that had flutter, the rate was rock solid. When I first went keto - 2009, I didn't know the electrolyte story as well as I doby GeorgeN - AFIBBERS FORUM