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As I've posted before, I'm now getting much better results for PIP flec with 2/3's my former dose (went from 300 mg to 200 mg). I also had good results with very small doses of flec (like 25 mg/day) for daily dosing. So perhaps doing what Carey suggests & if the symptoms go away, trying a lower dose to see if the flec will be effective at that lower dose. As a side note, I tby GeorgeN - AFIBBERS FORUM
Quotegloaming Awesome! I hope that Dr. Natale leaves behind a large cadre of exceptionally skilled and motivated healers with his level of expertise. And that, in perpetuity, those physicians do the same. Around 2008 or 9, the MD CEO of CC in Cleveland declined to renew Natale's contract. At that time, Natale was head of the CC's EP program. Why did he do this? Because Natale, oby GeorgeN - AFIBBERS FORUM
Quotekenn_green When I have my episodes, the waveform looks fairly uniform to me (see attached) given the quality of a Kardia Mobile. There is variability. Suggest you do the exercise of counting small boxes between beats like I did above. Then plot by hand or in Excel as I did next This is essentially what Kardia is looking for. Your docs will typically use a 12 lead ECG and have more databy GeorgeN - AFIBBERS FORUM
QuoteCarey There are several people on this forum who've had ablations there, but they may not be reading this thread. You might want to start a new topic with a title something like "Cost of an ablation in Bordeaux?" John, I've PM'd you with the name and PM info of one of these people that you can PM about this.by GeorgeN - AFIBBERS FORUM
QuoteCarey He needs to be on an OAC stat. Found out the reason he's not on OAC. He's got bladder cancer with a low white blood cell count. Some explanation here. He did agree to find and see a vascular surgeon.by GeorgeN - AFIBBERS FORUM
Quotesusan.d Would 10-11 days at 180-200hr be safe or potentially weaken one’s heart? Just curious. I don't know what the data are in this case, but ~19 years ago had a lawyer working for me on a court case that had to take disability retirement. Unknowingly he'd gotten asymptomatic afib as a result of a virus. He had a high rate (don't know the rate) for maybe a couple of weeks.by GeorgeN - AFIBBERS FORUM
QuotePixie Thank you for this information, George. As usual, I always appreciate the thorough information you provide on this form. I don’t want to impose on you so it is not necessary for you to look for information on the GFR decline. If, however, anything comes to your mind, please let me know. Thanks. Here are a few places to start. Richard Johnson MD, nephrologist researcher atby GeorgeN - AFIBBERS FORUM
Quotemjamesone The cardio may have a point per the paper below although it may be comorbid, so seeing a vascular surgeon also makes sense. ). "Patients with AF often have coexisting vascular diseases, and the combination of the 2 diseases substantially increases the risk of future cardiovascular events. Therefore, we suggest that atherothrombosis is the mechanism underlying the significby GeorgeN - AFIBBERS FORUM
QuotePixie My GFR in September was a 67, but during the last few years it has fallen under 60. My understanding is fructose is not great for the kidney. Also if you have cardio metabolic issues, working on those may be helpful. I've read about folks who've stopped GFR decline (not reversed it), but didn't save the details in memory as it is not my issue. If interested, I couldby GeorgeN - AFIBBERS FORUM
Thanks Carey! I texted him my post and your reply.by GeorgeN - AFIBBERS FORUM
Met up with a 66 year lold cousin in another state this weekend. Found out he has afib and had an ablation years ago which has failed. He's asymptomatic and it was picked up by the anesthesiologist for a procedure for another issue. He was referred to a cardio. He also has poor leg circulation and the cardio said to do another ablation to help fix the poor leg circulation. He showed me aby GeorgeN - AFIBBERS FORUM
You likely don't need the metoprolol chronically (unless you need it for another reason, like blood pressure). You may need in combination with a rhythm med on demand. Here is the original paper for relatively rapid on-demand conversion using flecainide or propafenone. I've successfully used flecainide on-demand for my infrequent episodes since 2004.by GeorgeN - AFIBBERS FORUM
From the abstract: QuoteRecent discoveries revealed that the derailment of specific molecular proteostasis pathways drive electrical conduction disorders, contractile dysfunction and AF. The degree of this so-called ‘electropathology’ corresponds to the response to anti-AF treatment. Hence, to develop effective therapies to prevent AF, understanding the molecular mechanisms is of key importancby GeorgeN - AFIBBERS FORUM
Quotekenn_green I don't think the Metoprolol Tartrate is doing anything good, the episodes seem about as often and long as before. I'd like to drop it. I have a very slow heart, usually in the 50, and while relaxing waiting for one of the AFIB tests kept setting off an alarm in the 40's. I'm 72 and have done 25-30min (250 to 300 calories) of cardio and then weights, 3 times aby GeorgeN - AFIBBERS FORUM
Quotekenn_green I suspect the AFIB is from poor sleep. My wife is sure I have sleep apnea and a sleep study just confirmed that, and am scheduled to see a sleep Dr, but no appointments till November. Have you tried taping your mouth during sleep? It can, in many mild to moderate sleep apnea cases, dramatically reduce the number of events. In this post there are three heart rate vs time grapby GeorgeN - AFIBBERS FORUM
Quotekenn_green Every week or so I experience a pulse around 120 that can last several hours and was diagnosed with AFIB based on an EKG. I bought a Kardiomoble and look at my EKG which shows the high pulse with a repeated waveform with a clear R waves but so close together it is hard to distinguish a P wave between them. I don't know how anyone can tell I am experiencing AFIB, not just aby GeorgeN - AFIBBERS FORUM
Math in post above was corrected. QuoteWhyMe Ok good to know. See, Kardia called it Afib, but several Drs told me this is not Afib. Then Kardia sometimes calls it Supra Ventricular Ectopy. Since the way Kardia looks at things, you can see there is quite a bit of variability, hence why it may call it afib. However when you look at with your eyes, you can see it is NOT irregularly irregulaby GeorgeN - AFIBBERS FORUM
QuoteWhyMe Ok then...what do you think about this one...Afib, or Sinus Supra Ventricular Ectopy? Keep in mind all my episodes are at normal HR. Then I'll tell what Kardia said I've annotated the graph. Normal, PAC, Compensatory beat. Rinse & repeat. The numbers on the ECG are numbers of small boxes between beats. You can do this yourself. Numbers on the X Axis are cumulby GeorgeN - AFIBBERS FORUM
Quotemjamesone If you can't analyze the ekg yourself, then send it to your ep. IMO an invaluable device for most of us with afib. From a single lead ECG, you can manually create HR vs time graphs like I've plotted and see the same differences. Kind of a pain to do it manually (why I like doing it with an RR (beat to beat) recording heart rate monitor & software). However I haveby GeorgeN - AFIBBERS FORUM
QuoteCarey e. I understand it to be a Maze procedure combined with an RF ablation. My understanding is a mini maze combined with RFby GeorgeN - AFIBBERS FORUM
QuoteSdweller can I ask why you would never do a hybrid? This is Shannon's response from a few years ago:by GeorgeN - AFIBBERS FORUM
QuoteMeganMN Is there any way to assess the cause? We have thrown all sorts of meds at stopping it, but I feel like there is something we are missing. Megan, I don't have answers. SVT is not my issue, but initially with afib, the episodes commonly started around 3AM. My hypothesis was that it was vagally mediated. Back in the day we had a "Conference Room" for extended discusby GeorgeN - AFIBBERS FORUM
Thanks! We recently replaced our cutting boards with glass. Also we never use the microwave or heat in plastic containers.by GeorgeN - GENERAL HEALTH FORUM
QuoteWhyMe Interesting, you definitely know a lot about EKGs! Thank you very much for your insights, I appreciate it. QuotePompon I concur with those answers. My own device (not Kardia) never says "AFib". It mostly reads and mesure R-R variations, and says "suspected irregular beat interval" (in this case, it's usually AFib) or "suspected occasional short beat intby GeorgeN - AFIBBERS FORUM
I don't believe the Kardia can digitize p waves and use their absence as part of the analysis. I think what they do is look at beat to beat variability. A string of PAC's with the PAC's each being followed by a compensatory slow beat will look like there is very large beat to beat variability. If the PAC's don't have the compensatory beat, then it will look more regulaby GeorgeN - AFIBBERS FORUM
QuoteKen Was there major issues with young people having arrhythmias from pollution? I doubt it. Reading the paper, these subjects did not either. The were studying PAC & PVC rates in 30 minute time bins (and comparing to particulate concentrations in the same or prior time bins). From Table 2, the mean PAC rate was 0.47/30 min and PVC rate 0.36/30 minutes. So hardly major issues.by GeorgeN - AFIBBERS FORUM
If your docs think it is right for you, they could prescribe a med on demand to convert you without having to go through ECV. Generally known as PIP or pill in pocket. Here is the original 2004 article on the topic from 2004. The two choices for meds in this article are flecainide & propafenone. I've used flec in this way since 2004. For others reading this, the max dose depends onby GeorgeN - AFIBBERS FORUM
QuoteDaisy I have had very high bowel tolerance for magnesium . I was tested for my level of stomach acid and it was very low and Betaine HCL was prescribed with meals. Interestingly, I now need considerably less magnesium for reliable motility. Anyone else experienced this? Seven HCL tablets/meal makes no difference to motility. I do seem to have a fructans intolerance (common in nuts). If Iby GeorgeN - AFIBBERS FORUM
Quotedouellette17289 Has anyone else experienced a-fib while exercising, or soon after? Was exercise the cause of the a-fib or was there some other factor? Any suggestions aside from not playing? I do enjoy it. Short answer is yes. Chronic fitness was my path to afib over 19 years ago (I'm now 68). There is a subset of afibbers where exercise is the trigger. If it happens after, itby GeorgeN - AFIBBERS FORUM
QuoteCarey I think the narrowing of the refractory period would be the main culprit. When you make the refractory period shorter, it gives more time for an errant impulse to trigger a response. I saw this firsthand when I learned how to control my flutter with potassium. Potassium does the opposite and widens the refractory period, and if you widen it enough it can stop the repeating circle of flby GeorgeN - AFIBBERS FORUM