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Phenergan has anti-cholinergic properties. There was a poster here a number of years ago that used propantheline bromide (an anti-cholinergic) to control his vagal afib. Anti-cholinergic meds inhibit acetylcholine (ACh). I'm assuming if one had adrenergic triggers, an anti-cholinergic might be a trigger. As an aside, chronic anti-cholinergic use in the elderly is also associated witby GeorgeN - AFIBBERS FORUM
QuoteElizabeth I don't believe that Vitamin K is excreted the same way as magnesium is, it is not a harmless supplement. From context, I'm sure you mean potassium. For people with normal kidneys, excess potassium is excreted. That being said, if a person's system retains potassium, excess serum potassium can cause arrhythmia. Likewise low serum potassium can cause arrhythby GeorgeN - AFIBBERS FORUM
Hi Wade, The advice around here is to choose your ablationist very carefully. There are EP's who do relatively few ablations/year and others who do >400/year and have done 8,000+ in their career. A very good friend in Houston was referred to a local EP who "had done a lot." I suggested (insisted) he see Andrea Natale in Austin. Upon investigation he found that Natale hadby GeorgeN - AFIBBERS FORUM
Who is in control of care? Your relative, you (with medical power of attorney) or the cardio? My opinion, for myself, is I am in control of my own care. I am not required to do anything a doctor asks. They work for me and are my consultants. They may fire me as a patient if I don't follow their advice, but that is my choice. I can also fire them. As to another med for rate controby GeorgeN - AFIBBERS FORUM
I bought mine around 2014. It has been very useful. The discount makes the cost around $75. I have found it very useful. My son-in-law is having some arrhythmia of unknown causes. I plan to purchase one for him. "Save 25% on Kardia Mobile! Use code LASTCHANCE2016 at checkout through 12/31/2016" For a previous thread: <by GeorgeN - AFIBBERS FORUM
Quotewolfpack. As for the monitor, do you have an AliveCor? I think you could almost buy ten of them for the $800 that your Holter would cost. There is a 25% discount (making the cost about $75) till the end of the year. "Less than 2 weeks to save 25% on Kardia Mobile! Use code LASTCHANCE2016 at checkout Trusted by the world's leading cardiac care professionals - Kardia Mobilby GeorgeN - AFIBBERS FORUM
Hi Oliver, I concur with Shannon. Thanks & Happy Holidays!! Georgeby GeorgeN - AFIBBERS FORUM
Oliver, Thanks! Georgeby GeorgeN - AFIBBERS FORUM
Here is a post author, Dr. John M, wrote in 2014 < {edit} and <by GeorgeN - AFIBBERS FORUM
The Haywire Heart is about endurance athletes & exercise. "Too much exercise can kill you. The Haywire Heart is the first book to examine heart conditions in athletes. Intended for anyone who competes in endurance sports like cycling, triathlon, running races of all distances, and cross-country skiing, The Haywire Heart presents the evidence that going too hard or too long can damage youby GeorgeN - AFIBBERS FORUM
Quotesmackman My velocity was good 50-60 but I had no P WAVES. What is a P Wave? Thanks for any information The P wave is the bump before the QRS complex: See: < The absence of a P wave is a hallmark of afib in an ECG (in addition to R to R variability). Not sure what it means after ablation. Georgeby GeorgeN - AFIBBERS FORUM
Mike, Heading out the door on a trip, so don't have time to do a search here. There was a guy, David Price? Who had some renown as a speaker, who went to Dr. Ernst. You might look him up here and contact him. I think he had a website or other contact info. I'm guessing your question may be best posed to Dr. Ernst or her office. Georgeby GeorgeN - AFIBBERS FORUM
NIck, Xarelto is an anticoagulant. It will not change the progression of afib. It could be the reason for nosebleeds. Be careful with copper. In some people, a bad copper zinc ratio (excess copper) can increase dementia. I wouldn't supplement blind (without testing). Georgeby GeorgeN - AFIBBERS FORUM
Clay, never used it, but I understand rythmol has a beta blocking component. That could explain. Georgeby GeorgeN - AFIBBERS FORUM
Ouch Mike! Sorry to hear about that!by GeorgeN - AFIBBERS FORUM
From Hans: < Could very well help to add potassium. As long as you have good kidneys, no reason not try it out. As I recall, after his Bordeaux ablations, the good EP's there prescribed potassium for Hans. Georgeby GeorgeN - AFIBBERS FORUM
Jackie is correct. If you don't have normal kidneys, excess or supplemental potassium is not for you. Normal kidneys will excrete any excess.by GeorgeN - AFIBBERS FORUM
For bulk potassium, I use potassium bicarbonate powder - food grade. It is commonly used in baking, wine & beer making. You can search on potassium bicarbonate powder food grade. Here is one inexpensive source: < I've previously worked out the chemistry on how much potassium in a half tsp, but don't have it handy. I really don't worry about it much. For example, I juby GeorgeN - AFIBBERS FORUM
kapnkeyz, Most will tell you that you are correct - the chelated mag glycinate is most bioavailable. However my experience is that any form of mag works for me. I've taken oxide, chloride, citrate, bicarbonate, malate, acetate, glycinate & etc. I require large quantities. At one time 5.5 grams/day. Now it is around 2.2 grams/day. Still a lot for most people. Currently I typby GeorgeN - AFIBBERS FORUM
Perhaps this is for Oliver. When you quote a prior post to respond, the right hand side gets chopped off. Below is an example, I quoted Shannon's post from above in this thread. George Shannon Wrote: ------------------------------------------------------- > Hi George, > > You can find past posts anywhere in the combined f > > Also, all earlier posts werby GeorgeN - AFIBBERS FORUM
My experience with magnesium is that, for me, it needs to be near or at bowel tolerance to help me. This has ranged from 2.2 - 5.5g/day. This is obviously very individual. I also add in potassium and taurine to the mix. Been doing this for 12 years and it keeps my afib in remission, with very few breakthroughs. I take flec on-demand to convert me. The need for this is rare anymore, but takby GeorgeN - AFIBBERS FORUM
Robert, I won't weigh in on the pradaxa, but I suggest you ask for an on-demand prescription of flecainide, otherwise known as pill in pocket (PIP). I've used this successfully for 12 years, fortunately infrequently recently. I actually chew the pills and wash down (awful taste) the instant I know I'm in afib. I generally convert in an hour or two. More info in this post <by GeorgeN - AFIBBERS FORUM
If you can't find an EP, at least read at what they read at, See Chapter 10 on Rate Control - 2016 ESC (European Society of Cardiology) Guidelines for the management of atrial fibrillation. I'm sure the US groups have similar, but I found this years ago. PDF < or online < Out of my league, but perhaps adding in a calcium channel blocker (verapamil or diltiazem) to the betby GeorgeN - AFIBBERS FORUM
Hi Isabelle, Sorry to hear of your troubles. Other than having the doc increase the dosage of Toprol XL as a rate control med, I don't have any suggestions. However I do know that sustained rates >100 BPM can lead to cardiomyopathy & heart failure. Is your doc an electrophysiologist (EP). If not, I would get to one and figure out a way for effective rate control for you as soonby GeorgeN - AFIBBERS FORUM
Hi Mark, There was a vagal afibber here years ago who used an anticholinergic (which an antimuscarinic med would be) propantheline bromide, for his afib. He left here and set up his own site < . As noted in my link, I subsequently found out I carry the ApoE4 gene which confers a much higher risk for Alz Disease. Anticholinergic's are contraindicated for the elderly and for ApoE4by GeorgeN - AFIBBERS FORUM
Travis, A nice review! Thanks for posting. Some thoughts on your comments. On "Unclassified" strips. I have a habit of taking 20 minute 57 deg F baths in the morning. I then do yoga and take a Kardia/AliveCor reading. The bath causes a vasovagal response, so my heart rate is typically 50 BPM or less. 50 seems to be the cutoff between Normal and Unclassified in their softby GeorgeN - AFIBBERS FORUM
Kirk, From what I've seen over the years, Drs. A. Verma and Y. Khaykin at the Heart Arrhythmia Centre at Southlake Regional Health Centre in Newmarket, Ontario are the ones. I believe Verma trained under Dr. Natale. Here is a what others have said: < Georgeby GeorgeN - AFIBBERS FORUM
Joyce, what is the downside to being converted? If it doesn't hold, you can go back to the beta blocker & ACE inhibitor - I assume you'd continue with the warfarin anyway. On the other hand, is there a plan to keep your heart in rhythm. This is what the EP asked me 12 years ago, when I asked for an ECV. He said he'd do it, but didn't have a good plan to keep me in rhytby GeorgeN - AFIBBERS FORUM
Kirk, There are some meds that may work. I've used flecainide for 12 years for this purpose, my afib is infrequent. Here is the original paper describing this on- demand or pill in pocket approach: < In the study, they used flecainide and propafenone (different patients got one or the other). More recently, for flecainide, some have had the person first take a small dose of a betby GeorgeN - AFIBBERS FORUM
Hi Kirk, The background on the program is here < This is info on the in-office program with Dr. Fung < This is info on a remote program: < Georgeby GeorgeN - AFIBBERS FORUM