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They probably would want to start out at 150J or so, it depends on the Dr. You could ask them to start out at 100 or 125J for the 1st try, then go higher if need be.by The Anti-Fib - AFIBBERS FORUM
Could of those periods of time been while you were having PAC's? I notice that sometimes when I have alot of Ectopy or PAC's, that even though I am still in NSR, my Pulse feels weaker, and I don't have as much energy. These PAC's can go on for hours and hours, every 2nd or 3rd beat then a PAC, followed by a brief pause.by The Anti-Fib - AFIBBERS FORUM
No I would not. Ask the EP Dr. I had a adverse reaction to 250mg Flecainide, stopped the Flecainide, and then later had another life theatening reaction to only 3 little 20mg doses of Sotalol every 8 hours. If I was suicidal, that Drug Combo for me would make perfect sense. Wow, I do see they are giving it to Babies in test studies for Supraventricular Tachycardias. Also Amioderone/Flecby The Anti-Fib - AFIBBERS FORUM
There are side-effects from Tricyclic Anti-depressants. Cardiovascular ones listed by Wikipedia are: "cardiovascular side effects such as orthostatic hypotension, sinus tachycardia, and QT-interval prolongation" I started to use one of these types of drugs for Nerve and Pain related issues, but these side-effects discouraged me, I never really followed through, and I understand thatby The Anti-Fib - AFIBBERS FORUM
QuoteElizabeth I wonder if Arnold Schwarzenegger had AF he must have done a lot of heavy lifting. liz I am not sure where I read it, but I have seen multiple references to Arnold and other Bodybuilders developing Valve problems along with AFIB. I have weight lifted for 37 years now, I can tell the strain on my Cardiovascular system when I do a Compound Weightlifting exercise. The way toby The Anti-Fib - AFIBBERS FORUM
"I just don’t get why people don’t all get an ablation straight away rather than trying to control the Afib naturally." In years past, Ablations were much less successfull, And putting an Ablation off in the future, gives the technology time to advance. Relatively Asymptomatic AFIB patients often don't feel a sense of urgency to Ablate, especially is they self-convert back toby The Anti-Fib - AFIBBERS FORUM
Quotesafib I tolerated Propafenone just fine. I know the published info you read can sound pretty scary, but the truth is Propafenone (and flecainide) are really more the “lightweight” anti-arrhythmics. It’s safe to start them outside of a hospital. Neither one really prolongs the QT interval which is the big risk factor for dangerous (ventricular) arrhythmias. Worst case with either Propafenonby The Anti-Fib - AFIBBERS FORUM
There are side effects to the Anti-Arrythmics Drugs like Flecainide, so using the least effective dose makes sense, later you can increase the dosage if it becomes less effective. Magnesium has helped many people in varying degrees but have never been a Cure for AFIB. You might be too young and otherwise healthy to jump into an Ablation, especially if you are maintaining NSR on a low dose of Fby The Anti-Fib - AFIBBERS FORUM
So if he goes home and does go back into Flutter, it shouldn't that much of a big deal. Take the Metropolol or Cartizem to control the rate. He can schedule Ablation without a rush. At only one episode thus far, how do they know he wouldn't self-convert after a short while?by The Anti-Fib - AFIBBERS FORUM
No one else is responding, so I am just offering this in case it helps. If you wanted to really look into a Pinched Nerve issue, I think an MRI would be the best way. An Orthopedic or Pain Doctor would order this test in addition to your Chiro. In my case, just getting an adjustment didn't activate the Pinched Nerve. If you know where it is at, you can press down on the side of the Spineby The Anti-Fib - AFIBBERS FORUM
If it was me, and I just endured that, and on the positive side, I am now in NSR, I would get the Hell out of there, let my esophagus heal up, and get on with normal life. He has had only one Flutter episode? Why is it urgent to get Ablated? He is in NSR. We obviously don't know everything about this case, mainly the urgency to Ablate.by The Anti-Fib - AFIBBERS FORUM
Pinched Nerve in the Cervical Spine (neck area)? That would make sense if Postural changes cause the tightness in the Shoulder Blade area. Since the left side is worse than the right side that is also consistent with Nerve Issues.by The Anti-Fib - AFIBBERS FORUM
I just use a Pulse Oximeter and Pulse Check with a finger. The finger check tells alot, not all AFIB is the same. Evenly spaced and rate controlled AFIB is more conducive towards exercise than high rate and high variability AFIB. I am unfamiliar with the other methods listed above, but nothing may be real accurate short of an EKG, or exercising with a real Heart Monitor, (as like when doing aby The Anti-Fib - AFIBBERS FORUM
So they didn't Convert him to NSR, I take it they are controlling his rate with Drugs? Have they succeeded? What is his HR right now? If controlled well, it would seem that that would allow more time to think about this. You may be right, I wouldn't want to do anything that short notice, unless I had to. I believe however that most Ablations for Flutter entail a relatively simpleby The Anti-Fib - AFIBBERS FORUM
This question keeps coming up over and over, perhaps we can get some sort of "Sticky Post" on Post Conversion Anti-Coagulation. What do mean by "Is there a SOP?" This question can only be answered by assessing one's individual Stroke Risk (Chads-VASc), and AFIB Frequency. By "Frequency, we mean Frequency of episodes, how likely future episodes are, and most ofby The Anti-Fib - AFIBBERS FORUM
QuotepeggyM " Me, GeorgeN, and Liz." Have i completely passed from your consciousness? Never was ablated, i assure you. These days, due to a series of blunders by my doctors and myself, i am in permanent afib. i am not particularly uncomfortable, though of course i would prefer to be in NSR. PeggyM No, I thought about including you in that statement, I didn't realize you hadby The Anti-Fib - AFIBBERS FORUM
As far as regular Posters, I think most are Ablationees. I can think of only 3 regular Posters in the last several years that are Ablation free. Me, GeorgeN, and Liz. In terms of overall Posts from newcomers to the site, maybe it is 50/50.by The Anti-Fib - AFIBBERS FORUM
The Mucinex helps loosen the Phlegm. A Broncodilator drug like Albuterol in either pill form or inhaler would dilate the lung passages, and that should help to get the Phlegm out. I used to take alot of these types of Drugs. Whether or not they raise the HR is dose dependent. If it was me I would start at a low dose and just see if it did raise my HR, BP or cause Irregular Heart Beats like PAC&by The Anti-Fib - AFIBBERS FORUM
I found this one on EBay for about $160. Not sure what kind to get, but it looks like it has the Cables with it. This one that hooks up to a Laptop is what my Cardiologist Office now use, but it is expensive, like $3500.by The Anti-Fib - AFIBBERS FORUM
Any thoughts on this? Occasionally used ones come up for sale. I assume the little portable devices are not definitive, if they are even accurate.by The Anti-Fib - AFIBBERS FORUM
I have been getting these every week or two. Just last night, I got Trigeminy (PAC's every 3rd Beat) and very Hard Beats when lying down to Bed. So bad, disrupted trying to sleep. I knew this was increasing my risk at AFIB, so I took Diltizem and a low dose of Bystolic, and then went for a Walk for 30 minutes. After that everything was fine, smooth NSR. In my case I think the causes are Sby The Anti-Fib - AFIBBERS FORUM
It's Tikosyn, not Tekosin. Sounds like it would be worth getting Natale's opinion at least, Tikosyn could be tried in the meantime.by The Anti-Fib - AFIBBERS FORUM
Quotewolfpack Thank you for your response. I haven’t had any side effects from the flec. Yet I heard about people having a horrible time on it. I assume it’s possible for side effects to appear later? I am fine with having an ablation but New Zealand is a small country and there is no one on the list of approved ablationists. Is it better to travel somewhere for that and pay a lot of money?by The Anti-Fib - AFIBBERS FORUM
IDbill: That certainly sounds like PAC's (Premature Atrial Contractions). That is not AFIB. If your ever getting an EKG done, that would also be a good time to feel your Pulse, as the EKG would be certain correct feedback or your status.by The Anti-Fib - AFIBBERS FORUM
Try the simple way first, feel your Pulse. NSR is regular, and AFIB is Irregular. Sometimes you have to feel for over 10 seconds though if your AFIB Heart Beats are relatively even. If you can get a device like the Kardia, then you can feel your Pulse when the Kardia indicates AFIB. That way you will learn how to feel it on your own.by The Anti-Fib - AFIBBERS FORUM
QuoteCarey Yes I agree, PVC's are much more of a potential danger, as if it progresses to V-Tach, then that is terminal unless you are are in a Hospital, or somewhere that a defibrillator is available. V-tach is potentially fatal, but only potentially. People commonly experience v-tach without dying, even sustained v-tach. But yes, it's definitely an ominous rhythm that demands immby The Anti-Fib - AFIBBERS FORUM
Quote johnnyS: "Most EPs have no clue about the pacs/afib connection other that the stating "it's benign." That's why I'm looking into research data out there and it pretty much confirms my suspicion of how afib begins. " Quote Wolfpack: "I wouldn't say that. Any competent EP certainly knows that PACs precede AF. They will tell you that Pby The Anti-Fib - AFIBBERS FORUM
WolfPack : "And PACs are not more harmful than PVCs. If anything, the opposite may be true. Lots of PVCs in bigeminy or trigemini could be a precursor to v-tach which is life threatening. AF is not." _________________________________________________________________________________________________ Yes I agree, PVC's are much more of a potential danger, as if it progresses toby The Anti-Fib - AFIBBERS FORUM
Quotewolfpack Generally those “second tier” anti-arrhythmics get the hospital stay, but it can vary. Even the first line AARs like Propafenone and flecainide could land you in the hospital if your cardio or EP wants to start a maximum dosage (600 mg). The 600mg/day sounds like the max dosage for Propafenone, not Flecainide. As far as i know the Max dose for Flecainide is 300mg/day for AFIB/AFL,by The Anti-Fib - AFIBBERS FORUM
I agree with Carey's response. It's possible your are getting Atrial Flutter caused by the Flecainide. I would estimate that at least 1 in 4 people reporting on this site have had Flutter issues while taking the Flecainide. Also, it could be that you are just getting more AFIB, and that the Flec is not preventing it. My experience from using Flecaide was that while it did help coby The Anti-Fib - AFIBBERS FORUM