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Although I have primarily Adrenergic-Induced AFIB, I have had several episodes caused by digestion issues, after consuming a big meal. It sounds like you are not digesting and pushing Food through Intestines efficiently. This would explain why it gradually gets worse as the Day progresses, undigested food and gas can get backed up in the Intestines and Stomach, irritating the Vagus Nerve whichby The Anti-Fib - AFIBBERS FORUM
QuoteElizabeth Anti-Fib said; Cardioversion is used more broadly than you described it. It is common way to get people out of AFIB, back into NSR. It is one of the 1st treatments given for AFIB, before it becomes too chronic a condition. I don't know where you get that Cardioversion is one of the first treatments given for AF, I have had episodes of AFoff and on for about 20 years,by The Anti-Fib - AFIBBERS FORUM
QuoteLouise I always thought conversion was for people who show up at the ER with a very elevated hr. Is that something that is done just for an irregular hr? I actually met with Dr. Natale in 2015 because people on this forum were suggesting an ablation. He did not recommend it or medication other than a blood thinner. He did not mention cardio conversion. Things have changed now so... I’llby The Anti-Fib - AFIBBERS FORUM
I have talked to several EP's who do both Cryo and RF, and they told me that Cryo is less traumatic on the Heart than RF. How much less traumatic I don't know. Also, they can put the CryoBallon long the Posterior Wall to ablate that area. So it's not always strictly PVI.by The Anti-Fib - AFIBBERS FORUM
It looks like to me that what is needed here is a way for you to know when your in AFIB, and for how long. Knowing how much you are in AFIB, will help estimate Stroke Risk and the need for Blood Thinners. People use many ways to determine this: Wearing a "holter monitor" from your Dr. records AFIB or PAC's. Pulse check with using your Finger. Pulse Oximeter shows Pulse ratby The Anti-Fib - AFIBBERS FORUM
I would wait. "Recently started supplementing taurine, mag and potassium feel great." You haven't given these Supplements time to see how much they will help. You are averaging about 20 hours of AFIB/year, and converting on your own. Ablation is not medically necessary. Stroke risk is minuscule since your episodes are short, and you Self-Convert. Are you Symptomatic?by The Anti-Fib - AFIBBERS FORUM
So what is a good Drug to remove excess water for an Afibber? The EP who gave it to me had reservations about it, mentioning the K+, but he must of thought it was still the best choice under the circumstances.by The Anti-Fib - AFIBBERS FORUM
There are other Drugs to remove excess water like Hydroclorothiazide.by The Anti-Fib - AFIBBERS FORUM
Thats just life with AFIB. You didn't know the Booze, Medication would trigger an Episode at the time you consumed them. You converted back quickly, so no harm done. It's not an error to feel bad about, unless you keep on Drinking heavily causing more AFIB.by The Anti-Fib - AFIBBERS FORUM
Agree with Pompon and Carey.by The Anti-Fib - AFIBBERS FORUM
QuoteCatherine Anti-Fib have you had an ablation? I’m terrified of the procedure. No I never did. Am 10 years into AFIB now. "How frequent should one experience P-AF before deciding on an ablation?" Whether or not to get an Ablation is an individualized decision. But to answer your question, if your having no more than about 1 episode a month, and you are converting back toby The Anti-Fib - AFIBBERS FORUM
QuoteCatherine It’s a real head scratcher to read that people discover they have AF during a routine physical exam. How could that be? Are these people just not paying attention to how their bodies feel? I ask because when I’m in AF, I flap around like fish out of water. I was in my Dr's office 20 times with undiagnosed AFIB. I didn't feel right, and was getting progressively weby The Anti-Fib - AFIBBERS FORUM
Dinodog: 360mg of Diltiazem, that sounds like the extended release form at that dosage? The ER form is not fast acting, you need the regular non-ER form. The dosage would be much lower, but immediate-release should be effective within 30 minutes. It doesn't sound like your episodes last that long? Maybe 2-3 hours? You'll feel alot better in AFB, if you can lower your rate. I wby The Anti-Fib - AFIBBERS FORUM
QuoteCarey Maybe the 65/50 Stat is is just an honest one. It is an honest one for average EPs but it's not accurate for top EPs. They get well above that. I don't have direct knowledge of this, but I do not disagree. I know Shannon's knowledge on Ablationism is unsurpassed for someone who is not actually a Dr. and this is also his assertion.by The Anti-Fib - AFIBBERS FORUM
I have had frank discussions with 4-5 Cardiologists/EP's. As far as I can tell the usual stats given for successful Ablation are exaggerated. This happens in general in Medical procedures. Maybe the 65/50 Stat is is just an honest one. The success rate depends upon the thoroughness of the follow-up, and how far out the go in the post-Ablation monitoring period.by The Anti-Fib - AFIBBERS FORUM
How long have you been on the Diltiazem? I sort of felt like you did taking 240mg of Diltiazem, but not at 120mg. This is supposed to be a rare side effect for Diltiazem.by The Anti-Fib - AFIBBERS FORUM
Is it inevitable that adverse structural remodelling will occur and if so over what timescale? Will the risk of stroke, dementia, and heart failure likely increase with time while continuously in AF when the ventricular rate is adequately controlled? You've already had some remodeling, although if the Rate Control is low enough, you shouldn't worry about Heart Failure. The longerby The Anti-Fib - AFIBBERS FORUM
Quotebeardman Beardman: I think every Dr. will want you on Blood Thinners. If it was only an episode every 2 months, then they would be more inclined to accept no Anti-Coagulation. Keep in mind when you are doing your research, that Paroximal AFIB could mean bi-monthly episodes, or 1-2 a week like yours. The other thing is that you are relatively early in your discovery of your AFIB.by The Anti-Fib - AFIBBERS FORUM
Beardman: I think every Dr. will want you on Blood Thinners. If it was only an episode every 2 months, then they would be more inclined to accept no Anti-Coagulation. Keep in mind when you are doing your research, that Paroximal AFIB could mean bi-monthly episodes, or 1-2 a week like yours. The other thing is that you are relatively early in your discovery of your AFIB. You have done wby The Anti-Fib - AFIBBERS FORUM
Quotebeardman Beardman: 'My EP suggested that I take flecainide, but cautioned me that I absolutely couldn’t take it before the cardioversion as it could put me into NSR which could throw a clot. I know they are going by the book and I don’t want a stroke, but I just wish I could find the balance a little better." ___________________________________________________________________by The Anti-Fib - AFIBBERS FORUM
Quotebeardman Carey said: I suspect he's being required to take anticoagulants for three weeks prior to the cardioversion to give any existing clots time to dissolve. That's standard procedure. So what his EP is saying is don't take flecainide until that time period has passed. You definitely don't want to convert to NSR by any means when you've got a clot lurking in youby The Anti-Fib - AFIBBERS FORUM
Beardman: 'My EP suggested that I take flecainide, but cautioned me that I absolutely couldn’t take it before the cardioversion as it could put me into NSR which could throw a clot. I know they are going by the book and I don’t want a stroke, but I just wish I could find the balance a little better." Are you misunderstanding what your EP said? The whole point of taking a AAM likeby The Anti-Fib - AFIBBERS FORUM
Quotewolfpack Beardman, Your EP is really just following standard procedure for paroxysmal AF patients. It's cardioversion within 48 hours of onset, followed by anticoagulation and AAR/rate control meds. He isn't using you as a "guinea pig" by any means. I can certainly understand not wanting to do that on your part, but do bear in mind that you really want to minimize theby The Anti-Fib - AFIBBERS FORUM
Quotehwkmn05 Did you ever follow up on an Endocrine/Cortisol check-up, as suggested in in your earlier Post? A Saliva Cortisol 4X/day test would tell what is going on with Adrenal output. The fact that you can sense it coming on several hours prior suggests some sort of intermittent Hormonal or Electrolytic imbalance. I had intermittent periods of Adrenal Suppression which triggered AFIB. Iby The Anti-Fib - AFIBBERS FORUM
Did you ever follow up on an Endocrine/Cortisol check-up, as suggested in in your earlier Post? A Saliva Cortisol 4X/day test would tell what is going on with Adrenal output. The fact that you can sense it coming on several hours prior suggests some sort of intermittent Hormonal or Electrolytic imbalance. I had intermittent periods of Adrenal Suppression which triggered AFIB. I felt wiped outby The Anti-Fib - AFIBBERS FORUM
Quotejpeters No knowledgeable cardiologist trained in recent years prescribes digoxin for afib without heart failure. I was prescribed digoxin by Stanford Health, and restored ejection function from low 20's to 55. Digoxin was just prescribed to the poster. Unlikely the poster is going to get heart failure from taking his prescribed dose. Why do you assume that the Digoxin helpedby The Anti-Fib - AFIBBERS FORUM
Quotehwkmn05 Yes, when you go into constant afib it wrecks your heart. It did the same with mine, which is why I opted finally for an ablation. When you get back in rhythm, it will most likely go back to normal. What goes back to normal, Not an enlarged left atrium? Im not sure how an enlarged heart and thicker lining of the heart go back to normal. It is possible to recover from Heart Failby The Anti-Fib - AFIBBERS FORUM
This is why rate Control is so important. The closer you can get your AF HR to your NSR HR the better. Lower AF HR corresponds with more time for the Ventricals to fill with Blood. My EF was measured many times as part of the TEE/ECV process in addition to routine Echos, and my EF only dropped about 5% while I was in AFIB versus NSR. I was able to control my AF HR at about 70.by The Anti-Fib - AFIBBERS FORUM
Quotejpeters Lone Atrial Fibrillation No such thing Says who? Yes many Doctors stopped using the term 10-15 years ago, but we still know what the term refers to. It makes the Treatment Protocols simpler for the Doctors and Nurses if there are not multiple categories of AFIB to treat.by The Anti-Fib - AFIBBERS FORUM
Shannon, and the Moderater before him Hans Larson, both said what Carey has said concerning Digoxin. As for Flecainide, almost always prescribed with at least a mild Beta-Blocker, not necessarily Metroplol.by The Anti-Fib - AFIBBERS FORUM