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Mg can take months to raise levels optimally, and there is much individuality to how well it is absorbed.by The Anti-Fib - AFIBBERS FORUM
Good question about when is the rate to high. If you are that symptomatic it certainly wouldn't be wrong to go to the ER Room. They could lower your HR in a monitored setting. "my cardiologists usual advice is pop another pill and have a lie down" So your Cardio Dr. is saying take an extra 20mg of Verapimil? Talking with your Dr. about what else you can take to lower yoby The Anti-Fib - AFIBBERS FORUM
So has the Diltiazem helped to lower your HR Jake?by The Anti-Fib - AFIBBERS FORUM
Bystolic is a "Cardioselective" Beta-Blocker. These should cause less sedation/legarthy than Metropolol, because they target the Heart, and at least at lower Doses, have less effect on the rest of the Body. The other type of Drug we use for Rate Control, is a Calcium Channel Blocker, like Diltiazem. These usually are less Sedative than Regular Beta-Blockers.by The Anti-Fib - AFIBBERS FORUM
JakeL: You asked about getting a Cardioversion? I would get a new Anti-Arrythmic Drug started before doing an Cardioversion, that way you might stay in NSR longer. The solution to your rate control would be acheived if you could maintain NSR. If you decide to get an Ablation, Dr. Natale has the best reputation, and has helped many others with tough AFIB cases.by The Anti-Fib - AFIBBERS FORUM
Yes, that is definitely AFIB, notice the irregularity of the Heart Beat. Flutter would be evenly spaced. Have you tried any Anti-Arrythmic Drugs, like Tykosyn or Flecainide?by The Anti-Fib - AFIBBERS FORUM
Yes Diltiazem works for me and others to lower HR during AFIB, and you can take it with a Beta-Blocker. I would try another Beta-Blocker and start out with a low dose and titrate up like you did with the Metroprolol, and then take Diltiazem simultaneously. Coreg worked for me, and it's supposed to help keep the Heart Muscle strong. What dosage of Diltiazem are you currently taking? Havby The Anti-Fib - AFIBBERS FORUM
QuoteCarey Like the video at the end. NZ man uses electric fence to get back to NSR! Lucky he didn't have any clots hanging about. I have a friend who has afib. A few years back he was headed to the hospital for a cardioversion. When he touched the door to the hospital that was supposed to open automatically, it apparently had a short and shocked him. To his surprise, he suddenly realizby The Anti-Fib - AFIBBERS FORUM
I did research on Withdrawal from Beta-Blockers. There certainly is withdrawal and rebound effects from discontinuing these Drugs. I slowly Tapered off Bystolic, but my HR and BP still went up for months afterward. I would tell you Dr. all of the bad stuff that is happening. To me it would make more sense to take a lower dose of the Atenolol, then add the Metropolol. The Diltiazem is a &quoby The Anti-Fib - AFIBBERS FORUM
There is also something called PAC's that you need to familiarize yourself with. PAC's are Premature Atrial Contractions, that some people confuse with AFIB. These can manifest is various frequencies, many times they are rhythmic, occurring every 2nd, 3rd or 4th beat. This is still NSR, but can cause Palpitations. I recommend Googling EKG Images of NSR, AFIB and PAC's. This wiby The Anti-Fib - AFIBBERS FORUM
Liz: When I was 1st reading through this Scenario, I thought it may be just Tachycardia of unknown cause. I myself have had had TachyCardia lasting days of about 10-20 BPM higher than normal, sometimes this occurred right after spontaneous Conversion. As far as I know it wasn't Flutter. Later however, when I re-read through this, these periods of fast HR of around 80BPM, are definitby The Anti-Fib - AFIBBERS FORUM
My BP machine also has one of those Irregular HR indicators. It's not that accurate. Almost always when I have AFIB, the indicator comes on. But it also comes on sometimes when I am just having PAC's, and I am in NSR.by The Anti-Fib - AFIBBERS FORUM
Good Post, I never heard much of lying down to Convert. Personally, I just thought in terms of normal resting around the House, or Exertion like Exercise. I seemed to convert better if I was really as calm as possible, after Exercise like Swimming. In my case I think it has to do with less Adrenalin going to the Heart, that is allowing the Flecainide to work better. As far as I can tell, I doby The Anti-Fib - AFIBBERS FORUM
Sounds like it could be Flutter. It is a Common Effect from the Flecainide. Many people who previously just had NSR/AFIB, now have alternating NSR/Flutter/AFIB. Its why some of us don't take it, once we establish NSR. The 134bpm may correspond to a 2:1 Conduction rate the 1st time around. Then in your second bout, the 104bmp may have been a 3:1 Conduction Ratio. In a 2:1 Flutter, thby The Anti-Fib - AFIBBERS FORUM
I agree with WolfPack and Liz. An AV Node Ablation/Pacemaker would like an absolute last resort.by The Anti-Fib - AFIBBERS FORUM
I don't know how your complicating Health issues relates to your AFIB, but in general, Yes trying a Calcium Channel Blocker would make sense. It should help lower your BP. Also makes sense to try Flecainide, although I would recommend that you start out slow with a low dose, and titrate up. Still good options like this to explore. Many of us have used Cardizem and Flecainide successfullyby The Anti-Fib - AFIBBERS FORUM
What the Hell? Is this? Why stick the Instrument in first, let you start to gag, and then give the Propofol? I had at least 12 of them done, they always got everything ready, and then administered Propofol before sticking the thing down my throat. Unless the Dr. had a "Wait and See" strategy to see if you could tolerate the the Thing stuck down your Throat. That way you would haby The Anti-Fib - AFIBBERS FORUM
What other sites are there? StopAFIB.org What else? It would make sense if you are trying to comprehensively research a Topic, to get varying Opinions from different people.by The Anti-Fib - AFIBBERS FORUM
An understanding of what Jennywren means by "Persistent AFIB" is necessary here. Persistent AFIB is currently usually defined as AFIB that does not terminate on its own in less than a week, or requires Chemical or Electric Cardioversion to return to NSR. Flecainide can still be use use for Persistent AFIB, to maintain NSR. For example, I had Persistent AFIB for 8 years, but afteby The Anti-Fib - AFIBBERS FORUM
Why were you on the Bisoprolol? High BP?by The Anti-Fib - AFIBBERS FORUM
The other reason to have Anesthesia, is so you don't move around during the Procedure. It's rare, but sometimes they poke a hole in the Esophagus.by The Anti-Fib - AFIBBERS FORUM
She said that the Hospital Doc put her on the Meds. Flecainide makes me feel kind of funny, sort of light-headed and queezy. I only take it during an Episode, and at a moderate dose. If it makes you feel bad, it's not a good Drug to take, or at least at that dose. I suggest seeing a Cardiologist, preferably an EP Specialist. They know the most about how people react to drugs likeby The Anti-Fib - AFIBBERS FORUM
Getting back to the original question. 2 different Worlds, trying to maintain NSR, and then being in AFIB. Avoid Beta-Blockers if trying to maintain NSR, but once your in AFIB, then if your rate is too high, you need to bring it down.by The Anti-Fib - AFIBBERS FORUM
Quotekong2018 Thanks for the info.....I've only done that at my EPs direction for 15 of 20 years. And he failed to ever mention that. It's a rare side effect, but a very serious one. It's kind of odd. Some EPs are fanatical about including a beta blocker with flecainide for that reason, while others don't bother at all. Having experienced flutter with 1:1 conduction, whby The Anti-Fib - AFIBBERS FORUM
Enfibber: 8. Left EF 50-55% (13 years ago – calculated 55%, too low for endurance?) No, I don't think that is too low for Endurance Exercise. 50-55% is low normal. Normal EF is usually stated as 55-70% I'm thinking you might be able to do moderate endurance exercise like long hikes, provided that you control your AFIB HR, and slow it down enough for the Ventricles to fill withby The Anti-Fib - AFIBBERS FORUM
It's OK to go to the ER, if you feel bad enough, and you haven't been able to lower your HR on your own at home. It would help to have a tentative game-plan in place. Discuss this with your Dr. Also I would rather go into the ER, after have notified and talked to either my own Cardio Dr.. or the on-call Dr. for his Practice Group. That way they can provide instruction to the ER Docby The Anti-Fib - AFIBBERS FORUM
They are definately supposed to give you Sedation. That way you don't gag on the Instruments shoved down your throat. In any regard you would be put under anyway for the ECV. It's all done at once, it's takes alot longer to do a TEE, than just an ECV, so you will be out for 10-15 minutes. The biggest risk from this procedure may just be from the Anethesia. Don't eat forby The Anti-Fib - AFIBBERS FORUM
I remember 2 guys in the range of 8-10 years making that claim on here.by The Anti-Fib - AFIBBERS FORUM
QuoteCarey Managing and minimizing AFIB more realistic than totally conquering it. I disagree. An ablation by a top EP will end your afib with near certainty, and I see no benefit whatsoever to waiting. Six episodes is enough to establish that you do have afib and it's not going away. The drugs used to manage afib are all potentially dangerous, usually come with unpleasant side effects,by The Anti-Fib - AFIBBERS FORUM
I agree with Ken's philosophy. It's an individualized decision, based on circumstances. 6 short episodes is not really that much to mandate Ablation. Some peoples AFIB progresses fast, others stays relatively stable for years, only getting slightly worse, and they learn to control it.by The Anti-Fib - AFIBBERS FORUM