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" When I called the EP department after my last conversation they said-- well you have an appt in December that is soon enough." That was someone in the Doctors office, not EP saying that right? I would re-contact them, otherwise if you go to the ER, be resolute that an EVC is needed.by The Anti-Fib - AFIBBERS FORUM
I haven't been in NLAMA's situation, but I have noticed that Diltiazem can really lower my HR. I only use it for rate control during AFIB, it works, but I only take 30mg of the short-acting formulation at a time, because my HR went down under 50 taking 45mg.by The Anti-Fib - AFIBBERS FORUM
How about Hydrocortisone cream?by The Anti-Fib - AFIBBERS FORUM
I looked into this before briefly, as with other drugs effecting the Heart, the risk of QT prolongation goes up with the dosage. At the normal dosage of 200mg X2/day, the risk is relatively low.by The Anti-Fib - GENERAL HEALTH FORUM
"Does a lower than usual BP while in AFib shows a weak EF ?" I am not aware of, or have ever seen anything written about low BP associated with low EF, but I have never looked into it. My own BP is lower during AFIB, but that is due to the rate control medication I take, Bystolic/Diltiazem, (these drugs are used to lower BP). Has your medication you take during episodes changedby The Anti-Fib - AFIBBERS FORUM
"So it seems to me it's still important to distinguish "Lone AF" from AF with CV comorbidities". I completely agree PoetKim. There have been some studies showing Atrial Flow is preserved while in AFIB if the the rate is controlled, and the ejection fraction is good, as the force of the ventricles contracting press up against the Atria, still creating flow. I want tby The Anti-Fib - AFIBBERS FORUM
I agree with Carey, at HR of 90/110 is too high cronically. One way or another it should be lowered.by The Anti-Fib - AFIBBERS FORUM
Has your medications or something else changed during this time?by The Anti-Fib - AFIBBERS FORUM
Carey said: "It's impossible to distinguish between flutter and SVT based on just an ECG, so don't expect your EP to be able to answer that question" I am thinking with a legit 10 or 12 lead ECG, one should be able to count the P waves to differentiate between SVT and Flutter, although at a HR of 150 the Flutter would be at 2:1, not as easy as seeing Flutter at 3:1, or 4by The Anti-Fib - AFIBBERS FORUM
It sound like you need a short acting rate-control drug on hand to slow down your HR during events. The metroprolol you have is extended release, you probably should have the short acting kind on hand, to help control your HR, at the onset of an event. As for the Flecainide, it would be better to get your HR slower, before trying a high dose of the Flec. If you haven't tried PIP yet,by The Anti-Fib - AFIBBERS FORUM
I am a repeat customer of theirs. I have had to put pressure on them in the past to to this, but know as long as I get in contact with Lady that has been there awhile, they let me do it this way: 1) Get my Dr. to write an Rx for the EXA test, (the diagnostic code is for Atrial Fibrillation for Ins. purposes) 2) I send the Rx to the EXA test office in Oregon the Rx, and they mail me the Kit.by The Anti-Fib - AFIBBERS FORUM
The steriod eventually goes throughout the whole body after awhile, so it carries the same risks as oral steroids, probably to a lesser extent though, depending on where it's injected. You could ask for a low dose the first time around to see how you react. Some medical professionals say that the drug just stays in the joint, others recognize it doesn't. Having used many Steroids boby The Anti-Fib - AFIBBERS FORUM
What would be a good starting dose?by The Anti-Fib - GENERAL HEALTH FORUM
"Metoprolol and diltiazem aren't antiarrhythmics, so it's no surprise they didn't work as a PIP. They'll keep your heart rate down, but they won't put you back in normal rhythm." I think he meant he used Flecainide PIP, along with first Metropolol then Diltiazem to protect against the risk of 1:1 Flutter.by The Anti-Fib - AFIBBERS FORUM
A side effect of the Flecainide is Atrial Flutter. Did you ever have Flutter before you increased the Flec dose? I reduced my daily dose, then stopped taking Flec except for use during AFIB conversion, because of the propensity for Flutter. Others have similar issues. It sounds like your OK now if you went from AFIB to AFL to NSR. Flecainide works that way, it converts AFIB to AFL, then to Nby The Anti-Fib - AFIBBERS FORUM
I agree with Keeferbeefer line of reasoning here. If you are most likely to self-convert, that is the safer way to go. There is a risk of the shock/blast knocking a small clot loose from the walls of the heart during ECV. Also a small chance the Hospital (ER I presume) would make a mistake administering the procedure/anesthesia. The decision to ECV, would be if you had gone past your normal cby The Anti-Fib - AFIBBERS FORUM
She can send them/take them to her Nurses/Doctors for analysis.by The Anti-Fib - AFIBBERS FORUM
Liz: I thought that since you were able to convert on your own for all of those years, that it was a good indicator that you could maintain NSR again, and that giving it one more shot was worthwhile. Of course the Covid thing and all complicates this decision. I do know of 4 people now who were in the Hospital for other stuff, and never got Covid from being there. "would being in AFby The Anti-Fib - AFIBBERS FORUM
It's AFIB triggered at least in part by acute adrenal suppression (low cortisol) resultant from the Corticosteriod withdrawal . I believe this happens much more than the Medical establishment realizes. It is controversial about the the need to taper off of these Drugs, and obviously individuals are different in their physiology and reactions. However I firmly believe that both Doctors andby The Anti-Fib - AFIBBERS FORUM
There was a Guy from Denver that used to post, and talked about extreme reactions to these Steroid Anti-Inflammatories (Corticosteroids). It sounds like your too sensitive to take Corticosteroids at a therapeutic level. If you did take them, Hydrocortisone, which is 1/5th as potent as Prednisone may be an option. You are getting the reaction right as you are taking them right? and not afterwby The Anti-Fib - AFIBBERS FORUM
A way to tell would be by monitoring your HR as you move around. If in NSR, your HR will fluctuate gradually between around 60-100 depending upon activity. If your in AFL, there will be a static reading. The AFL rate may change, but it would be at intervals, depending upon the conduction ratio. For example, when I was in AFL, my rate varied at the following intervals: Sleeping : HR 4by The Anti-Fib - AFIBBERS FORUM
Thanks George, also I am wondering, how does he know the ketogenic diet and fasting was responsible for the increased ejection fraction? Could have been other factors like weight loss or better rate control.by The Anti-Fib - AFIBBERS FORUM
I also found Bystolic to increase Ectopy/PAC's. Is Tom Seest a regular exerciser, does he fit into the VMLAF category?by The Anti-Fib - AFIBBERS FORUM
QuoteLorraine Have you asked your Doctor for an alternative to Metropolol for rate control? Why take it if it does not lower your HR, and causes low BP? Perhaps another Beta-blocker or a Calcium Channel Blocker might work better? Good question. No I haven’t, but I will. In conversation with Shannon a few days ago, he said that a combination of a low dose beta blocker and a high-normal dosby The Anti-Fib - AFIBBERS FORUM
Have you asked your Doctor for an alternative to Metropolol for rate control? Why take it if it does not lower your HR, and causes low BP? Perhaps another Beta-blocker or a Calcium Channel Blocker might work better?by The Anti-Fib - AFIBBERS FORUM
I am taking 100mg Lorsartan also. I have no noticable side effects. I do not even know if it is doing much good even at the100mg. I will stop taking it, and see what happens. My BP also goes up the afternoon. My readings are 145-155/95-100 during the afternoons. The only thing that I have found that works is hard exercise session in the swimming pool. (swimming/running). Then it goes down tby The Anti-Fib - AFIBBERS FORUM
I need to recheck this before leaving home, and then getting out of my Car in the parking lot. It was 115 as I was walking onto the gym floor. I have noticed also higher reading just as I start a Hike, then it drops down 10-15 BPM.by The Anti-Fib - AFIBBERS FORUM
My last HR last night was 115 going into the Gym and walking around, dropped to 95-100 during Cardio using stair machine, then dropped more still to 85-90 during weight training with little to no rest between sets, and afterward stayed around 90 for 4 hours. After this sitting down it was 75, and went down to 58 as I sleep later on. Paranormal cardiology? HR also slightly lower when I hike ifby The Anti-Fib - AFIBBERS FORUM
NLAMAF: You've sort of already did C. right? Exatest result? Re-anylyze.... If Mg is low (probably), then B., or alternatively D. then B.by The Anti-Fib - AFIBBERS FORUM