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Note that this is for all heart rhythm procedures including SVT, VT, pace makers, ICD, etc ... Not just AF. Also, the authors noted that "With mortality, there was no difference in the rate based on the year the procedure was done. As for the 0.6% mortality rate, "this likely overestimates the mortality of ablation because this includes all deaths during the index hospitalizationby researcher - AFIBBERS FORUM
Supervised experiment - decided with my doctor/tennis friend to see if I can repeat my coffee experience where I lost concentration and felt weak for 5 minutes. It was inconclusive. I felt jittery for sure and did have focus issue. However, no weakness. The only thing conclusive is that I don't perform sports skills well with caffeine in my body.by researcher - AFIBBERS FORUM
I had Kaiser for about 15 years when I first started my career. They are excellent for preventive care and hit-and-miss when it comes to specialisations. My retired friend for example thinks the world of his orthopedic surgeon who has replaced both of his knees and one of the shoulders with artificial joints and tells friends to switch to Kaiser just to use that surgeon. Partners at Kaiser getby researcher - AFIBBERS FORUM
George, I am not close to your routine by at least a couple of standard deviations. I think the most I have ever done was 6 hours of continued exercise and nowhere near the intensity you describe. My typical daily dose is 2.5 hours. Only the swimming portion is moderately intense. What is your routine now?by researcher - AFIBBERS FORUM
It is hard to stop once you get into a habit. My body just doesn't feel right if I stop swimming for more than 2 days. I am sure many runners feel the same way about running. Resting in between days would probably be the best approach but then the work out will have to be lengthened and the intensity and intra-workout rest periods could also be modified. Years ago, I had a co-workeby researcher - AFIBBERS FORUM
Thanks George. I am looking into it now. Compatibility with my current cell is a problem and I have a few months left on my 2 yr contract so I will probably do it at that time. The choices are iPhone, Galaxy s3 or higher or HTC 1. It's no rush. I feel great - really. If I start losing tennis matches (or worse to my doctor), then I will get pissed and probably do it right away.by researcher - AFIBBERS FORUM
Thanks Shannon. I hope you are right and that it is just something minor. I am pushing 58.by researcher - AFIBBERS FORUM
Thanks McHale. I really don't know what it is yet. I came here wanting to educate myself as to my father in law's condition. Also have female cousin that has it. If it is AF, then I am well prepared and it will be a brand new perspective. My doctors have never been concerned about my heart although new nurses always look at me like "are you OK" when they firsrt measure myby researcher - AFIBBERS FORUM
That's an interesting angle I hadn't thought of. I am trying to recall what if any changes I made around that time diet and exercise wise and I can't think of any for the night time episode. The tennis episode may perhaps have been coffee related - had to do my taxes the night before and stayed up later than usual. I seldom drink coffee.by researcher - AFIBBERS FORUM
About a month ago, I woke up in the middle of the night, around 2 AM. I heard this loud pounding, like a sledge hammer. I looked around sleepily then realized it was me. It was regular and hard but probably double my resting heart rate. It radiated throughout my body and veins. I didn't want to bother my wife so I relaxed and laid back down hoping it goes away. It did after a few minutby researcher - AFIBBERS FORUM
I am interested in what people felt when they first noticed something wrong with their heart beat - before they even knew what AF was.by researcher - AFIBBERS FORUM
Looks like a nice device to do epicardial box lesion for persistent and long-term persistent folks that failed endoscopic ablation. Significantly less invasive than the Sirak approach that's been discussed here before. Still the best path to take is not to let your AF progress to persistent. Get it while it is still paroxysmal.by researcher - AFIBBERS FORUM
Debbie, More detailed description on AliveCor in link below from Natale's Jafib. Registration is free. It is available for both iPhone and Android smart phones.by researcher - AFIBBERS FORUM
Phil, Best wishes for rapid recovery and long term NSR. Shannon, I believe Ernst can handle persistent and chronic cases too. A couple of years ago at Natale's Venice symposium, she had the podium and talked about difficult cases that took repeat procedures. She gets global referrals for cogenital and cases with structural issues so I am not surprised she did a nice job writing about heby researcher - AFIBBERS FORUM
Nice writeup on AliveCor in current issue of Jafib. Full article can be seen by registering (free).by researcher - AFIBBERS FORUM
Nice job Shannon!by researcher - AFIBBERS FORUM
"he was bouncing between VT and VF" maybe Torsades. Glad they were able to act fast and save him. I am with Dr. John regarding his comment on his guess that medication may have been the problem and the fact that dosage was upped just several days prior to the incident. I also wonder if Peverley has low resting heart rate like many elite athletes. That would be a factor too..by researcher - AFIBBERS FORUM
We were just talking about this yesterday. Comparing the health of the elders in our family. Those that lived and live in the northeast have had really bad arthritis compare to Socal cohorts. I think because of the amount of sun exposure especially this time of the year. And there were other problems besides arthritis. Vit D is really critical in many different nutritional absorption and infby researcher - AFIBBERS FORUM
Nancy, That was a huge step towards better quality of life for you and I am so happy for you seeing how you first appeared here super stressed about mixed (AF and VT) diagnosis. Best wishes for a speedy recovery.by researcher - AFIBBERS FORUM
Lynn, your EP is referring to the CABANA trial. It has been going on for a while now so we will get a 5 year update coming up at the heart rhythm society meeting in May. I really don't expect anything earth shattering in terms of findings - that ablation beats drugs in quality of life and complications requiring hospitalization - as smaller trials have shown in the past few years. It is hby researcher - AFIBBERS FORUM
Shannon, thanks for report and best wishes to Smackman for long term NSR. CF catheter received FDA clearance early this week. Saw the press release but Biosense still doesn't have their website product page updated yet. It will definitely improve the safety of manual procedures and no guesses about good contact or not.by researcher - AFIBBERS FORUM
Mike F, should have answered earlier, sorry for the delay. Irrigated RF is still the way to go. Just make sure that LET guidelines are followed which means they have to be properly equipped for the procedure. Cryo has its own set of issues and it can also cause esophageal thermal injury. See the Nakagawa reference from above. The major issue with cryo is high rate of phrenic nerve injury.by researcher - AFIBBERS FORUM
That's great. Best wishes for continued NSR.by researcher - AFIBBERS FORUM
portofcall, There were some old comments regarding Vivek Reddy a while back. Advanced search didn't work for those messages. He is highly regarded by peers and gets excellent results like the elites. Problem was that he may try to convince yoo to be part his trial studies on the latest devices. That's what happened the last time I suggested him. He tried to convince a poster hereby researcher - AFIBBERS FORUM
RE Iatrogenia's "Another doctor told me post-op anorexia was not unknown." Sigh. That's the same as saying, it happens. We don't understand why. So no problem. Hopefully, some day soon. AF ablation specialists and and internal medicine groups work better together to take better care of patients post ablation. Anorexia as a complication lasting more than a few wby researcher - AFIBBERS FORUM
Sounds like a great symposium. We are the nerds here right out of Big Bang Theory.by researcher - AFIBBERS FORUM
Shannon, When FIRM first came out, I was confused (still confused) on why the method looked at phase instead of period (frequency). It made a lot of sense to take the whole image in time lapsed form rather than the point by point electrograms gathered by Carto and similar systems. I think that all the EPs mentioned above would agree that the holistic electrical image would be better. The prooby researcher - AFIBBERS FORUM
All is well. Thanks. 1970's would explain a lot about why your doctor said it was OK. There was nothing he could or should do about it then. Angioplasty was still in its infancy in the late 70's. Catheters for EP interventions would be like science fiction then.by researcher - AFIBBERS FORUM
Regarding the resolution issue. An insitu basket sensor is probably as high if not higher in resolution than the 256 sensor exterior vest. Because of the distance and body geometry, vest sensors have to go through math processing steps called spatial deconvolution and even then, there will be noise from refractions and reflections. The basket sensor is almost a direct measurement because it isby researcher - AFIBBERS FORUM
Shannon and Randy, Most definitely, the way to manage the stomach problems post ablation is conservatively. As Kuwahara stated near the bottom of his editorial. Fasting first (length of fasting depends on severity) followed by the gradual introduction of low-fat and low-fiber food. Upper GI antibiotics may help. And time. I think for the vast majority, the relatively short term stomach relaby researcher - AFIBBERS FORUM