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QuoteMadeline I did not know ARBs & ACEIs would not control heart rate - is that primarily pulse or BP or both? Heart rate means pulse; the two are synonymous. BP is an entirely different thing that has nothing to do with heart rate. Both ARBs and ACEIs are commonly used to control BP. I currently take an ARB for BP, but I've taken ACEIs in the past for the same reason. But neitherby Carey - AFIBBERS FORUM
This would probably be an easy choice without the essential tremor. Diltiazem will control your heart rate and it has no effects on the lungs, but it probably won't do anything for the tremor. Diltiazem is a calcium channel blocker, and there's another CCB that does control tremor (nifedipine), but one of its side effects is tachycardia so that's a no go. The other drugs that are uby Carey - AFIBBERS FORUM
Sunshine, I hope you don't mind but I merged your two threads together into a single thread since they're duplicates of each other. Duplicate threads will push other topics off the front page, so we like to avoid that.by Carey - AFIBBERS FORUM
Quotesisyphus222 That's good to know, unfortunately for me caffeine was absolutely a trigger. It may be that caffeine brought on PAC's which in turn would spark my flutter/afib episodes. All i know is that for 20+ years i cut out the caffeine and i didn't have a single flutter or afib event in that time. Take my experience as just a helpful anecdote. I wish i understood why my Pby Carey - AFIBBERS FORUM
I've never used an Apple Watch but I've used a Kardia since 2015 and I doubt they're all the much different in how they interpret the things they see. A Kardia will tend to label any rhythm that's irregular as possible afib (the language is similar for both Apple and Kardia). It's just saying it's seeing abnormal beats but it's not seeing sustained afib. I tby Carey - AFIBBERS FORUM
Quotesusan.d I’m not an unusual patient. You're extraordinarily unusual. You know that, Susan. You've said it yourself. But whatever the case, I promise you that most ERs are going to be very reluctant to cardiovert a stable patient with a normal heart rate. It's not a life threatening condition and it's a time consuming procedure requiring a lot of staff. It's justby Carey - AFIBBERS FORUM
Quotesusan.d Maybe true at your ER but I had 51 ECVs at five Californian ERs and I never had a problem getting one even if my hr was <85…sometimes they ecv me at 67-70. I think it depends if one pushes hard enough in requesting an ecv. It's not California vs. Connecticut ERs; it's you. You're an unusual patient with an unusual medical history, so they're more likely to acby Carey - AFIBBERS FORUM
Quotebettylou4488 So question.. on the CV post ablation. I understand the blanking period... I am having a hard time understand when folks do a CV post ablation. Some I have read they won't touch it for months. Others they do. I get the rate thing- if too high they want to do "something". But I though the whole blanking period was for the heart to work out the kinks.. heal theby Carey - AFIBBERS FORUM
Being 3 hours late is no crisis, and you don't need to try to fix it on the next dose. Just take the next dose when due. The fact that you've been on it consistently for months with only two late doses won't lead them to withhold the cardioversion. With a rate of 72 I wouldn't worry much about the flutter, but I also wouldn't just let it go for weeks. I think your locby Carey - AFIBBERS FORUM
20 PACs daily really isn't anything to worry about, but 20 PACs a day doesn't create a heart rate of 130 either. Well, maybe it does for a few seconds when it's being displayed by a monitor showing real-time results, but it wouldn't produce a rate that high over a 30-second sampling period, and that's what counts. Arrhythmias lasting less than 30 seconds generally arenby Carey - AFIBBERS FORUM
When you experience these episodes where you say your heart rate climbs to 130, have you felt your pulse? Is it a regular rhythm or just kind of all over the place with no rhythm at all? Did you experience one of those episodes while wearing the monitor? I agree with George that it's probably not afib, but you should get a Kardia so you can see what it is. Once you record a strip you canby Carey - AFIBBERS FORUM
Is your cardiologist also an electrophysiologist (EP)? If not, you need to find one and get a second opinion. What your cardio should have done was have you wear a monitor for a week. What you've described could be afib or it couple be a couple of other things (not likely anything dangerous). A monitor would answer that question. It's just an adhesive patch you stick on your chest, so nby Carey - AFIBBERS FORUM
If you have a card there's no reason not to carry it. That's not what I've been saying at all. I've just been saying it's not really all that important in the real world and I doubt anyone will ever ask to see it. If there's any importance to it, it's now during your first 45 days. After that, not so much. I think you're fine taking an Advil now and thenby Carey - AFIBBERS FORUM
Quotesusan.d I wish I got $10 ($1 inflation) for each time any doctor in the er insisted to see my pacemaker card to confirm the model and serial number when talking to Metronics. Maybe watchman cards are not as important. The two aren't even vaguely comparable. Pacemakers are complex computers with batteries, wires, programming, and dozens of very different models, so a doctor dealing witby Carey - AFIBBERS FORUM
I don't think you're making it up, but the information provided by the manufacturer is always ultra-conservative and assumes all the worst cases. It's written by lawyers, not doctors. Many of their warnings are akin to the warnings you see on coffee cups about the coffee being hot. Carrying the card is fine if you want to, but I can't imagine who'll ever look at it. Liby Carey - AFIBBERS FORUM
Quotetobherd First of all, I didn't know some of the things about the Watchman that I am now finding out - after I had it implanted. No one told me I have to carry a card and let everyone know I have this device in me....that there are some MRI's I can't have...and I may have to take an antibiotic for dental work, etc. Had no idea. .I wish I had some more education on this beforeby Carey - AFIBBERS FORUM
Quoteadamh I meant fine in the sense they don't know what happened. It is not the normal culprits like obesity, high blood pressure, heart disease etc etc.. They cant point to anything other than it possibly being my caffeine abuse over the past decade. I understood what you meant, but my entire point was that none of the things you mention as the "normal culprits" are actually kby Carey - AFIBBERS FORUM
There is research out there showing that caffeine is actually beneficial for afib. I've posted links to it before but don't have them handy right now. If anyone wants to see them let me know and I'll dig them up again. I think caffeine is the biggest false bogeyman of the cardiology world. It was demonized by cardiologists decades ago purely out of a sense of "it's aby Carey - AFIBBERS FORUM
Yes, I understood what you meant by everything being fine. Many of us here had the same evaluations when first diagnosed. I was just trying to underline the subtle point that what's not fine is something that can't be measured at this time. So you can search for explanations all day long, but you're not going to find one in any report you received from a doctor. It's likely yoby Carey - AFIBBERS FORUM
Actually, your heart is not just fine. You have atrial myopathy, as proven by the afib. The problem is, doctors don't (yet) know how to detect and measure atrial myopathy. All they can do is wait until the first symptom appears, which is often afib but can also be atrial flutter and/or frequent PACs. I'm confident that some sort of diagnostic method will be developed in the not-too-by Carey - AFIBBERS FORUM
QuoteDavid_L The standard of care seems to have changed in the last 3 1/2 years. Indeed it has. Ablation has become recognized as a recommended first line treatment. Previously, ablation was considered appropriate only for patients who had failed medical management with at least one AAD and/or rate control drug.by Carey - AFIBBERS FORUM
Quotetobherd Yes, glad it's over and now to get the OK that all is fine with the TEE. Why would they want anyone to continue on Eliquis or aspirin after getting the Watchman? I would assume we would have the same stroke risk after getting it as any other person who never had Afib to begin with, no? . No blood thinners needed before Afib. Successful Ablation, then Watchman should = no bby Carey - AFIBBERS FORUM
Quotesusan.d GP offers rx for ivermectin. I heard somewhere it’s arrhythmic. Also ineffective and ridiculously ill advised for someone like you. (Where do you find these doctors?) Was it a nasal swab or blood test? If it was a blood test, ignore it. All it means is you have been vaccinated or had a prior infection.by Carey - AFIBBERS FORUM
Sure, the sore throat is common after any procedure where you're intubated. It will pass. Not sure why the fatigue two days out, but everyone's different, and it too will pass. I'm just glad to hear you went through with it and came out with flying colors! That TEE in between is important. Its purpose is to make sure the device is correctly positioned, there are no leaks, aby Carey - AFIBBERS FORUM
QuoteJakeL What is the LAA cutoff flow number from the TEE used to make this decision? . It used to be 40 cm/s but Natale raised the bar to 45 cm/s. There are also other criteria. See Shannon's post that George linked to.by Carey - AFIBBERS FORUM
I think you're worrying more about these blips than is warranted. They're not going to do you any harm and asking what they mean isn't a very meaningful question. Focusing on them just amps up your anxiety level. You're taking a beta blocker that lowers your heart rate, so it's no surprise that every now and then your heart tries to speed up but runs into the beta blockerby Carey - AFIBBERS FORUM
As George pointed out, the cardioversion will probably succeed, but it does nothing to treat your afib. It just interrupts it and hopefully returns you to normal rhythm. The real question is how long you'll stay in normal rhythm. Have you been prescribed anything other than Xarelto?by Carey - AFIBBERS FORUM
Quotesusan.d Isn’t the “pulse/hr” reading of the ventricles and not atrium? Yes. Atrial rate is very difficult to measure with consumer devices unless it comes with leads that attach to the chest and has more than a single lead.by Carey - AFIBBERS FORUM
QuoteJakeL A couple of questions about LAA isolation and Watchman: 1. Is a LAA isolation the same as a LAA ablation? 2. Do you need to, or should you, have a Watchman implanted if your LAA has been isolated? 3. I read that you need a successful TEE before a Watchman is implanted. Is this correct? 4. So if you fail the TEE after the LAA is isolated, you cannot have a Watchman implanteby Carey - AFIBBERS FORUM
Actually, most medical people use the terms interchangeably. If there's a significant difference between heart rate and pulse rate then there's something wrong with you. As for your machines showing 50 and 72 at the same time, one of them is broken. Take your pulse manually and use that as a gold standard to figure out which one is faulty.by Carey - AFIBBERS FORUM