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And Clay, I fully agree with Wolfpacks first few weeks to end of blanking period post ablation avoidance list! With one caveat, in that it's generally okay to resume resistance exercise after roughly a few weeks to a month, but only with the caution to NOT go heavy to failure on any of the resistance exercises so soon. The best rule of thumb is to keep upper body resistance training atby Shannon - AFIBBERS FORUM
You're welcome Clay, and am glad to help out! Since this is your index AFIB ablation, I'd plan on sticking around Austin the first day out of the hospital .. that is the day you are released from St David's typically mid-morning the day after the ablation. Day two, you should be fine to go to San Antonio which is roughly about 45 min or so drive from Austin, as you know. Ifby Shannon - AFIBBERS FORUM
Great news Murray! Best wishes too on the taper off Tikosyn. Dr Verma and Dr K at Southlake are the best in Canada. Keep us posted as usual! Shannonby Shannon - AFIBBERS FORUM
Hi Anne, Good advice as always from George and Jackie, and if I understand you correctly you have not had an episode in a years time? Maintaining the magnesium repletion that seems to have helped so far ... and to no surprise for any of us here ... could well mean a small likelihood of AFIB triggering during the pregnancy in any event, and even if it does, assuming my recollection from our paby Shannon - AFIBBERS FORUM
Hi Steve good the hear from you! Is your friend having any shortness of breath either with exertion or during cool down rest period after exercise? If so, it's good firhim to get a work up and check fir possible PV stenosis. It is relatively uncommon these days, but not too rare as we would like to see. eses His pulmonologist is a good place to start. The key to effective treatmentby Shannon - AFIBBERS FORUM
Pretty Kitty, Do you have a copy of your 12 lead EKG that the Medical tech said was PSVT and your doc suggested was lone AFIB? if you wish you can send it to me a PM (private message) you can click at the top left of each forum post of the person you wish to contact. Send me your cell number on the same PM and I'll see if I can help you get more clarity on the arrhythmia you had. It doesnby Shannon - AFIBBERS FORUM
Hi Tibbar, The pericardial fluid build up is typically an inflammatory reaction and can range from a case of pericarditis up to a pericardial effusion which can be serious if not treated effectively and promptly. any number of causes are possible including infection in the pericardial space, prior heart surgery that irritated the pericardium and a number of other triggers. Colchicine can beby Shannon - AFIBBERS FORUM
Hi Peggy, I'm glad you've discovered the upgrade improvements on the forum and apologies if you had difficulty accessing the forum that past few weeks. It was always constantly accessible by using our main default URL of 'www.afibbers.org' which the vast majority had noted during our first phase of the forum update. However, when trying to add a simple redirect instructiby Shannon - AFIBBERS FORUM
Hi Liz good to hear from youQ It is true that some folks can only take a certain amount of supplemental magnesium without getting too quick a transit time for food passing through their GI track taht can cause a whole host of symptoms from a nutrient deficiency, and thus such folks often cannot take more than around 250mg a day of supplemental magnesium orally without manifesting problems. Alby Shannon - AFIBBERS FORUM
Hi Folks, Just wanted to let you all know that our gradual, but steady process of updating the website has completed another milestone as of today, January 22, 2017! Thanks to a lot of elbow grease by Travis and his coder, we now have hopefully cleaned up all of the broken links and have now moved all content that formerly resided on the two other URLs of 'afibbers.com' and 'by Shannon - AFIBBERS FORUM
TomC, Co-Q10 can be PVC/PAC triggering in some folks. Try stopping altogether for a week or two and see if the ectopy and runs of AFIB/Flutter doesn't calm down. If it does then after an addition week off the Co-Q10 then try adding a much smaller dose of Co-Q10 and see if you can tolerate that lower dose. If not, then it might not be a supplement for you. Shannonby Shannon - AFIBBERS FORUM
Hi Jackie, This is a pretty good overall review of the LAA Closure issue. Dr Vivek Reddy's "In Defense of LAA Closure" editorial in Medscape a little over a month ago is also excellent! Regarding whether or not it is a good idea to perform, both a basic AFIB PVI ablation and install an LAA Closure system as part of the same procedure? While a couple of groups have done so asby Shannon - AFIBBERS FORUM
Smackman, Have you actually confirmed if you can get, and for how much, life insurance you can and cannot qualify for now? Keep in mind that as of last summer you no longer have active AFIB and perhaps with a years track record with no detected arrhythmia of any kind the AFIB issue will not be an issue at all in getting reasonably affordable insurance. Did you not also lose a lot to weightby Shannon - AFIBBERS FORUM
Regarding dietary changes to better quality eating, I strongly advise not to judge its merits only over a few weeks of adoption. It is not like a pharmaceutical pill where often there is a quick 'take it and feel it' response. Proper and successful long term adoption of healthy eating habits is based on a well vetted understanding of why you are making the changes and what that entaiby Shannon - AFIBBERS FORUM
Dear Friends, I am at the annual AF Symposium 2017 here in Orlando through this weekend and it was with sadness in the hall this morning that the death Dr. Mark Josephson, a true pioneer and visionary from the early days of electrophysiology, was announced. while I never had the pleasure to meet Dr Josephson the outpouring of feeling and appreciation for his continued excellence in help thisby Shannon - AFIBBERS FORUM
Wow Mike, I'm so sorry to hear of your experience with Eliquis and the stroke! You had not missed any doses by any chance? I would not think so in speaking with you as you sound very much on top of things. The 2-3% quote of it 'not working' as your doc said includes some degree or poor compliance which is pretty high still even with NOACs though not as high as with Warfarin wheby Shannon - AFIBBERS FORUM
Hi Smackman and researcher, I think we should perhaps put this issue up as a 'sticky note' as we have discussed these three TEE parameters at 6 months post LAA isolation numerous times over the last few years and recently as well, and I do realize it is a lot to take in and fully understand. The three parameters listed below must all be passed robustly before Dr Natale will giveby Shannon - AFIBBERS FORUM
Hi Pam, Great to hear your heart is humming along again back in NSR after your very late recurrence over 10 yrs, following such great success from your index ablation with Dr Natale back when he was still director of AFIB at Cleveland Clinic. Dr Natale prefers folks who have had an LAA Isolation to return to either Austin or San Francisco for their first follow up appointment with him aftby Shannon - AFIBBERS FORUM
Great post Taylor! Your experience across the board reflects the typical story of the vast majority of afibbers over time, in which even with the very real health benefits often experienced from learning to take much better 'self-health' care of our hearts, bodies and minds, a huge majority of us wind up finding, as you did, that completing an expert ablation process is the key stepby Shannon - AFIBBERS FORUM
Welcome DAB If you have to have aAFIB, this is the place to come for some experienced guidelines and assistance. You mentioned the FLEC did not help, are you saying you are in persistent AFIB now where it is pretty much 24/7? Also, how many years have you had AFIB, and please describe the evolution of your AFIB in terms of frequency of episodes and maximum duration of your longest episodes, iby Shannon - AFIBBERS FORUM
Another point brought up by Morpheus, It's possible the bisoprolol may not have a direct causal relationship to your 86 year old relatives temper tantrums, if she is taking the drug regularly every day, then its possible she might be suffering from some age-related .. and possibly AFIB influenced ... dementia as well and the the beta blocker at such a low dose, may at best be a kind of inby Shannon - AFIBBERS FORUM
Welcome NickC, As George noted, the obvious question her cardio should have already addressed, is why stick to the bisoprolol if it is causing her not only to have temper tantrums on cue, but also then the high HR that he is presumably giving her the bisoprolol to control to begin with??! If, indeed, that is the only reason he is prescribing this drug for your elderly relative. Many docs are rby Shannon - AFIBBERS FORUM
Hi SAFIB, As you noted, low dose propranolol can take help some folks reduce a lot of PVCs to a very few (also, a low dose of 20mg propranolol can really help with anxiety caused by public speaking). The same is true for many who benefit from low dose Flecanide to help reduce an annoying high frequency of PACs. Obviously, it's preferable when satisfactory control can be had with a dietarby Shannon - AFIBBERS FORUM
Thanks Oliver, The BBCode stylecthat you have selected is fine for quotes. Happy Holidays Oliver! Shannonby Shannon - AFIBBERS FORUM
Hi Tsco, Why not share what you and I discussed on the phone today? It might help clarify for others here how late night high carb intake can easily trigger not only a run of hard ectopy, but even full blown arrhythmia, if one was still prone to that. Cheers! Shannonby Shannon - AFIBBERS FORUM
Hi Don, If your local prescribing EP sees no need for an Eliquis script when you had an LAA isolation and your TEE detected LAA funtion was not robust enough to warrant stopping OAC, have him call and ask for Barbara Thomas , head of the EP program at Texas Cardiac Arrhythmia Institute at St Davids Med Center in Austin, and she will explain why you need OAC or an LAA Closure. I'd be haby Shannon - AFIBBERS FORUM
I saw that George, and read a summary that looked good! I suspect it will be an interesting and informative read. EP Dr. John Mandrola is one of three authors of the book, and from what I know of his views and research on extreme fitness/exercise and cardiac problems, including increased arrhythmia risk, I feel confident I'll be able to endorse this work. Shannonby Shannon - AFIBBERS FORUM
Quotegmperf Interesting - I received a letter today from Scripps La Jolla. Letter says Re: Consultation regarding WATCHMAN left atrial appendage closure. "per Dr Natale, you are currently maintained on a blood thinner for stroke prevention, since your ablation procedure." In summary the letter goes on to invite me to make an appointment for a consultation. It says when making an appby Shannon - AFIBBERS FORUM
QuoteAlan Shannon, Excellent analysis and information as usual. Since a picture is worth a thousand words I thought the attached charts comparing watchman and warfarin costs that you cite from Dr Reddy would help some of those on this forum. Watchman vs Warfarin Costs Also please note that under certain circumstances Medicare will reimburse for the watchman. See Medicare Alan Mby Shannon - AFIBBERS FORUM
The P-wave is part of the EKG and is typically absent on a single lead EKG in AFIB and after ablation. Though the P wave can be detected slightly in Afibbers post ablation in other leads on a 12 lead EKG. However, Smackman the P wave has nothing to do with your LAA mechanical function. As noted in our phone call today, the three criteria for being able to stop OAC after looking at results fromby Shannon - AFIBBERS FORUM