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GeorgeN Wrote: ------------------------------------------------------- > If it were me, I'd add significant sodium, > potassium & mag to my water and see if it helps. > Hyponatremia can be a real issue when consuming > high volumes of water. I second Georges recommendation here strongly .. the low sodium folks are right only in relationship to sufficient sodium levby Shannon - AFIBBERS FORUM
the accepted time from for actual LAA-based (left atrial appendage) clot formation is recognized at 5 hours now. Not 6 minutes, though no doubt one could make an argument for noting at what moment a given clot first started to form out of some 'smoke' or SEC (spontaneous echo contrast) which is turgid stagnant blood flow often in the LAA in the presence of AFIB where even the LA and RAby Shannon - AFIBBERS FORUM
Wolfpack, PACs are not only caused by adrenaline spikes and indeed, adrenaline surges very much can happen to vagal afibbers with a concomitant adrenal dysfunction that may be subclinical to the traditional old school Endocrinology viewpoint that. alas, still shackles much of general internal medicine and overall allopathic perceptions that the only adrenal dysfunction that is even treatable iby Shannon - AFIBBERS FORUM
Welcome Flavi and exactly where are you located in the EU? Dr Brugada is a very well known EP and the condition Brugada syndrome. is named for he and his brother Pedro (also and EP) in Spain. Brugada syndrome which Josep and Pedro first characterized is a form of genetically mediated Ventricular Fibrillation which often leads to SADS (sudden adult death syndrome). Im not sure if Josep dby Shannon - AFIBBERS FORUM
Thats a wonderful report and testimony Dennis! Many thanks for sharing your experience. It has been a real pleasure for me as well getting to know you as a real friend too over these past few years. And your story rekindles memory of our many conversations during those early challenges you faced with such good cheer and a positive spirit, even when they were daunting and no doubt weighed on yby Shannon - AFIBBERS FORUM
Tsco, The only sure sign of needing a follow up ablation is any post ablation blanking period activity (which is technically 3 months long but is really two months plus one extra buffer month). If any atrial arrhythmia kicks up in intensity during the last 4 weeks of the 12 week blanking period that is a very strong sign its time to sign up for what in the case of a second Natale AFIB ablatioby Shannon - AFIBBERS FORUM
Glad to see you are well versed Smackman and understand not to stop your OAC until after your 6th month post ablation TEE confirms you have robust enough LAA mechanical function to allow discontinuing all OAC for the long haul. Don't dare stop unless and until Dr Natale gives you the green light no matter how many well-menaing but misinformed cardiologist or even EPs might tell you that yby Shannon - AFIBBERS FORUM
The target emptying velocity out of the LAA is 40cm/sec or 0.4meters/sec. This is true whether or not you have had an LAA isolation. (Errata: thanks to Morpheus for alerting me about my 'fast math error' on the LAA emptying velocities listed below, the numerals are all correct, but in my haste in racing through the post I used millimeters and centimeters unit values in place of centiby Shannon - AFIBBERS FORUM
Many thanks George, Ken and Betty, And yes, Betty, that is a very good idea that I've already plugged into my 'to do' list going forward starting later this month. I will send out notices as before to each group of current subscribers when their subscriptions ordinarily would have been due for renewal, but making it clear it's a reminder for any donations that they wish toby Shannon - AFIBBERS FORUM
Was very nice catching up with you on the phone today Betty, I had thought I remembered when prior to your 2013 ablation you were having some fast and very symptomatic episodes .. glad to see my memory is still somewhat intact :-). Am passing along the info as we discussed and I look forward to hearing what Dr Natale says after reviewing your full record. You cardiologist is right for sureby Shannon - AFIBBERS FORUM
Im not sure where the idea of us having a lot of videos on the forum got going? Perhaps I didn't make it clear that adding some video content will mainly be for educational purposes on the website itself ... not the forum per se ... though I can certainly see the reason for links to some specific topic-related videos at times that are hosted by other resources. And we hope to totally avoiby Shannon - AFIBBERS FORUM
Hi PJ, I just went back and reviewed some of your recent history with the Cryo ablation. Unless the EP is very familiar with doing non-PV trigger ablation too and includes that in his cryo ablation either with an RF catheter or perhaps with a focal Cryo catheter (which is less inspiring to me if that is his approach to focal ablation), and which is not the case with many EPs who focus mostlyby Shannon - AFIBBERS FORUM
Anti- AFIB, Rate control can indeed help prevent and in most cases reverse AFIB induced cardiomyopathy, but not always. It is my understanding that Betty at some point prior to her ablation procedure was symptomatic and with less than perfect rate control (80bpm or less). For most people with ongoing AFIB maintaining ideal rate control is not so successful long term. It still tends to varyby Shannon - AFIBBERS FORUM
Good too hear Robert, Overall the cardiologist sounds like a thoughtful physician and showed good patience too with a lot of questions which is not always the case. If and when the AFIB continues to progress though, you really should align with a very experienced EP and not just a cardiologist. You are very unlikely to find an EP recommending a use of Digoxin which really has very little plby Shannon - AFIBBERS FORUM
Hi Betty, Im sorry to hear of your cardiomyopathy diagnosis. It's possible the long standing persistent AF may well have encouraged a degree of cardiomyopathy previously, even with good rate control ... assuming you have fairly decent rate control prior to your ablation when you were in LSPAF ... rate control only slows down the onset of AFIB-induced cardiomyopathy, not necessarily preveby Shannon - AFIBBERS FORUM
Welcome Thanh, And really, with a case like your which very much sounds like persistent AFIB, and perhaps even long standing persistent AFIB (LSPAF) if you have been asymptomatic and yet in AFIB prior to March 2016 formal initial diagnosis? In either case, you definitely want to go to Dr Natale for such a case. He will want you off Amioderone for a minimum of 2 to 3 months before you come iby Shannon - AFIBBERS FORUM
Dear Subscribers to The AFIB Report and Afibbers.org website/forum community, I’ve decided to at least temporarily suspend the subscription requirement for access to The AFIB Report, including all past archived issues. Thus, making the newsletter a free resource for all afibbers allowing everyone to access all past and future issues … for the time being and perhaps indefinitely. This is somby Shannon - AFIBBERS FORUM
You are welcome Joyce, And while it is very convenient to find an elite level AFIB ablationist near by ones home, it is typically a real exception to the rule when an Afibber finds themselves so lucky that they wind up in the same town or region with one. And there just isn't any such elite ablationist in Wales, Im afraid. Only a couple in all of the UK that I am aware of. As such, thby Shannon - AFIBBERS FORUM
Hi researcher, there here have been a number of studies on AFIB ablation and age, including a multi-center study done under St Davids Med Center comparing outcomes and complication rates for over 80s octogenarians undergoing AF ablation versus younger aged afibbers with generaly well matched stats other than age for each comparative cohort in the study spanning several large centers if I recall.by Shannon - AFIBBERS FORUM
Welcome Joyce, Overall its nice to have youth on your side for any medical procedure, for a host of reasons regarding overall body functions etc. That being said .... HA, I think I've heard everything now! Rest assured Joyce that it is total HOGWASH that this EP considers afibbers above 52 to be near the end of the line for doing an ablation! What is true is that some EPs should notby Shannon - AFIBBERS FORUM
Robert, Typically, PVC and PACs are benign and neither are considered an actual arrhythmia, per se, unless in the case of PVCs they string together beyond triplets and are more sustained where you might have a lot of 3 or more PVC is a row ... and '"in a row" means having no individual normal sinus heart beats in-between any two PVCs. When multiple PVCs string together wellby Shannon - AFIBBERS FORUM
Good to hear Smackman, And some runs of ectopy is par for the course to some degree, as you know, especially during the three months blanking period. Also, some degree of ectopy is not uncommon even over the first 6 months to a year or more in some cases, though it tends to settle down in the big majority of cases by 6 months ... the main thing in no actual arrhythmia from the past the first 8by Shannon - AFIBBERS FORUM
Welcome Hollygal99 if you should have what is called a typical right atrial Cavo-tricuspid Isthmus (CTI) Flutter ablation it will not make your POTS worse. Keep in mind that CTI Flutter the vast majority of the time is a precursor to eventual development of AFIB. As such, more and more EPs when faced with CTI flutter go in and do a full Pulmonary Vein Isolation ablation and then do the briby Shannon - AFIBBERS FORUM
Sounds good Erich!! I wouldn't worry about the strike risk at you age and infrequency of AFIB with durations still so short. Take Cardiokinase as we have noted before while you are still not official qualifying for NOACs but would like to add a bit of extra pretty harmless insurance on that front. Cheers! Shannonby Shannon - AFIBBERS FORUM
Eric, The recognized beginning window of not just when a clot can start to form, but the earliest time frame accepted now for beginning of actual stroke/TIA risk is 5 hours after onset of AFIB. The 24-48 previous window was a rough average time frame as obviously not everyone is going to have a stroke after 5 hours of unprotected AFIB... Thank goodness. But the 5 hour time frame is imporby Shannon - AFIBBERS FORUM
Hi Gordon, your have a very thyroid-enlightened hand surgeon ... Kudos to him! Be well Shannonby Shannon - AFIBBERS FORUM
Alex and Colindo, DO either of you subscribe to the AFIB report ( sorry not everyones username is the same as their subscribers names). That is the first step in accessing the current and archived issues of the newsletter as one subscribed you will received a specific separate user name and password ( not the universal username: 'afibbers' and password: '2sesame' used to gaby Shannon - AFIBBERS FORUM
Yes Tim, Definitely address your mag and electrolytes per The Strategy which is good to start up with again right after your ablation. The AAR drugs are generally not a lot of fun but typically you will adapt to it to a fair degree over the first two weeks (if you are going to adapt) and I doubt you will need it much beyond the blaming period in any event. Hang in there, Shannonby Shannon - AFIBBERS FORUM
HI Daniel, Chances are good your mild to moderately enlarged LA are indeed from unrecognized AFIB ,.. I like to use that rather than 'asymptomatic' as in cases where a person does not have a noticeable awareness of the Atrial translation to Ventricular pumping during the AV step down when in AFIB and thus don't always feel the irregular heart rate and thus are unaware they haveby Shannon - AFIBBERS FORUM
Hi Folks, As Travis noted this issue is now posted for subscribers to download or view online from the AFIB Report archive section. Please note; for all who received the PDF file of the new issue via Constant Contact, there is a slightly revised version you can easily download using your subscription user name and password to access the current issue on the website. As I've discoverby Shannon - AFIBBERS FORUM