Welcome DDrapeau Dr Douglas Packer Director of AFIB center at Mayo Clinic at Rochester Minn and also Dr Sam Asiravthan also in the same group at Mayo are both skilled and knowledgable ablation EPs, Otherwise not a lot of renowned pickings in the area that I am aware of. Best wishes Shannonby Shannon - AFIBBERS FORUM
There are some preliminary investigations into the feasibility of using a kind of stem cell based 'ablation' per se, to use targeted stem cell seeding on Given areas of he heart known to be substrate contributors for sustained arrhythmias, but it's still very early on in the conceptual stage. It's kind of like the approach for post MI stem cell repair that has been done inby Shannon - AFIBBERS FORUM
Apache, If you are highly symptomatic and unable to lower your flutter, or AFIB rate for that matter, then you could get an ECV at 4 weeks possibly 3 weeks prior to a set ablation, but if you can keep your rate low enough to be reasonably comfortable then it's better that close in to an ablation not to stun the heart with a zap even though most of the stunning effect is temporary and doesby Shannon - AFIBBERS FORUM
Oops I posted my reply to your thread starting post above by mistake Anyway, as we dicussed on the phone last week. Why are you going to ER right now? Did you try to use your rate control drugs to get under 100bpm?? Try that first and confirm with Curry on Monday once your ablation date is fixed if they you need to to an ECV now or just wait it out on comfortable rate control until 5 to 6 daysby Shannon - AFIBBERS FORUM
It's also quite possible you might have been able to avoid a pacer altogether. I'm the next AFiB Report I'm wrapping up this coming week we share a first hand report from a quite physically fit 68 year old Calgary man who contacts me looking for suggestions on if anyone could help he long standing persistent AFIB of just over a full year duration. His AFIB had startd directly fby Shannon - AFIBBERS FORUM
Thanks Clay, heard some talk on this at HRS a few weeks ago in SF. Looks very exciting though likely to get even more so as these discovery's continue to mature! Cheers Shannonby Shannon - AFIBBERS FORUM
Great to hear Que, and many thanks for your very helpful input towards our new web revamp effort, slowly but surely taking shape and I much appreciate your expert advice. Be well, Shannonby Shannon - AFIBBERS FORUM
Don't worry Peggy, Im well aware of the fact that some folks may feel like they will get lost, but a more 'modern' design does not inherently mean more complicated to use. It should be just the opposite. site We are making every effort to build a user friendly and responsive website and new forum, and one that is much more flexible and adaptable to mobile devices as well as laptby Shannon - AFIBBERS FORUM
Hi Jake, It's great to hear from you and there are far more folks who visit the forum and glean good advice and info without posting than there are those of us who post here. So you have been in good company, but I hope you won't make yourself a stranger here now that you are up and running on the forum. A good question to ask is was the increased pain & swelling more from tby Shannon - AFIBBERS FORUM
Smackman, You do Not have to find a hospital if you go into flutter, only if it was high speed and you could not control it with rate control drugs which you have been able to do before. Go enjoy your vacation! You are in Eliquis and have a boat load of rate control and could even get some pp You have enough rate control drugs to keep your flutter under 100bpm and even it spikes up to the 120sby Shannon - AFIBBERS FORUM
Hi Steve and welcome to posting here, There are two great points evident from your long drawn out AFIB treatment experience that our website message is largely founded on. 1. First step is to heed our advice (either found here or elsewhere) to adopt dedicated RFM (life style risk factor minimizing habits along with dietary clean up and electrolyte repletion via The Strategy protocol for aby Shannon - AFIBBERS FORUM
As noted, Hashimoto's and Iodine don't mix! Who was giving you the iodine recommendations for consumption Sam or were you taking those large doses based mostly on suggestions online? Far too many people continue to take larger doses of iodine long after they have corrected an initial iodine deficiency by taking larger doses of Lugols or Iodoral tablets which are okay for many ( butby Shannon - AFIBBERS FORUM
In a regular PVI it doesn't really matter whether or not AFIB is induced, though, most EPs like to so as to count the stats for how many either convert or do not convert to NSR from the ablation itself. But the end point of a PVI is simply confirmed isolation of the pulmonary veins which can be achieved and confirmed with either an entrance block, or more preferrable these days both entranceby Shannon - AFIBBERS FORUM
Good start Daniel and you are on the right track and welcome to the website and forum, you are certainly in the right place as well. Dr. Hongo as you must know by now, was mentored by Dr Natale along with his colleague there Dr Steven Hao and both are very accomplished ablationist with a first class training. And Dr Hongo is a good person too to follow you as your clinical EP prior to at someby Shannon - AFIBBERS FORUM
HI Peggy, he may consider and rightly so a personal account as 'anecdotal' technically but that in no way means he has to or will look at it as anything less than very useful knowledge. I'm sure Dr Verma is more than capable of separating the wheat from the shaft just fine on his own, and recognize the very real power and insights avaialbe from Hans' patients surveys done hby Shannon - AFIBBERS FORUM
Welcome Bravo, The EP will often enduce AFIb either by fast pacing of the LA or use of isoproterenol but usually they prefer pacing at the start of an ablation. However, it really doesnt matter when a straight forward PVI only is being performed as the endpoint of the procedure is confirmed PV isolation with at least entrance block anf often bi-directional entrance and exit block across the PVby Shannon - AFIBBERS FORUM
Sorry for he delay in responding Glen, I've been traveling and am in Hawaii this week taking care of some must do errands and appointments in my old hometown of 38 years. Will be a back in the saddle more after this coming Sunday when I return and when then finish up the last of the next AFIB Report newsletter and get it out that I'm working on now in spurts in between catching up on aby Shannon - AFIBBERS FORUM
Great news Murray! I spoke with Dr Verma at the recent HRS conference where he and Meleze Hocini from Bordeaux gave a talk I attended. This was a 'debate talk' between he and Dr Hocini in which each doc was assigned to defend a given different position or protocol and then discuss the pros and cons of various approaches in the EP universe of topics. In this talk Dr Verma was assigby Shannon - AFIBBERS FORUM
Hi Anti AFIB , It's good you mentioned it, the mini maze is a viable approach for sure, and for some folks can be the way to go, usually the very morbidly obese with LSPAF and with very large LA. It's hard to visualize well with endocatheters through a lot of fat. But it is a good deal more invasive with a lot rougher recovery than an expert endo catheter Ablation. Plus it is jusby Shannon - AFIBBERS FORUM
Don't worry, Stef and Peggy, The whole aim is to make it an easier website and forum to use overall. I would love to not change anything if modern web technology had not long ago left our website behind. We can't really improve search engine optimisation which we must start doing or we will become even harder to find in Google search that we are now. And Peggy, if you need some hby Shannon - AFIBBERS FORUM
Yes absolutely, researcher, they use the focal point source Cyro catheter when treating SVT, not the balloon which simply would not work for avoiding an AV Node ablation. I should have clarified that distinction between a Cryo balloon catheter for a PVI and a Cryo focal catheter for focal sources outside the PVs. In most cases, unlike the AVRNT SVT isue with kids, RF focal catheters are the wayby Shannon - AFIBBERS FORUM
These exterior techniques also carry more overall morbidity Anti-AFIB. Also in large number of cases mini-maze AFIB ablation also require at least one endocardial ablation to address post maze flutter/AT. This SCI creation can truly be minimized with proper protocol. And we have no indication at all so far that there is any cognitive impact from the very limited numbers and transient natureby Shannon - AFIBBERS FORUM
Moerk Wrote: ------------------------------------------------------- > Don't look at me, I'm just a reporter. , , though > glad to see a discussion (argument?). Hi Moerk, no this was not an argument with Dr John's report at all, only trying to clarify the key important elements around this issue that I happen to be very familiar with for possible decision making and gby Shannon - AFIBBERS FORUM
Thanks Denver and like so much here on this forum this is one that all of us have a real hand in so thank you too. It's folks just like you and so many others that draw new afibbers here for the real world experiences and deeper insights into this complex condition that are shared here back and forth. And that is the plan regarding the revamp, to makes things easier and more transparent tby Shannon - AFIBBERS FORUM
It is Eliguis Smack.. Noval Oral Anti-Coagulant.. that is what I would do for your up-coming vacation and call Austin from follow-up advice after returning. Shannonby Shannon - AFIBBERS FORUM
Yes Moerk, I realize this was Dr Mandrola's article and lead in you quoted above and I corrected one word in my reply above to clarify that. What Dr Mandrola fails to even point out in his review that implies that avoiding an ablation (when all other methods have failed to deliver a durable lasting unbroken life of NSR), might still be his preference, is that he does not state or even seby Shannon - AFIBBERS FORUM
Researcher, Cryos are only done by a couple of EPs at St David's in their ongoing research into all promising modalities and techniques, when the person is a good candidate ( meaning typical straight forward paroxysmal case with high odds of not having much extended spread of triggers sources..and when they review the fact with the patient that this is part of a research program and they agrby Shannon - AFIBBERS FORUM
Yes Moerk, the creation of SCI (silent cerebral ischemia) is indeed a very important issue. But is is not at all 'Big news' as noted in the title above, and has been one of the biggest focus of current AFIB research increasingly so over the last 5 to 6 years. I've written 4 articles in the AFIB Report myself over the last 2.5 years on this SCI issue sharing multiple large studies aby Shannon - AFIBBERS FORUM
Hi Smackman, You may not technically need it but at times your are not symptomatic either so at this point, when going on vacation and all Id just stay with it until your are back and then check with Natale's office ... or check with them now. Don't let anyone of us beside Natale determine this one for you. You could stay in NSR another week or another year, but odds are very high aby Shannon - AFIBBERS FORUM
That's exactly right researcher, and just what was discussed at the CME dinner at HRS in San Fran last week where a handful of renowned EPs like Packer, Marchlinski, David Callans and Natale gave case study presentations and proper CF tips and warnings were plentiful. Docs that run the CF up to 30 grams are asking for trouble and that 10 to 20 grams with 15grams being the overall best inby Shannon - AFIBBERS FORUM