![]() |
![]() |
![]() |
![]() |
![]() |
![]() |
Andrea S, With regard to the biofeedback systems as well as magnesium and other supplemental protocols .. These are all very much worthwhile in trying and adopting as an adjunctive therapy for your aunt that 'might' help some to a modest degree, but in her case as reported so far with permanent ( or long standing persistent AFI and at her age, the odds are very slim that these effortby Shannon - AFIBBERS FORUM
Good to hear from you Barry and glad to hear things are doing well! And thank you Jackie for the solid links on Iodine intake. I agree too that because far larger than the standard minuscule RDA for Iodine is needed to impact health and thyroid function positively, that does not at all mean that the sky is the limit on upper-end doses and for a number of conditions and constitutions 12mg/ day andby Shannon - AFIBBERS FORUM
Many thanks for the full details George, and folks while a good deal of what George is doing can be applicable to many, keep in mind he has carefully derived his approach from a highly disciplined and dedicated study of trial and adjustments for himself over a long time. Some of the specifics he has found to work well for him now are driven by him having an active ApoE4 gene which is a key genetiby Shannon - AFIBBERS FORUM
Great News Doreen, Im very happy to hear it's all working out so well, though again, Im not at all surprised as you followed the guidelines pretty much to a 'T', including a real dedicated effort at life style and dietary/nutritional repletion as we strongly urge folks get the ole' college try with and then choosing very skilled and experienced hands to entrust your heart aby Shannon - AFIBBERS FORUM
Wishing all our Afibbers here a very Happy Thanksgiving and beginning of this new Holiday Season! I, too, am very grateful for so many friends and compatriots here sharing in our life long discovery of how best we each can navigate our own journey and challenges with AFIB. And all the while, in the process, share so many truly valuable insights and guidelines that can be so successfully applieby Shannon - AFIBBERS FORUM
Hi Cass, Sounds like you had seven great years free of AFIB after your first Natale ablation which is a very good outcome. I highly suggest you stick with the most experienced operator you can which is your original ablationist by a huge margin. It is not at all uncommon for a late developing Atrial flutter triggers years after a successful PVAI or PVI, with perhaps a few other non-PV triggby Shannon - AFIBBERS FORUM
The top ablationists hardly make these distinctions anymore. They acknowledge the vagal and adrenergic influences., of course, but they see AFIB largely as a progressive condition in which a milieu of influences continue to morph and evolve as it progresses over time toward and increasingly persistent nature. Most people, even if starting out solely vagal like I did, wind up with a goo mix of vagby Shannon - AFIBBERS FORUM
Hi RonH, With I assume the 5mg BID dosing (5mg twice a day once every 12 hours) of Eliquis and a relatively minor same day diagnostic procedure go no more than 48 hours max without any Eliquis and take the first restart dose on the same day as the procedure taking it with that days dinner dose after your daytime (preferable morning time) procedure. That should cover you just fine RonH! Bestby Shannon - AFIBBERS FORUM
George I think the FDA is now allowing, or soon will, 23 & Me to start offering interpretive analysis of their genome kits again. I got a mail about that from the company recently ... I think they said it was coming soon but not quite available but good news nonetheless. Shannonby Shannon - AFIBBERS FORUM
You are welcome Dee, And sorry it took me two days after my Medscape letter to the editor came out to share some of this background. It was Magdalena's birthday yesterday and I have been more than swamped with the AFIB Report, and these back to back articles both coming out this same week of all things, in any event. Needed a good day off yesterday :-) Hopefully, some of those who havby Shannon - AFIBBERS FORUM
Hi Bill, I agree, it is certainly true that a fair number of those who might have limited LAA velocity after a successful LAA isolation, might be well served with just sticking with OAC drugs, if they tolerate them well, for the time being as the development and skill levels of a greater number of EPs and interventional cardiologists and cardiac surgeons increase as it surely will in the new fby Shannon - AFIBBERS FORUM
Thanks Folks for the kind words, This was a difficult article for me to write and I certainly never anticipated, nor ever wanted, to have to rebut someone else's writing on a mutual topic of interest. I want to underscore, too, that I respect Dr Mandrola's efforts to inform his readers in his regular blog space, and I do agree with quite a few of his ideas and viewpoints and realizeby Shannon - AFIBBERS FORUM
Very interesting George and an important topic indeed. More research is currently underway looking at ApoE4 gene association in relation to AFIB as well, and not only via the dementia connection, but a probable connection to fibrosis tendency as well. ... I agree, this will likely become a key marker to know about as the unfolding genome starts to make real inroads in our understanding of chroniby Shannon - AFIBBERS FORUM
Sounds great MntBikerlady and you will fit right in here perfectly with your obvious proactive nature and outlook. That is a lot to digest here so take it step by step and lots of very experienced folks here to lend a helping hand. Cheers! Shannonby Shannon - AFIBBERS FORUM
Welcome Mntbikerlady, I can guess the source of your 'exercise heart' syndrome by your moniker. you will often hear from many EPs a rather optimistic 7 to 10 days max before resuming full activity and technically that may be roughly right as far as not being triggered into AFIB or flutter, especially for more standard PVAI-like cases. However, we have found its not always the bby Shannon - AFIBBERS FORUM
Good news indeed Judianne! And thanks for the update. Do consider too keeping up with eating well and ongoing with The Strategy protocol with the two main heart calming electrolytes plus taurine protocol on going as just another way to help keep the heart happy, and rest of the body too. Be well! Shannonby Shannon - AFIBBERS FORUM
Hi Lorenzo, It varies of course and depending on how challenging a case is there can be some degree of vagal stunning but the rates reported are not too high in the 10% to 15% range of those of us with more difficult and more extensive procedures required. And a lot lower numbers when considering the full pool of patients. Though most of those higher per tage cases occur with more challengingby Shannon - AFIBBERS FORUM
Good to hear Les And no worries on the LA size right now. It can take 9 months or so to start seeing real reduction in LA size from reverse remodeling and even longer .. Especially if there is moderate fibrosis and scarring . When the fibrosis is longer term and more entrenched there will be a limit on just how far the reverse remodeling and removal of fibrosis can continue, regardless ofby Shannon - AFIBBERS FORUM
http://www.statnews.com Today's Home page Tuesday Nov 10th Statnews.com LARIAT Special Report Hi All, This morning the brand new Boston Globe affiliate online investigative publication called 'Statnews.com' published a special report on the LARIAT and some of the issues we have exhaustively covered here over the last two years or so, and includes a bit on my LARIAT relatby Shannon - AFIBBERS FORUM
Sorry this guy is misinformed! ... Will explain in a few when back from Scottsdale. Comprehensive 24 hour urine testing including all the major anabolic metabolites correlate quite well with serum total, free and bioavailable testosterone such that they generally tell the same story, saliva testing of people already taking exogenous hormones gives huge ranges that are not consistent and do notby Shannon - GENERAL HEALTH FORUM
Hi Lynn that was RonM, And he had a mild to moderate phrenic nerve stunning which can happen rather rarely in cases like his, but is one of the complications that are listed in the possible side effects .But especially with the tools and method of Dr Natale's ablations it is quite rare for this to occur, and a fair percentage of it happening is down to the wide variability in each patientby Shannon - AFIBBERS FORUM
Hi Methan99, Welcome to the forum but sorry you are being bothered by runs of ectopy at this time some 8.5 years after what from your brief discriptions sounds like it has been a successful ablation by Dr Natale, apparently after two prior ablations by someone else that proved less than durable. Going on the minimal info you have given so far, it's not possible to know what might be trby Shannon - AFIBBERS FORUM
Great news to hear John, And thanks for the fast update! As we discussed this weekend I felt confident things would turn out fine once you saw Dr Natale again and am so glad you got in to see him today while he was still in the Bay Area attending the last couple days of the annual American Heart Rhythm Congress held this year in San Fran, as he returns to Austin tomorrow evening, so it was forby Shannon - AFIBBERS FORUM
Another quick point here researcher and apache, I don't have the time to go more into it until the newsletter is finished soon, Im on the home stretch and shooting for Wednesday but little time for anything else at the moment. Nevertheless, its important to understand as researcher pointed out that top tier high volume ablation centers like St Davids and Bordeaux, Univ. of Penn, Univ.by Shannon - AFIBBERS FORUM
Anti-AFIB, this whole thing should never have happened and I feel badly for John having to go through what should have been a non-event in the course of a typical recovery from a challenging ablation. Some of his symptoms that do happen at times with very difficult cases, as his was with 100 minutes of burn time (almost the same as my near record index ablation at 117 minutes burn time in 200by Shannon - AFIBBERS FORUM
I agree on researcher, on the pay to play medical device market issues, and while its true there should be no direct harm from a mapping system that may not live up to its early expectations ( and mind you I'm not saying that Cardioinsight vest belongs in that camp at all at this time, its much too early to tell and it has some promising aspects for sure), but there can be some inadvertentby Shannon - AFIBBERS FORUM
Lisa A lot of people notice less bruising with Eliquis and Xeralto, funnily enough, and indeed compared to Warfarin in many cases. Keep in mind the Factor Xa NOAC drugs like Eliquis Xeralto and Edoxaban (Savaysa) are not Vitamin K antagonists as is warfarin. Some clots do last a good long time, depends on their makeup, location and surround blood velocity. Also those that get embedded deeby Shannon - AFIBBERS FORUM
Hi researcher and Apache. Have had precious little time to post here and wont until the next 10 days or so +/- a couple days when the AFIB Report should be out so apologies for the delay. I want to be clear that my mention of hte need to take our time and let this issue with the Cardioinsight vest and other new technologies to really mature and prove themselves is nnot from my feeling thatby Shannon - AFIBBERS FORUM
Hi Marcia, Good to hear and you were in good hands with Dr Lin who is in the upper tier of ablationists I know of, and Dr Calans and Marchlinkski at Penn are long time mentors there, though Dr Marchlinski is not doing as much ablation these days and focuses more on education and research and Dr Calans does a good deal of VT ablation too. Both Dr Calans and Marchlinski are a very smart and exceby Shannon - AFIBBERS FORUM
Hi Bill, The activation products EASE brand is not the cheapest for sure, but works very well in my experience. It is suppose to have 25mg of Magnesium per spray, so it's more concentrated than some of the other brands (possibly reflecting somewhat in the added cost). But send us the sources of other generic mag chloride hexahydrate and I'm sure George or another or our intrepid reseby Shannon - AFIBBERS FORUM