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Kids and arrhythmia can be a very different thing than just simple palpitations. There is often a real chance for a permanent cure only with such an ablation, such as for WPW, SVT and other arrhythmias in very young people who technically should not be having arrhythmias at all without something seriously amiss genetically, acquired or combine, but nevertheless not infrequently do.. Shannonby Shannon - AFIBBERS FORUM
They do it as part of EAM electro-anatomical voltage mapping as with Carto 3 and combo of Mapping catheter and ablation catheter and its electrical not physical in the since of grabbing the nerve with a clamp of some such thing. Its a pacing maneuver to define where the Phrenic nerve is relative to their ablation catheter and burns laid down.. particularly in and around the Superior Vena Cava andby Shannon - AFIBBERS FORUM
Most every decent post ablation experience includes a higher heart rate Anti-AFiB, and a number of studies have confirmed a higher overall degree of long term freedom from arrhythmia with higher post ablation HRs .. as indications of a solid thorough ablation with greater degrees of transmural lesions having actually been performed. It's the ones with no change in HR that often you need tby Shannon - AFIBBERS FORUM
Stay away from Digoxin that would be a red flag for anyone prescribing that to an Afibber in this day and age. Amiodarone too is last ditch effort and only for short term. There are many accounts you can search for here of ablations with Dr Natale, you can drive around and do light errands the following day in most cases, but take it easy too the first month with only progressively more exercby Shannon - AFIBBERS FORUM
Yes you can get non animal versions of these supplements. And there are powdered or tablet versions of Magnesium Glycinate or taurinate or malate as well as Potassium Gluconate without gelatin capsules if that is any concern to you. Shannonby Shannon - AFIBBERS FORUM
Hi Carole, Here is the Strategy Protocol which can be found with a bunch of other relevant articles in our AFIB Resources like at the top left hand side of this Forum page. Shannon (PS I'm a guy :-)by Shannon - AFIBBERS FORUM
The biggest mistake you can make in this game Carole is to choose an EP out of convenience, when you have the most experienced and consistent maestro in the world barely 2 hrs and 45 minutes easy drive from you in Austin in Dr Natale. I grew up in Houston too, and my older sister has Long standing persistent AFIB, and my father also who died from an AFIB related stroke at 69 years old in 1986.by Shannon - AFIBBERS FORUM
Yes, Carole, and welcome to the forum ... there are quite a few of us have had successful ablation processes after long time AFIB> Dr Natale and the folks in Bordeaux specialize in long standing persistent AFIB cases and do very well with typical a one to three procedure expert ablation process. There are reams of accounts of such on out website, including my own story and many others. I fiby Shannon - AFIBBERS FORUM
That's was a take off view from the Desmukhs Medicare study of complications for the 10 year period of 2000-2010 in which all 91,803 Medicare ablations in those 10 years were studied and the rather shocking finding was that >81% of all 91,803 people went to greenhorn EPs doing less than 25 procedures a year at small centers doing less than 50 ablations total a year!!! And needless to sayby Shannon - AFIBBERS FORUM
Yes Rob wait until you are well healed. And Alangford, dont rush out and do too much too soon, the suggestion was also for Mike who is m ore than 5 months out from his last ablation. You need to recover and let the inflammation subside over the first month to six weeks before really pressing the pedal to the metal. Shannonby Shannon - AFIBBERS FORUM
Try to relax with it Mike and definitely fill That script for Bystolic a low dose is pretty benign for most folks and can help Lower your rate .. And it took me 27 months to get back to my old HR region after my big index ablation and it was maybe a couple points above my regular low 9 Of 60bpm. Stress and worry increase adrenal output which in turn elevates HR as well, so You Might be roby Shannon - AFIBBERS FORUM
I agree with Steve's premise that calcium handling, and dysfunction there off, often with excess IC calcium as a manifestation is likely a core culprit and nearer to the fundamental biochemistry of AFIB, though it's not so simplistic as just a matter of dumping calcium from our diets either. One of magnesium's effects on the body and heart in particular is its action as a natural cby Shannon - AFIBBERS FORUM
Mike, Absolutely Natale takes Medicare, The large majority of his procedures are all billed through Medicare and Medicare Advantage plans or Medicare Plus policies. No problem for CA at all. Shannonby Shannon - AFIBBERS FORUM
No this is not an absolute two week delay before ECV, its just that they will prefer not to ECV so soon as the LA is already slightly stunned a bit from the ablation, However if the person is in highly symptomatic AFIB right after the ablation that does not respond to AAR and rate control they can still do an ECV earlier .. that doesn't happen often with top EPs, and they would prefer to givby Shannon - AFIBBERS FORUM
Hi Mike, Rob summarized things well above, but also consider taking a low dose beta blocker like 12.5mg of metoprolol or 2.5mg Bystolic for now maybe for a year or so to allow a more comfortable what and help a bit with the sometimes very slow re-establishment of a 'new normal' resting HR post multiple ablationist . Try the Bystolic first and see how that works for you as it is a relby Shannon - AFIBBERS FORUM
Hi Bill, I've recounted here a number of times in the past that of my 16 total ECVs prior to achieving the lasting NSR I still enjoy, during my very last ECV I was at a small country ER in Northern Arizona after flipping into one of my periodic but regularly occurring during the prior 14 months atypical left flutters from around my LAA and got zapped while still wide awake in a most unpleby Shannon - AFIBBERS FORUM
Ted, The De MRI in this instance doesn't really buy you much doing it in advance other than to perhaps help assign less experienced EPs to those likely less challenging cases rather than getting saddled too frequently with very challenging cases, even who are paroxysmal but who might have more advance fibrotic substrate and thus have a bad match of a surprising more difficult case than anby Shannon - AFIBBERS FORUM
I will look into it further as to recovering the early forum data, but I recall it had something to do with the changes to the 'Phorum' open source forum platform Hans used for hosting our forum, I believe, and the new changes in that Phorum software update some 6 to 8 years ago or so that allowed easier searching of the then current and future forum modules wasn't compatible, I beby Shannon - AFIBBERS FORUM
The multi-electrode phased array catheter in question was not irrigated and had other design problems and was never approved... case closed. Dr. Natale uses primarily the Thermocool Smart Flow irrigated catheter and in some paroxysmal cases either of the two contact force catheters from St Jude Tacticath or Bio-sense Webster's Smart Touch, but he mostly prefers the Smart Flow. The Smaby Shannon - AFIBBERS FORUM
Nice find researcher, Dr. Pete Weiss is a very smart EP and really one of the bright lights in the up and coming world of EPs in their mid-40s. He does both AFIB ablations and has a particular emphasis on PVC and VT ablations and is an expert on Stereotaxis magnetic navigation which is particularly valuable in VT ablations. He is also an avid researcher and probably the leading technical reseby Shannon - AFIBBERS FORUM
Hi Alangford, Glad to hear you, Kerri and your mom made it back to Dallas okay and in fine shape. Dr Natale is referring to having fully confirmed electrical isolation (dissociation) of the SVC (Superior Vena Cava) which returns deoxygenated blood from the upper half of the body into the right atrium ... and FYI the inferior vena cava connects down below he heart) from the rest of the atria. Sby Shannon - AFIBBERS FORUM
You can clear up the noise to a degree by using their averaging method or 'enhanced filter' mode and you can invert the waveform too. They have four decent algorthims that give a general, but not infallible indication if you are in NSR or Normal , AFIB, Too much noise detected ( make sure your two index finger tips are moistened and don't squeeze too hard or it will increase noiseby Shannon - AFIBBERS FORUM
Forget it Apache, You don't need a pre ablation MRI other than to sell more MRI scans. The only real possible advantage of Utah system is in allocating less skilled ablationist to patients with the least amount of scar or fibrosis noted on DE-MRI so they dont not wind up with cases that are not well matched for the experience of many paroxymsal only operators There is also still considerby Shannon - AFIBBERS FORUM
Apache, Please do Not make the mistake of forgoing an ablation based on Rons rougher than usual recovery, occasionallu that happens but every indication is that he will make a full recovery in short order and his odds of ongoing success are very good! His experience, while not unique is the exception rather than the rule and in discussing his details with him, its quite possible him very acby Shannon - AFIBBERS FORUM
Some people just don't go on to develop a highly progressive form of AFIB, and it can go on for 10 or even 20 years with just a handful of paroxysmal episodes a year regardless of what they do, or don't do. While many others ... and what clearly seems a significant majority .... do seem to need a good deal of help from various fronts and methods in order to reverse the gradually, or quiby Shannon - AFIBBERS FORUM
Ive been on a mini vacation the last 5 or 6 days since finishing the latest issue of The AFIB Report but I ear-marked this thread to come back too today. It's true Anti-AFIB that asymptomatic AFIB ablation is not yet indicated as an officially guidelines sanctioned process, and no where does ablation, nor drugs nor nutrients rank as a 'cure' for AFIB by the Cardios much stricterby Shannon - AFIBBERS FORUM
Very short term and very sporadic is no problem Que, I also don't know how well I would trust the IWatch yet as the last word in personal HR monitoring accuracy with the relatively short experience we have so far with the new product, but keep a log of these and if it starts to increase at all let your assigned nurse or Salwa know at CPMC. And have them check your monitoring they are doing (by Shannon - AFIBBERS FORUM
Agree Anti AFIB ECVs can really come in handy with a decent team doing the shocking ... And most ER teams are proficient enough are darn well should be! If you can't get a ECV done without incident those folks need to retraining for sure. However, along with my long list of just about every slice of the AFIB world has to offer is my last ECV prior to my LAA Isolationin a small country towby Shannon - AFIBBERS FORUM
SAFIB, One thing I have learned from years of reading EP/Cardio research papers is to be very careful pinning too much opinion , either way on reading an abstract alone! Always its wise to read the full paper before drawing any real conclusions at all, I typically read from 30 to 40 peer reviewed entire studies just to be able to come up with 4 to 6 worth summarizing every two months into rby Shannon - AFIBBERS FORUM
Apache, Ten years ago that advice to wait it out cause you've only had AFIB for 2 years might have held a bit more water... But with the enormous advances we have made .. at the most elite levels of the field I have to always underscore ... strongly tips the advantage for NOT waiting too long IF and WHEN you are unable to reestablish consistent NSR by all the natural and Life style and caby Shannon - AFIBBERS FORUM