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Hi Jim, check for any more sympathetic Cardio's in your regional area near Idaho with Salwa at CPMC who they might have worked with in the past. Some runs of flutter are indeed common during the blanking period, though should calm down as you move past the two month mark, or at least not pick up speed or frequency past 8 full weeks post ablation. You want there to be either no arrhythmiaby Shannon - AFIBBERS FORUM
Hi Doreen and Liz, I dont have much time this week just 20 minutes right now, but need to address a few potentially mistaken impressions. Doreen, I agree with Jackie that you have done everything about as right as you can from all that I have understood from your case by following it here over time. You have had an overall very good level of control with combined nutritional and drug regiby Shannon - AFIBBERS FORUM
The issue with the gender gap in terms of about a 20% overall increase likelihood of needing a follow up procedure assessing a large pool EPs doing the work we will review more in the upcoming AFIB Report am working on non stop now through this coming weekend when I hope to have it all wrapped up. However, much of this apparent gap is multifactorial and a good portion of it stems from the generalby Shannon - AFIBBERS FORUM
In haven't heard of many issues with Flec and Diltiazem and in the past used that drug as well as Verapamil (another calcium channel blocker like Diltiazem) but obviously not both Verapamil and Diltiazem at same time. Diltiazem tends to be very slightly better for rate control than Verapamil but verapamil tends to have slightly better BP control than Diltiazem. Both can help prevent proaby Shannon - AFIBBERS FORUM
Thanks for letting me know Marg, I will check on it Monday. Shannonby Shannon - AFIBBERS FORUM
Great report Jackie, I had just seen this when researching studies for upcoming AFIB Report. Makes sense and I wonder if perhaps my good 75ng/ml Vitamin D status helped make my small but contrast imaging significant 1cm right mid-frontal gyral infarct and a smiliar size right frontal opercular infarct from my Lariat leak induced stroke last May, also similarly blunted in overall impact on my hby Shannon - AFIBBERS FORUM
Great to hear Gary, Am glad things worked out so well with Dr Prieto's repair job, Ive heard some good things about her as well. Thanks for keep us posting one year after your last message on the subject. Hopefully Merlinworks is doing similarly well a year later as well, Cheers! Shannonby Shannon - AFIBBERS FORUM
Thanks Ken, and also for the help with the glasses with your daughter too ( Ken's daughter is an optometrist. The week before I left for Hawaii I broke my glasses ( first time in 45 years I have done so) and I am blind as a bat without them with a -8.50 vision in both eyes. My spare pair I quickly was reminded was 7 years old and not at all the same prescription. Alas, when I took my bby Shannon - AFIBBERS FORUM
Hi All, I am knee deep now in preparing the next AFIB Report issue for April/May and should have it out by weekend after this coming one, if not a day to two sooner. This will be around 2 months after the last issue at our new normal range of 3 to 4 weeks into each two month publication cycle. I've just returned from a 10 day business trip to Honolulu, my old home of 38 years, to addreby Shannon - AFIBBERS FORUM
George, While Vitamin K2/MK7 can indper ed impact Coumadin INR levels, it generally has neglible impact on 45mcg to 90 mcg per day doses of K2-MK7 form. At 45mcg day of Vitamin K2/MK7 there is a general stabilization of INR swings commonly seen and progressing up to 90mcg you might see a 0.2 drop in INR but little more than that, if that much, in most cases. I do highly recommend getting aby Shannon - AFIBBERS FORUM
Hi Jackie, Barb and Doreen, Liz, Lynn and Dee, Im working non stop now on the next AFIB report and hope to have it out by weekend after this coming one at latest and am including a new follow up study that is well done overview meta-analysis of Gender impact on ablation recurrance, and sure enough the women draw a bit shorter straw here too once again. Seems like with all the child bearingby Shannon - AFIBBERS FORUM
Sounds great Travis, Keep us all posted as I know you will via your own site as well as here at your other home! Cheers! Shannonby Shannon - AFIBBERS FORUM
Why are you worried about the result Sam, that seems reasonable solid with your modest dosing regimen, especially considering you live in a low sun area and likely with low sun angle even in the summer which further reduce UV light absorption on the skin and less Vitamin D synthesis. Also, you obviously are either in Canada, Europe or maybe Australia/New Zealand?? since you are using the Scienby Shannon - AFIBBERS FORUM
Elizabeth Wrote: ------------------------------------------------------- > Shannon: > > Are you talking about Dr. Jonathan Wright of > Tacoma Washington clinic? You confused me because > you said you wanted to get " her" permission to > print the article, did Dr. Wright have AF? > > Hi Liz, Sorry for the delay just back from a busy trip and getby Shannon - AFIBBERS FORUM
My main issue with Dr Mandrola is not that there isn't some good points in his arguments many times, but that he so often then takes a good point and shoots to the moon with it and winds up flying off the handle going way overboard, in my view, in his pronouncements that: ...... (insert here the latest topic of his newest 'discovery') .... is 'the latest paradigm shift in theby Shannon - AFIBBERS FORUM
I dont know who said Vagal AFIB rarely develops into permanent AFIB, but that sounds more like wishful thinking. For one, Vagal AFIB doesn't even always stay Vagal-only, or even just primarily vagal, over time. At a certain point in the progression toward persistence, the distinction between vagal and adrenergic can get run though the blender and all mixed together such as to be more or lby Shannon - AFIBBERS FORUM
Glad to hear it helps Nick, It really should, regardless of the fact that its obviously a hassle and not what any of us would chose to do for our spring vacation, as Jackie put it. But as you noted, you are in truly the best possible expert hands and just as you no doubt had an overall positive experience in the index ablation with Dr Natale, you can expect an even easier ride through the wholby Shannon - AFIBBERS FORUM
Hi Lynn, I can answer that question about my little part of the equation for helping Jackie get in early this time. Jackie had already been in contact with Dr Natale's nurse assigned to her after she noticed the tachycardia and thus they were already getting up to speed on her monitoring before I first learned of her tachycardia episodes a couple days later. So I only greased the wheels aby Shannon - AFIBBERS FORUM
Hi Chuck, good question. When I, and others, refer to a touch up, it is not to minimize the obvious disappointment in needing to go one more round, but to underscore too the very real and major difference in selecting the best possible ablationist you can to guide your ablation process to begin with to insure the least number of procedures your condition of AFIB might require to finally be riby Shannon - AFIBBERS FORUM
Hi All, Certainly persistent AFIB that is low speed and largely asymptomatic now, is much easier to live with than rocking and rolling paroxysmal AFIB with all the fits and starts and highly symptomatic extremes, and never knowing when it will come or go and interrupt one's life in such a predictably unpredictable manner. But it's a bit of wishful thinking to assume one can justby Shannon - AFIBBERS FORUM
Hi Debbie, I would definitely talk to either Dr Schweikert or Dr. Natale about this. Since Mike already had two AFIB ablation, he needs to confirm what Dr S did in those two ablations, if anything directly with CTI flutter circuit in the right atrium and to confirm this is not a left atypical flutter manifestation. Typically, CTI Flutter is a precursor to AFIB or the process that leads to bby Shannon - AFIBBERS FORUM
Its still the blanking period JohnB, plenty of these at this time still go quiet for the long term after two to three months. If it is still actiing up after then is when its good to get that quick touch up on the books, but right now is a bit too early. A cardioversion though may well be in the cards if it is continuing as you dont want to stay in flutter too awfully long even during the blankinby Shannon - AFIBBERS FORUM
Ralph some folks cannot take nearly as much Magnesium, nor need it, as the more common Afibber Dr Jonathan Wright has a good article on this issue in one of his newsletters of some time past. I am in Hawaii for a few more days slaving away and clearing out a big 10' x 15' full storage locker that housed much of the detritus of a full life until the last few days and at an ever increby Shannon - AFIBBERS FORUM
Sustained NSR is your best, and really only, good shot Les at significantly lowering your LA diameter. The catch 22 is that you are not likely to get sustained NSR short of getting a going on Tikosyn which is often not a fun drug to take long term and they likely would not give it too you anyway with your type and degree of AFIB ... or Amioderone which you generally want to avoid if at all possibby Shannon - AFIBBERS FORUM
Terrible advice you got Tsco, for serum Mag most labs show 2.2 to 2.5 as the upper end of most serum Magnesium average reference ranges. Please be aware that reference ranges for long term storage electrolytes like Magnesium, which can take a long time to restore IC deficiencies for, are not at all the same as 'optimal physiological ranges'. A large percentage of the US population thatby Shannon - AFIBBERS FORUM
Glad to hear it's all set jpearre! And you are more then welcome on behalf of all of us here. You'll do just fine. It's not unusual for a caridiologist to subtly or not so subtly recommend against an ablation. Their whole specialty is built around drug management and as such they typically (with exceptions) are inevitably behind the curve when it comes to nuanced understanding oby Shannon - AFIBBERS FORUM
Hi Chuck, Have you had a break through past the blanking period? I must have missed you referencing that if so. Generally the rule of thumb, is that any repeated actual confirmed atrial arrhythmia past the blanking period is a good sign to get a touch up scheduled as soon as possible. It does not buy you anything to postpone waiting to see if you can sort it out any further with this or thatby Shannon - AFIBBERS FORUM
Good news Ken, two minths is the real blanking period so that's great to here all is easy breezy. Before you know it we'll be reading about your one year then two year anniversary ... And so on. Take care, Shannonby Shannon - AFIBBERS FORUM
Chuck, any stats you use have to be stratified based on overall experience and skill level of the EP. Trying to get a single figure from a published study that does not do such discrimination in how they count those stats would not be too meaningful for you. Especially at the 6 month mark, you'll be hard pressed to find any such stats that are reliable as most everyone has shifted to theby Shannon - AFIBBERS FORUM
Hi Keith of the AFIB universe. Sorry for the delay I've been very busy of late, but you got some good advice as usual already. At Mayo you should get good overall care and just be sure to insist that either Doug Packer or Sam Asirvatham does your ablation and no one else and be firm on this, both are very good men and skilled ablationist and you will be safe with either. Both are very niby Shannon - AFIBBERS FORUM