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Just a quick update to all subscribers of The AFIB Report. The new issue has been finished as of Monday the 22nd and we're just working through a little glitch in this first publishing effort via my Mac computer after inheriting all the files from Hans and subscriber list in January... The temporary snag had to do with some incompatibility between the original subscriber list in PC format anby Shannon - AFIBBERS FORUM
Great report Mike and so glad to hear from you! As you know there is a decent size army of us now here who enthusiastically second your experience with Dr Natale. A truly special and rare man, with a warm heart that matches his enormous skill and pioneering spirit in this challenging area of cardiology. Send me your contact phone and we can discuss the ATRICLIP and options in more detail now tby Shannon - AFIBBERS FORUM
Hi Craig, Please remind me again, did you have a full LAA isolation or a did Dr Natale just delay your LAA, I think it was a full one if I remember correctly, right? Sorry Its hard to keep track of everyones procedure details when I hear so many variations each week and month. But if you did have a full LAA isolation, I would have expected you to have had a 6 month TEE a long time ago by now?by Shannon - AFIBBERS FORUM
You are welcome Peter, Please send me your number too and I can share with you some info and options from the recent ISLAA conference that I will get around too sharing here too after I wrap up this AFIB Report Issue that I am feverishly putting the final touch to this weekend working non stop. But when that is done, we can talk perhaps Tuesday by I can't seen to locate your cell you hadby Shannon - AFIBBERS FORUM
Hi Paul, If you should pair up with Dr Miller at Indiana U, who is a good doc from all I have heard, just be aware he is part of the FIRM team of docs who have been experimenting with that technology. If you do go that way, I would want to insure that the FIRM part, if he suggests that, would be used only in conjunction with a full PVAI procedure as well to insure your best odds of as good anby Shannon - AFIBBERS FORUM
And Sam, please don't feel you must wait until your heart settles down before an ablation. I know it can be a little inconvenient and a bit scary thinking of traveling with active AFIB, but I flew from Amsterdam to Hawaii and back and again from Amsterdam to Austin Texas for my first ablation all the while in very rocking persistent AFIB. Just be sure you are anti-coagulated and take what evby Shannon - AFIBBERS FORUM
I very strongly second Jackie and Ken's advice Ken S. Please be in no rush to 'test things' with pushing exercise to the limit. Im all for getting back to doing moderate exercise gradually increasing after the first 4 to 6 weeks post ablation, but I would not try to go Iron Man style hard core for at least 6 months, and in fact would recommend dropping hard core from your vocabulaby Shannon - AFIBBERS FORUM
Great to hear Sam, I glad to say you came to the right place for help and guidance on arranging for Bordeaux. And congrats on making an excellent choice for yourself! That is 9/10ths of the battle, getting off on the right foot with the best team you can arrange. As you have found there is a wealth of good advice hear about Bordeaux, I too visited for a consult and would have gladly done my inby Shannon - AFIBBERS FORUM
One more issue Peter, and for all others for who this is an important topic, Even though you showed a consistent A-wave at mitral inflow, the fact that you were not clearly in positive territory on the LAA empyting velocity but were only, at best, right on the borderline of 40cm/sec in one test and lower at 38cm/sec on the other, makes your result close, but not convincing long term. Had yourby Shannon - AFIBBERS FORUM
Peter, your question 5 above in the first post , you will Not be waylaid from exercise many months after an atriclip! They are not cracking your chest. You basically have two small main aceess ports for the laparoscopic tubes on the left side of your rib cage between two sets of ribs, and only even smaller drain spot temporarily for a day or so. The do have to deflate the left lung but that is vby Shannon - AFIBBERS FORUM
Hi Peter, I'm writing about this very topic in the new AFIB report right now and am so engaged in getting that finished over the next 5 to 7 days that I don't have the time right now to spell it all out in the typical detail , though I will do so here too after I get the newsletter sent out next week. In short though, DrNatale wants everyone to stay on the side of abundant caution anby Shannon - AFIBBERS FORUM
Hi Liz, Discuss it will your EP, the CT is better for some images and Ultrasound is better for others. I know they use ultrasound often for Carotid artery intima media thickness and plaque build up detection, and also use CT and even MRI for some vascular imaging as well. It also has a lot to do with the quality of the CT or Ultrasound and, in particular, the experience and accuracy of theby Shannon - AFIBBERS FORUM
Travis, as we discussed yesterday too, its always best not to jump the gun too early on associating a symptom with a new drug or nutrient. Giving it some real time and seeing if you're system doesn't adapt of the symptom is unrelated entirely and just goes away, is a much better way to avoid driving yourself batty as well and making a lot of snap judgments that turn out to be ineffectivby Shannon - AFIBBERS FORUM
The point Sinatra makes is that, baring some unforeseen enzyme disfunction, most people can endogenously convert DHA into EPA that is needed on demand, where the reverse is not true EPA doesn't easily convert to DHA, if at all. Thus is one takes a product with light amounts of DHA, which not surprisingly is the more expensive fraction since it is typically the lesser amount by a good marginby Shannon - AFIBBERS FORUM
That was my experience too Anti-AFIB during my AFIB haydays prior to my index ablation,,, late spring through August in Hawaii in particular, but even those first couple of years in Amsterdam, prior to the ablation, where the heat was rarely an issue, the same time frame was a common flare up period... it definitely seemed seasonally cyclical for me as well. Shannonby Shannon - AFIBBERS FORUM
Hi Liz , My local EP in Scottsdale is just now setting the home pacer monitor for me. I don't have it yet but will before long. Will Save me the two hour each way drive down from our mountain town here to the big city, though Magda and I or at times on my own make that trek often enough as it is. Still it will certainly be a convenience. How do you like it Liz? And thanks for the reby Shannon - AFIBBERS FORUM
You will be fine Barb, Dr DiBiase knows what to look and ask for from his TEE Cardio there, and he will share it all with Dr Natale as well. Also make sure you request your own CD copy of the TEE at the time of the procedure so you have both it and the TEE report and you can discuss it was well with Dr Natale at the Montefiore conference on March 7th. No worries, Shannonby Shannon - AFIBBERS FORUM
Lynn. The atypical flutter is a possible outcome of an ablation but think of it as one step toward getting rid of your total arrhythmia burden. when an atypical flutter occurs as a result of all the work necessary to stop AFIB, on occasion a flutter will be created and roughly 50% of the time those are temporary as just part of the healing process with an unpredictable pattern of scar formatioby Shannon - AFIBBERS FORUM
Hi Ralph, CTI (cavo-tricuspid Isthmus) flutter, which is the more typical form of flutter that can arise as a stand along arrhythmia, or also as a step in the natural conversion process from AFIB to NSR as sound like your case, can certainly be self-converting, though for a good many folks CTI manifest as more persistent and often does require cardioversion. Atypical Left atrial flutter whichby Shannon - AFIBBERS FORUM
tsco Wrote: ------------------------------------------------------- > Shannon, > Whats your opinion on my wait period. I mean > should I let this progress some? Even considering > insurance do they have a "span period" between > these procedures? Hi Tsco, sorry I missed this one while I was traveling last week. Its been long enough if indeed you are getting someby Shannon - AFIBBERS FORUM
Sam, LBBB is a 'Left Bundle Branch Block' .... I have an Infrahisian LBBB that is rate dependent and even though I no longer have arrhythmia, I still must keep my dual-chambered pacemaker active and renew it with a new one whenever the battery fades, just to help protect me should my heart happen to find itself at 188bpm which is my specific trigger rate for my rate dependent infrahby Shannon - AFIBBERS FORUM
Smackman, Go get a simple potassium blood test and do it in the morning before eating any potassium rich foods or drinks that morning but just eat normally in the days leading up to the test. You just want to get a look at your baseline serum Potassiumits it's under 4.4 and especially under 4.2 you can definitely use that potassium Gluconate powder. Your heart is NOT going to stop unleby Shannon - AFIBBERS FORUM
Diarrhea is not at all a common side effect reported with Eluquis Travis, so try to give it a couple weeks at least before assuming it's the drug when something like this happens that is a very rare to non-reported effect so far on a given drug. Could be something you ate or even partially from anticipation of the start of your AfIB freedom process in earnest on March 5 in Austin that hasby Shannon - AFIBBERS FORUM
Calli, What Jackie means is that you thyroid dose may be a bit functionally high for you at the moment while your AFIB is not well controlled. Each person is different and too much hypothyroidism can just as easily trigger arrhythmia as can hyperthyroidism, especially when accompanied by adrenal dysfunction as well, so you can't just give a set dosage as being too little or too much for yby Shannon - AFIBBERS FORUM
First in line on March 7th is the second annual AFIB conference sponsored and hosted by Montefiore Medical Center in NYC and Dr. Luigi DiBiase Dr DiBiase, as many of you know, is a long time protege of Dr Andrea Natale and a real rising star in the AFIB EP pantheon, and he recently was named Section Head of Electrophysiology and Director of Arrhythmia Services at Montefiore Medical Center in Nby Shannon - AFIBBERS FORUM
This post will be most relevant to a growing number of you, but is good for everyone to at least be aware of and keep in their back pocket. One issue that became abundantly clear during my 2nd follow up 3D-TEE after my Amplatzer ADOII plugging of my LARIAT leak last summer at Scripps ... as well as was emphasized at the ISLAA conference last weekend in LA ... was the need to only use a very exby Shannon - AFIBBERS FORUM
tsco, 'This too shall pass' it is the cardinal mantra for afibbers everywhere, that is one almost cliche that is full of handy wisdom! :-) Interesting you converted to NSR on Adenosine, that must have been a tachycardia episode... typical and atypical flutter will not usually convert on Adenosine,,,, the heart will slow WAY down as it does on that drug and even stop for a couple secoby Shannon - AFIBBERS FORUM
JohnBM, Just talk to your doc about getting a companion modest dose Beta Blocker or calcium channel blocker dose to take right before or at least at the same time as the FLEC dose, and that should give a good degree of protection from a possible pro arrhythmic event. Pro arrhythmia from FLEC is not that common in any event, it's just that when, and if, it does happen to you it can beby Shannon - AFIBBERS FORUM
Thanks for the added details Nancy, it's easiervto understand why they didn't shock you or try Adenosine when you rate dropped down to 70-80... You were likely back in NSR or the Diltiazem and IV magnesium combo lowered your flutter rate to that very safe region, especially will on coumadin already. You noted it was a 'mini Kaiser ER in your building' so Inassume that meanby Shannon - AFIBBERS FORUM
Great to hear John21, and you are welcome! You did good and enjoy continued NSR. Shannonby Shannon - AFIBBERS FORUM