Hi Eugenie, You will be in excellent hands with Sabine Ernst, the best in the UK in my view, especially for the kind of AFIB you describe. Best wishes, Shannonby Shannon - AFIBBERS FORUM
JohnBM Wrote: ------------------------------------------------------- > Hi Shannon, > Could you provide a link to the latest Natale > stats? I can't seem to track them down. > Thanks These must be taken as anecdotal input at this point until formally published in the coming year. Have it on very solid grounds from those very close to the action in the know. It also dovby Shannon - AFIBBERS FORUM
McHale, You are correct about the excellent 10 year prospective results of paroxysmal ablations done in the year from Dec 2000 to Jan 2002 or the full calendar year 2001 was truly in the dark ages still of ablation technology and understanding and still Natale his 59% at 10 years and off all AAR drugs begging totally free of all arrhythmia after just 1 ablation. That is truly remarkable. Hiby Shannon - AFIBBERS FORUM
Thanks Gill yes there are three main reversal agents in the lineup at the moment. The most promising to date is Andexanet Alfa which is past phase 3 trials now and is being fast tracked for approval by the FDA. I write all about that one in the last AFZiB Report. Which is for all three Factor XA inhibitors like Eliiqus, Xeralto and new soon to be released Edoxaban ( to be called either Lixianaby Shannon - AFIBBERS FORUM
Atjim, Welcome to the forum, First of all, we all know it can be a daunting task finding and choosing the best ablationist EP for ourselves. I'd like to ask where you got the impression that the 43 year old doc who you were referred to by his in-house practice cardiologist partner (according to health grades he is 43) has 'thousands' of AFIB ablations under his belt? I wouldby Shannon - AFIBBERS FORUM
HI Rita, Sorry I meant to get back to you late last week, but was swamped with my short weekend trip to Chicago and such. In any event, your first decription of the new catheter in question said it was called EnMark which neither myself, researcher, nor the EPs I spoke with in Chicago had ever heard of. I was pretty sure you must have been referring to the nMARQ from Biosense Webster as we kby Shannon - AFIBBERS FORUM
Hi Peggy, The last issue of the AFIB report shared an excellent study on the dangers of Digoxin in AFIB use, just as Hans had pioneered for us all so many years ago. And the upcoming issue due out in first half of December has a two reports on the problems of NSAIDS and AFIB as you noted as well. For this wishing for more info on these topics can check out the last and soon to be current newby Shannon - AFIBBERS FORUM
Great news Ken, glad to hear everything is humming right along! Cheers Shannonby Shannon - AFIBBERS FORUM
that is patently wrong to state hypothyroid lowers the risk of AFIB.. Maybe if they do a cross section of people who they deal hyper versus Hypo more of the Hyper will have experienced active AFIB, but Hypothyroid very much so is associated with and can contribute to AFIB. We have discussed the mechanisms here many times for the hypothyroid/andrenal axis contribution to arrhythmia and have shaby Shannon - AFIBBERS FORUM
Hi Liz and Dennis, good tips Dennis and Liz while sitting or standing cross t Separately both you left arm as rood your chest area with elbow relaxed downward and grab your right deltoid shoulder muscle and then try to raise your elbow up to level with your hand holding the opposite deltoid and do the same with the right arm holding your left deltoid. I suspect you will be able to raise yourby Shannon - GENERAL HEALTH FORUM
Hi Rita, A patient doesn't go into an ablation requesting an LAA isolation procedure, that is something that is done as a final step, typically only in more advanced cases that are highly unlikely to be effective with a straight PVAI/PVI with posterior wall isolation alone and for which even addressing other typical non-PV sources, beyond the anatomical PVI scope, still leaves very activeby Shannon - AFIBBERS FORUM
Colindo, Jackie, George and all, Whole Blood Viscosity and its relationship to Hypertension/BP Above is the link to the Whole Blood Viscosity and its relationship to Hypertension/BP article on the relationship ( not causal per se) of hyper viscosity and blood pressure/hypertension. Have been very busy and took a while before I could track this article down again. I leave for Chicago for anby Shannon - AFIBBERS FORUM
Yep Researcher the hoops and nonsense that often companies and patients have to go through 'for our own protection' gets pretty silly at times, and very costly too in terms of time, money and often slowing down beneficial tools for docs and patients a like. A lot of politics involved too with this much money at stake. Shannonby Shannon - AFIBBERS FORUM
St Jude's 'Tacticath' Contact Force catheter This is a head's up on FDA approve this past week for the St Jude's Medical Tacticath Contact Force catheter which now joins the already approved earlier this year Biosense Webster Thermocool Smart-Touch contact force catheter and now providing two such clever options for EPs to choose from and both of which can really helpby Shannon - AFIBBERS FORUM
Yes Colindo, there is a definite association between hyperviscosity and hypertension. Here is a brief review by Dr Jonathan Wright at Meridian Valley Labs and Tahoma Clinic in the Seattle area that highlights the broad associations of hyperviscosity with all 12 major cardiovascular risk factors, it's the only lab marker associated with all 12 such risk factors. While all the other testby Shannon - AFIBBERS FORUM
Hi Nancy, The blood thinners may help reduce SCI creation for paroxysmal AFIB, but like for symptomatic strokes it is not a guaranteed solution but just lowers the odds per year. But over a long time frame the odds of still having some degree of SCI is still there to a degree regardless with drugs. The only sure prevention is sustained NSR, by whatever means it is achieved and AAR drugs are nby Shannon - AFIBBERS FORUM
If your are talking about a Right Atrial CVT flutter ablation which is what it sounds like, the current consenstous among elite ablationist, with studies to back up their experience, is that its more or less a waste of time and you are better off long term going for a full PVI ablation in which they can address the right flutter on the way out of the PVI procedure. What have been discovered ovby Shannon - AFIBBERS FORUM
Hi Ken, Im wrapping up my research phase for the next AFIB Report this weekend and will be writing it over the next couple of weeks and as such, don't have time to answer all your questions above by post here or by a written PM or email. If you send me your cell number and a good time to call in your time zone, I will try to call in the next few days when Im out and about in transit anby Shannon - AFIBBERS FORUM
As I mentioned in the Anti Afib thread on the Cardymeter, I have found large whole avocados to be an excellent source of a longer lasting increase in serum K levels. One big avocado, along with my normal diet and very solid supplement protocol which bring in other sources of K as well, will keep my K within a heart calming range of 4.9 to 4.3 quite reliably for 12 hours or more, which is great foby Shannon - AFIBBERS FORUM
Those are borderline low serum levels Anti-AFIB at 3.85 to 3.95 for an active afibber. And with my blue older Cardymeter I can always get very spot on calibrations when using either the conversion calculator online that you noted or the conversion chart posted as well from the PPA group, compared to serum readings made exactly at the same moment as the Saliva test and Cardymeter scan. They takby Shannon - AFIBBERS FORUM
Craigh, Most all insurance will approve Ablation as a first line therapy, within certain diagnostic codes. If there is any bradycardia for example that can make drugs more risky etc and for complex cases in which drugs have shown a poor efficacy. Ablation is considered a near full first line therapy at this point, with something like a 1a or 1b i tier indication rather than straight up topby Shannon - AFIBBERS FORUM
PeggyM Wrote: ------------------------------------------------------- > Shannon, i need to ask you for a favor and i hope > it does not take too much trouble. Please would > you show here a link to that issue so i can > re-read that article on silent strokes? I have > always suspected that such a thing as a silent > stroke existed, because when an MRI was done after >by Shannon - AFIBBERS FORUM
Hi Barb, we covered SCI (silent cerebral ischemia) and both AFIB itself as a prime source of these SCIs in a special report in the April/May issue of The AFIB Report. Please go back and read that and related ussue of SCI and AFIB ablation.. By far the biggest source is unaddressed AFIB itself. Another reason why tolerating still a modest amount of AFIB breakthroughs may wind up being a Fausby Shannon - AFIBBERS FORUM
Recent studies on cryptogenic strokes (those with no apparent cause in initial thorough exam when exhaustive follow up investigative screening has been carried out indicate that at least 10 - 15% of these unknown stroke sources, and likely a good deal higher percent are from undetected silent AFIB or short nocturnal runs. Emphasizing the need to look very carefully when it seems there has beenby Shannon - AFIBBERS FORUM
Billie, If you have low normal Serum Magnesium levels then its pretty much a slam dunk your IC magnesium levels are low and that is what counts. Serum Mag can be very misleading when it comes to heart muscle intracellular Mag stores and thus heart rhythm instability indication. The problem in all cardios and EPs using only serum Mag and thus they do see in their AFIB patients an apparentlyby Shannon - AFIBBERS FORUM
There is definitely an inverse relationship between sodium and potassium, they regulate each other and as George noted, I too have never been a big fan of fanatical sodium restriction. Yes there is too much sodium for sure in the SAD (standard American diet) but too low can get you in trouble fast too and crash your adrenals as well which depend on adequate sodium to function. Then your bodby Shannon - AFIBBERS FORUM
Hi taco, Its not likely to cause palpitations in topically applied doses, provided you stick to topic administration. Orally could be a different kettle of fish but I have not heard off it being a big source of atrial arrhythmias even taken orally. Topical will have some systemic effects too but a good deal less so compared to the local topical effect of the drug. Make sure your testosteby Shannon - AFIBBERS FORUM
Hi Portofcall, You are more than welcome, Im glad to see you made your choice from three well trained men and all three are very capable, especially with paroxysmal AF, and it's a very good choice you have made as well, in my book. I know Dr Di Biase quite well now and very much respect him and have no qualms at all in strongly recommending him. He was chosen by Dr Natale to sponsor hiby Shannon - AFIBBERS FORUM
Hi Anti AFIB, I haven't used the new version Cardymeter , but have seen it, is that the one that looks like a long pen or almost one of those home pregnancy testers though with the half white and half pink color with the sensor in the little built in cup at the white end while the display end is pink that you are talking about? I have one hear at home a friend here in Arizona brought by fby Shannon - AFIBBERS FORUM