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Anti aFIB is correct Lisa, there is either AFIB or something else be it NSR, Flutter, SVT etc etc. Consecutive runs of ectopy can often feel like AFIB , but if you are sure you are in NSR when you have these feelings then it is not some subterranean form of AFIB. Jackies discription of potential Borderline hyperthyroid cardiac symptoms is certainly possible too as hyperthyroid or just borderby Shannon - AFIBBERS FORUM
Hi John, Sounds like you are on the right flight path here. Keep it up with the nutritional repletion and dietary enhancements. If you have any sleep apnea be sure to treat that as well. Im sure they will fit you in as soon as possible in Austin and take good care of you when you are there. For another perspective I tolerated Sotalol reasonably well for two 10 month periods of taking it, buby Shannon - AFIBBERS FORUM
Hi Grady, Just a small correction FYI, his last name is spelled Natale rather than 'Napale'. And there are jamb packed at Austin until after the first month of the year. The wait is a normal one in any event for his schedule and well worth it. Hang in there. Shannonby Shannon - AFIBBERS FORUM
McHale Wrote: ------------------------------------------------------- > Neither antiarrhythmic drugs nor catheter ablation > decrease the risk of stroke in afib — they are > designed to control symptoms caused by the > abnormal heart rhythm. Walid Saliba, MD, director > of the atrial fibrillation center at the Cleveland > Clinic, > > Shannon does this statementby Shannon - AFIBBERS FORUM
Hi Billie and welcome to the forum, With a few of the complications you experienced with your first ablation, I would be very reticent about going to the same ablationist for a follow up procedure. Your best bet in this highly skill and experience dependent field of AFIB ablation, is making a real effort to put yourself in the hands of the most experienced possible ablationist you can arrangeby Shannon - AFIBBERS FORUM
Taking more than 70mg of Warfarin per week without making it into the therapeutic INR range of 2 to 3 is, by definition, Warfarin resistance Judianne. So if you take 7mg for 5 days for example, which is the maximum time needed to realize the effect of an increased dose of warfarin, and you are still need at least about 2.0 INR then you absolutely are warfarin resistant. Best wishes. Shannoby Shannon - AFIBBERS FORUM
Judianne Your doc seems not to have a lot of experience with Warfarin resistance if he is having you take only two 1mg incremental dose changes with only 3 weeks prior to ablation when you have not responded at all to initial warfarin dosing! It is very unlikely to work that way with so a slow tentative ramp up with only 3 weeks left before your ablation. if you have warfarin resistance aby Shannon - AFIBBERS FORUM
Hi Chuck, Technically you could fly the next afternoon after being discharged from the overnight stay for observation. However it's not wise and at least a bare minimum of 48 hrs post ablation, and preferably a couple days longer, is typically strongly suggested . There are good hemodynamics reasons in that, even though you should have solid hemostasis restored by the next morning post abby Shannon - AFIBBERS FORUM
Also Ken, discuss with your doc going on Diltiazem or Verapamil instead of Toprol. The two calcium channel blockers tend to have a bit less impact on BP, with Verapamil have a bit more BP lowering effect per equivalent dose than Diltiazem but it doesn't seem like you need Lower BP for sure, so perhaps Diltiazem would be a good choice and see how you do with it. It can lower HR a goo deal tby Shannon - AFIBBERS FORUM
Hi Ken, I would strongly advice you NOT to get an ablation at this time with anyone other than a true expert that specializes in persistent AFIB. Its great that you are relatively young and healthy and fit ..all those things are in your favor, but while there may well be a very good reason for you to get an ablation now, you want to be particularly discriminating on who you go to. A few queby Shannon - AFIBBERS FORUM
As noted on the phone just now Peter, you are good to go following the instructions from CPMC and with your good LAA emptying velocity reading as it is only that they just want to confirm that your doppler A-wave is consistently positive in the next follow up TEE in one more test before releasing you from anti-anticoagulantion needs as it is. Follow the new post colonoscopy recommendations asby Shannon - AFIBBERS FORUM
Warfarin acts very differently in the body than the NOAC blood thinners,hence the reason INR reading Iare more or less useless with these new drugs, they anticoagulants using a different pathway and target than does, say, Eliquis. It is also why the vast majority of supplements and drugs that can negatively impact warfarin have little to no impact on the performance of these NOACs. And like saby Shannon - AFIBBERS FORUM
Dr Natale puts people some people on maintenance aspirin after going off a blood thinner mainly for cardiovascular protection and not for AFIB related stroke risk reduction. If he review of your health records, and to a large extent your age as well as his experience with your heart in his care for you overall indicates a somewhat elevated risk for CVD then he feels a baby aspirin's potenby Shannon - AFIBBERS FORUM
PVC ablation is more common, especially when the number of PVCs in a row increase as you then, in some cases, can be approaching ventricular tachycardia territory. And it's commonly done too just when PVC become a real nuisance and are too persistent and string, even though deemed benign. Shannonby Shannon - AFIBBERS FORUM
Barb, I havent heard any issues with turmeric and Eliquis and I've taken them together. Though I go off my Eliquis today now that it's three months after my LAA leak plugging repair in La Jolla in late July and my follow up TEE three weeks ago confirmed a great success in solid seating of the rivet-like plug device and zero leaks of any kind. I do have to take Olavix now for 3 moby Shannon - AFIBBERS FORUM
Don, Don't at all be discouraged by some Ectopic runs or even some transitory runs of flutter or AFIB at only 6 weeks post ablation, that is all very common even in cases that are destined to be one and done, as you are still in the blanking period. Ectopy in particular is nothing to worry about unless it's very persistent and then it's most annoying, but be sure to redouble yoby Shannon - AFIBBERS FORUM
Great to hear PH, It wasn't so long ago we were on the phone shortly after your procedure with Dr Natale. Time flies and its great to hear things are humming right along as hoped and expected! You had a challenging case including a couple of procedures at Bordeaux and its so nice to hear how solid things are for you now. Be well and best wishes. Cheers! Shannonby Shannon - AFIBBERS FORUM
Hi Bert, Having left atrial flutter, also called atypical left flutter, is a not uncommon effect of catheter ablation. Especially when venturing beyond the PVI (pulmonary vein isolation) as is often necessary for best long term outcome for those whose PVI ablation is proven solid and sealed already, or for those with a more extensive for of AFIB to begin with. The question you ask now is abby Shannon - AFIBBERS FORUM
Hi Barb Z and welcome to the forum, It's perfectly normal to have a somewhat elevated HR rate for a period of time post ablation ranging from 6 months to 2 years at the extreme outside, though the later is quite rare a duration. And contrary to the cloak and dagger conspiracy motives suggesting EPs never mention anything about this, every EP worth his or her salt readily notifies every pby Shannon - AFIBBERS FORUM
Peggy, that's great that you haven't had any symptomatic AFIB episodes since 2008, my question would be , vis-a-vis the Eliquis you take, is have you ever done any longer term 24/7 monitoring to see it you have periodic boughts of a symptomatic AFIB that may have been behind your stroke? If you are really sure you dont have any breakthroughs you are unaware of at the time, then the Eby Shannon - AFIBBERS FORUM
Eliquis is the best of the three NOACs out now and looks like it will stay that way. It's only disadvantage of having to take it twice a day is actually a safety advantage as long as you do remember to not skip the second dose each day (smart phone reminders are a great help in that regard). By this time next year the reversal agent Andexanet Alfa may well have achieved FDA fast track approvby Shannon - AFIBBERS FORUM
Absolutely do not take digoxin. Go read my article in the very topic in the latest Oct/Nov AFIB Report ! And since when is CHF an automatic rule out for an expert ablation? A successful ablation in many cases can help improve CHF. Please go have a chat with Andrea Natale and politely put aside your cardios fears about that until you speak with a true expert in the field such as Dr N. In a caseby Shannon - AFIBBERS FORUM
Hi Peter, That's actually not all that disappointing. 4.2 cm/sec is just above the 4.0cm/sec cut off point below which they don't want you to go without anticoagulation long term. In addition they have to confirm that there is a consistent Doppler A wave measured which each inflow into the Mitral Valve inlet of blood draining from the LAA at just above the minimum 4.0cm/s (or 0.4m/seby Shannon - AFIBBERS FORUM
Smackman, The new issue of The AFIB Report has a detailed summary of a recent interesting large scale review of alcohol and AFIB including when modest amounts may well be tolerated in occasional moderation, the different impact of various types of alcohol, and a realistic dose/response guideline that should more or less apply to many after a fully successful ablation process has been complete.by Shannon - AFIBBERS FORUM
YHi Todd, Thanks for the links above, and yet we have been thoroughly covering the issues here in the forum with NOAC drugs, including the lack of a reversal agent so far, over the last couple of years. In the latest issue of the AFIB report, we discuss a promising Phase 3 trial on a Factor Xa-inhibitor antidote or reversal agent called Andexanet Alfa from Portola Pharmaceuticals that is begin fby Shannon - AFIBBERS FORUM
Great to hear Nancy, You have had to travel quite a road with your health issues. Here's hoping this marks the end of AFIB as being yet one more issue to deal with going forward, and best wishes on having similar success with your biochemical. You made a very good choice and that makes a big difference in making over to the other side of the fence. Cheers! Shannonby Shannon - AFIBBERS FORUM
Duke, I second what Jackie said as well, just as you would not even consider seeking out a top expert in physician trained in nutritional biochemistry and/or a Functional Medicine MD to garner the best possible advice on, and to perform, your AFIB ablation, so too its wise not to put all you apples in the basket of a cardiologist or EP when it comes to expertise in nutrition repletion and how bby Shannon - AFIBBERS FORUM
Novel interventional may reverse Alzheimer memory loss Here is an interesting article that has a strong correlation in our findings and that of recent studies on AFIB and heart disease in general by not just modifying, but optimizing select nutrient and hormonal deficiencies and adopting stress reduction methods ... sound familiar? Shannonby Shannon - AFIBBERS FORUM
I actually like real natty having lived in Hawaii for 38 years of my life where it is commonly found with our large Jaoanese population. It most definitely is an acquired taste and can take some 'motivation' :-) to acquire it, but it's healthy and when you adapt not bad at all! Shannonby Shannon - AFIBBERS FORUM
Knock on wood, but I have not had a true flu in 10 years since I started keeping my Vitamin D3 levels at a confirmed by bi-annual blood test level of between 60 to 80ng/ml. A level defined in several small but replicated study's as confering even better protection than the vaccine with quite a few additional other health benefits as well. I know there have not been huge randomized trialsby Shannon - AFIBBERS FORUM