Very Good advice Ben OSA is a biggie contributor to AFIB and as you found treating it effectively can help reduce frequency and intensity if symptoms in many sleep apnea sufferers and is very much worth treating and finding out first if you have it when AFIB is active in your life. Thanks for sharing Ben, Shannonby Shannon - AFIBBERS FORUM
Good news, I just had a short and sweet chat with Jackie who is safely back at her hotel with her son who is helping take care of her now that she is sprung from St David's. She sounds fine just with a little raspiness to the voice common the first day after and which should clear up quickly in the next couple days. All went well, and she can give us all the details when she gets hookedby Shannon - AFIBBERS FORUM
Haven't spoken with Jackie yet as she is just in the process of getting discharged from the hospital, which itself is good news. Im sure she will give us a run down on her stay there when she is back in Ohio after this coming weekend. Until then we know she came through it well as her son let me know last night and again this morning that they were checking her out so thats the main thingby Shannon - AFIBBERS FORUM
tobherd Wrote: ------------------------------------------------------- > Ron - I will look for that..never heard of it > before - thanks. > > Shannon - funny you should mention a hornet's nest > - just had one wiped out by an exterminator this > weekend, as I was stung by a hornet last week! > How do I know for sure what areas might be a > trigger? I knowby Shannon - AFIBBERS FORUM
Hi All, I know many of you are as looking forward to hear of Jackie's ablation outcome as I am so I wanted to pass on the good news that the procedure is over and she is in her very nice room ( according to her son Dave who is there with her) and in the midst of her 6 hours of laying still without moving her legs. The total time from beginning to end when she left recovery was around 3by Shannon - AFIBBERS FORUM
Good stuff David, You've done your job now, so can take it easy and enjoy the ride toward NSR. Best wishes, Shannonby Shannon - AFIBBERS FORUM
No Eric, not at age 36 with CHADS zero that is contraindicated in the latest official AFIB guidelines for paroxysmal AFIB under such a scenario, unless you have some other significant stroke risk not mentioned. The aspirin is not doing much for you either except maybe burning a hole in your stomach. Shannonby Shannon - AFIBBERS FORUM
Hi Barb, Just avoid the areas that seemed to trigger problems before. In all likelihood you are well protected, but I alway say way ask for trouble by poking a stick in a known hornets nest. :-) Shannonby Shannon - AFIBBERS FORUM
Hi Lynn, Just woke up before diving in to what I'm hoping with be the wrap up day for the next AFIB Report editing, but for sure by tomorrow will have it all done. Afterward if you'd like you can PM me your number and we can chat a bit, it might be easier to address some of your questions and concerns in a good mutual discussion. Dr Natale has a very low complication rate and especby Shannon - AFIBBERS FORUM
Hi Lynn, Are you are the same Lynn who asked the questions about Natale ablations a few months ago? If so, just wanted to remind you that we posted a rather full analysis of the latest ablation outcome study by Natale's groups and the longest one yet published anywhere by a single center with excellent long term results. That is your best source as it is peer reviewed as well in a majorby Shannon - AFIBBERS FORUM
Hi Lynn, Well, chalk that Forbes article up to yet another example of a poor job done by the lay press who all too typically are woefully uninformed about AFIB, ablations and cardiology in general. First of all, RAAFT-II was a follow up to the ground breaking RAAFT-1 study of some years ago that truly did include mostly just 'highly experienced' centers and top EPs and which showeby Shannon - AFIBBERS FORUM
That sounds like a good plan Erich ... Just try to make your choice based on which physician you feel is most capable of guiding you through a successful ablation process for the long term. I would put far less emphasis strictly on the NYU connections, as it doesn't really matter much in the big picture whether or not your ablationist happens to be at the same hospital as some of your otherby Shannon - AFIBBERS FORUM
Hi Sally, Just take it easy and heal up which should happen in short order and you should be feeling fine, for a paroxysmal case cryo-ablation can have some real assets for some EPs in terms of getting good quality PV isolation, and we are all pulling for you to be one and done with all this business for the long term! No worries. And I've heard only the nicest things about Dr Schillinby Shannon - AFIBBERS FORUM
Thanks Craigh, Yep was a very good experience and resolution at Scripps to a trying couple of months. I'm just now putting the finishing pages to the latest AFIB Report and will have it finished and out in the next 4 to 5 days is my target. It will be largely the focus of this issue on that experience, related LAA and stroke/TIA issues and what I and we have learned about the Lariat witby Shannon - AFIBBERS FORUM
Erich, Just be careful about doing too many interviews. I would narrow your options down to two at most ... maybe three on the outside ... and try to be as discriminating as you can afford to be in choosing the most experienced among the top EPs that you have heard of here, and elsewhere, to include on your short list. Otherwise, you will very likely just get more confused than more clearby Shannon - AFIBBERS FORUM
Hi May, Always take fat soluble vitamins with a good size meal containing a fair amount of fat. This will greatly improve absorption and assimilation of Vitamins A, D, E ( including tocopherol and tocotrienol forms) and K (includung K1 and K2-MK4 & K2-MK7 fractions). Its a good idea to take a good balance of all four fat soluble nutrients once a day with the largest meal of the day contaiby Shannon - AFIBBERS FORUM
Actually Barb, the anti-platelet action of aspirin can linger a bit longer than the short over all anticoagulation effect by Factor Xa inhibition that drugs like Eliquis, Xeralto and the new not as yet FDA approved version Edoxaban. those drugs AC effect is pretty much back to baseline within 24 to 36 hours of so depending on the drug. But alas, many cardios and GPs are still telling people toby Shannon - AFIBBERS FORUM
Hi Susan, Good to hear you have made it through the blanking period which is officially three months but technically after two months you are pretty much through the blanking period and any breakthroughs during that last month are increasingly likely to suggest a touch up may be needed. Im not sure where you got the impression that I was dead set against EPs offering clinical trials apparenby Shannon - AFIBBERS FORUM
H Sally, Good news that you came through it all fine as expected and best wishes on a long time fix! Were you on Sotalol prior to and leading all the way up through the ablation without stopping it at all, or did you go off the Sotalol 5 days prior to the procedure and then they started you back on it right afterward fto be continued for a few weeks and then stop? Take care and rest up,by Shannon - AFIBBERS FORUM
Dear Jackie, Having been right there with you through the roller coaster of the last couple years, the time really seems right now for your reaquaintence with the maestro in Austin. 11 years is a nice long success story and I just know you will enjoy seeing, and experiencing the benefits of all the new hi-tech goodies they use now that were not available back in those early pioneer days :-).by Shannon - AFIBBERS FORUM
Hi Erich, IM sure Dr DiBiase would be happy to discuss your options with you. He is at Montefiore two weeks a month so you shouldn't have a big issue setting up a consult. And when and if Dr N makes an appearance there you could set up a meeting with him as well. If your situation is not pressing then its a good time to establish a good connection now, especially with the group or EP youby Shannon - AFIBBERS FORUM
John21, with your ablation only a week away, should you go into flutter again just try to control the rate down as close to 100-bpm with either beta blocker or calcium channel blocker ( or a specific combo of the two with a higher dose calcium channel blocker like verapamil or diltiazem with a very low 12.5mg dose of immediate acting Metoprolol twice a day is just the straight BB or CC-blocker doby Shannon - AFIBBERS FORUM
Lynn, and RonB, the hours spent in a proceudre and number of burns often vary even among elite operators depending on the nature of and difficulty of the arrhtymia and whether or not more extensive Non-PV triggers need to be addressed beyond a more or less basic PVAI or PVI only ablation. It can also vary depending on if the EP has graduated to using Isoproterenol drug challenge of their ablationby Shannon - AFIBBERS FORUM
Erich, Include Luigi Di Biase in your search as well in NYC, he is at Montifiore and is the top protege of Andrea Natale over the last 6 years and is a real up and coming star in this field. Dr N and others who work with Luigi speak very very highly of him as a dynamic young EP with the best background and training you can get. He is also director of the most prolific AFIB research group outby Shannon - AFIBBERS FORUM
Another good basic screening tool to use at the very beginning of your serch of ablationist is this Lynn, Make sure your prospective EP ONLY does AFIB/Flutter ablations and does not mix his or her practice with pacemaker/ICD/CRT installations and management and even make sure that most of their ablation work isn't limited to SVT or CTI right atrial flutter. You also want to insure thatby Shannon - AFIBBERS FORUM
Did you ever buy the D Mannose powder Smack? That stuff can really help with long term prostate and urinary tract infections. I just returned last Wednesday from La Jolla where I got my Lariat-sealed LAA that sprung a leak and caused a small stroke in May, all fixed and expertly plugged by Dr Matthew Price. He is a superb interventional Cardiologist that Dr Natale referred me too as an ideby Shannon - AFIBBERS FORUM
Sounds like you might not need as much Metoprolol Smackman, Your mild bradycardia and low end BP indicate that your BP dose might need a little downward adjustment. Typically after a persistent AFIB ablation your HR will increase for some time to a variable degree but having a strong Beta blocker on board can certainly counter that trend and cause it to drop too low if you are taking a bit morby Shannon - AFIBBERS FORUM
Hi Lynn, Speak with the EP and not only her nurse to confirm her 2% stat for direct ablation-caused stroke, and if this EP confirms that number then run for the hills! I imagine some underskilled EPs might hit 2% with TIA or minor stroke, but the really experienced EPs are closer to 0.2% to 0.5 % at worst case and typically are even lower risk. Even in the largest survey of ablations yetby Shannon - AFIBBERS FORUM
Hi Researcher, I believe the BioSense Webster Smart Touch catheter already has read out capability for CF and other parameters within Carto 3 mapping software, which is also a BioSense Webster product as well. The St Jude's Tacticath CF catheter soon to be approved integrates well with their own 3D mapping system, but Im not sure if it has a Carto 3 module yet in which this catheterby Shannon - AFIBBERS FORUM
You are welcome Ritva, Go to Southlake and get either Dr Atul Verma or Dr Khaykin set up to do your follow up procedure, its possible one of those did your first one since yoy say he ahd some experience workign with Dr Natale at CC..Both are skilled ablationiost and I know Dr Verma worked with Dr Natale at CC and that Dr Natale thinks highly of Dr Verma.. You are not compelled right now byby Shannon - AFIBBERS FORUM