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Bob , what did the find if anything at the sleep observation? Any sleep apnea?? Also, if your prospective EP actually told you that he does 1,000 AFIB ablations a year and you did not misunderstand him, he either has a very poor mind for numbers and is just spouting off what sounds impressive, or if he really said that with a straight face and was serious Id have a hard time believing much ofby Shannon - AFIBBERS FORUM
Hi Barb, My suggestion on this issue is to just relax and try not be too concerned over just what amounts to 8 weeks maximum more wait before the colonoscopy. Unless your periodic nausea symptoms that started prior to the ablation have gotten a lot worse since we last talked, the odds are high this is more likely from some intestinal bug or virus rather than your worse fear. You'll be abby Shannon - AFIBBERS FORUM
Hi Bob, I have not heard of him, but that doesn't mean he isn't good, Australia is a bit beyond my radar range. Other Aussies here lurk here may jump in with some feedback. But George is right and I would ask too how many AFIB ablations has he done and how does he measure his success rates longer term? Make sure he has at least 1,500 to 2,000 AFIB ablations under his belt and witby Shannon - AFIBBERS FORUM
Hi Louise, So glad you got to see Dr Natale and Linda Couts today and had a nice meeting. His recommendation for you at this point in your AFIB experience is also another reason I feel so confident in easily recommending him to so many. Not only because of his consummate skill as an ablationist, but because I know that he will never try to even nudge anyone towards an ablation unless if trulyby Shannon - AFIBBERS FORUM
Hi Jackie, Thats the thing with flutter, especially of the atypical left atrial variety, is that it is not prone to conversion by anything other than a good jolt of Direct current to the chest. AFIB is different left flutter can been tough and the real solution for left flutter is a expert ablation process. I wasted around 15 months proving that point, thinking that if I just tried this orby Shannon - AFIBBERS FORUM
Nancy its unusual for those kind of symptoms to occur this far out from an ablation and still be related to the transeptal puncture unless your tissue there is very slow healing or perhaps you might also gave a remnant PFO (patent foramin ovale) or 'hole in the heart' , and which is not that uncommon, in the same area as the puncture? A TEE and bubble study could perhaps define whetherby Shannon - AFIBBERS FORUM
Thanks McHale, Glad you like it. Yes the last two months was like a non-stop Keystone cops episode around here with literally one thing after another... One of those 'when it rains it pours' kind of periods. And agree TIA/CVA episodes are not high on my list for fun things to experience again for sure. Just had a very nice conversation with Dr Matthew Price who is a top Interventionaby Shannon - AFIBBERS FORUM
Researcher is right Tom, and most experienced EPs have stopped doing an automatic right flutter ablation with every AFIB ablation. Onky if there is clear triggering from the CTI area on testing during the ablation and even then a very solid PVI is typically enough to quell right flutter too. What the top docs have found too is that it is more or less a waste of time to try to do a stand aloneby Shannon - AFIBBERS FORUM
Left side triggers are for real, whatever the mechanics might be. Far too may of us have noticed this relationship for far too long before we ever heard about it potentially being a trigger or contributor too a pounding faster HR at time, for it to me some mass projection effect. And they are several very plausible explanations as both PC and Hans have posted in the past on the matter. Just slby Shannon - AFIBBERS FORUM
BHi Tom, So sorry to hear of the breakthrough but you've done quite well considering. You're case was annoying when it appeared even though not very frequently appearing before your ablation so you would have been considered a pretty easy ablation case with a pretty high percentage of success with any pretty decent EP which Dr H from your reports and a couple others Ive heard certainby Shannon - AFIBBERS FORUM
Thanks too Barb. And I will give at least an interim overview of my late developing LAA leak scenario before going back to La Jolla to get that leak properly plugged two weeks from this coming Friday July 25. And prior to writing the full soup to nuts run down of that little adventure over the last 7 weeks or so, and share what I and others have learned from the experience in full for the next Auby Shannon - AFIBBERS FORUM
Thanks George, Glad you enjoyed it...Taking some days off before starting the Aug/Sept issue. Be well, Shannonby Shannon - AFIBBERS FORUM
Thanks Lon, Sorry to hear you had a stroke in the process, but so glad you made such a good recovery and are staying AFIB free. Are you taking any of the Strategy supplements as well? If Diltiazem is helping in conjunction with a solid first ablation that otherwise might need one small touch up to truly free you up from the beast long term, you might still find making a real attempt to optimizby Shannon - AFIBBERS FORUM
Great to hear of your success Rosemarie! Sounds like you have done as well as we hoped .. And expected. Wishing you continued NSR and enjoy hope you enjoyed your Canada Day outing today. Cheers! Shannonby Shannon - AFIBBERS FORUM
You are right Jackie, thanks for the correctlon which I made in my post as well. Shannonby Shannon - AFIBBERS FORUM
Good to hear and congrats Murray that your LA is down to 51mm now. that should be more than good enough to go for an expert ablation. Is there some other reason in your case Dr. Atul still wont do it!?? Sometimes if there is a larger LA plus a number of other co-morbidities they will defer until it gets down into the upper 40s. Natale's group, of which Atul Verma was once a part bacby Shannon - AFIBBERS FORUM
Afhound, Yes often there are no readily identifiable triggers for a given episode, especially when you had it long enough for structural remodeling to have altered the substrate of endothelial and myocardial tissue lining the atriums to the point where AFIB becomes more or less self-sustaining. At that point, the heart is so prone to accept AFIB as normal it can slip in and out with just minorby Shannon - AFIBBERS FORUM
Ralph, Have you checked your Potassium serum levels since this episode started? Having a Cardymeter on hand can be very handy in times like this as Liz is right in that you want to stays within the modest broad optimal range of 4.1 to 4.9 as much as possible and certainly do not want to drift above 5.2 or so which will get increasingly into tachy pro-arrhythmia territory the higher you get aboby Shannon - AFIBBERS FORUM
Hi Trent, The ectopics that often coexist with AFIB/Flutter can indeed be a precipitating factor in a give episode, but more as a precusor skip and a hop of the heart on its way to a full blown episode. What the Docs mean by 'dont worry about it for the most part' is that ectopics alone generally will not lead to a thrombotic event nor cardiomyopathy which is the main big concerns Doby Shannon - AFIBBERS FORUM
Lisa is right about your cheese dose Duke, while George had a well documented trigger effect from certain cheeses that he was eating in rather large quantities and frequently, that is a far cry from a few nibbles from from cheese samples you report. There is not always an immediate stimulus response between trigger and AFIB attack either. Often a trigger manifests from a cumulative build up untilby Shannon - AFIBBERS FORUM
Barb, The AliveCor has its limits as a single lead EKG but it can catch most AFIBs or flutters but sometimes its not as clear and you have to not squeeze it too hard with your fingers on the electrodes and those fingers/electrodes much be moist enough. Then put it on enhanced view to clean up some of the noise too and its pretty good. But Dr N is right in that it's not 12 lead EKG accurby Shannon - AFIBBERS FORUM
Hi Duke, Its mostly the Calcium in cheese, though too much salt can be a culprit too. Search George's posts on his cheese experience and using Ginger as a partial recovery though cutting out the cheese along with the rest of his protocol is what helped him regain a quiet heart again Shannonby Shannon - AFIBBERS FORUM
This is clearly hypothyroid numbers if confirmed by any signs or symptoms which is the primary marker. A Free T4 of 0.99 and a Free T3 of 2.8 are both very much suboptimal ... "do not read these numbers as within normal range and thinking that means Optimal or even okay. These number for FT3 and FT4 combined with a high TSH as you clearly have ( this is NOT borderline high it is frankby Shannon - AFIBBERS FORUM
Yea!!! Judi Larsen to the rescue once again .. she's my forum life line. :-) Charlotte and the other posters on her tread, Judi just called and clued me in onto the secret of recovering deleted posts and so I can rebuild the thread without anyone having to retype their original posts. The original thread and posts should be up shortly, Shannonby Shannon - AFIBBERS FORUM
Yikes! that's all my fault Charlotte, my sincere apologies that was purely a mistake on my part. I had just written a reply to Duke and you within your thread and apparently hit the 'delete thread' button rather than the 'post message' button on my IPhone. This happened once before when I first took over the website in January and its due to me having all these exby Shannon - AFIBBERS FORUM
Hi Annie, Many thanks for the great update report you are doing A+ considering how far you've come in such a short time! Beats the heck out of an AV node ablation doesn't it? One small but could be important price of advice aid share with you is to not be too quick adding back the alcohol even though its possible you might be one of those who do were not that a sensitive to alcoby Shannon - AFIBBERS FORUM
Charlotte, Afhound is right, the occular migraines are a known issue from the transeptal puncture in some people and they do not yet know how to discriminate who might or might not be prone to it. It is not very common, but does happen. Fortunately, in all the reported cases Im aware of it has been self-limiting and benign. And you ask where I learned these things, mostly from 22 years of tby Shannon - AFIBBERS FORUM
Hi Axiomtherapy, I wouldn't be too quick to throw the baby out with the bathwater just yet with only a 3 minute run. Its still possible that was a 'one off' and may not return. Are you sure it was AFIB and not a run of ectopics like PACS or PVC which, when they come in consecutive runs, can feel an awful lot like bonafide AFIB? On the other hand, if it was real AFIB it is a wby Shannon - AFIBBERS FORUM
Great news Charlotte! Sounds like you are off to a great post ablation recovery and start of your life without AFIB being such a hassle. You'll get more chances to interact with Dr Natale during your follow up appointment in a numbernofvmonths and you had his full attention during the most important few hours of your relationship together when he was fixing your heart .. The Italain footby Shannon - AFIBBERS FORUM
Hi Duke, It was a pleasure meeting you as well! Good call to set that date at Scripps with Dr Natale, your case is very straight forward and you'll be very glad you took this major step toward putting all this behind you and getting on with you life without AFIB such a burden and nuisance for you going forward. What a relief! With your ongoing episodes inspite of a good effort with thby Shannon - AFIBBERS FORUM