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Hi Susan, Good to hear things are going well for you these days, even with a house full of kids to tend too. The moderately elevated HR is totally normal after a solid ablation and will resolve over time. Regarding your impression of the CARTO 3 imagine I suppose you asked Curry to send to you, you have to keep in mind that CARTO 3 mapping software is limited to making only discrete dotsby Shannon - AFIBBERS FORUM
Hi CraigH, You can pretty much rule out any inflammatory stenosis in the carotid artery from the duo-decapolar mapping catheter threaded down the jugular vein into the right atrium/coronary sinus area for doing global real time mapping of the full left and right atriums while the Ten pole Lasso Mapping catheter threaded up through the right femoral vein along with the ablation catheter perforby Shannon - AFIBBERS FORUM
Hi Liz, its helpful to know that Paul only started on Amioderone after his Bordeaux ablation. Prof Jais wanted him to stay on it for a while to help stabilized Paul's heart some in the months after his second ablation and first at Bordeaux. In light of the difficulty Paul had after his first ablation and his up and down thyroid action at such a relatively young age, I can understand Dr Jaisby Shannon - AFIBBERS FORUM
Barbs touch up ablation went very well as expected and hopefully this one night in the hospital is not too restless with the nurse coming in and out and the machines beeping and such. I had written a new thread about her procedure earlier and no realize I must have accidently erased it when I was make a few typo edits ! In any event , this smaller version I felt best to put in this main thrby Shannon - AFIBBERS FORUM
Hi All, Barb asked me to make a post for her to let everyone know she is doing just fine after what Dr Natale aid was a textbook procedure for a follow up case. No prior areas ablated needed redoing and the only two focal areas the required addressing was one new focal spot along the lower posterior wall near the esophagus area and the actual flutter trigger source was found and ablated alongby Shannon - AFIBBERS FORUM
Do invest in a Carymeter to guide your potassium supplementation to Iatrogenia, as it will definitely increase your understanding of what foods and how long the potassium supplements raise your potassium levels to good effect since there seem to be a close correlation between saliva/serum potassium readings and clinical response in terms of a quiet heart, implying too that with potassium, ... unby Shannon - AFIBBERS FORUM
Hi Lynn, I sent you a PM seconding Jackie's recommendation and sharing some more insights about CC now compared to during Dr Natale administration. There are some good Cardios and EPs at CC for sure, but when a new head of AFIB ablation center took over after Dr Natale left and went to St. David's, CPMC and Scripps he was not fully mentored by Dr Natale and they did not sustain his pby Shannon - AFIBBERS FORUM
Call Robert Schweikert in Akron Ohio, He is a long time colleague of and was mentored by Dr Natale and is very good. He is your best bet in that immediate vicinity. Cheers. Shannonby Shannon - AFIBBERS FORUM
Thats great to hear AFjun14, That means it's very unlikely for anything outside of your LAA while have reconnected that was previously ablated by Dr N. It was just at 6 years ago when Dr Natale started doing gradually more LAA ablation and isolation. If he saw any LAA triggering during your prior ablation at that time six years ago, it is very likely he would have still only delayed thby Shannon - AFIBBERS FORUM
Going straight to a Lariat is an option afjun, but first you want to make sure your only remaining triggers are in the LAA and that all other areas of prior triggering are firmly ablated and with no reconnections. Again dr Natale has by far the most experience in ablating and isolating the LAA successfully and after your multiple ablationns would absolutely be the one to consult about the next beby Shannon - AFIBBERS FORUM
You are welcome Charlotte, and best wishes on Friday when you and Barb get some good TLC from the maestro! You couldn't possibly have made a better choice for a case like yours and that should always bring real comfort and confidence going into your procedure. Even if a second procedure should be in the cards with Dr N, it will be far more targeted and a relative piece of cake and theby Shannon - AFIBBERS FORUM
Hi Iatrogenia, Nice hearing from you again and glad things are going quite well. The increase in ectopics with the duration and frequency you mention is not that unusual Even this far out from the ablation and may well niot have much, if anything, to do with your procedure. Many people notice a kind of almost seasonal periodic manifestation to a jumpy heart, even when there is no outrightby Shannon - AFIBBERS FORUM
Hi Nel, Can you please PM me with your phone number so I can talk to you about the sign in issue? Jakcie had a similar issue temporarily recently but it seems better now I think last word she mentioned to me. Im not sure what it is and I this is only the second report of such a nuisance.Thanks anyway Nel, so I can learn what you are doing or whether or not you reboot your computer from time tby Shannon - AFIBBERS FORUM
Silentsal. For the time being drop the Serrapeptase and curcumin as these are the most likely, if at all, to have some impact on your Coumadin. Your goal now is to establish a solid stable INR as quickly as possible and sustain that through the ablation for for a few months afterward. In all likelihood these nutrients will not have too great an impact on your INR but they could have a modest iby Shannon - AFIBBERS FORUM
JohnC, At the moment I simply don't have the time to find all the links to the presentations at these conferences as many are not fully fleshed out in online links but rather one can buy copies of some of the conference talks from Instatapes.com. In the meantime, a very good user friendly website for navigating the thyroid jungle is called Stop The Thyroid Madness. Just dive in andby Shannon - AFIBBERS FORUM
JohnC, At the moment I simply don't have the time to find all the links to the presentations at these conferences as many are not fully fleshed out in online links but rather one can buy copies of some of the conference talks from Instatapes.com. In the meantime, a very good user friendly website for navigating the thyroid jungle is called Stop The Thyroid Madness. Just dive in andby Shannon - AFIBBERS FORUM
Hi Lisa Mac, Its good you heard from both Jackie and Liz above as both approaches are fine for the right person. Liz is right too in that having had her Thyroid nuked for Graves disease,. it does make working with Synthroid easier and more reliable for many folks in her boat. My objection is to Endos who ONLY use Synthroid for all cases of Hypo regardless of the circumstance, and who only usby Shannon - AFIBBERS FORUM
Hi Barb, This well be a piece of cake so no worries, A true touch up with a targeted area, likely around the LAA which not uncommonly can require one touch up to lock things down for the long term after it has been isolated in a prior ablation as in your case. And Duke, Barb's first ablation was last August and she had a significant case from many years of AFIB and required LAA isolatiby Shannon - AFIBBERS FORUM
Hi John C, My areas of interest and familiarity with medical issues are limited to Cardio/EP, certain neuromuscular diseases and issues, and a wide array of endocrinological and age management issues including hormonal and supplemental strategies and testing methodologies etc.. All things that have greatly impacted my life in one way or another and learned as much from the school of hard kby Shannon - AFIBBERS FORUM
Randy Wrote: ------------------------------------------------------- > Shannon, I'm puzzled why Smackman was able to get > off Xarelto in little more than half the time I'm > supposed to be on it. Smackman had persistent AF > and I recall you noted Dr Natale stopped just > short of full LAA isolation. Smackman and I are > about the same age, my AF was paroxysmby Shannon - AFIBBERS FORUM
Hi Nel, its fairly common though the anesthesiologist and surgeon will want to insure they can keep your rate well controlled during the procedure so let them know if you use something that helps keep your rate nice and in control. Best wishes on your operation, Shannonby Shannon - AFIBBERS FORUM
Hi Tish, MTHFR is a very important mutation to rule in or out if a person has any of the broad constellation of symptoms that impaired Folate and other B Vitamin mal-absorption and lack of adequate assimilation can cause. The list of possible symptoms and impairment possible from lacking the MTHFR gene function is as long as your arm as you now know from your research and I think its an importby Shannon - AFIBBERS FORUM
Hi Charlotte, First of all, as I understand it you have had a total of 5 breakthrough episodes since your AFIB ablation of March 2013 in Dallas but you have had only one ablation so far, is that right? How long after the first breakthrough after your first ablation? It sounds like your last episode was either a high speed flutter or tachycardia which is an not uncommon manifestation of an aby Shannon - AFIBBERS FORUM
The problem is not that the average Endo isn't smart enough or isn't a good physician, it's that this area is one if the real blind spots in allopathic medicine in afraid in which thyroid treatment which needs to be far more clinically driven has largely devolved to the simplest numbers game using incomplete and often misleading testing protocols based primarily around TSH alone ofby Shannon - AFIBBERS FORUM
Good to hear Smackman, Its not surprising as you know, but very nice news to hear! It's hard to beat having one of the best in the world handling your business. Best wishes for many years of clear sailing. Shannonby Shannon - AFIBBERS FORUM
Duke, in reading your concerns above I think you are worrying too much about side effects relative to the typical reality... Its NOT that bad and you'll be hard pressed to find hardly anyone here who had gone through their ablation process with a real expert ablationist like the man you are seeing, and is not just in the early days post ablation when every twinge or new experience seems heigby Shannon - AFIBBERS FORUM
Hi afhound, The one physical metric besides an overly enlarged LA that can influence whether many EPs will attempt an ablation or not is how big a person is. With severely obese people it's very hard to get good imaging as well as Fluoroscopy views and those that have both a very wide girth and torso as well as a large LA with long standing persistent AFIB are often referred for a hybridby Shannon - AFIBBERS FORUM
PS Bart, while the monitor you got seems pretty good, just FYI the AliveCor Iphone and Android compatible monitor and app work very well for your purpose too and is about half the $300 price and has a diagnostic service for getting relatively feedback via a consulting service which can come in handy in your remote area, assuming you are in an area serviced by AliveCor? Cheers! Shannonby Shannon - AFIBBERS FORUM
Its only been three weeks or so since your ablation and everything will continue to stabilize in the next few months. I doubt your trembling sensation has anything to do with AFIB obviously since you no longer are in AFIB or flutter , nor is it likely related to the ablation since you had this symptom long before the ablation and it's not a typical post ablation experience in any event. Tby Shannon - AFIBBERS FORUM
Hi Bart, The first group if strips looks like NSR. The second two are is mostly AFIB with a few PACs mixed in. PAC = premature atrial contraction which along with PVC (premature ventricular contractions) are known as ectopics. I hope you can find a decent EP to follow your treatment somewhere within reasonable distance from where you live.. Shannonby Shannon - AFIBBERS FORUM