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Hi Steve, Great to hear from you again and glad to hear things are ticking away just fine there in Spring Texas! Take care, Shannonby Shannon - AFIBBERS FORUM
Hi researcher, Thanks too for the link, and yes for sure an in-depth discussion of robotics is beyond the scope of this forum and no doubt there was a steep and dangerous for some learning curve for the Hansen system. Not unlike for quite a few early ablations as well, with numerous PV stenosis and esophageal fistulas as well until operators learned how to adapt to the parameters of their tooby Shannon - AFIBBERS FORUM
Hi Larry, I certainly don't have any issue with Dr Natale or any other EP not recognizing laying on ones side as a physiological/mechanical trigger for ectopics. I suspect if we sat down and discussed it he would acknowledge the possibility of a mechanical/anatomical mechanism for this phenomena which such a huge percentage of Afibbers became spontaneously aware of very early in their AFIby Shannon - AFIBBERS FORUM
One thing Id be concerned with long term George is driving insulin levels too low. The idea that the lower ones insulin the better is not true. Many people, especially very thin folks with some degree of sarcopenia or muscle atrophy have non-diabetic insulin deficiency (fasting insulin levels below 2 for instance are heading in that direction and often really blossom both in overall energy and aby Shannon - AFIBBERS FORUM
As an ablationist and regarding most things around the ablation question and field of interest, Dr Natale is at the top of the heep in terms of quality insights and advice. When it comes to various systemic triggers, we are all in the realm of more or less educated hunches and rules of thumb. And this includes EPs and patients alike. Keep in mind too that the majority of EPs have never onceby Shannon - AFIBBERS FORUM
George, I haven't done a full ketogenic optimal diet but do go lighter on the carbs and strong on the fresh veggies, berries and one organic Apple a day (which always work well for me) and a good serving of either good quality haigh omega Salmon, free range organic chiken or grass fed only beef and include a healthy percentage of good quality fats as well. Extra Virginia coconut oil, gheeby Shannon - AFIBBERS FORUM
You are welcome Smackman, If you have any more detail type questions you can PM me as well between now and April. Sounds like you already know the drill with the BB rate control steps, so you are in the groove and ready to go! Cheers! Shannonby Shannon - AFIBBERS FORUM
Hi Betty, Make sure you are paying at least as much attention to your potassium intake as to your Magnesium. both are equally important and you first must have enough IC mag on board and then insure your daily potassium needs are met. even though I am quiet as a mouse now, I still take hefty topical magnesium and oral time released Albion chelated magnesium in addition to one 20mEQ tableby Shannon - AFIBBERS FORUM
Hi Smackman, Good to hear you had a nice visit in Austin ... no surprise there. Regarding being in AFIB at the time, what he meant was there is no rush while you are in NSR but should you go into AFIN before April, then perhaps he could work you in sooner if there is a sudden cancellation and not to worry is you do go into AFIB as it will save hims a step of having to endure your AFIB during tby Shannon - AFIBBERS FORUM
Hi researcher, It's clear I need to clarity a few points on the Hansen/Stereotaxis systems and perhaps I should have also discussed in my first post above on the topic, the next chapter in the new book 'Hands on Ablation -The Experts Approach' right after the one on the Hansen Robotics system I mentioned briefly in the paragraph you quote above. That following chapter was all abby Shannon - AFIBBERS FORUM
Hi Barb, Don't worry much the PACs or PVCs at this point. As Dennis noted anytime you stop a powerful drug like Flec, there can be some rearranging of the deck chairs that takes place as your physiology adapts again to the absence of the drug. And Dennis had a run of AF/Flutter as well possibly also because he was only 5 weeks out then from major open heart surgery as well for his aneurysby Shannon - AFIBBERS FORUM
Hi tsco, Welcome to Afibbers.org and sorry to hear you have had a rough go of it. I presume this will be your first left side ablation, in other words the first one in the left atrium for atrial fibrillation/Flutter as compared to your earlier three ablations which, if I glean what you are saying above, sounds like they were for SVT and typical right atrial flutter for the most part? Is that cby Shannon - AFIBBERS FORUM
Mike, They is very good data as well on both magnesium's and potassium's impact on keeping the heart quiet. Those electrolyte formulas don't have anywhere near enough potassium to help calm PACs and ectopics. Restoring critical minerals can be a big help for many, but should not be thought if as a 'cure'. And for those with more long standing paroxysmal or persistenby Shannon - AFIBBERS FORUM
Its important to read such a study in context as well. This was looking at a group of mostly healthy Asians over time and seeing what association coffee drinking may have had with development of AFIB. Coffee, tea and chocolate, like many natural substances contain a mix of a number of complex biochemicals and poly-phenols a number of which have been shown to have very powerful anti-oxidant beneby Shannon - AFIBBERS FORUM
Hi PH,' I just replied to your last post in the prior thread in which you asked me the two questions and in my replies I discussed the decision to choose either Bordeaux again for a 4th ablation or Natale and let him take a fresh look at your situation. Its absolutely true either Natale or Jais will be able to tell what was previously done. The majority of Natale's work is repairby Shannon - AFIBBERS FORUM
PH Wrote: ------------------------------------------------------- > Thanks Shannon. Two follow up questions: > 1. Does Bordeaux use "contact force" catheters? > What if they don't on my chances of 4th ablation > success? > 2. More generally, and ignoring the merits or lack > thereof of Cardio Insight, do you think it is > worthwhile for me to do a 4thby Shannon - AFIBBERS FORUM
Nancy, it goes without saying to remember to share your past EKG and diagnosis of your arrhythmia mix with Dr Hongo, just make sure he has a copy if all your tests from past EPs and Cardios and emphasis your symptomatic nature when they occur. Best wishes, Shannonby Shannon - AFIBBERS FORUM
Hi Mikej, How much Magnesium and in what form do you take each day? Most importantly, how much potassium do you take in via food and supplementally daily? After insure decent Magnesium repletion its really the potassium sufficiency that helps stop or at least minimize the PACs and ectopics. Or better said its the combination of the two that works best, not just magnesium alone for most people.by Shannon - AFIBBERS FORUM
HI George and Randy, Yes its a combination of co-morbities no doubt that help add to the increased rate of dementia which doesn't necessarily have to equate to having had a burden of mini or silent stroke or TIA like brain infarcts however small and transitory. It could be that those events contribute and makes sense that they might in some cases, but the overall burden of other CVD reby Shannon - AFIBBERS FORUM
WIndstar, Peggy is absolutely right, there is no rush right this minute and its best to get a referral from Dr Hongo or the staff at CPMC for a good either local EP ...preferably as they tend to be more up with the nuances of ablation issues in general and in specific... or a good Cardio they trust in your general area near Santa Barbara. I suspect they will know of one or more in the generalby Shannon - AFIBBERS FORUM
Good deal Smackman, Pass along regards to Dr N, and enjoy your consult. He is a very easy going and great guy to have as your EP. You will sense his confidence and skill right from the first meeting. Cheers! Shannonby Shannon - AFIBBERS FORUM
There is good evidence for the effect reported above of Omega 3 in large enough doses, but clinically speaking it is unlikely by itself to make a major difference in AFIB burden with only adding this amount of DHA/EPA in folks with many years of active AFIB in which substantial structural remodeling has already taken place. It's the ole' start it early before 'the horse has leby Shannon - AFIBBERS FORUM
Yep dnvrfox, that's a real issue and another good motivation for doing everything in one's power to maximize time spent in NSR and reduce overall AFIB burden. Trying to just limp along for years with an average rate of breakthroughs from not very effective drug treatment alone can have more consequence than a stroke. Shannonby Shannon - AFIBBERS FORUM
Thanks Murray, I hope your EP is up to going for it. They did an ablation via a live satellite feed from Bordeaux last Thursday morning for all if us to see at the Boston AFIB symposium of a 57 year old man with long time persistent AFIB and a LA diameter of 59. While the ablation we were watching was being done live by Meleze Hocini, Pierre Jais and Michel Haissaguerre were right there wiby Shannon - AFIBBERS FORUM
John, You are welcome and rest assured too that if the left flutter returns as well and requires another ECV, it makes sense to then set up for a touch up with Dr Natale so he can button up that last remnant open flutter circuit and at the same time he could check and confirm or not an SVT issue on the right side and easily address that on the way out of that touch up procedure and you shouldby Shannon - AFIBBERS FORUM
Murray, PVCs themselves are not anything to really worry about as they are unlikely to directly cause any issues. Unless you start to get a larger number than 5 at a time in frequent series of consecutive runs which then can be defined as a form of ventricular tachy, but that is very rarely the outcome of typical PVCs that suddenly morph into that form of VT. The one thing that recent reseaby Shannon - AFIBBERS FORUM
Hi researcher, Well, their investment just adds another wrinkle when interpreting their clinical results, but is not a deal breaker by any means. Im sure the Bordeaux team really does like and believe in the technology and I have no problem with these physicians profiting from something they helped develop and they dod disclose their relatively recent ownership investment at least. It's jby Shannon - AFIBBERS FORUM
Researcher, Yes Cardio-insight is indeed centered in Cleveland, but several of the top Bordeaux docs have also made substantial ownership investments in the company from the reports from several sources, as well as their own potential conflict of interest disclosures that cited ownership investments in the company in the CVs for each talk at Boston AFIB. Its definitely not just a consulting gby Shannon - AFIBBERS FORUM
PH, You are right, an AV node ablation always includes implantation of a pacemaker as George noted above. Without one you would die rather quickly one the AV node is abated out of action. While this is rarely done these days except in cases of highly symptomatic persistent/permanent AFIB that does not respond to any other therapy including ablation, drugs and possibly maze, then this can be conby Shannon - AFIBBERS FORUM
Hi Murray, Tikosyn as you well know is a very powerful AAR drug that impacts QT length and while many tolerate it pretty well it does have a list of side effects, particularly over time, as you have discovered as well. As a relatively newer AAR drug, we are only now hearing more about some of the longer term effects, but in the right patient it can put a lid on AFIB for a good long while, butby Shannon - AFIBBERS FORUM