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Hi Tom P, Glad to hear your NSR is hanging steady as well. You benefited too, no doubt, from getting it done before your disease process had progressed toward more frequent and longer lasting episodes over a longer number of years before getting this first ...and hopefully last .. ablation. If one is not able to put the beast to sleep, for the most part, by a dedicated and thorough commitmeby Shannon - AFIBBERS FORUM
Hi Janet, I would certainly insure a steady intake of enough Magnesium, potassium and the other stand-bys from 'The Strategy' as far as supplements are concerned. That might well help keep things more settled and certainly it could only help your overall body with the major challenge of so many surgeries you have had to endure. Hand in there and best wishes! Shannonby Shannon - AFIBBERS FORUM
Thanks for that McHale, Very interesting article. I had read previously that the shape and size of the LAA can influence stroke risk and that the more persistent and long duration one's AFIB is, the greater the likelihood the LAA can grow in size and develop more lobes etc, but this is the first study with such definitive LAA shape categories correlated with increased of decreased strokeby Shannon - AFIBBERS FORUM
Great to hear its going well Gehauser ... All the best for continuing NSR! Shannonby Shannon - AFIBBERS FORUM
You are most welcome DGM and George,, I know all too well that it's a complex subject and trying to thread the comfort needle for each of us is a challenging and personal task. If you wish to discuss it further or in more detail, you can PM me and we can chat on the phone about it if you like. Shannonby Shannon - AFIBBERS FORUM
Hi RK, Well that sucks! I would drive to the US, stock up a suitcase full of Nattokinase with a long expiration date .. even transfer the capsules into Vitamin C bottles ( making sure first that the ridiculous draconian Canadian official's haven't yet gotten around to banning Vit C too!) if you are afraid of a custom's search ... and truck it back across the border to yourby Shannon - AFIBBERS FORUM
Diane98683 Wrote: ------------------------------------------------------- > To all, > > I came across this article that was printed around > the time cryo-balloon ablation first came out: > > oballoon-ablation-treatment-for-paroxysmal-af/ > > This article makes cryoballoon ablation sound far > superior to RF ablation, and the shocking thing > about itby Shannon - AFIBBERS FORUM
Hi Pat, I know two people so far with what seems to be successful cryo-ablations with no real issues, similar to your own report I'm happy to hear for you... However, I also know three others with nightmare complications from cryo, including one with a cardiac tamponade that required emergency treatment right then, and two more with serious phrenic nerve damage which is no picnic at all froby Shannon - AFIBBERS FORUM
Hi Althea, ( i posted this below in your original thread but the topic fits here too so am re-posting it here) I agree with the list of recommendations that Murray and Hans reference on the ECV preparations, the only exception being starting at such a high joule rate as 300 joules. No doubt that is likely to do the job with one shot, BUT if you first insist on getting your magnesium levels upby Shannon - AFIBBERS FORUM
Hi Althea, I agree with the list of recommendations that Murray and Hans reference, the only acception being starting at such a high joule rate as 300 joules. No doubt that is likely to do the job with one shot, BUT if you first insist on getting your magnesium up with a Magnesium sulfate IV and sufficient potassium in whhich they will give you Potassium Chloride time released pill of 20Millby Shannon - AFIBBERS FORUM
Hi Catherine, Very sorry to read of your trials and tribulations. I concur 100% with both Peggy and Hans here. Its a very good idea to pursue the nutritional avenue, if for nothing else to help improve overall health. Its possible too that with a better electrolyte/antioxidant status it might help any future procedures attempted to be more stable and successful? However, the odds of the nutby Shannon - AFIBBERS FORUM
Hi Liz, You are welcome Liz, and no, I am not a doctor. I do work with several MDs as a coach for their BHRT (bio-identical hormone replacement) patients in helping these docs with evaluting and interpreting lab results as well as training patients on the practical nuts and bolts of how to get the best from their daily protocols. Also, giving tips and reminders for how to best prepare and conducby Shannon - GENERAL HEALTH FORUM
That would be a big step in the right direction if they are serious and really follow through. Shannonby Shannon - GENERAL HEALTH FORUM
Hi Liz, Like in all fields of medicine, the issue with most supplements is finding a doc who knows what they are talking about and can communciate the protocol properly to patients, and apparently though your Doc may have had a good idea in mind, he/she apparently did not effectively explain what they were trying to do to you ... at least with respect to Boron. A large 30mg dose is mostly used sby Shannon - GENERAL HEALTH FORUM
Hi Althea, Thanks for the added details, that makes more sense. It sounds like possible high speed flutter or Supraventricular tachycardia runs ... 180 bpm to 220bpm is classic Flutter territory, perhaps in your case mixed with AFIB? When its going that fast its not always easy for ER docs to get the exact diagnosis right. And yes they will always move you to the head of the line when your Hby Shannon - AFIBBERS FORUM
PS Althea, the only time you might have any very mild burning is if either the pads are not tightly stuck on in the right places and/or they use a very high joule level to zap you. Ask them to start with 100 joules if you have taken a big dose of magnesium and Potassium pill that they gave you at the hosptial at least 2 hours prior to the ECV. Often that will be enough to convert you IF youby Shannon - AFIBBERS FORUM
Hi Althea, Next time this happens go for the cardioversion that same day and get back in NSR asap. It sounds like you are past the window now and may have to wait a month on Coumadin before they will convert you.. If you were really at symptomatic 200bpm still, then in my experience you would have been most eager to get back to NSR as soon as possible or at least would have insisted on gettingby Shannon - AFIBBERS FORUM
Mary and Diane, Again the fistula issue is truly a very rare event, especially now, but was even so in the relative 'old days' of ablations. And decent docs worth their salt should for sure be hyper-aware and use every precaution that this does not happen so dont fret too much about this issue. Using an irrigated catheter is a big help in keeping temps down while allowing transmby Shannon - AFIBBERS FORUM
Hi DGM, First of all I want to answer your last question from your reply above. No. I am not saying that all left flutter after a first ablation arises only in the LAA. As noted below, in less than 30% of patients requiring a follow-up ablation was any LAA involvement discovered at all, and that includes people with both AFIB episodes and left flutter. So you are not at all automatically fby Shannon - AFIBBERS FORUM
Hi DGM and George, Yes indeed, Dr. Natale addresses GPs as and when they are found to be trouble spots in each patients. Some of the anatomical areas he addresses and ablates outside the PVAI also include areas of GP overlap and involvement. The same is true for rotors area which often overlap these over focal hot spots beyond just the PVAI. Dr. N also addresses other focal hot spots like Cby Shannon - AFIBBERS FORUM
Barbara, An esophageal fistula is when an EP who isn't paying attention uses too much heat for too long when ablating around that area of the back wall of the left Atrium directly adjacent and in front of the esophagus which is located directly behind the LA in very close proximity. It is extremely rare these days .. its always been very rare but it likely the worst outcome possibleby Shannon - AFIBBERS FORUM
Excellent overview of what we know to date Namur, Which as you imply only underlines how complex and challenging it would be to drill down to one core 'cause' if there even is just one. The genetic predisposition no doubt is a strong driver for many of us, but to what degree and how that manifests in each of us that may have such unhandy genes, depends on a myriad of variables itsby Shannon - AFIBBERS FORUM
Francesca, Let us know when you have real evidence it works? .. we are all ears .. but one or two or even just a handful of anecdotal reports isn't likely to cut it. There would have to be some real solid extended evidence, not only in number of afibbers at various stages of the condition that experience either a complete long term 'cure' (much less likely) or even extended sigby Shannon - AFIBBERS FORUM
This is a known issue, But in this study pf 234 people with 33 temporary embolism and only 1 TIA was reporeted in 2010 and I dont know what center(s) and ablationist they tabulated the data from? No respectable ablationist now would find an ACT ( activated clotting time) of <250 acceptable and it was ablations using at or below 250 in which these 'silent strokes' were noted. Alby Shannon - AFIBBERS FORUM
Hi DGM, Alas, I know your question and this territory very well. Rest assured though, you've made the most important step you can towards giving yourself the best odds for a good long term outcome by choosing Dr. Natale to do the work. He is at the forefront of tracking down errant flutter circuits and the other triggers outside the usual areas. So even if you wind up needing a 'tby Shannon - AFIBBERS FORUM
For those whose PVC/PACs are triggered by drops in Potassium (K) ... me for example ... just be aware of how quickly in some people your K level can drop even intra-day from what was just hours ago a decent blood level. I have verified this many times with direct correlation tests between my Cardymeter, a same time Serum Potassium blood lab test and ectopic symptoms. When every my blood levelby Shannon - AFIBBERS FORUM
Hi Tom, Glad to hear it seems like the night sweats were from an infection that is quickly clearing up. The Diltiazem will keep your heart rate lower than it likely will be without any drugs for the time being .. depending on just how much burning they had to do. But eventually in the vast majority of the cases the baseline elevated HR without any cardiac drugs on board will come back down toby Shannon - AFIBBERS FORUM
Thanks George, Yep we've been at this quite a while! Its like we have this whole community of long time friends and yet we've never seen each other in most cases! Wonder if these message boards could have a link to something like facebook or a photo site where 'friend requests' sent via private messages to each other and acceptance by the recipient would allow those of usby Shannon - AFIBBERS FORUM
Hi Gehauser, Im curious with such a low normal average heart rate pre-ablation, what is you age and are you a long time distance athelete or in very good cardiovascular fitness?? If not, do you have any issues with dry skin, particularly on the elbows and heals of your feet as well as in general, any problem with stubborn weight gain that hardly responds to dieting or attempts to lose it,by Shannon - AFIBBERS FORUM
Hi Neroli,' I kind of figured you might not get that from Dr. N's SF office. They mostly want to transfer you back to your local Cardio/EP as soon as the blanking period is over and it would usually be that doc with whom you would arrange self-monitoring with Philips using their In-Ratio-2 meter. Even if you are a pretty stable INR person on a given dose of Coumadin, it pays longby Shannon - AFIBBERS FORUM