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Any problems with k2 and NOACs?by mwcf - AFIBBERS FORUM
So according to the article posted by jpeters above even 5 mins AF or fast AT greatly increases stroke risk. Like by 5 or 10 times. So where does that leave all the traditional stuff I’ve read everywhere for the last 20 years saying no increased stroke risk unless an AF episode lasts over 24 or 48 hours?! I recall - I think - Wolfpack saying he takes AC for a few days after every PAF episode -by mwcf - AFIBBERS FORUM
QuoteGeorgeN Mike, Are you on any flec? If not, I wonder if a modest dose of flec might be useful?? Cheers, George Hi George, Prof Jais always keeps paroxysmal AFrs on AARs for the 3 month blanking period, so I’m still on 100mg Flecainide BID. Cheers, Mikeby mwcf - AFIBBERS FORUM
Thanks Carey, Libby and Pompon - much appreciated. I’ve contemplated using a low dose BB Pompon (and MissSunshine), but my AF was always vagal and my resting HR always quite slow already - 50-ish pre-ablation and mid-to-high 50s now post-ablation. That said, I may try a low dose BB at bedtime on the basis that my overall ‘arrhythmic potential landscape’ is now quite a bit different post-ablationby mwcf - AFIBBERS FORUM
Thanks MissSunshine (-: anxiety for sure is a big issue for me and needs work! Cheers, Mikeby mwcf - AFIBBERS FORUM
Hi all, Ablation at Bordeaux by Prof Jais 20/08. As posted here previously, a week ago - 3 1/2 weeks post ablation - I had a 20 hour episode of atrial ectopics (runs and bigeminy) that kicked off in the middle of the afternoon and lasted until the middle of the following day. Then this last Monday mid-afternoon I felt some thumping bigeminy start up that thankfully only lasted for a fewby mwcf - AFIBBERS FORUM
QuoteCarey It also has a smaller profile so it fits more LAA sizes, and more attachment points so it's less likely to break free from where it should be. How serious is it and what intervention is required if the device breaks free? How common of an occurrence is the device (old and new) breaking free?by mwcf - AFIBBERS FORUM
Quoterocketritch In July I had my LAA ablated as it was one source of my arrhythmia. When speaking with my EP the following day I discussed the possibility of the watchman device. He said that for me it was not yet an option for 2 reasons. First and foremost Wass the fact that there may need to be more work done on the LAA. Secondly at my age ,52, insurance would not want to pay for it. Forgby mwcf - AFIBBERS FORUM
From what I’ve read here you shouldn’t be concerned about reduced cardiac output plus the Watchman device has been around for a while now and has just been replaced/is about to be replaced by a new revised version. Shannon and Carey will doubtless soon be along to give you all the proper info plus I’m sure no small dregree of reassurance that you haven’t got much if anything to be worried abouby mwcf - AFIBBERS FORUM
What Wolfpack says. Worked for me 2 years ago. That said,,I understand that it is increasingly being done by CT scan these days so as to be less invasive. You could try asking about that? I certainly will be next time I have one.by mwcf - AFIBBERS FORUM
Thanks rocketritch. Fingers crossed that things smooth out after the blanking period for us both!by mwcf - AFIBBERS FORUM
Apols Steve. Re your Q, my guess is you’re going to be looking at another ablation in the not too distant future. 7.5 years isn’t a bad run but a reoccurrence on that scale is what it is and IMO is hard to ignore/disregard. But at the end of the day it’s obviously your call as to what feels right to/for you. BTW, why did you wait so long before taking the PiP?by mwcf - AFIBBERS FORUM
My second ever episode of AF was 11pm one evening in May 2002. (Don’t ask.....large meal too much booze relaxing in hot bath....yeah I know!) Carted off to a local hospital where cardiologist gave me digoxin.....20hrs of worst fastest and longest episode of AF I’ve ever had. Yeah like I really needed to shove more Ca into my cardiac cells LoL! A week later he wanted me on Amio. Yeah right. Havby mwcf - AFIBBERS FORUM
rocketritch, Glad you're back in NSR. If you don't mind me asking, what was Dr Natale's findings and verdict on the procedure he did for you this last July?by mwcf - AFIBBERS FORUM
Quotebolimasa Amen to that! (Hopeany bumps you might hit bolimasa aren’t as bad as the one I’m caught up in at the moment!) Like I said...you guys scare me! Hope your bump levels out soon! Thanks Bolimasa! Yes that rather hard bump I took has levelled out. (Not AF thankfully rather a whole bunch runs of atrial ectopics interspersed with some NSR.) You're going to be fine!by mwcf - AFIBBERS FORUM
Thank you Pompon, jpeters and Gill. Gill, interesting to learn about your own similar experience! Now I've seen the difference myself on the ECGs its not so hard to tell. On my ECGs from this last incident there is nothing irregularly irregular. This last incident I had was fast runs of atrial ectopics interspersed with the odd beat or two of NSR. Still felt pretty lousy! Cheers, Miby mwcf - AFIBBERS FORUM
Thank you Jackie - your kind and positive thoughts are appreciated.by mwcf - AFIBBERS FORUM
Once you have it you’ll wonder why you were so frightened of it!by mwcf - AFIBBERS FORUM
Hi folks, Thanks George and Sam - yes my doc friend was with you on the no messing about waiting re ECV George and yes Sam I’m keeping Prof Jais up to speed. Went to local doctors this am and got nurse to do several ECGs. Then saw both docs (one is a friend - who really went to work organising for me to go to ER for ECV). Then it was arranged for me to go to ER. Got there and saw a really iby mwcf - AFIBBERS FORUM
QuoteCarey Yay for you! Just take it easy and enjoy normal sinus rhythm. Revel in it! And don't get discouraged if you hit the bumps in the road. It's part of the blanking period. It will pass and it doesn't indicate failure. Amen to that! (Hopeany bumps you might hit bolimasa aren’t as bad as the one I’m caught up in at the moment!)by mwcf - AFIBBERS FORUM
I’d go with that Carey,but the thing is this morning (7-23am here in U.K.) I’ve got steady regular 80BPM lying down (asymptomaric) that switches to slow (60 bpm’) AF when up and around, and vice versa. Right now - except for the AF a lot less asymptomaric - I’m worse after ablation than before it.by mwcf - AFIBBERS FORUM
Still fibbing...... Weird thing is that as I type I’m lying here almost entirely asymptomatic at a 96% rock solid regular 50BPM - still got that AF feeling in my chest though.....But as soon as I get up now and walk around its turning more irregular/feels all over the place at 65-ish with shortish few second runs at 160 but not at all symptomatic almost feels more like a riotous mix-up of ectopicby mwcf - AFIBBERS FORUM
Thanks George. Still in AF. I recall Shannon saying a few years ago that a cumulative AF burden of 6 hrs or more during the blanking period means you’re almost 100% going to require a touch-up. I’m at nearly 5 hrs now.......although clutching at straws maybe one longer episode isn’t as bad as several shorter ones? Bummer indeed Carey! No Kardia or the like. Anyway looks like I’m likely dugby mwcf - AFIBBERS FORUM
4 hours in and still feeling very rattley and sharp - not pre-conversion soft and gentle like it used to after a couple of hours..... took extra 200mg Flecainide at start always converted within 4 hours in the past. This episode feels worse and more dug in than any I’ve had before. Not looking good at all IMO. Can’t help thinking a touch up is going to be needed.........by mwcf - AFIBBERS FORUM
OK so still firmly in first month of 3 month blanking period after ablation for PAF by Prof Jais but still feeling a bit down....... Still being pretty raw after 25 mins of burn time my atria definitely feel a little more tender fibrillating than they did pre-PVI! Hadn’t posted before about my recent ablation yet as I hadn’t wanted to tempt fate! Although if one does have to get AF aftby mwcf - AFIBBERS FORUM
QuoteCarey Experienced, well-trained ablationists make lines with RF. Presumably when you refer to lines you are talking about Natale's 'gliding catheter' technique yes? So do Natale and DiBiasi use point-by-point as well as lines or just lines? And by implication are all ablationists who don't make lines inexperienced and inadequately trained?? Does anyone here knowby mwcf - AFIBBERS FORUM
QuoteCarey Hongo felt that lines were more susceptable to breakthroughs than points over the long term. Natale agrees, which is why he makes lines, not points. Experienced, well-trained ablationists make lines with RF. What cryo can't do is anything other than isolate the pulmonary veins. That makes it effective for simple cases, which apparently comprise about 65%, but if there areby mwcf - AFIBBERS FORUM
Good luck for tomorrow Dinodog! I agree that getting the first index procedure out of the way is the biggest hurdle - both psychologically and physiologically - with the touch-up likely be a walk in the park in comparison!by mwcf - AFIBBERS FORUM
Quotejpeters Hongo felt that lines were more susceptable to breakthroughs than points over the long term. The lines will obviously work great if they're continuous as they're hypothetically supposed to be. Problem is, everyone is different and so are the insides ('architecture/topography'-wise) of their LAs and the point by point approach can be adjusted to accommodate thisby mwcf - AFIBBERS FORUM
QuoteAB Page Afib is a journey, I’ve learned. I know how it feels, it’s never too far from the surface even while it’s tamed. I’ve tried to use it to make better health choices. And when I make better choices, I find it’s easier to keep below the surface. Wise words indeed AB Page!by mwcf - AFIBBERS FORUM