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Many thanks for that George - much appreciated.by mwcf - AFIBBERS FORUM
Yes Sam the sore throat is very commonly reported. Please keep us posted as to how things go in the run-up to, during and after your upcoming ablation. Once gain wishing you all the best. You're definitely going to the right place. Cheers, Mikeby mwcf - AFIBBERS FORUM
George, Fascinating info. I'm currently 220lb (6' 4" & 48' chest, 36" waist) and slowly heading back to 205lb where I will be (as I was 20 years ago) at a BMI of 25. I appreciate I still have some way to go after that, but at least - unlike most of my peer group - I'm going the right rather than the wrong way! In 2008 I was 260lb and experienced a lot ofby mwcf - AFIBBERS FORUM
Thanks Jackie. .........Errrrrrm... what does that mean exactly??!! I must admit after half a dozen re-reads I'm still lost!by mwcf - AFIBBERS FORUM
Sam, Nice one. Glad everything went well and pleasantly enough for you. All sorted and ready for next Wednesday! Best, Mikeby mwcf - AFIBBERS FORUM
Hi Jackie, Thanks for that. I'm at bowel tolerance with just 3-400mg Mg via Waller Water (and in a proper mess at 750!!)..... I can see the Bisglycinate Chelate is the best the best option of the ones reviewed - I wonder how WW compares?? Best, Mikeby mwcf - AFIBBERS FORUM
hwkmn05, The other big concerns with OSA are atrial stretch (leading to atrial dilation) encouraging return of AF or other atrial arrhythmias as well as a significantly increased risk of dementia owing to the brain being starved of oxygen. Mighty wise to keep one's BMI in check and, if in any doubt, check things out with a SPO2 monitor.by mwcf - AFIBBERS FORUM
What Carey says. 80% is waaay low. Do all of your AF episodes occur at night??by mwcf - AFIBBERS FORUM
My Bordeaux information sheet states inter alia: "Anti-arrhythmic drugs will be stopped 5 days before." No mention is made of stopping rate control drugs. No disrespect Carey (you are a top top poster by the way!), but I'd be surprised if one was expected to to take the risk of travelling abroad in high ventricular rate AF.... that would not be at all pleasant! But the finalby mwcf - AFIBBERS FORUM
Hi Sam, I likely hardly need to tell you that the only people you should be directing this query to are the team (as in Meleze Hocini and Pierre Jais) at Bordeaux. I'm figuring/guessing that they'll be OK with you taking something to control your ventricular rate should you get AF between this Wednesday and next Monday. Wishing you all the very best of luck. IMO you are definitelyby mwcf - AFIBBERS FORUM
What George says. From the (mostly excellent) Day piece: “Atrial fibrillation doesn’t usually occur in isolation. Generally, the same people with atrial fibrillation are also the same people suffering from obesity, high blood pressure, diabetes, sleep apnea, etc. As all of these conditions also increase the risk of dementia, it is hard to know the exact atrial fibrillation dementia link.by mwcf - AFIBBERS FORUM
FWIW my take is that the link between AF and dementia is obstructive sleep apnoea - as in the OSA precipitates both AF and dementia. Hence the ‘link’ between AF and dementia. I’m further figuring that AF that’s well-controlled rate-wise and/or asymtomatic will not in the absence of OSA drastically increase the likelihood of dementia.by mwcf - AFIBBERS FORUM
George, That's a question I don't know the answer to I'm afraid. I'll ask next time I email Prof Jais and let you know. I suppose as a fairly straightforward paroxysmal AFr it hadn't occurred to me that I might need any ablating of the LAA. Mikeby mwcf - AFIBBERS FORUM
vanlith, Cost at Bordeaux is 16,555 Euro 'all in' including 4 nights stay in hospital accommodation for you and your partner (they monitor you via telemetry for 3 days after the procedure). One needs to bear in mind, however, that a second 'touch-up' procedure - as and if required - would cost the same again. To the best of my knowledge a typically paroxysmal AFr wouldby mwcf - AFIBBERS FORUM
George, ‘just’ Jais and Hocini performing ablations these days to the best of my understanding.by mwcf - AFIBBERS FORUM
Particularly interesting to see Pierre Jais (Bordeaux) as a lead author in this. Certainly lends serious cred IMO. I wonder if Bordeaux was one of the 2 centres involved.....by mwcf - AFIBBERS FORUM
Whilst I guess nothing is impossible, it's not something I've ever read about on this or any other forum in the last 20 years. If in AF at say 100 ventricular response rate (VVR) and one goes for it with exercise then I am not surprised your VVR shoots up into the 200 and a bit above range. As for converting by exercise in general, I'm guessing George N, wolfpack and others couby mwcf - AFIBBERS FORUM
Carey: "I think if you ask any EP if they look for non-PV sources during an ablation, they'll all say yes." Well actually here in the UK they all say 'no'! All's you'll get is a PVI end of with anything else (assuming that they can do it... - not always a given by any means) being reserved for a second (or third, fourth...) procedure. vanlith, So far asby mwcf - AFIBBERS FORUM
Quotewolfpack AF is a re-entrant rhythm (as is flutter and even v-tach). It is the ability of electricity to flow around and around in a circuit consisting of autonomous cardiac muscle cells rather than being "pulsed" from the SA node to the AV node. In flutter that circuit is often a circle in the right atrium. In AF, it's some kind of a mess in the left atrium. The PVI is supposeby mwcf - AFIBBERS FORUM
Hi Jackie, Many thanks for the response. Whilst I obviously - as always - totally take and appreciate your points/views, I do understand Sam's concerns. I have in fact myself being wondering about whether to continue the Serrapeptase after I have my own ablation at whatever point in the (likely near term) future and for the same reasons as Sam. Believe me, I've been taking 80,000 iuby mwcf - AFIBBERS FORUM
This issue of ectopics interests me greatly. I can get hundreds (or occasionally a few thousand) ectopics (almost all PACs) per day as well as runs of ectopics of all varieties in terms of how they 'feel'. I've had several whilst writing and editing this post. Thankfully 99.99% of the time they do not put me into AF. However, when the 'ground' (atrial heart tissby mwcf - AFIBBERS FORUM
Hi Jackie, I kind of take Sam’s point. Given that one of the touted benefits of serrapeptase is scar tissue digestion do you not think that the chances of PV reconnection will be at least a little higher with serrapeptase use than without? I doubt that there are specific references out there in this regard so would love to know what you think! Best regards, Mikeby mwcf - AFIBBERS FORUM
A good EP (edit - one of the elite EPs) wouldn’t be phased by someone being in AF at the time of the ablation procedure - quite the opposite as they’d relish being able to terminate it.by mwcf - AFIBBERS FORUM
Sam, I too understood it to be 5 days from the preliminary info I was sent. Interesting that you are now being told it's 2 days instead. Would be good to firm up on that one way or another and I'd appreciate it if you'd keep me posted in that regard. As an aside, when I saw Sabine Ernst a month or so ago she told me it would be OK to stop the Flec the day before.... but thenby mwcf - AFIBBERS FORUM
Good to know Hans is still well and productive! I often wonder how he's getting on these days.by mwcf - AFIBBERS FORUM
Thanks for the responses wolfpack and Carey. I'll stick with the 60mg Diltiazem with the Flecainide 100mg morning dose as per the last few years. I'd add an evening 60mg Diltiazem but my HR drops into the high 40s from late evening through the night as it is which in and of itself isn't helpful for vagally mediated nocturnal AF. That said, 1:1 flutter does not sound like fun soby mwcf - AFIBBERS FORUM
Quotewolfpack 1:1 conduction in AF would require a secondary pathway around the AV node, which can exist but is congenital. You don't "get" it with age or time. Interesting. So maybe after 10 years on Flecainide I can stop worrying about 1:1 flutter (on the basis that if it was going to happen it would have by now - I've only taken 60mg diltiazem as a preventative this lasby mwcf - AFIBBERS FORUM
Hi Jackie, I take the aspirin for 2 reasons: first my birth father died of MID aged 85; second it seems to prevent/delay cancer metastasis - not that I have a family history of cancer but even so as a preventative I like the idea of buying more time to find the primary first before it metastasises. That said I also take serrapeptase 80,000iu/day so maybe this is enough without the aspirin? Asby mwcf - AFIBBERS FORUM