QuoteCarey You'll need to set permissions on that file to make it publicly visible. I can't access it. I think I've changed the settings as required - please have another try Carey and let me know how you get on.by mwcf - AFIBBERS FORUM
Hi all, There's recently been a lot of talk on here about AF alternating with/precipitating a different atrial tachycardia. As I've mentioned here previously, I myself have experienced this to differing degrees ever since commencing daily Flecainide in March 2008 (100mg BID). Attached hereto is a 12 lead ECG of one such episode I experienced in 2009. The timeline on this occasiby mwcf - AFIBBERS FORUM
What George says. That said, I know they far prefer it if you've had a TEE in the UK first a few days in advance. Given that - for folks having discontinued AADs 5 days prior - one might get AF in between a UK TEE say 4 days before and the day of the procedure, then whether they do another 'double-check' TEE on the day of the procedure that I don't know. Please do keep uby mwcf - AFIBBERS FORUM
Sorry to hear this. Whilst it feels ok, if I recall correctly pre-ablation you never had AF over 100BPM even on no meds? If this recurs, do you see yourself heading to Natale’s door? Keep us posted - fingers crossed for conversion to NSR soon.by mwcf - AFIBBERS FORUM
George, I’m sure I’ve posted before about my AF alternating with a different regular arrhythmia (that whilst less unpleasant than AF still feels bounding and just not right) which I do have on a 12 lead ECG from 2009 (100mg BID Flecainide then as now). This runs From 80 to 90 BPM with the ECG machine in 2009 ‘deciding’ that it was an accelerated junctional rhythm. I never go into it from NSRby mwcf - AFIBBERS FORUM
For me addressing MSG as undoubtedly the loudest and clearest trigger for me - during recent years and at the present time at least - is, I agree, likely not the magic bullet, but I'll take the other health benefits that'll go with it thanks. I recall Hans posting studies that said lone AFrs lived longer than non-AFrs. Whilst one might on-the-face-of-it think LoL to that, I can see howby mwcf - AFIBBERS FORUM
Thanks Jackie. Best regards, Mike Fby mwcf - AFIBBERS FORUM
Good pqq article (and up to date and on the face of it quite objective): Interesting. Highest food content in Natto- thinking of Dean in Australia here! The pqq supplements aren't cheap though.... do they need to be taken with ubiquinol for one to gain benefit?by mwcf - AFIBBERS FORUM
Carey, I concur that George is indeed something of a 'one off' in terms of his determination and analytical abilities! As for me I definitely consider MSG (or even excessive free glutamate) a trigger. Here's why. Total 6 episodes this last 3 years. 2 of the 6 were a couple of hours after a Chinese takeaway, and I only had Chinese takeaway twice in that time period. Anothby mwcf - AFIBBERS FORUM
Maybe, but we're all unique experiments of one and if repeated exposure to something consistently gives one more PACs/AF, then whatever it is IS a trigger for that person. QuoteCarey up to 25 percent of patients report coffee as an AFib trigger. People report all sorts of things as triggers based on a single correlation in time. I don't believe data based on self-reporting of trby mwcf - AFIBBERS FORUM
Indeed Shannon; Sabine Ernst mentioned to me that the magnetic nav was not only better for me in terms of more accurate positioning of the catheter but also for her since she's in the cath lab 2 days per week rather than once or twice in their lifetime as are (hopefully) most patients and, as such, mag nav massively reduces her own radiation exposure.by mwcf - AFIBBERS FORUM
Interesting. On an evening I'll definitely get less ectopics with a couple of glasses of wine. Maybe this is because as a vagal AFr the alcohol increases my sympathetic tone and accordingly heart rate. The trick is not to over-do it and end up with a vagal overshoot rebound in the early hours. Whilst ingesting coffee of an evening to try and get the same effect would obviously have adverse rby mwcf - AFIBBERS FORUM
Hi George, Past Holters have shown 98% PACs with the odd PVC. In overall terms I’d assess ablation as follows. 1. Recent onset paroxysmal - PVI more than likely enough, with touch up needed in event of PV reconnection. 2. Longstanding paroxysmal - PVI hopefully still enough but more chance than 1 above of trigger outside the PVs. 3. Persistent - PVI almost certainly not enough withby mwcf - AFIBBERS FORUM
Hi Jackie, I have often wondered what happened to Fran/how she’s doing these days - have you ever heard from her in recent years? QuoteJackie Hi Mike - The MSG is not only the sodium issue, but also has the excitotoxic effect from the glutamate component. Together, they undoubtedly spell double-trouble for afibbers.... especially those who may be low in potassium, magnesium or both.by mwcf - AFIBBERS FORUM
rocketritch, Where did you have your two ablations?by mwcf - AFIBBERS FORUM
QuoteCarey You're assuming your ectopics all exist outside the PVs but you don't really have any way of knowing that. It's entirely possible a PVI would isolate all of them (which could be just one location). No, I'm assuming that after 19 years of paroxysmal AF it's possible that one or more ectopics do exist elsewhere than in the PVs. Believe me, I hope they don'by mwcf - AFIBBERS FORUM
Hi Carey, What I should have clarified was that the problem here in the UK is that most if not all EPs will as a first procedure - for paroxysmal AF at least - do no more than a PVI. As such, if there are any triggers at all elsewhere other than the PVs, then AF remains a distinct possibility. And that setting aside any possible PV reconnection a couple of months on. At Bordeaux, they willby mwcf - AFIBBERS FORUM
Just musing here..... For the last 30 years (I'm 57), I've had frequent ectopics pretty much every day. As in 20 to 1000 per day. But 'only' around 40 episodes of paroxysmal AF this last 19 years amounting to less than 100 hours in total. I can get an ectopic every 4 heartbeats for an hour but no AF. I can get short runs of ectopics a few a minute for a few minutes and nby mwcf - AFIBBERS FORUM
tiggwigg, Your story resonates re salt intake. MSG in excess WILL put me into AF (well, an ectopic set against a backdrop of MSG will). Last 3 years I've had 6 AF episodes: last 3 years I've had 3 Chinese take-aways (no more again!) and each time 2 hours later (8pm) AF (AF for me normally 1am to 6am). Flecainide has worked well for me as daily preventative for 10 years. It'sby mwcf - AFIBBERS FORUM
Maybe the best tech newbie around at the moment is Natale's 'gliding catheter' approach (using the Smart Flow Smart Touch Catheter - with contact force) but I aren't sure whetehr anyone other than Natale and his proteges are using this yet - I've asked Pierre Jais if he does this morning via email but I'm guessing his answer will be 'non' - I've alreadby mwcf - AFIBBERS FORUM
To avoid me bothering Pierre Jais yet again (!), am I correct in thinking that Bordeaux do use the niobe magnetic navigation system for AF ablations? Any thoughts Shannon, researcher and others on whether one is better than the other (as in magnetic and robotic) and why? Many thanks, Mike EDIT: I've asked Pierre Jais via email this morning: I'm fairly sure that the answer wiby mwcf - AFIBBERS FORUM
Many thanks for that George - good to hear you converted and at least you know largely why the episode occurred - i.e. lack of Mg. I've woken up at 5 to 6am in AF quite a few times myself. I agree about lying down if at all possible. These days if I get up and walk around in AF it switches to a regular but slightly bounding arrhythmia of around 80-90 BPM (that doesn't feel particularby mwcf - AFIBBERS FORUM
When I’ve used Flecainide as a PiP OR (for the last 10 years) as an extra 200mg dose (against the backdrop of 100mg BID if AF breaks through - I am a 220lb 6’ 4” big bloke!), i’ve always lain down until conversion even though quite capable of still walking about and such. Does everyone else here who has used/does use Flecainide as a PiP or as an extra dose if AF strikes lie down until conversion?by mwcf - AFIBBERS FORUM
Many thanks for the response Carey - most informative and much appreciated. Good to know those folks who've had an AV node ablation still have a fighting chance even in the highly unlikely event that their PM goes wrong - providing, of course, they're not too far away from emergency care..... Cheers, Mike Fby mwcf - AFIBBERS FORUM
Wolfpack, I would respectfully point out that to the best of my knowledge (for whatever that's worth!) 2:1 conduction applies to A Flutter, not A Fib. In A Fib the ventricles respond in a totally random ad hoc manner - hence the term irregularly irregular. Some folks will have a AF ventricular rate of 170BPM (very unpleasant) or anything down to 70 BPM (often totally asymptomatic). I sby mwcf - AFIBBERS FORUM
Is a TEE any worse than an upper GI endoscopy/gastroscopy? Is the tube around the same diameter? I’ve had 5 endoscopes down my gullet over the last 25 years with nothing but throat spray as I always want to drive myself straight home afterwards. A bit of gagging/wretching and a lot of eye-watering but not that bad otherwise!by mwcf - AFIBBERS FORUM
Jackie, I suppose ribose poses something of a problem for those trying to go sugar-free/ketogenic such as George N here on this forum no? EDIT: Just Googled Leto diet and ribose and found this on the Dr Rosedale website: “Quote Supplements and recommendations → D-ribose, does it effect insulin or leptin? -------------------------------------------------------------------------------------by mwcf - AFIBBERS FORUM
Great that you're getting things sorted soon and from everything I've read on this forum for the last 15+ years Victoria, with Natale you're absolutely in the best possible hands.by mwcf - AFIBBERS FORUM
I'm with wolfpack - see a top notch EP as soon as you can. Let this forum know where you live and I'm sure some good recommendations will be forthcoming as to who to see and where.by mwcf - AFIBBERS FORUM