Is it OK to have a little alcohol now that I no longer have Afib?

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lisa s
Is alcohol a trigger?

If not, it's not a worry, IMHO.

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Brian_og
For those that have had ablations where alcohol was a trigger for their afib, do they find that it is no longer a trigger? I would hope that after the ablation it would no longer be. Anyone with that experience?

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ggheld
You seldom mention your own situation but it seems to me after your most recent Natale implant that it may be time for you to give up blood thinners, or maybe you already have.

Let us know your status, please, as the future of many may depend upon the success of you and others in your study.

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Carey

They recommend that I continue the aspirin for life, but I think that's more out of sense of "we have to do something" rather than being truly necessary.

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carey;jpeters


They recommend that I continue the aspirin for life, but I think that's more out of sense of "we have to do something" rather than being truly necessary.

I thought they said previously that wasn't necessary.

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Jackie
the general recommendation was to avoid hard liquor and if you do imbibe, then have just small amounts of wine at a time... like in a spritzer.
Jackie

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Elizabeth
Sure is weird, aspirin gets a bad rap yet Dr. Natalie says to take it for life, head-scratcher.

L

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jpeters
I thought they said previously that wasn't necessary.

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jpeters

Sure is weird, aspirin gets a bad rap yet Dr. Natalie says to take it for life, head-scratcher.

L I wonder what Boston Scientific says about it. I don't think they can afford yet another fiasco.

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tobherd
It's funny...a lot of people treat you like you still have Afib, in spite of a successful ablation, including my Cardiologist. When I called the office recently, the Physician's Asst. told me my cardiologist had rated me a 5 on the CHAD's score! While I did have high BP, it's under control with meds now...so not sure why she would rate me so high.....anyone have a similiar experience?

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tobherd
So that doesn't make sense to me on the CHAD score. What's the point of lowering your BP if they still consider that you have high BP on any measurements done?

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Also...if I don't have Afib anymore, why do I even need to have a CHAD score?

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When Dr. Natale had me on 2.5 mg. of Eliquis twice/day, my cardiologist thought that low amount did little to nothing to protect me against a possible stroke, so she increased it to double that amount. Yet I see that some people are still taking that amount....

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Carey


When Dr. Natale had me on 2.5 mg. of Eliquis twice/day, my cardiologist thought that low amount did little to nothing to protect me against a possible stroke, so she increased it to double that amount. Yet I see that some people are still taking that amount....

Your EP is wrong. Why would they make half-dose Eliquis if it did little to nothing? I would always stick with Dr. Natale's advice.

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mwcf
My reading suggests a large factor (maybe the largest factor) in ‘atrial myopathy’ (and particularly AF-associated stroke-risk) is atrial fibrosis. For example see:



I take no small degree of comfort in the fact that in August this year Prof Jais told me I had NO low voltage (fibrosis) anywhere when he mapped my atria.

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Jackie
Thanks Mike for that link. The mitochondria report I've been attempting to organize for posting here will address the myopathy topic as a symptom of underlying mitochondria dysfunction. I'm still working to condense to a readable form; otherwise, it might turn out to be book. I know you'll be interested.

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Joe
The other important step seems to be autophagy? Apoptosis is a normal process and isn't a problem as long as the body deals with it?
From my understanding, time restricted eating and/or fasting does take care of that or at least facilitates the process of autophagy?

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jpeters

The other important step seems to be autophagy? Apoptosis is a normal process and isn't a problem as long as the body deals with it?
From my understanding, time restricted eating and/or fasting does take care of that or at least facilitates the process of autophagy?

Apoptosis and oxidative stress isn't great when it's connected with inflammation:

" Chronic inflammation and oxidative stress as a major cause of age-related diseases and cancer. ... Inflammatory process induces oxidative stress and reduces cellular antioxidant capacity. Overproduced free radicals react with cell membrane fatty acids and proteins impairing their function permanently."

Autophagy when induced by controlled fasting is probably a good thing

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smackman




This is just my opinion and I mean nothing mean about it. Please write in layman’s English or do this type of discussion by Private Message. Even though I am well educated beyond High school, I have no idea what you are talking about. It’s not a forum to see who can be the most intellect with medical terms. This is basically a layman’s forum.
IMO, This helps no one.
Thanks

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jpeters





This is just my opinion and I mean nothing mean about it. Please write in layman’s English or do this type of discussion by Private Message. Even though I am well educated beyond High school, I have no idea what you are talking about. It’s not a forum to see who can be the most intellect with medical terms. This is basically a layman’s forum.
IMO, This helps no one.
Thanks

The information in the quotes is from the study, Without that, my one line comments (this isn't great, this is, etc) probably wouldn't mean much. Some of this is a bit heady.

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smackman



Way over my head and I have a masters degree in Electro Technology Engineering and I am 60 with a lot of gray hair. Lol 😂 I could talk about coding, PLC, DCS etc. Let’s keep this to where we are helping most AFIBBERS not our impressive vocabulary whether you say it or quite it.
I mean no malice.

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tobherd
So Carey Carrie...you say that high BP will kill you with or without Afib, but that wasn't the question. If you no longer have high BP because it is well controlled with meds...and you no longer have Afib (because you've had a Natale ablation), then why does BP still register on the CHADS score? And again, isn't this score for people who currently have Afib??

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Peak emptying LA appendange velocity was 41.4

So shouldn't I be able to at least take a lesser dose of Eliquis?

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Would getting a Watchman end all of the uncertainty and give enough protection to no longer have to worry?

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smackman






This is just my opinion and I mean nothing mean about it. Please write in layman’s English or do this type of discussion by Private Message. Even though I am well educated beyond High school, I have no idea what you are talking about. It’s not a forum to see who can be the most intellect with medical terms. This is basically a layman’s forum.
IMO, This helps no one.
Thanks

The information in the quotes is from the study, Without that, my one line comments (this isn't great, this is, etc) probably wouldn't mean much. Some of this is a bit heady.

Way over my head and I have a masters degree in Electro Technology Engineering and I am 60 with a lot of gray hair. Lol 😂 I could talk about coding, PLC, DCS etc. Let’s keep this to where we are helping most AFIBBERS not our impressive vocabulary whether you say it or quite it.
I mean no malice.

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Carey



Because that's how the CHADS score is applied. I didn't create it. Not being in afib certainly lowers your stroke risk, but it turns out that people who have had afib in the past have an elevated stroke risk even if they're no longer in afib. It's observations like that have led doctors to start considering afib a symptom rather than a disease in its own right. The disease is atrial myopathy and one of its symptoms is afib.


So shouldn't I be able to at least take a lesser dose of Eliquis?



Would getting a Watchman end all of the uncertainty and give enough protection to no longer have to worry?

Yes.

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Carey


Because hypertension will kill you all on its own with or without the afib.

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Carey


Because hypertension will kill you all on its own with or without the afib.

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jpeters
Curious why getting a Watchman would cure all atrial myopathy. I wondered about this also when I read about the 60% decline (in dementia) for people on AC's with afib diagnoses, since one of the possibilities included comorbidity (mini strokes by clots coming from other veins, etc, vs just the atrium?). Particularly interested myself is I'm getting past the blanking period.

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Carey

Curious why getting a Watchman would cure all atrial myopathy. I wondered about this also when I read about the 60% decline (in dementia) for people on AC's with afib diagnoses, since one of the possibilities included comorbidity (mini strokes by clots coming from other veins, etc, vs just the atrium?). Particularly interested myself is I'm getting past the blanking period.

Good question. I don't know why, but empirically Watchman devices have reduced stroke levels to the same as people who've never had had afib. Perhaps clots coming out of the LAA are more of an issue than medicine has realized?

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Carey

So Carey Carrie...you say that high BP will kill you with or without Afib, but that wasn't the question. If you no longer have high BP because it is well controlled with meds...and you no longer have Afib (because you've had a Natale ablation), then why does BP still register on the CHADS score? And again, isn't this score for people who currently have Afib??

Because that's how the CHADS score is applied. I didn't create it. Not being in afib certainly lowers your stroke risk, but it turns out that people who have had afib in the past have an elevated stroke risk even if they're no longer in afib. It's observations like that have led doctors to start considering afib a symptom rather than a disease in its own right. The disease is atrial myopathy and one of its symptoms is afib.

Peak emptying LA appendange velocity was 41.4

So shouldn't I be able to at least take a lesser dose of Eliquis?

Nope. The minimum LAA velocity to stop anticoagulants is 45. You're close enough that they're asking you to come back in 6 months on the hope it might improve.

Would getting a Watchman end all of the uncertainty and give enough protection to no longer have to worry?

Yes.

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Carey

Curious why getting a Watchman would cure all atrial myopathy. I wondered about this also when I read about the 60% decline (in dementia) for people on AC's with afib diagnoses, since one of the possibilities included comorbidity (mini strokes by clots coming from other veins, etc, vs just the atrium?). Particularly interested myself is I'm getting past the blanking period.

Good question. I don't know why, but empirically Watchman devices have reduced stroke levels to the same as people who've never had had afib. Perhaps clots coming out of the LAA are more of an issue than medicine has realized?