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Warfarin has some blood type variability (type O tends to need less), but the DOACs do not. The Factor X anticoagulants (Eliquis, Xarelto, etc) just don't have much in the way of interactions with diet, foods, blood type, etc. They do what they do consistently and across the spectrum. I know a lot of people stress about there not being a test for DOAC levels, but that's the reason thereby Carey - AFIBBERS FORUM
There have been some studies that suggest taurine could increase bleed risk, but the evidence isn't strong and most sources say it's not a problem. If there is any interaction, I think it's probably very weak. Personally, I'd be fine with combining them.by Carey - AFIBBERS FORUM
Sounds like you've got a good doc. Amio is very effective, so it's tempting for an EP to just "park" patients on amio for years, and I've even encountered people who've been on it for years and their EP never told them they were supposed to be doing pulmonary function tests every 3-6 months. So your doc has done everything right so far.by Carey - AFIBBERS FORUM
You can have spinach salad every single day if you want. Like I said, almost no food interactions.by Carey - AFIBBERS FORUM
I don't think it's anything to worry about. Like I said, Eliquis doesn't really have food interactions.by Carey - AFIBBERS FORUM
Eliquis has almost no food interactions. Garlic has some blood thinning properties so don't take garlic supplements, but real garlic? Enjoy! I'm on the same dose of Eliquis as you are and if anyone told me I had to give up garlic, I'd laugh at them. Garlic is a featured ingredient in pretty much all of the world's best cuisines, so forget it.by Carey - AFIBBERS FORUM
QuoteYuxi Quick question, if you don’t mind—have you ever experienced any other types of arrhythmias, such as tachycardia or atrial flutter? Or has your heart been completely calm and normal? Completely calm and normal since the ablation in 2017. Prior to that I was anything but calm and normal. You should read my story. Did anyone get an EKG of that 150-160 tachycardia? Whenever I hear of tby Carey - AFIBBERS FORUM
I'm on year 9 and I'm by no means the record holder around here.by Carey - AFIBBERS FORUM
Quotenonthumper Perhaps if my Watchman heals in successfully it may be reduced again. It just occurred to me that if our ablations wear off over time that my LAA my become more active again. A Watchman and LAA isolation have no bearing on CHADS score. If you're a 2 (or 3) then that's for the reasons listed in the CHADS scoring system. But having a Watchman certainly does lower yourby Carey - AFIBBERS FORUM
Quotenonthumper Carey, does this advice mean you discount the opinion of those who say Afib will continue to get worse if not treated? I seem to remember something about it being important to get Afib corrected, if possible, within six months of diagnosis of persistent Afib. I don't discount the fact that afib is a progressive disease, but it can't get worse than persistent afib. Thaby Carey - AFIBBERS FORUM
Hi Torvic, welcome to the forume. Actually, your doctor is following pretty sound reasoning. Like most antiarrhythmics, amiodarone is better at preventing afib than it is at stopping it. What's also true is that it becomes more effective over time the longer you take it. So his reasoning of waiting a while and then cardioverting makes perfect sense. The cardioversion will almost certainlyby Carey - AFIBBERS FORUM
A clot forming a visible bulge on your ankle would be too shallow to be of any serious concern. Also, there aren't any vessels there large enough to contain a clot the size of an egg yolk. You can go see your primary care doc, but I think all they'll do is examine it and tell you to R.I.C.E. (rest, ice, compression, and elevation). It's possible they might send you for an x-rayby Carey - AFIBBERS FORUM
I agree 100% with your doctor. If I were in your shoes, I wouldn't do a damn thing.by Carey - AFIBBERS FORUM
That can be a perfectly valid choice for some people if your afib is asymptomatic. A few questions.... Is it asymptomatic? Any other meds? How old are you and how physically active? Do you have any other medical conditions? And above all, what's your CHADS-Vasc score?by Carey - AFIBBERS FORUM
Quoteacantha I'm not a paypal fan. is there an address a check can be sent? You don't need a PayPal account to donate. You really don't even need to use them at all. Just click the "Donate with debit or credit card" button on the donation page. We just use them as our credit card processing agent because they don't charge non-profits a fee for processing the transaby Carey - AFIBBERS FORUM
Quotemjamesone So a female in the US with no other issues is a 2 at age 65, but a female in Europe with the same profile is a 1. I don't have the 2019 guidelines handy, but as I recall the female point isn't counted until she reaches 75.by Carey - AFIBBERS FORUM
QuotePamelaJean Does that mean if I am able to stop a year after a successful ablation I would be put back on it when I turn 75 the following year? Probably not. If your EP judges your risk low enough to come off anticoagulants at all then it's unlikely they would be so arbitrary as to say you have to restart on your 75th birthday. Quote Is it normal to not have a cardiologist followby Carey - AFIBBERS FORUM
The point for being female is a risk modifier, not a risk in and of itself. It counts if you have other risk factors, but it doesn't count on its own. So a man with a CHADS score of 0 is considered the same as a woman with a score of 1. Anticoagulation isn't recommended for either. However, since everyone gets another point at 75, that means the female point will count again when you tby Carey - AFIBBERS FORUM
Quotemjamesone That's because health forums are subject to selection bias. People with unsuccessful ablations are more likely to post. I've been making that point for years. People who get successful ablations just go on with their lives. They don't post to afib forums. Sure, there are people like me and others here who've had successful ablations and remain active, but I cby Carey - AFIBBERS FORUM
It doesn't always require surgery, but vascular surgeons are the ones who diagnose and treat the condition. You should follow-up on that referral.by Carey - AFIBBERS FORUM
Compression stockings will probably help a lot. And don't get them online. Go to a place that sells real ones that have to be measured to fit you. One way to tell if it's simple edema or if it's veinous insufficiency is whether the swelling extends to the tops of your feet (where your shoelaces are). If so, it's edema. If not, it may be peripheral vascular disease and you nby Carey - AFIBBERS FORUM
A catheter doesn't increase urine production. It just means that urine will exit the body as it's produced instead of being stored in the bladder.by Carey - AFIBBERS FORUM
Edema where? Your ankles? Lots of things can cause edema, including some drugs (esp calcium channel blockers like amlodipine and diltiazem). And no, edema is not a normal part of aging.by Carey - AFIBBERS FORUM
Jackie logged into the forum today at 1:30 PM ET.by Carey - AFIBBERS FORUM
Quotebettylou4488 I should add- I go to the UofMich. they are having a war with BCBS and I may not be able to see them in a few months unless they iron things out. I have made an HFpEF appointment at Cleveland in August. You can't seen an EP there unless referred by another cardiologist. So the HF is first. (Also made appointment with adult congenital folks but not sure how good they arby Carey - AFIBBERS FORUM
QuotePamelaJean No labs or EKG since I started Multaq so wouldn’t that be needed sooner rather than later? There's no need for that if you're taking Multaq alone. I spent a while on Multaq and my EP never felt the need to monitor that, and he's a stickler for stuff like that.by Carey - AFIBBERS FORUM
An ablation can be successful despite thyroid problems, but getting the thyroid in order first would be a good idea. If you can stop the amitriptyline without harm then that would be the safest thing to do until you talk to your EP and get an EKG. As for the aspirin AND Eliquis, that seems like a lot more than necessary. And if you've been spitting up blood it's definitely more tby Carey - AFIBBERS FORUM
The pharmacy can't do anything about it, so say something to the doctor. It may be okay in your case, but I think it's at least worth a conversation and possibly some EKG monitoring. The issue is that Multaq can cause lengthening of the QT interval and so does amitriptyline, so the two combined can potentially be dangerous. That may not be a problem for you, but it definitely warrants aby Carey - AFIBBERS FORUM
QuoteEricY Has anyone asked their Dr. if there is a test to determine your potassium and magnesium levels at a cellular level? For magnesium, yes. For potassium, not that I know of and I don't think such a test would be useful. Potassium is constantly moving between the vascular space, dissolved in plasma, and the intracellular space in muscle cells. When muscles cells contract and relaxby Carey - AFIBBERS FORUM