When to Stop Flecainide before Ablation May 22, 2018 11:39AM |
Registered: 12 years ago Posts: 393 |
Re: When to Stop Flecainide before Ablation May 22, 2018 12:10PM |
Registered: 6 years ago Posts: 920 |
Re: When to Stop Flecainide before Ablation May 22, 2018 01:23PM |
Registered: 8 years ago Posts: 1,102 |
Re: When to Stop Flecainide before Ablation May 22, 2018 02:46PM |
Registered: 10 years ago Posts: 382 |
Re: When to Stop Flecainide before Ablation May 22, 2018 02:51PM |
Admin Registered: 6 years ago Posts: 5,350 |
Re: When to Stop Flecainide before Ablation May 22, 2018 03:13PM |
Registered: 6 years ago Posts: 706 |
Re: When to Stop Flecainide before Ablation May 22, 2018 04:41PM |
Registered: 6 years ago Posts: 233 |
Re: When to Stop Flecainide before Ablation May 23, 2018 04:46AM |
Registered: 11 years ago Posts: 615 |
Re: When to Stop Flecainide before Ablation May 23, 2018 10:42AM |
Registered: 6 years ago Posts: 920 |
Quote
Carey
I've had two ablations while I was on flecainide and both times they had me stop it 5 days in advance. That makes sense because the usual rule is 5 half-lives, and flecainide's half-life is about 20 hours, so that works out to just under 5 days. I think 48 hours would definitely be inadequate. In any case, you want to err on the side of stopping sooner rather than later.
Re: When to Stop Flecainide before Ablation May 23, 2018 03:45PM |
Registered: 12 years ago Posts: 393 |
Re: When to Stop Flecainide before Ablation May 23, 2018 05:53PM |
Admin Registered: 6 years ago Posts: 5,350 |
Quote
Pompon
Some afibbers taking a rhythm drug stay in SR for weeks or months between two (possible long) afib episodes. On the opposite, other afibbers have very frequent (and likely short) afib episodes despite taking a rhythm drug. Should they follow the same rule before a procedure?
Quote
Another point is many afibbers can’t have afib in the hours or days immediately following the end of an afib episode. So, stopping the meds too soon may trigger an unwanted afib episode a short time before the procedure and make it fail (this happened to me last year).
May we generalize? In some cases, 5 days make sense; but in others, can’t 48h or even 24h be enough?
Re: When to Stop Flecainide before Ablation May 24, 2018 02:07AM |
Admin Registered: 11 years ago Posts: 2,779 |
Re: When to Stop Flecainide before Ablation May 24, 2018 12:02PM |
Registered: 6 years ago Posts: 920 |
Re: When to Stop Flecainide before Ablation May 24, 2018 04:30PM |
Registered: 11 years ago Posts: 615 |
Re: When to Stop Flecainide before Ablation May 24, 2018 06:01PM |
Registered: 8 years ago Posts: 1,102 |
Quote
Pompon
Well... Considering the answers here above, may I think I've been unlucky having afib 12hrs before my procedure ? Is it part of the risks?
Re: When to Stop Flecainide before Ablation May 25, 2018 12:31AM |
Registered: 6 years ago Posts: 920 |
Re: When to Stop Flecainide before Ablation May 25, 2018 12:54AM |
Admin Registered: 6 years ago Posts: 5,350 |
Re: When to Stop Flecainide before Ablation May 25, 2018 03:57AM |
Registered: 6 years ago Posts: 920 |
Re: When to Stop Flecainide before Ablation May 25, 2018 08:34AM |
Registered: 8 years ago Posts: 1,102 |
Quote
Pompon
But I'm suspicious about the fact that afib may be induced artificially, while its natural triggers stay a mystery.
Re: When to Stop Flecainide before Ablation May 25, 2018 10:00AM |
Registered: 6 years ago Posts: 920 |
Re: When to Stop Flecainide before Ablation May 25, 2018 01:35PM |
Registered: 8 years ago Posts: 1,102 |
Re: When to Stop Flecainide before Ablation May 27, 2018 12:31PM |
Registered: 6 years ago Posts: 116 |