Urgent question for the veteran afibers here February 14, 2019 06:30PM |
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Re: Urgent question for the veteran afibers here February 14, 2019 07:24PM |
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Re: Urgent question for the veteran afibers here February 14, 2019 07:34PM |
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The Anti-Fib
So they didn't Convert him to NSR, I take it they are controlling his rate with Drugs? Have they succeeded? What is his HR right now? If controlled well, it would seem that that would allow more time to think about this. You may be right, I wouldn't want to do anything that short notice, unless I had to. I believe however that most Ablations for Flutter entail a relatively simple procedure compared AFIB Ablations. Also the success rate for Flutter Ablations is much higher than AFIB Ablations. Is there a reason they don't want to Electrocardiovert him? It usually only takes 50-100J for Flutter ECV's, less than AFIB ECV's. You might try to get a hold of Shannon, he knows the most about Flutter and Ablations.
Re: Urgent question for the veteran afibers here February 14, 2019 07:41PM |
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Also my thoughts. The doctor must be able to give a very good reason for going for an ablation at this stage. The cynic in me makes me think - if your only tool is a hammer.....Quote
From my ablation experience and from others I have read and followed here, this seems a drastic measure at this time time. Especially with all the other issues he is currently facing. I personally think that the other issues should be addressed first as that in and of itself may be the cure. Thoughts?
Re: Urgent question for the veteran afibers here February 14, 2019 07:57PM |
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Re: Urgent question for the veteran afibers here February 14, 2019 08:04PM |
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Carey
Full stop. That's messed up. Heparin?! WTF are they doing?
Flutter is usually easy to ablate, but considering that three EPs failed to ablate mine in four attempts I wouldn't be so sanguine about it.
They need to cardiovert him, give him rate control meds and an anticoagulant, send him home, and then let him choose an EP if he wants to pursue ablation. A rate of 150 isn't that bad, especially since it can be rate controlled (mine couldn't).
However, with the alcoholism is he going to be reliable about taking meds?
Re: Urgent question for the veteran afibers here February 14, 2019 09:12PM |
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rocketritch
What’s your concern with the heparin at this juncture?
Re: Urgent question for the veteran afibers here February 14, 2019 09:49PM |
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Carey
What’s your concern with the heparin at this juncture?
It's just an unusual solution to a common problem and seems like overtreatment. Maybe there are issues I don't know about, but I would sure question why he's not simply been put on a NOAC, rate control meds, and sent home. It seems like a lot of hospital treatment and a rush to a procedure.
Re: Urgent question for the veteran afibers here February 14, 2019 10:03PM |
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Re: Urgent question for the veteran afibers here February 15, 2019 07:12AM |
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Re: Urgent question for the veteran afibers here February 15, 2019 07:30AM |
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Re: Urgent question for the veteran afibers here February 15, 2019 08:09AM |
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Re: Urgent question for the veteran afibers here February 16, 2019 01:27PM |
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Re: Urgent question for the veteran afibers here February 16, 2019 02:38PM |
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Re: Urgent question for the veteran afibers here February 16, 2019 03:29PM |
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Re: Urgent question for the veteran afibers here February 16, 2019 04:10PM |
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rocketritch
Unfortunately he never made it past the TEE. He had a mucus block from his years of smoking and sleep apnea that created complications with the TEE. Not sure of the extent but they did damage to his esophagus/throat as a bleed developed so they had to bring in a second specialist from another hospital to address the bleeding. In the end they got the bleeding controlled and he spent most of yesterday into this morning in the ICU fully incubated and fully sedated. They brought him out of sedation this am and slowly weaned him from the breathing machine. However, the tube remained for a while because they wanted to be sure the bleeding was under control.So he had to be restrained for a time until they removed the tube. What a cluster.
Re: Urgent question for the veteran afibers here February 16, 2019 05:38PM |
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Carey
Those guys are procedure happy.
My advice to him would be to check his ass out of there as soon as possible and go see a qualified EP.
Re: Urgent question for the veteran afibers here February 16, 2019 07:09PM |
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Re: Urgent question for the veteran afibers here February 16, 2019 07:34PM |
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Re: Urgent question for the veteran afibers here February 17, 2019 07:27AM |
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Re: Urgent question for the veteran afibers here February 17, 2019 01:31PM |
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Re: Urgent question for the veteran afibers here February 17, 2019 01:50PM |
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Re: Urgent question for the veteran afibers here February 17, 2019 02:36PM |
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Re: Urgent question for the veteran afibers here February 17, 2019 03:58PM |
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Re: Urgent question for the veteran afibers here February 17, 2019 06:29PM |
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Carey
And so what if he's going against medical advice?
Re: Urgent question for the veteran afibers here February 17, 2019 08:23PM |
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Re: Urgent question for the veteran afibers here February 17, 2019 09:22PM |
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Re: Urgent question for the veteran afibers here February 17, 2019 10:55PM |
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rocketritch
What kind of EP stakes their reputation on such a situation as this. Or a hospital for that matter.
Re: Urgent question for the veteran afibers here February 18, 2019 01:55AM |
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Re: Urgent question for the veteran afibers here February 21, 2019 02:24AM |
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Re: Urgent question for the veteran afibers here February 21, 2019 12:06PM |
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