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Just went into an episode
Posted by shca67
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Re: Just went into an episode August 27, 2020 02:18PM |
Yes, the PIP protocol is first on my list. My exercise is minimal however, I am fairly active...yardwork, golf, running around with the kids. Atenelol was originally prescribed to deal with moderate high blood pressure/heart rate in the context of my first three AFIB episodes...blood pressure was 125-130/85-90. Since the beta blocker, BP is regularly 115/70 with heart rate in the high 50's/low 60's. I had always believed the beta blocker was running off the afib as well...AND I used to have lots of PVC's/PAC/s...holter monitors caught this. The beta blocker/high potassium has settled those for several years.
When I received the calcium score 3 years ago...184 was the score, it placed my in the 90th% for a 50 year old. 6'2", 190 was my weight and I had a diet of whatever/whenever. My EP hooked me up with a very good cardiologist, in my perspective, and we started down a road of major diet changes and max Lipitor dosage. The diet is loosely based on the Esselstyn/Cleveland Clinic however I had to add some salmon and chicken for the protein. My HDL has bumped up from 29 to 40, Tri's are normal, and my LDL has dropped from 115 down to 45-50. In short, my ratio is very good...however, I do have the small LDL particle concern...have been told this is likely genetic. No caffeine, and virtually 0 fats are in my diet...(no red meat and minimal dairy products with a major emphasis on fruits, vegetables, rice and beans.
The cholesteral issue is in my family...sort of...my grandmother has bypass surgery at 80 and lived to 104. And my 81 year old mother is on a statin as well...
When I received the calcium score 3 years ago...184 was the score, it placed my in the 90th% for a 50 year old. 6'2", 190 was my weight and I had a diet of whatever/whenever. My EP hooked me up with a very good cardiologist, in my perspective, and we started down a road of major diet changes and max Lipitor dosage. The diet is loosely based on the Esselstyn/Cleveland Clinic however I had to add some salmon and chicken for the protein. My HDL has bumped up from 29 to 40, Tri's are normal, and my LDL has dropped from 115 down to 45-50. In short, my ratio is very good...however, I do have the small LDL particle concern...have been told this is likely genetic. No caffeine, and virtually 0 fats are in my diet...(no red meat and minimal dairy products with a major emphasis on fruits, vegetables, rice and beans.
The cholesteral issue is in my family...sort of...my grandmother has bypass surgery at 80 and lived to 104. And my 81 year old mother is on a statin as well...
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Re: Just went into an episode August 27, 2020 05:24PM |
Quote
shca67
Yes, the PIP protocol is first on my list. My exercise is minimal however, I am fairly active...yardwork, golf, running around with the kids. Atenelol was originally prescribed to deal with moderate high blood pressure/heart rate in the context of my first three AFIB episodes...blood pressure was 125-130/85-90. Since the beta blocker, BP is regularly 115/70 with heart rate in the high 50's/low 60's. I had always believed the beta blocker was running off the afib as well...AND I used to have lots of PVC's/PAC/s...holter monitors caught this. The beta blocker/high potassium has settled those for several years.
When I received the calcium score 3 years ago...184 was the score, it placed my in the 90th% for a 50 year old. 6'2", 190 was my weight and I had a diet of whatever/whenever. My EP hooked me up with a very good cardiologist, in my perspective, and we started down a road of major diet changes and max Lipitor dosage. The diet is loosely based on the Esselstyn/Cleveland Clinic however I had to add some salmon and chicken for the protein. My HDL has bumped up from 29 to 40, Tri's are normal, and my LDL has dropped from 115 down to 45-50. In short, my ratio is very good...however, I do have the small LDL particle concern...have been told this is likely genetic. No caffeine, and virtually 0 fats are in my diet...(no red meat and minimal dairy products with a major emphasis on fruits, vegetables, rice and beans.
The cholesteral issue is in my family...sort of...my grandmother has bypass surgery at 80 and lived to 104. And my 81 year old mother is on a statin as well...
If the beta blocker is keeping you from having afib, could mean a sympathetic or adrenergic trigger (see [www.afibbers.org])
The BB may be keeping your blood pressure in range, but is not addressing any root cause. My first goto for higher BP is higher insulin. I ate a diet like yours for 17 years. In the 16th year (2006), 2 years after starting afib, I got a glucometer and learned how "whole grain goodness" was impacting my post meal blood sugars. I used to make oatmeal from organic whole oat groats that I would run through a mill. After a nice breakfast serving, I tested 140 mg/dl an hour after eating the oatmeal. This set me on a quest to control blood sugar elevation after eating. Ultimately, I learned of the work of Dr. Joseph Kraft and found that I likely (in retrospect) had an abnormal insulin response. A brief summary of his work is here. This is his first paper on the topic (reformatted by Meridian Valley Lab). Fructose can impact the kidney negatively and the kidney is a source of much blood pressure elevation. Just treating for BP adds a point in the CHA2DS2-VASc calculation for anticoagulant therapy.
The glucose/insulin elevation can also create small dense LDL (sdLCL-C). Hence addressing glucose/insulin can address the sdLDL-C also (and by extension oxidized LDL, oxLDL, which is the real problem).
You are young to have that CAC score. Once you have coronary calcium, the expected increase is 25% or more per year. If you can maintain 15% per year or less increase in your VOLUME score (not Aggaston), your risk is nearly as low as someone with a 0 score (per the Raggi paper).
NotLyingAboutMyAfib has a high score, which he has either managed to reverse or at least hold stable (there are error bars around readings). He has posted about it on this board. He is getting ablated tomorrow in Austin by Dr. Natale. I believe he mimicked Pat's approach.
Edited 1 time(s). Last edit at 08/27/2020 05:43PM by GeorgeN.
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