Cardioversion or wait it out? July 25, 2021 10:22AM |
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Re: Cardioversion or wait it out? July 25, 2021 10:49AM |
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Re: Cardioversion or wait it out? July 25, 2021 11:35AM |
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Re: Cardioversion or wait it out? July 25, 2021 12:14PM |
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Carey
If it's been over a week then it's persistent AF. Very unlikely flecainide or anything else is going to convert him.
Re: Cardioversion or wait it out? July 25, 2021 12:53PM |
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Re: Cardioversion or wait it out? July 25, 2021 03:08PM |
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GeorgeN
On my own, I took the flec that evening and converted the 2 1/2 month episode. Took 20 hours, but it worked. I had an episode a month later (atria were likely still "stunned" from the long episode) that also took 20 hours to convert with flec. After that, flec has typically worked in an hour or two.
As to waiting. My philosophy has always been to minimize the amount of time I'm in afib, primarily to minimize electrical and physical remodeling that happens in afib. This is why I chew the foul tasting PIP flec. Hence I would go for an immediate cardioversion if offered.
Re: Cardioversion or wait it out? July 25, 2021 04:07PM |
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Re: Cardioversion or wait it out? July 25, 2021 04:56PM |
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Re: Cardioversion or wait it out? July 25, 2021 05:21PM |
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Re: Cardioversion or wait it out? July 25, 2021 05:51PM |
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Re: Cardioversion or wait it out? July 25, 2021 05:55PM |
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Carey
flecainide isn't the safest drug in the world. Hence, if I were asymptomatic, I would just wait. And since nobody here knows if her friend has a cardiac history that would make flecainide contraindicated, I sure wouldn't suggest trying it without his EP's blessing.
Re: Cardioversion or wait it out? July 25, 2021 06:01PM |
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Poppino
Ok educate me (us) why is Flecanide a type of risk? I?!
Re: Cardioversion or wait it out? July 25, 2021 06:32PM |
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Poppino
Ok educate me (us) why is Flecainide a type of risk? I used loading propafenone 600 mg back in my afib days.
Re: Cardioversion or wait it out? July 25, 2021 06:59PM |
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Re: Cardioversion or wait it out? July 26, 2021 10:37AM |
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Re: Cardioversion or wait it out? July 26, 2021 11:48AM |
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strongHeart
Speaking of cardioversions. I've had somewhere between 12 - 20 ECV in last 13 years.
Is anyone current on this risk analysis of repeated ECV? Shannon perhaps? or Susan D.
Thanks heaps in advance.
Re: Cardioversion or wait it out? July 26, 2021 01:06PM |
Registered: 6 years ago Posts: 197 |
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susan.d
Speaking of cardioversions. I've had somewhere between 12 - 20 ECV in last 13 years.
Is anyone current on this risk analysis of repeated ECV? Shannon perhaps? or Susan D.
Thanks heaps in advance.
I had yet another ECV last night. My HR was 145-148 with highs in 150. My record (not proud) is 45 ECV. 33 in ER and 12 during ablations. After my last ablation we tried chemical conversion but my heart tried to self convert by sinus arrest (pauses), up to every 5-10 minutes my heart would stop for 4-15 seconds for two days. I spent 8 days in icu. I ended up with a pacemaker because my AV was weak (prolonged AV conduction now) after my ablation. Ten days ago I self converted, 19 days before that I was hospitalized for 3 days with a BB drip. Adenosine doesn’t work and actually resulted in a type 2 MI. I’m running out of choices. I had a flecainide overdose and can’t be on it, sotolol they tried but wide QRS concerns if used long term and currently Multaq helps just a little. I can’t use ecv as afib/flutter/STV control each time my hr gets to 190.
Since I’m now 10 days apart, I can’t continuously get ecv. 29 days and two episodes ago I was offered an ecv and I hesitated since my pacemaker was new so it resulted in a three day hospitalization to get me back to nsr. Ecv I’m in and out.
I don’t think there is a clear answer whether to be ecv or not. I speculate it’s based on symptoms and stress to the heart and person to person..
Re: Cardioversion or wait it out? July 26, 2021 02:38PM |
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Re: Cardioversion or wait it out? July 26, 2021 03:27PM |
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Re: Cardioversion or wait it out? July 29, 2021 09:01AM |
Registered: 6 years ago Posts: 523 |
'Quote
GeorgeN
As to waiting. My philosophy has always been to minimize the amount of time I'm in afib, primarily to minimize electrical and physical remodeling that happens in afib. This is why I chew the foul tasting PIP flec. Hence I would go for an immediate cardioversion if offered.