Ok I am doing it July 18, 2022 10:33AM |
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Re: Ok I am doing it July 19, 2022 06:34PM |
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Re: Ok I am doing it July 19, 2022 07:22PM |
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The Anti-Fib
The people always recommending Ablation on this site are the ones who failed to manage their own Afib, thus they tend to be more pessimistic about Afib prognosis.
Re: Ok I am doing it July 19, 2022 08:38PM |
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Re: Ok I am doing it July 20, 2022 12:32AM |
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Quote
Carey
The people always recommending Ablation on this site are the ones who failed to manage their own Afib, thus they tend to be more pessimistic about Afib prognosis.
Failed to manage their own afib? Seriously? That's really unfair to a lot of people; you're patient blaming. If you think afib comes in one flavor and it's always manageable, you're very wrong, particularly when we're talking about persistent afib. How many afib patients are you familiar with the details of their history? Between Shannon and I we know hundreds, and there's actually not much variation between them. There are a small number of outliers who have found novel ways to manage their afib, and they enjoy some degree of success, but not one single person I've ever known or heard about has achieved complete afib control without drugs or ablation. Combine that with the many, many studies showing that afib is a relentlessly progressive disease, and we're talking thousands of patients. So if I'm pessimistic about the prognosis for untreated afib, that pessimism is well founded in the data. Personally, I spent 15 years trying to find a way to control my afib, including almost every method discussed on this and other forums over the years, and not one single approach ever made the slightest difference. The only thing that ever worked for me was antiarrhythmic drugs, and each and every one of them sucked in one way or another. So my "failure" to manage my afib is my fault? I think not.
As for Geo, you don't go through 3 years of longstanding persistent afib and then just magically not have afib anymore by doing things like stopping chocolate and caffeine. Caffeine and chocolate don't cause afib. Without drugs or an ablation, persistent afib isn't going to stop, and AADs are almost never a good long-term solution. They all stop working eventually or turn on you and become pro-arrhythmic, and then all you've accomplished is allowing the atrial remodeling to continue, making afib a certainty and ablation even more difficult.
Atrial remodeling is why it pays to stop ablation as soon as possible. That's why I will sometimes recommend ablation for someone even though they're relatively asymptomatic, not because of my pessimism.
Re: Ok I am doing it July 20, 2022 12:48AM |
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Re: Ok I am doing it July 20, 2022 08:05AM |
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Re: Ok I am doing it July 20, 2022 08:42AM |
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Re: Ok I am doing it July 20, 2022 10:17AM |
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Re: Ok I am doing it July 20, 2022 10:34AM |
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Re: Ok I am doing it July 20, 2022 12:28PM |
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Quote
Carey
AADs are almost never a good long-term solution. They all stop working eventually or turn on you and become pro-arrhythmic
Re: Ok I am doing it July 20, 2022 02:11PM |
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Re: Ok I am doing it July 20, 2022 06:07PM |
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Geocappy
Probably. What happens when I stop the Metoprol completely?
Re: Ok I am doing it July 21, 2022 07:17AM |
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Re: Ok I am doing it July 21, 2022 06:09PM |
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Re: Ok I am doing it July 21, 2022 10:56PM |
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Re: Ok I am doing it July 22, 2022 04:55AM |
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Re: Ok I am doing it July 24, 2022 04:49PM |
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