Followup needed 11 years after successful Natale ablation February 21, 2023 12:12AM |
Registered: 1 year ago Posts: 2 |
Re: Followup needed 11 years after successful Natale ablation February 21, 2023 06:57AM |
Registered: 11 years ago Posts: 4,220 |
Re: Followup needed 11 years after successful Natale ablation February 21, 2023 09:35PM |
Registered: 1 year ago Posts: 150 |
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GeorgeN
Is your exercise trigger adrenergic? In other words does exercise trigger the afib acutely or is it a delayed trigger (which is my case as I have vagal triggers). What kinds of exercise provide the trigger?
I've used flecainide on demand for over 18 years and recently have successfully used it prophylactically daily, but at minimal dose of 25 mg once a day, as I've posted about elsewhere here.
Re: Followup needed 11 years after successful Natale ablation February 21, 2023 10:27PM |
Registered: 11 years ago Posts: 4,220 |
It really depends. My first ever episode (over 18 1/2 years ago) was several days after a training run on a 14,000' elevation mountain. Generally delay an hour up to 12 or 14. For me, it is a vagal trigger, so after I settle down.Quote
Yuxi
George, if exercise is a delayed trigger for you, how many hours later?
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Also, may I ask why you started taking 25mg Flec every day as prevention instead of 200mg on demand?
Re: Followup needed 11 years after successful Natale ablation February 22, 2023 04:08AM |
Registered: 6 years ago Posts: 920 |
Re: Followup needed 11 years after successful Natale ablation February 22, 2023 12:39PM |
Registered: 1 year ago Posts: 150 |
Re: Followup needed 11 years after successful Natale ablation February 22, 2023 12:50PM |
Registered: 1 year ago Posts: 150 |
Re: Followup needed 11 years after successful Natale ablation February 22, 2023 03:31PM |
Registered: 1 year ago Posts: 2 |
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GeorgeN
Is your exercise trigger adrenergic? In other words does exercise trigger the afib acutely or is it a delayed trigger (which is my case as I have vagal triggers). What kinds of exercise provide the trigger?
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Thanks for the info. I think over the years my afib was acutely triggered. First episode way back in 2006, I was playing basketball. Second was six or so months later while playing a little touch football. Other episodes started at the gym during workouts. That was all prior to my first ablation. More recently, it's more of a mixed bag. I had a 30-minute episode one morning just doing my pre-gym warm-ups... a few squats, pushups, ab work, stretching, etc.. I guess that would also be considered acutely triggered. However, I think the real cause was from the day before. I had recently laid off my workouts for a couple of weeks due to an overseas trip. Upon returning to my pre-trip routine I was getting very frustrated by not being able to get back to my previous cardio levels (I measure everything, so I knew exactly how far I had regressed). Part of being 70 is that regaining lost ground takes much longer than when I was younger. As a result I did something really stupid the day before. I increased both my time and intensity on the stair-stepper and held a heart rate of 135-145 for the last 20 minutes or so of that session. Normally I make a point these days of keeping my heart rate below 120 except for brief periods (usually during the weight part of my workout). I knew it was unwise, but I was so frustrated by my lack of progress that I reverted to the "no pain, no gain" philosophy of my younger pre-afib days. I survived that session with no major issues, but I felt pretty sure it was what caused my afib early in the next morning's warmup. So, I guess that was maybe a vagal trigger?
Since that day I have not been the same. I have to carefully monitor my workouts and back off when I start getting increases in the number of skipped beats and runs of rapid beats (generally a warning sign of potential afib for me). Typically, the cardio part of my workout is when I am at highest risk, though I'm starting to have more brief runs of rapid beats during my resistance training now, particularly doing the leg press. There is something about being that "scrunched" up with relatively heavy weight that seems to put pressure on my heart and can cause problems. All this makes me think you may be on to something with your Duration/Intensity analysis. I have seen it posted before, but never spent a proper amount of time trying to understand it. I will do that now. It may well have a correlation to some of my issues.
Re: Followup needed 11 years after successful Natale ablation February 22, 2023 03:57PM |
Registered: 6 years ago Posts: 920 |
Our bodies react sometimes strangely, but I believe they have a language we've better trying to learn. There are signs...Quote
Yuxi
Pompon, thanks for all the good hints, many can be used for myself. Besides exercise, I also tend to wake up with an episode after having a bigger meal of carbs at dinner time. I can tell by my Apple watch that my HR increased from my normal 50-60's to 70-90's during 3-5 am, but I won't know it until I wake up, usually between 6-7am, so I missed the best time to take my 100mg PIP Flec. I wish I know it right away and take the Flec immediately after an episode starts.