Carey - great answers! Thank you.by PavanPharter - AFIBBERS FORUM
Yes CC mentioned above with a link to a paperby PavanPharter - AFIBBERS FORUM
With the focus on concussions this year since the Tua/Miami incident my take was it was about at least a minute to 90 seconds before began CPR. I didn't DVR it but wish I did. ESPN covered the game and knowing the NFL they are clawing back any video out there. Yes - Bills did shield the scene but likely out of concern and not to obfuscate. ESPN kept going to long commercial breaks andby PavanPharter - AFIBBERS FORUM
That's my understanding. They were doing CPR for at least 8 minutes before they tried an AED. Would there ever be a need to continue CPR after an AED was used? Bad stats on this - Early defibrillation is critical for survival of CC. Unfortunately, resuscitation after CC is often unsuccessful.14,21,22 In a Link et al swine model, animals that were defibrillated in less than 2 minuby PavanPharter - AFIBBERS FORUM
I know this is an AFIB forum but is VFIB off limits? IMHO - they were fast to do CPR last night but 8+ minutes is a little long to realize "oh shit this isn't working" and go for the AED. IDK and hope it's not the case but there might be some brain damage as a result. Hoping Carey and others can discuss what most of the nation is talking about today. This is theby PavanPharter - AFIBBERS FORUM
I take 3-5gms of glycine at night. Main effect - sleep all night long with vivid lengthy dreams and no hangover that comes from sleep aids. It's the best thing ever.by PavanPharter - AFIBBERS FORUM
Stroke is akin to death but without all of the flowers.by PavanPharter - AFIBBERS FORUM
More hanky panky with drug trial and data including under reporting of adverse events. As a background Mary Anne Demassi has done a lot of good work documenting the ills of pharma.by PavanPharter - AFIBBERS FORUM
It's all about to change... again.by PavanPharter - AFIBBERS FORUM
Thank Carey. That's the conclusion I was coming to despite the pharma sources. I was merely summing up George's post. I'd still like to have PT tested and have dose adjusted if needed.by PavanPharter - AFIBBERS FORUM
Fighting Covid with a fib? About the subject line. What I see in social media is mainly people fighting the idea that covid even exists with a whole bunch of fibs. ><by PavanPharter - AFIBBERS FORUM
Like always - it's complicated. Here's my take - the standard of don't care applies once again. Best practice in this should be to consider the weight, CHADS, history, lab work (including HCT!!) and genetics of every patient. Not just script out the same dose to nearly every patient. The work that is done in research is typically ineffectively carried over in practice.by PavanPharter - AFIBBERS FORUM
Great responses. I'm still leaning towards the idea that many people continuously have up to a 2x higher blood concentration and seem to get along fine with out any internal bleeding. Being over 200lbs, I'd probably wait until bedtime and take a dose which may or may not be my second of the evening. I guess I am more afraid of a stoke in my sleep than of the potential risk ofby PavanPharter - AFIBBERS FORUM
So it appears the risk is towards taking 2 doses and not in missing a dose. Seems odd at first glance. Imagine there are women here that weigh as little as 100lbs (2948ml of blood) and could have concentrations that are twice as great as a man that weighs over 200lbs. (6804ml) # Only a small 5.1% get 2.5mg BID. "Despite the attractive results with apixaban inby PavanPharter - AFIBBERS FORUM
This is theoretical and not an actual problem at the moment. Normally, I am very good about how I put my meds and supps out in a pill box but sometimes life gets busy and I didn't lay them out for the week. At the same time, there are about 5 essential meds I take so I'll just do them one by one out of the bottles. As it's most important, I usually take the Eliquis first andby PavanPharter - AFIBBERS FORUM
George - you really should write a book about all you know.by PavanPharter - AFIBBERS FORUM
After some time here and lurking before that - it seems there is no standard answer, no standard solution and no standard results. There are odds and statistics but anything can work, not work, or even harm further. We all fall into that bell curve.by PavanPharter - AFIBBERS FORUM
Background Atrial fibrillation is a chronic, progressive disorder, and persistent forms of atrial fibrillation are associated with increased risks of thromboembolism and heart failure. Catheter ablation as initial therapy may modify the pathogenic mechanism of atrial fibrillation and alter progression to persistent atrial fibrillation. Methods We report the 3-year follow-up of patienby PavanPharter - AFIBBERS FORUM
No one really cares about stroke until its entered their life in some way. Same with AFIB and pretty much every other condition. Agreed it probably could have been done in 5 minutes.by PavanPharter - AFIBBERS FORUM
Or not.by PavanPharter - AFIBBERS FORUM
FWIW - I was taking large amounts of fish oil when I developed AFIB. I now stay in the sweet spot.by PavanPharter - AFIBBERS FORUM
I've always had the suspicion that Eliquis is the cause of AFIB. George Carlin once reported that saliva is the cause of stomach cancer but.... only when swallowed in small amounts over long periods of time. He was almost right, he should have joked about heart disease.by PavanPharter - AFIBBERS FORUM
We found a U-shaped association between consumption of marine n-3 PUFA and risk of AF, with the lowest risk close to the median intake of total marine n-3 PUFA (0.63 g/day). Similar associations were found for intake of fish. We were unable to find evidence of a beneficial dose–response effect at higher levels of consumption of marine n-3 PUFA; on the contrary, both high and low levels of intby PavanPharter - AFIBBERS FORUM
Quotegloaming One should ask oneself, "What is the alternative?" Realizing at a younger age that “If I had known I was going to live so long, I’d have taken better care of myself.” isn't just an amusing saying.by PavanPharter - AFIBBERS FORUM
QuoteCarey We're talking about the odds of being struck by lightning in the Arctic. I was a little freaked out the first time I encountered thunder snow. Lightning, thunder and snow all at the same time. Was expecting blood and locusts but went back inside and fell asleep.by PavanPharter - AFIBBERS FORUM
This video is linked to this entire conversation.by PavanPharter - AFIBBERS FORUM
Here's the link to the full paper - some important points Data gathered by device interrogation from patients with implanted pacemakers and defibrillators suggest that as little as 6 minutes to 6 hours of AF may double incident stroke risk, While the primary end point in the REVEAL AF study was an AF episode lasting 6 or more minutes, many patients had prolonged cumulative periodsby PavanPharter - AFIBBERS FORUM
Kindog - stats are great for statisticians but if you're looking for a reason to not be on a DOAC, I don't think anyone here will support or encourage that. Strokes are the ultimate black swan.by PavanPharter - AFIBBERS FORUM
Quotesusan.d I joke I could glow in the dark this past year plus after getting frequent X-rays as often as 2/week. I think a PET scan is high as well. What about radiation treatment for cancer? That's not radiation Susan, it's your aura.by PavanPharter - AFIBBERS FORUM
Quotegloaming It's like a silent killer. It wasn't until some bright bulb thought to do a study of many cases that he realized they were mostly gone after five years. Gone...as in six feet under. Thankfully, there are many wonderful people here still on the right side of the grass. Jackie, George, Ken, Susan and any other long timers.by PavanPharter - AFIBBERS FORUM