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I never said the last 6 years. 1 stroke in last 300 PFAs in 2 years fellow had witnessed. At any rate, I may not even be in the area by the time they are ready. Most likely I will be in Tx, 1 hr from Austin from Nov to May. That may be the better choice at this point if meds are keeping things in line presently.by hwkmn05 - AFIBBERS FORUM
Probably because they did have 1 stroke out of all the PFAs the last 2 years. Its not the pain, it is years of strep and covid on top of that which gave me a very narrow esophagus and is irreversible. First and last TEE left me damaged for months. Not happening. Ill be glad to stay overnight for observation or do an ICE instead.by hwkmn05 - AFIBBERS FORUM
Gloaming and Mjames, That makes perfect sense. Yes, the fear is coming out worse than I went in of course, and deciding who will be the EP. I am flat out refusing a TEE for sure, my throat is more of a worry than the procedure itself. Im guessing they are concerned overall at this facility with stroke risk, but as Im never in afib constantly, I see little risk. Ill be asking for ICE.by hwkmn05 - AFIBBERS FORUM
I was labeled Paroxysmal years ago but Im not certain i fit that term, or really ever did. Given that my episodes are quite infrequent, 0-2 per year with a few years having 4-8, however without medical intervention of cardioversion or meds, I dont convert easily. The 2nd time was a 10 day stint with a TEE and a successful cardioversion. So I wonder if I am a good candidate for PVI-only PFA?by hwkmn05 - AFIBBERS FORUM
I just received my summary after appt and was surprised to see a TEE scheduled before PFA. Initially was not informed of this and only to start noacs 1 month before and 3 months after, and to stop flec and metop afterward. I guess its a good precaution, but now wondering why this wasnt explained to me at my appt.by hwkmn05 - AFIBBERS FORUM
Thank you for that input. It did make sense to me. In year 17 and never on daily meds or ablated with average of two per year, now at 2 per month without meds and not converting easily and timely. At 72, and mostly healthy, I believe this may be my chance to have some peace of mind with moving/traveling soon. This is a teaching hospital so I would like some assurances before hand.by hwkmn05 - AFIBBERS FORUM
After 5 weeks since last episode and protocol of 75mg flecainide at bedtime, I took the 100 mile trip to explore options. Mostly what I expected. The fellow was 1 month from leaving and gave his opinion on 4 options. 1. If Im to continue Flec it will be with a BB even if its 12.5mg. 2. Full dose of Flec and Metop daily, not yet. 3. Tikosyn 3 day stay, no thanks. 4.PFA. Dr Sangha believes I am aby hwkmn05 - AFIBBERS FORUM
I wonder if Micro dosing would have the same effect?by hwkmn05 - AFIBBERS FORUM
At 72 and just securing my 16 year Pin as an Afib Veteran, my perspective on Meds has changed from an as needed PIP to a low dose to circumvent an episode. An ounce of prevention. Staying out of afib now has become priority over going into it at any moment, anywhere, from 1-48 hours, and with or without anyone who could possibly help me. One time in a remote part of Mexico and an hour drive to cby hwkmn05 - AFIBBERS FORUM
I ordered 90/20 mg Generic for $117 US manf. Shipped from India. Out of 15mg, but have 2.5/10/20mgs.by hwkmn05 - AFIBBERS FORUM
Was your PFA done by Moussa Mansour at Mass General?by hwkmn05 - AFIBBERS FORUM
Im on about every 3 weeks presently. Tho, one in Dec all last year. 3 so far starting first week of March.by hwkmn05 - AFIBBERS FORUM
Wouldnt that be nice? I popped in again last night. After 10 hours to convert my HR was at 43 and is settling at 49/52. Not that I feel bad, just seems a tad low. No Metoprolol tonight, which has been working so to speak to keep the heart settled a bit along with a small dose of Flec/50. We ll see where this goes in May meeting with EP.by hwkmn05 - AFIBBERS FORUM
Back in Afib, but very briefly. Totally different than 3 weeks ago for sure. That old annoying high rate up to 200 bouncing all over the place at 2am. This time, drank 2 gms of Pot water, took 50mg Metop and waited an hour for HR to get under 100. Dissolved 300 mg of Flec in very warm water and tossed back. Fell asleep and woke up in NSR 45 min later. Rare to have multiple episodes in one month.by hwkmn05 - AFIBBERS FORUM
Maybe the wrong word, but after a few failed cardioversions, the ablations were done shortly after.by hwkmn05 - AFIBBERS FORUM
Well that beats a holter or a TEE. I might take that route if its available because the only time that happened was in the ER 12 years ago.by hwkmn05 - AFIBBERS FORUM
Im wondering if those "Emergency" ablations which a few of my friends have had with great success, are due to the fact they are able to see where the impact is? Just a thought, because I have yet to see a failure even in hospitals not known for success, but yes anecdotal observation at best.by hwkmn05 - AFIBBERS FORUM
QuoteJoe Statin sales need a boost I dont disagree with some statin use such as low dose 5mg for Plaque, but not signing up for 80mg. My chl has always run high, but I know for a fact it doesnt cause Plaque.by hwkmn05 - GENERAL HEALTH FORUM
QuoteTomR I got it from here: The contents is listed in the screenshot attached. Same one I use. Tried the Chloride one once, but the taste was so disgusting I switched to the Citrate. I toss in 2 plus tsps per ltr.by hwkmn05 - AFIBBERS FORUM
I will add that when it comes to any supplement including Potassium, its horse shoes and hand grenades. Sure I have a massive amount of Pot in that water, but some days I barely consume. Days I walk a 5/6 mile golf course a few times a week, that bottle is empty at the 19th hole. I will also add that for years I could barely get thru one night without severe leg cramps and sometimes several timesby hwkmn05 - AFIBBERS FORUM
Quotemjamesone It is hard to definately diagnose flutter without a 12 lead ECG and interpretation experience. So how does one detect flutter or distinguish between that and afib if Kardia doesnt? Am I to understand that PIPT does not address Flutter the way it does Afib? It definitely wasnt the normal annoying Afib Ive had over the years and was mostly tolerable in resting state. Yes, itby hwkmn05 - AFIBBERS FORUM
After my latest physical I was a bit taken back to see that my Chl levels were apparently higher than the acceptable levels. On closer inspection, my levels hadnt changed a whole lot, as they never do and my ratio was higher, but still under at 4.5. The biggest change was LDL level which isnt really Cholesterol, from 150 to 100 and Non-HDL to 100. Did something new happen or were statin sales slby hwkmn05 - GENERAL HEALTH FORUM
QuoteCarey It is hard to definately diagnose flutter without a 12 lead ECG and interpretation experience. So how does one detect flutter or distinguish between that and afib if Kardia doesnt? Am I to understand that PIPT does not address Flutter the way it does Afib? It definitely wasnt the normal annoying Afib Ive had over the years and was mostly tolerable in resting state. Flutter is a rby hwkmn05 - AFIBBERS FORUM
It is hard to definately diagnose flutter without a 12 lead ECG and interpretation experience. So how does one detect flutter or distinguish between that and afib if Kardia doesnt? Am I to understand that PIPT does not address Flutter the way it does Afib? It definitely wasnt the normal annoying Afib Ive had over the years and was mostly tolerable in resting state.by hwkmn05 - AFIBBERS FORUM
So are you saying you began taking potassium and have reduced your episodes? If so, I would like to hear more of your experience. And yes, that is my plan (taking a large dose of K if I have an episode that needs converting) Well to reduce my yearly episodes would be zero at an average of 2 per year. That doesnt mean to say I have no other issues such as PACs and thuds here and there. I have beeby hwkmn05 - AFIBBERS FORUM
Once a night sounds like a dream. 20mg I m guessing.by hwkmn05 - AFIBBERS FORUM
Ill drink my daily Grande dark roast to this.by hwkmn05 - AFIBBERS FORUM
Thanks Geo, good info. Is Rivaroxaban an acceptable med vs Eliqus? I have no drug plan at the moment, but if it is inferior or not a good choice I would pay the higher cost as it would most likely be a PIPT only.by hwkmn05 - AFIBBERS FORUM
And now of course there is the added concern of longer episodes and increase of stroke risk. While I have not found any documented info for DOACs PIPT, Im wondering if there might be for a temporary dosage of 30 days or half doses depending on length of episodes?by hwkmn05 - AFIBBERS FORUM
Geo, Taking Flec with or without Met has not been a factor in the length of time for conversion. Most years it was sans the Met and conversion was swift. Altho my comfort level with Met is vastly improved allowing rest and calming the heart during the episodes. Interesting you mention calcium. I became quite lax this winter, a very harsh winter, in supplementing Vit D and being Keto, increasing mby hwkmn05 - AFIBBERS FORUM