QuoteElizabeth I am Vagal, only get AF at night when resting---I have taken Propafenone (150mg.) every night before bed for about 14 years, my EP has never had me take a AV nodal blocking agent. I have never had any problems such as you have had, perhaps it is because I take a small amount. Yesh, some EPs forego the precaution while others absolutely insist on it. The risk is low, but the conby Carey - AFIBBERS FORUM
Propafanone is a class Ic antiarrhythmic, the same as flecainide, so an AV nodal blocking agent should be given with it to protect against 1:1 conduction. I've experienced 1:1 conduction. Trust me, you don't want to go there. Being of the same class, I wouldn't expect it to perform any better than flecainide. You can try it, but don't be disappointed if it works about the sby Carey - AFIBBERS FORUM
QuoteDavrosT But today I've had premature beats every 20-30 beats for pretty much the whole day. That isn't approximate but seems about average. My HR at the moment is in the low 90s. However, I should point out that I ate a fairly large meal about 45 minutes to an hour ago so my hr could still be a bit high due to that. Over the course of the day, it's averaged out at 86 all day.by Carey - AFIBBERS FORUM
Quotelibby I'm an echo tech, but didn't know about isolation of the appendage in EP. Why is the velocity lower? Does the appendage contract? Yes.by Carey - AFIBBERS FORUM
QuoteJackie Dr. Rowe published in LANCET that extraordinary unremitting endurance exercise can injure a perfectly normal heart Okay, sure, maybe we understand a little bit about what causes fibrosis in a small percentage of afib patients. But the majority who are not endurance athletes remain unexplained, and they're the much more interesting question, especially the ones who lack all theby Carey - AFIBBERS FORUM
Quotelibby I had Disseminated Histoplasmosis in my 20's (I'm 59 now). I had bigeminy at times then. I've heard it can involve conduction. I'm not sure if that could have contributed. But, my Dad has a-fib and so does one of his brothers. Dr Natale sounds awesome! Is it hard to get into him? I guess I'll dink around with the meds and lifestyle changes a little longer. Whby Carey - AFIBBERS FORUM
QuoteJackie Carey - Cardiac Fibrosis can interfere with the electrical pathway conductivity mechanisms and definitely does cause arrhythmia. I understand that, but what causes the fibrosis? That's the point. Fibrosis is a result of disease, not disease in and of itself.by Carey - AFIBBERS FORUM
The big question is whether "lone" afib is really lone afib. In other words, are those of us diagnosed as lone affibers really free of structural heart disease or is afib itself a type of structural heart disease? The thinking is leaning in that direction these days, with the term atrial myopathy being used. Personally, I think almost without doubt this will be found to be the case in tby Carey - AFIBBERS FORUM
QuoteCatalinRo High levels of omega-3 increased the risk of developing prostate cancer by 44%. However, several concerns were raised on the overall design and methodology of this study. I haven't read the study but I'm already skeptical of their results so I bet there are concerns with the design and methodology. A huge increase like 44% should have been hard for others to miss.by Carey - AFIBBERS FORUM
Quotejmwe29 Carey, I surely didn't intend to aggravate you. Just saying, if an anticoagulant has no antidote, personally I'd think twice about using it. You didn't aggravate me. I get your concern about the lack of reversal agents, but in practice those aren't as life-saving as people tend to think. Major bleeding other than in the brain can usually be controlled surgically,by Carey - AFIBBERS FORUM
QuoteFibrillator Consult and CT on Sep 21st and Ablation with Natale on the 22nd. Can't wait! Shannon is my current hero. Ask for the suite. Trust me, it will be the nicest hospital room you've ever had. :-) Good luck!by Carey - AFIBBERS FORUM
Quotelibby I'd be ok to travel somewhere. What kind of questions would you ask when researching doctors? I tried to ask about how many a-fib ablations were done per year and success rates, but the lady on the phone scoffed at me saying how important and well thought of the particular doc was. She basically said she didn't know, but that can't be. That kind of response would getby Carey - AFIBBERS FORUM
QuoteJackieBenefits of Unrefined Salt (excerpted from The Guide to Healthy Eating): • Alkalinizing agent (raises pH in the body) • Balances blood sugar • Helps relax the body for sleep • Improves brain function • Prevents muscle cramps • Prevents varicose veins • Prevents osteoporosis • Regulates blood pressure (if adequately hydrated) • Thins mucous " Can you offer evidence toby Carey - AFIBBERS FORUM
QuoteJackie I just did an online search and noted a number of reports on this topic so apparently it's still a practice. Of course, the physician doesn't have to buy into that reward system, but it does exist. I know it exists but among the physicians I know personally, they don't think those things are worth their time or compromise of their medical ethics to even bother with tby Carey - AFIBBERS FORUM
Quotejmwe29 Pirate, from what I see online, there are other anticoagulants that would be a better choice simply because there is no antidote for Xarelto like there is for others. If you start bleeding, there is little or nothing that can be done. Personally, I'd avoid the stuff like the plague. I was helping an older lady that died of internal bleeding on that stuff, thus my interest. Is youby Carey - AFIBBERS FORUM
Quotelibby Thank you Shannon. Lots of good information! It feels so complex. Do you think in the general EP study the doc would weed out if the a-fib is from the right or left side? I read his note. I don't think he went into the left side. There were two catheters in the right and one in the coronary sinus. He didn't go to the left side. You would have seen mention of a septal punctby Carey - AFIBBERS FORUM
QuoteElanor I was told by the doctor prescribing Xarelto and other meds that I was probably having afib events all the time unnoticed by me. Three years later I finally convinced an EP to let me wear an event monitor. That was a good move because you found that the prescribing doctor was wrong. It's possible you have paroxysmal afib and your episodes are more than a month apart, but Iby Carey - AFIBBERS FORUM
QuoteElanor Thanks for the input. My confusion stems from the fact that ablation for SVT is not performed at the same location in the heart as for afib. So I don't understand how ablation for SVT could relieve me from taking an anticoagulant prescribed for afib. Unless, of course, ablation for SVT is known to relieve afib. But that doesn't correlate with anything I've read. Iby Carey - AFIBBERS FORUM
Quotedenverbiker Sorry for late reply...no sedatives for cardioversion. My choice, my bad I guess. I thought I understood from the nurse I would get some light pacing or shocks or such. So I begged off the sedation. Oops, 100J. Felt like a pro football player hit me from behind with a 20 yard start. LOL... Oops! I once asked my EP to skip the sedation. He just shook his head and said, &by Carey - AFIBBERS FORUM
QuoteElanor I'm on my 4th cardiologist. All they want to do is prescribe medication, not discuss prevention. I quit sotalol and the doctor who prescribed. I also quit taking metropolol and flecainide and the doctor who prescribed. I finally found a doctor who would let me wear an event monitor for a month. No afib, but lots of SVT. He says he'll let me quit taking Xarelto if I letby Carey - AFIBBERS FORUM
QuoteDavrosT I am due to go on holiday for about 10 days on Friday and I'm off at the moment. Was sat on the couch an hour or so ago and had a little run of ectopics for about 5-10 seconds. My HR jumped to about 84 for a while afterwards. Was a bit unexpected so caught me by surprise! I'm going to ask the typical question - considering I'm not at 9 weeks, would any of the above yetby Carey - AFIBBERS FORUM
Quoteanneh I am also on the 2.5mg Eliquis 2xday but was wondering if it would be bad to just take 1 dose once a day while not having any a-fib? Eliquis has a half-life of 12 hours, so once-a-day dosing means you'll spend half of each day with inadequate coverage. That doesn't accomplish anything positive. QuoteI was hoping that ablation made it possible not to have to use any of tby Carey - AFIBBERS FORUM
I knew the bag of chips comment would draw a reaction. :-) I guess I wasn't clear that I was speaking only of a quick source of sodium, potassium and carbs for runners, cyclists, etc, who might find themselves away from home needing such things. I really wasn't proposing that folks eat bags of convenience store chips on a daily basis. Jackie- We're in complete agreement regardby Carey - AFIBBERS FORUM
QuoteGaryS We are a study of two. Ha ha! Apparently we are. I think there's something to it too, but I can't figure out what that something is. You know, you can just stop the sotalol and see how it goes. To be safe you should of course discuss that with your doctor first, but it's probably okay to give it a try. Worst case, being off it is worse than being on it so you resumby Carey - AFIBBERS FORUM
QuoteJackie There are packets of electrolytes that can be easily add to water that help. Jackie Or save your money and just have one of those small bags of potato chips sold in convenience stores. Yeah, I know, all the health fanatics just had a stroke, but consider that it has salt, potassium, and simple carbs in one package. For prolonged exercise it's quite possibly the perfect food.by Carey - AFIBBERS FORUM
Sotalol is not known to cause or increase afib. The only arrhythmias it can promote are torsades de pointes and v-tach. One possible explanation is that your afib simply has progressed. Although that's usually a slow process taking months or years, sometimes it can take sudden turns for the worse. QuoteGaryS I have often thought that my afib needed to have a full-blown episode in order tby Carey - AFIBBERS FORUM
QuoteGeorge77 Magnesium intolerance is the term used for when someone begins to get diarrhea from a bit too much magnesium. Imodium is an anti-diarrheal over the counter medicine. Yes, I understand all that. I just think using Imodium to counter diarrhea from magnesium is a bad idea. How much and what type are you taking? Either find a more tolerable form of magnesium, reduce how much you'by Carey - AFIBBERS FORUM
You were taking Imodium to increase your tolerance for magnesium? Is that a thing people are doing now?by Carey - AFIBBERS FORUM
QuotewolfpackI don't know what causes AF I don't either but the thinking seems to be turning toward an atrial cardiomyopathy we simply don't understand yet. In other words, those of us who were told we have "lone afib" because we have afib but no structural heart disease may have been told wrong. It may be that our heart disease simply wasn't recognized. I think itby Carey - AFIBBERS FORUM
QuoteRitva Interestingly sometimes when I seem to go into afib, Ativan stops it after about five minutes. So no need for more toxic things like flec. Five minutes isn't even time enough for the pill to dissolve. You may have found a very effective placebo. :-)by Carey - AFIBBERS FORUM