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QuoteVictoria Susan, Did the AV node ablation get rid of your flutter for good? AV node ablation does not stop whatever is happening in the atria. It disconnects the atria from the ventricles, from an electrical perspective. You get a pacemaker, that then provides the signals to your ventricles to beat. If your atria are fibrillating or fluttering, they will continue to do that. Hence yoby GeorgeN - AFIBBERS FORUM
Quotegloaming Darn...I see I managed to mangle the title of this thread. Would one of the mods please delete the word 'Does'? I would very much love to see this title improved. Try editing the subject for each of your posts, including the initial one. Then I'll edit my subject to what you write.by GeorgeN - AFIBBERS FORUM
One of the two senior autors of the first linked paper, in the YouTube is Martin Gibala. I've got a lot of respect for him ahd have his book, "The One Minute Workout." This is a good interview with him (which includes a short discussion of the afib risk). In my n=1 afib experience, longer (>30 min???) duration activity needs to be done at a Zone 2 level or less for it notby GeorgeN - AFIBBERS FORUM
This looks like 50%, every other beat. No fun.by GeorgeN - AFIBBERS FORUM
Your reading looks likke 24% burden. Certainly less than 32%.by GeorgeN - AFIBBERS FORUM
Attached is the auto generated transcript.by GeorgeN - AFIBBERS FORUM
QuoteNancy9 I’ve read (and can’t verify accuracy) that AF can “mask” existing PACs that then turn up after PVI—like they find that there were areas outside the pulmonary veins “firing” and causing PACs all along. I would say that persistant afib can “mask” existing PACs. However, for someone with paroxysmal afib, When not in an episode, PACs would likely show up if the propensity toward them eby GeorgeN - AFIBBERS FORUM
Quotemjamesone Could you clarify what you mean by “long duration”? How long is that — over an hour? Not simply "long duration" but long duration and high intensity. For example, an hour-long aerobic class or a two-hour moderate hike, even with intervals of higher intensity, might be fine. But running and long training hours for marathons might not be. Much has been written on this, iby GeorgeN - AFIBBERS FORUM
I'm guessing it is from here:by GeorgeN - AFIBBERS FORUM
QuoteYuxi Being in the latter category, I empirically found that long duration high intensity exercise was a trigger. Could you clarify what you mean by “long duration”? How long is that — over an hour? First, I'm guessing there is a lot of individual variability. Second, likely does not apply to those with an adrenergic (sympathetic) afib trigger. With an adrenergic trigger, many fby GeorgeN - AFIBBERS FORUM
What I've observed for 21 years here, is that in broad terms, moderate exercise may benefit the afib of those who are initially sedentary. However, there is a subset of those who are chronically fit where modifying their protocol intensity can be beneficial. Being in the latter category, I empirically found that long duration high intensity exercise was a trigger. Short duration (like Tabby GeorgeN - AFIBBERS FORUM
20+ years ago my EP said the issue wasn’t cardioverting me, it was what he was going to do keep me in NSR after the cardioversion. I would say the same as true for you and I’d also say that there is nothing about cardioversion that is “stronger“ than converting on your own, in terms of staying in NSR.by GeorgeN - AFIBBERS FORUM
QuoteQwackertoo Is the pre-procedure infusion of a magnesium solution SOP before ablations? No idea. I know that some ER docs used MgSO4 infusions to convert afib. I have an ER doc friend that I talked to about this years ago. I always found it interesting that the ER docs were using it, but cardios commonly did not. However my EP was receptive to my plan that included Mg in 2004. A concby GeorgeN - AFIBBERS FORUM
QuoteQwackertoo Hi George Your name in the thread was the only one I recognized!!! Tom Poppino reregistered as Poppino and posted as recently as 10 months ago, if you want to PM him. Isabelle posted on iron issues commonly, as she did in her post in this thread and in the 2006 one. Peggy M would now be pretty old and perhaps not still alive as her health was not stellar. It hasby GeorgeN - AFIBBERS FORUM
Also, for me, the mag I take hasn't caused pauses. My sleeping heart rate is low. It averaged 44 BPM last night, which is pretty common. Slowest BPM was 36, but this again is common for me and has been how my heart has acted for many years.by GeorgeN - AFIBBERS FORUM
I've had eyelid twitching that resolved with magnesium supplementation. Haven't had this in a long time, since I've taken a lot of mag for a long time. I've not noticed any vision degradation related to afib. I you post the 2009 link, I might recognize some of the people.by GeorgeN - AFIBBERS FORUM
Thanks for your comments Anit-Fib & Carey! For those who don't know, ERP is atrial effective refractory period. It was discussed in our Conference Room years ago: I did some AI queries on lengthening ERP. I've thought about it for years, primarily in the area of electrolytes. Turns out my lifestyle includes many of the suggestions, even though I wasn't specifically taby GeorgeN - AFIBBERS FORUM
Concurring with Daisy about the exercise countering high parasympathetic tone (for vagal afibbers). Very early in my afib "career" I could convert all of my episodes with activity. Then one day it didn't work. Many years later, when I was unknowingly consuming too much calcium (for me), many things became triggers that previously had not been. One of those was the time iby GeorgeN - AFIBBERS FORUM
If you wanted to get off the blood thinners but didn't want the recorder, a question for the EP is what minimum duration of afib are they looking for? For example, if you sampled with a Kardia twice a day (12 hours apart), but didn't see afib, you would know that you didn't have any afib longer than 12 hours. You could have more frequent readings to catch shorter duration afib.by GeorgeN - AFIBBERS FORUM
Not related to the the MI/stent, but my first wife had a tendency to POTS. I read a paper ~15 years ago that suggested additional hydration plus NaCl. She implemented that suggestion with a material improvement in her POTS. She used unrefined sea salt for the NaCl.by GeorgeN - AFIBBERS FORUM
I got an ExaTest in Sept. 2004. It informed me that my magnesium was low (and more about other electrolytes). However, it was a hassle for me to get the test, so subsequently I've used an RBC Magnesium test as it is much cheaper & easy to get. It is not as good, but much better than a serum magnesium test. For those in all but a few states in the US, here is a DIY order link for itby GeorgeN - AFIBBERS FORUM
The last member I recall using them was susan.d. Perhaps she will see your post & comment.by GeorgeN - AFIBBERS FORUM
I've been using straps for tracking PACs, PVCs & afib for 20+ years (note, though the strap devices will generate an ECG, I generally just use them to generate beat length, AKA RR time in ms and analyze this). They work well IF you are still. Movement can degrade data quality dramatically. Though I've not used, I know the Wellue devices can use stick on electrodes, instead of a sby GeorgeN - AFIBBERS FORUM
Quotegloaming If there is a strong association, with the tape, then maybe the person needs a machine. A personal friend, a 20+ year afibber and very fit, uses a CPAP. He gets a lot of data from his machine. After we talked about taping & he implemented it, he said he saw very material improvements in the metrics he tracks from the machine. I do track SpO2. Also, with all the hypoxicby GeorgeN - AFIBBERS FORUM
Quotegloaming I don't know if you've ever been assessed for sleep apnea....? If not, get checked asap. My own AF came on after years of undetected OSA (obstructive sleep apnea). In fact, the diagnosis was 'severe' OSA. Almost brought me to me knees! For some with mild to moderate sleep apnea, mouth taping at night, to encourage nasal breathing can solve sleep apnea. Iby GeorgeN - AFIBBERS FORUM
From experience, I can tell you that Oura won't do a good job of picking up afib. Generally Oura won't report heart rate during afib. I also have a Wellue SpO2 ring that records heart rate every 4 seconds (Gloaming also mentioned Wellue, but in reference to a device that will measure ECG overnight). The ring with recording every 4 seconds mutes the rate increase during afib, because itby GeorgeN - AFIBBERS FORUM
QuoteThe Anti-Fib AI says it can effect Ventricular Arrhymia's. I read one case report and it is pretty hard to confirm that the melatonin was the active agent. There were other meds & issues that were also associated. Mostly PVCs. I've personally taken up to 400 mg/day (as powder) without issue (at that level, it does not put you to sleep). While melatonin is generally tby GeorgeN - AFIBBERS FORUM
Monty, wonderful report! I still recall when you got your ablation. Georgeby GeorgeN - AFIBBERS FORUM
Member Jackie was about 79 when she had her last ablation with Dr. Natale. I think it all depends on the condition of the person. Here is Jackie telling her story:by GeorgeN - AFIBBERS FORUM
QuoteCarey The trouble is I don't know if Campbell's is saying the 850 mg is elemental K or if it's really just 850 mg of KCl. One mg of KCl does not equal one mg of K. I can calculate it for you if you can figure out what they're actually reporting on the label. In the nutrition facts label, they are talking about 850 mg of K, not KCl (or on this label, 830 mg). I rememberby GeorgeN - AFIBBERS FORUM