Debbie, Right sided flutter is typically easily and successfully ablated. Still I would want to know that his EP has a lot of SVT ablations under his belt. The fact that he was recommended by Dr. Schweikert should be reassuring.by researcher - AFIBBERS FORUM
Hi Anne, Your dad sound a lot like my dad-in-law. He needs to stay on anticoagulation for sure until you decide what to do. Mine has had asymptomatic AF for a long time. He never explained or understood his own condition and we didn't find out exactly what it was until we figured out the different meds he was being prescribed. I think part of it is his WWII mentality of not making a fuzby researcher - AFIBBERS FORUM
Erich, It really depends on how you want to define cure. I think the two posters with what we would consider cured here are Denver Fox and Gill. DF at 10+ years if recollection serves and that's really impressive considering that much more is known about AF now than 10 years ago and the ablation tools have advanced an order of magnitude since. If you go to Natale now with the condition yby researcher - AFIBBERS FORUM
Hi Chuck, I suggest contacting Dr. Natale's office if you have not already done so about your recurrence. By strict definition, your case is consider a failure so I am sure he would want to schedule a touch up procedure for you. I don't remember whether you were in a paroxysmal state or beyond that when you had your first ablation.by researcher - AFIBBERS FORUM
I am in that cohort so happy to read that. To add to all the confusion, Amgen just released some results on their trial of an injected PCSK9 biologic that lowers LDL by 53-76% that worked to lower cardiovascular events by a big margin compared to those on placebo. Trials are still ongoing. I had muscle and joint pain too on high dosage of Lipitor. It went away 2 weeks after I switched to Vytby researcher - AFIBBERS FORUM
Along the same lines. I have been on statins for >20 yrs now.by researcher - AFIBBERS FORUM
This newsletter has been out a year and I just noticed it. A look at AF progression using ECG vest and what needs to be done as AF progresses from paroxysmal to permanent. I was searching for proceedings for the last Boston AF symposium. If anyone has that or know the link, please PM me. Thanks. Here is youtube video of his presentation.by researcher - AFIBBERS FORUM
Erich, I am not aware of how stickiness is measured. Even blood viscosity is difficult to capture as it is thixotropic and reacts with foreign substance. And then there are different methods of sampling and measurements. A long time ago in my first lab, we had 3 different fancy systems for measuring viscosity. Non-newtonian fluids are not easy in terms of sampling and sample preservation (avby researcher - AFIBBERS FORUM
We don't get very much feedback here regarding Mayo. Douglas Packer is the head guy there and he is very busy running the CABANA trial. I believe Sam Asirvatham is well respected and skilled. Mayo is a great facility and I am sure their support staff is excellent like CCF. Who are you scheduled with? link to cabanaby researcher - AFIBBERS FORUM
Hello Les, Sorry to hear of your condition. There are other athletes like you here. Sabine Ernst over at Royal Brompton has a stellar reputation and there are discussions about her here if you do a search.by researcher - AFIBBERS FORUM
McH, wow 2 years already, how time flies. Best wishes to you both for continued nsr.by researcher - AFIBBERS FORUM
Thanks Barb, Definitely a low volume center. There is a big difference between NYU and NYSU like there would be between UCLA and Cal State Northridge. Local would be OK if it is a high volume complex ablation center. It is really too bad that Rose didn't know how to go about researching centers. I am guessing that most AF patients are in the same boat and depend on the knowledge/biasesby researcher - AFIBBERS FORUM
Barb, I couldn't tell from Rose's message what AF ablation device was used. I wish her well and that her phrenic nerves recover with time. Any idea? All the practice groups/hospitals I have ever used claim to participate in research via clinical trials. But that really doesn't say much about the experience and skill level of the clinicians. Well designed clinical trials try tby researcher - AFIBBERS FORUM
Shannon you are a BUSY man and we appreciate all that you do here so no worries. Auto correct does make things interesting. Around new years I sent out a FB message about how beautiful Hookipa was on a calm morning and it was auto corrected to "Hookups" and my friends were all wondering what adventure I was on . Regarding Weiss using Stereotaxis. I didn't realize he was doingby researcher - AFIBBERS FORUM
I think Shannon (don't you hate auto-correct sometimes ) meant to say Utah study out of the Intermountain Health system. They do around 8-900 AF ablations per year so it looks like the a five year consecutive AF ablation cohort. Intermountain Health studies are unique because the habits of Salt Lake City region are relatively narrow compare to US population in general. Bunch, Day and Weisby researcher - AFIBBERS FORUM
Video is not specifically related to AF induced strokes, rather a study of old folks already showing signs of dementia. Nevertheless, it provides an important reason to fix AF before small AF-induced strokes accumulate to a significant enough degree to cause early dementia.by researcher - AFIBBERS FORUM
Great to hear that you are doing well. Best wishes for continued NSR.by researcher - AFIBBERS FORUM
Ok. It ain't AF. The profuse sweating came and went during tennis for a short period and I was in NSR. I am beginning to think that I doubled up on Levothyroxin accidentally when I had the pounding heart incident that started this thread. I take that in the morning and have to wait an hour before I can eat. I also take my statin, fish oil, 80 mg aspirin, supplements before bed time. Soby researcher - AFIBBERS FORUM
Success rates are similar between gender. However, the procedural risk of bleeding related complications are significantly higher for women. I promised Shannon months ago to post a write up regarding complication stats comparing surveys of tertiary ablation centers and "overall average" centers. May be it is time to do it if enough people are interested. Melanie Hills had writtenby researcher - AFIBBERS FORUM
Hi Nancy, Glad to hear that your Hongo ablation working well at the 12 month mark.by researcher - AFIBBERS FORUM
Several months ago, 60 minutes had a feature regarding a study of people that live into their 90's including brain scans, quality-of-life and post mortem brain section studies. I think it is germane to this topic as there are some revealing results when it comes to alzheimers and strokes.by researcher - AFIBBERS FORUM
Hi George, This is with regards to combination therapy. From article "in combination with antiplatelet treatments aspirin or clopidigrel".by researcher - AFIBBERS FORUM
Some comments on force sensing catheter from Moussa Mansour of MGH in current issue of EP Lab digest. Also other pieces about AF/AT ablation in general.by researcher - AFIBBERS FORUM
Great news Shannon. All the best. R.by researcher - AFIBBERS FORUM
All clinical procedures carry some risks, I think you need to weigh the risks of continued progression in your disease and the associated risks from drugs, drug complications, stroke risks and hospitalization versus the risks of ablation. With an elite clinician like Natale, you have taken a big step in minimizing risk and optimizing success. Even in patients that don't get to NSR in the fby researcher - AFIBBERS FORUM
Shannon, Wishing you all the best for you and Magdalena.by researcher - AFIBBERS FORUM
If you had Michael Jordan on your team during his prime, would you trade him? No, don't. He is a very busy guy. I am just amazed he makes the time to meet with all patients and answer emails.by researcher - AFIBBERS FORUM
Shannon, Thanks for sharing. Best wishes for you both.by researcher - AFIBBERS FORUM
Natale is definitely your best bet for a well done procedure. My GP belongs to the Mission internal group and Aseem Desai has a good rep according to my GP which is a long time tennis buddy of mine. I know of a couple of people that got ablated by his group and both reports were good. However, those were simple right sided procedures. He is the main man at Mission for doing AF and other moreby researcher - AFIBBERS FORUM
Hi etjim, top 2 experts in available in socal are Natale and Nademanee. Both very experienced and skilled. Cryo is safer with respect to lower perforation risk but has higher phrenic nerve injury risk. Recurrence as a result of reconnection is more frequent as Shannon wrote so you will have a higher chance to having to do repeat procedure(s) that will end up requiring RF catheter(s) anyway.by researcher - AFIBBERS FORUM