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McHale, I sent you several PM replies to your PM last night, but I notice that for some reason none of them show up in my 'sent' messages box. Did you receive any of those? I sent a follow up message to your email address as well before discovering that the early private messages via this board may not have been sent to you afterall. Shannonby Shannon - AFIBBERS FORUM
Yes EB, Some docs do get it and I've noticed that a lot of the younger ER docs are quick to add a bag of IV mag sulfate when I went in for all those cardioversions. In fact I never had an ER doc deny it when I requested it so they clearly understand now that it may well help the situation and certainly wont hurt. I think the big problem with wider exploration as a more consistent treatmby Shannon - AFIBBERS FORUM
Hi McHale, Absolutely agree, it is a personal choice for sure. Everyone must find their own comfort zone with all of this and that is why I feel having as many valid viewpoints as possible is always best to have before us when trying to sort all of this out for ourselves and discover where each of us falls on the risks/benefit curve ... And as such, opposite decisions on this topic can be eby Shannon - AFIBBERS FORUM
Hi Elizabeth, The article isn't so much about Pacemakers causing AFIB, it is mostly about how studying people with Pacers or ICDs have allowed researchers to go back and look at this large body of patients and collect much more detailed data about AFIB prevalence and also the degree of silent AFIB in the whole population of pacer/ICD patients that was captured on their pacemakers and ICDsby Shannon - AFIBBERS FORUM
HI Hans and George .. yes indeed Hans, these studies are almost quaint at this point :-) ... and think of all the Docs and EPs who have been convinced there is little to nothing to Magnesium and AFIB simply because that is what they were told in residency!? And George, my Hawaii EP, who is quite good, also was involved while an EP resident in a magnesium infusion study ..who knows, maybe the sby Shannon - AFIBBERS FORUM
Here is a new study showing what will not be surprising to most of us ... significant correlation with low serum Magnesium and AFIB. Shannon Low Serum Magnesium and increased likelihood of AFIBby Shannon - AFIBBERS FORUM
McHale Wrote: ------------------------------------------------------- > No specific fast-acting antidote is currently > available to reverse the anticoagulant effect of > any of the NOACs or warfarin. In the case of > warfarin, vitamin K is frequently misunderstood as > an antidote while it is actually a supplement, > which simply replaces the vitamin K needed for the &gby Shannon - AFIBBERS FORUM
Hi McHale, The systemic contributions toward the vast majority of stroke related to AFIB come to a head, and ultimately result in thrombus development, inside the LAA which is .. by far ... the main source of AFIB related clots that break free and cause the vast majority of the strokes/PE/TIAs. Of course, there are any number of systemic factors that all contribute to the LAA becoming especialby Shannon - AFIBBERS FORUM
Hi Will, Sorry your initial experience post ablation is a rough one. It doesnt necessarily mean more will need to be done anytime soon. You just have to see how it settles out in the coming weeks. Ditto on taking the anti-inflammatories big time now and insuring solid magnesium and potassium repletion as detailed endlessly on this site, particularly if you have not made that a priority so far.by Shannon - AFIBBERS FORUM
Steve Wrote: ------------------------------------------------------- > Thanks Lou, I have always tried to stay > optimistic. All I can do is try to make good > decisions. For all the disruptions, the plan is > pretty straightforward-- go to the best EP, stick > with "The Strategy" and then hope it works. > > Steve Hi Steve, your comments in bold above hiby Shannon - AFIBBERS FORUM
Thanks for the good report Cynthia! Was interesting to hear of your experience with the brain pacer and neurostimulator and how they have not interfered with your cardiac pacemaker. What were your symptoms when the Medtronics pacemaker battery failed so early? Are you pacemaker dependent or was it installed mainly to prevent Bradycardia? Best wishes going forward and for a relaxing Thanksgby Shannon - AFIBBERS FORUM
Hi Downhearted ..Not sure about the clouding, but very much doubt its due to ablation scarring. I have a good amount of that from both before ablations and some from the more extensive ablation in 2008 and it never has clouded any of my Echos done since then. As for the PVCs, make sure you are following the magnesium/potassium repletion guidelines written about in copuous quanities on this sitby Shannon - AFIBBERS FORUM
Sounds good Tom, Keep it up and best to avoid the wine as much as possible. It always seems fine at first until suddenly its not any longer and you wind up wishing you had not partaken. Anyway, all else seems right on schedule! Cheers! Shannon Shelby NC .. my original neck of the woods .... my family on both my mother's and father's side hails from North and South Carolinaby Shannon - AFIBBERS FORUM
Hi Chukker, Best to start Coumadin/Warfarin at least 6 weeks prior to the ablation. Only a month is cutting it too close for most for getting it really dialed in and stablized. 8 weeks would be more ideal, but with the cataract surgery in the same time frame you need to discuss with your eye surgeon as well. Best of luck with it and Warfarin is definitely a better way to go into an ablatby Shannon - AFIBBERS FORUM
Could well be Tom, but could also well have been a return of the right flutter. Or perhaps even a new flutter source? Chances are we wont find out that level of detail in this case. Often football coaches like to appear the stoic types who usually dont prefer to go into such details about physical limitations. Shannonby Shannon - AFIBBERS FORUM
Hi Steve, My second ablation with Dr. Natale in which he isolated my LAA was a piece of cake. Especailly compared to the much longer original needed to take care of the persistent AFIB.. which he did. I was up and about and out of the hospital before noon the next day after this one and was visiting with friends in Marin County the second day after ablation as well as taking a nice slow and eaby Shannon - AFIBBERS FORUM
Hi Jackie, Here is an excerpt from a June 2012 article on PCC and other investigative reversal agents. http://www.theheart.org/article/1418551.do " ....Dallas, TX - Sophisticated laboratory studies using human blood have shown that the actions of one of the newer anticoagulants, the factor Xa inhibitor apixaban (Eliquis, Pfizer/Bristol-Myers Squibb), could be reversed with existingby Shannon - AFIBBERS FORUM
This is an interim update on the study my niece who is a leading physician as Chief attending physician at one of the largest Trauma centers in Texas ,, indeed in the US... in Houston who is taking a led role in compiling a comprehensive real world study of Pradaxa and Xeralto since they have been on the market. McHale has asked for any more follow up ... in particular regarding Xeralto sinceby Shannon - AFIBBERS FORUM
Alcohol is cardiotoxic ... its an irritant to myocytes including pacing cells. Go there at your own risks. PVs are not the only source of AFIB triggers so even with a perfectly sealed PVI of all four PVs ( which is not at all always achieved even with what looks to be a non-conducting PVs while still in the ablation), drinking alcohol can and apparently often does stimulate problems with eitby Shannon - AFIBBERS FORUM
Since Harbaugh had his first ablation for 'atrial flutter' 13 years ago, it was undoubtedly for typical right atrial flutter rather than left flutter since very view EPs were venturing into the left atrium at that point in any event and because right flutter is much more common than left atrial flutter prior to having a first AFIB ablation. Shannonby Shannon - AFIBBERS FORUM
Hey McHale, I certainly appreciate the issue with your sick mom and needing to stick close by. And as I noted too, there ARE other very good EPs beyond the legends. Its just that finding those with as much confidence can be tricky. Again too, as I noted, Dr Steinberg may well be a very good one, but Im not able to add much more about him for your sake, as I know nothing more of his reputationby Shannon - AFIBBERS FORUM
Well 'Chicken wings' didnt exactly ring a bell .. but I missed it mostly because i was online for a few days it seems. Anyway, this is a most timely article for me and thanks again for posting it up! Cheers! Shannonby Shannon - AFIBBERS FORUM
Hi EB, I would imagine Cryo might be a little safer epicardially with full direct vision rather than endocardially with the phrenic nerve worries. I wonder if Sirak has a cryo clamp to repeat the RF clamp ablation burns for the PVs and CS? Shannonby Shannon - AFIBBERS FORUM
Yep the stress test and echo are both called for, jsut be sure and get a copy for your self to keep in your records and to give a copy to your new EP which should be your immediate priority in getting set up with a good one. While the testing is perfectly fine, I would be a little cautious in automatically adopting any further prescriptions from this Cardio until you can get some better advice frby Shannon - AFIBBERS FORUM
Hi Tom P , The 49ers are a really good team the last couple of years with Harbaugh as coach.. though he is a classic Type A very over driven and very intense personality! Hes an excellent coach though with a very prickly uptight demeanor and I'm willing to bet that if it was AFIB, he likely has adrenergic AFIB ..Best wishes to him, he might have to change his life style a bit if this thinby Shannon - AFIBBERS FORUM
Hi Steve, I'm sure it a will be a breeze and get things buttoned down. Will be interesting if they are using hte Caridoinsight vest yet .. keep us posted and best of luck .. Enjoy Barcelona.. I love that city as well. Shannonby Shannon - AFIBBERS FORUM
HI RonB, First of all, congrats on taking the right approach to all of this with emphasis first on trying to deal with this with diet, supplements and life style first but also being savvy to research and get in line for an ablation with a good ablationist, if and when that might also be needed as a comprehensive overall fix for best managing this thing. Several big red flags here thoughby Shannon - AFIBBERS FORUM
Such short runs of PVCs are not necessarily at all a precursor signal for return of AFIB Lorenzo. I wouldn't worry too much about it at this time. It may well just be an indication of needing better magnesium and potassium repletion. Look up the 'PAC-tamer' links here in the search function for recipes for maintaining good Mag/Potassium levels and if you haven't yet studiedby Shannon - AFIBBERS FORUM
Hi GeorgeB, Just go to Advanced tab under search above right hand corner of this page and then select 'All Forums' 'All Dates' and you well get a plethora of experience with Sotalol! Happy reading .... and once you get through some of that wide ranging information and input such that you will have more specific questions no doubt you will get more feedback here as well.by Shannon - AFIBBERS FORUM
Hi McHale, Sorry, I can't shed any light on Dr. Steinberg at St Lukes/Valley Hospital as I have not heard of him until today. maybe he will be a good one?! I can certainly believe a possible 80% success rate for both cryo and RF doing PVI ablation for run of the mill paroxysmal AFIB by a competent ablationist. My question is, what has been his relative complications rate between cryo or Rby Shannon - AFIBBERS FORUM