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I haven't had a single blip of AFIB for 7 full years now as noted by my dual chamber pacemaker which records every mode switch, so no silent episodes of AFIB either which a fair number of people do have without ever realizing it, and no doubt regardless if there present reduction or remission in arrhythmia was via natural or allopathic means. And its true that all that many going the strictlby Shannon - AFIBBERS FORUM
Last question first, the stroke risk for former AFIBBers who have had a successful ablation process that restored full time unbroken NSR, has been shown in a number of studies (most recently in large study at Intermountain Utah) to fall to that of those of the same age/sex matched population control group who have never had AFIB. Next question, LAA morphology applies, of course, as this just cby Shannon - AFIBBERS FORUM
Yes, Carole, and welcome to the forum ... there are quite a few of us have had successful ablation processes after long time AFIB> Dr Natale and the folks in Bordeaux specialize in long standing persistent AFIB cases and do very well with typical a one to three procedure expert ablation process. There are reams of accounts of such on out website, including my own story and many others. I fiby Shannon - AFIBBERS FORUM
Hi Bill, I've recounted here a number of times in the past that of my 16 total ECVs prior to achieving the lasting NSR I still enjoy, during my very last ECV I was at a small country ER in Northern Arizona after flipping into one of my periodic but regularly occurring during the prior 14 months atypical left flutters from around my LAA and got zapped while still wide awake in a most unpleby Shannon - AFIBBERS FORUM
Agree Anti AFIB ECVs can really come in handy with a decent team doing the shocking ... And most ER teams are proficient enough are darn well should be! If you can't get a ECV done without incident those folks need to retraining for sure. However, along with my long list of just about every slice of the AFIB world has to offer is my last ECV prior to my LAA Isolationin a small country towby Shannon - AFIBBERS FORUM
Apache, Ten years ago that advice to wait it out cause you've only had AFIB for 2 years might have held a bit more water... But with the enormous advances we have made .. at the most elite levels of the field I have to always underscore ... strongly tips the advantage for NOT waiting too long IF and WHEN you are unable to reestablish consistent NSR by all the natural and Life style and caby Shannon - AFIBBERS FORUM
Ive been hoping to put off addressing this issue until after the AFIB Report is wrapped up in the coming number of days to spare me any more delays, but this thread needs a response now, in my view. Use of Magnesium as an often important adjunctive therapy. absolutely we agree wholeheartedly! But promoting Magnesium deficiency as the core cause and restoration the a prime, and even easy,by Shannon - GENERAL HEALTH FORUM
Don, I'm sure you'll find Dr Rubenson a Natale-like quality in his realm of excellence of TEE. He will have you lay flat on your back instead of on your side in most cases, and I had no issues at all with the tube or with any post TEE soreness and I have had that in the past with other Cardios. It's 13 TEEs Ive had so far ... not 12 ... but whose counting? :-). Longer termby Shannon - AFIBBERS FORUM
Hi Don, Well I certainly appreciate the quandary with your career as a pilot Don! Which moves up the Watchman/Atriclip option in my view in a case like yours which ought to be able to get you back in the pilots seat, I would assume, once you can demonstrate solid absence of arrhythmia AND no chance of an AFIB or LAA related stroke. Though, I have no idea if logic and common sense rule at the Fby Shannon - AFIBBERS FORUM
Hi Don, While its only natural to feel a bit disappointed to learn you have to address the anti-coagulation issue long term, lets take a look here at just what you might have actually 'lost' out on .. or not ... on this gamble? Keep in mind Don that for any one who has active triggering from the LAA, the odds of them having to deal with this very same OAC issue for life in any eveby Shannon - AFIBBERS FORUM
Excellent post Rob50, and a perfect reflection of exactly what I was trying to convey as well! You and I have had a similar path with me starting AFIB in 1992 and getting my first ablation in 2008 then waiting longer than I should have for the follow up even though I had only two short episodes ... one at 10 months post index and the second at 24 months post index in August of 2010 and yet eveby Shannon - AFIBBERS FORUM
One more question you posed Ron, about the fact that prior to your index ablation any flutter you had could be stopped by FLEC while now it's not working so well with this post ablation later blanking period flutter. That is not unusual at all and is often indicative of an atypical left atrial flutter circuit that may have formed from the variable healing rate relative to location of oneby Shannon - AFIBBERS FORUM
Totally par for the course and the wider spread is due in part to your over active though understandable gallavanting around beautiful France Which helps accelerate the bruise from the groin puncture to spread out and migrate down the thigh. No worries at all, it will gradually fade into just a mild war story to share years later about your adventure to Bordeaux. My first big ablation in Ausby Shannon - AFIBBERS FORUM
Hi Liz and all, It would be very interesting to contact all those on the list who might still have the same contactable email addresses and who wish to respond. The thing is, if every single one is still AFIB free after 8 plus years since last reporting, either that is a true miracle or there could be at least some degree of reporting bias. You wouldnt expect all 70 from any group of Afibbersby Shannon - AFIBBERS FORUM
No problem at all Que, Flutter conversion in the first couple weeks is not at all uncommon, even with what often turns out to be perfectly good one and done procedures. You had persistent AFIB at a young age of 45, but so far have been able to avoid LAA isolation.Dr Hao can do the ECV blindfolded while juggling boiling eggs... Dr Natale likely would not have been the one doing a ECV even haby Shannon - AFIBBERS FORUM
You are still in the blanking period Alangford, And it is possible this will subside, it could be too that there is a reconnection of the PVs as well, a reality seen often with a lot of EPs. If I had a dollar for all the ablation report from EPs around the country I have read that show significant amount of reconnections of the PVs upon repeat ablation, Id be a much richer man than I am. Buby Shannon - AFIBBERS FORUM
HI Folks, The following is a quickly dashed off letter to Louise who had sent me this article on the LARIAT risks issue yesterday and I replied to her with the following. I do not have the time at the moment to polish it up much and so please forgive any typos etc This is yet another generalist article looking mostly in the rear view mirror and not at current practices with, in this case tby Shannon - AFIBBERS FORUM
Great to hear Nick, I know that you, like a number of us really old timers, is an official member of the 'Ancient Afibbers club'. .. meaning not so much old age, but having dealt with the progressive nature of the beast for around a quarter of a century at least. Plenty of time for the heart to go through all kinds of remodeling and general shenanigans and complication things. And asby Shannon - AFIBBERS FORUM
Hi Phillipe, I would not lose too much sleep over the issue quite yet PH, as we just don't know yet if you do or do not have to go back on blood thinner until your new CD and TEE report are thoroughly evaluated by Dr Natale. As we discussed on the phone just now, please send the actual CD copy of the TEE and the TEE report of this mornings TEE to Dr Natale as he will definitely want tby Shannon - AFIBBERS FORUM
The issue with the gender gap in terms of about a 20% overall increase likelihood of needing a follow up procedure assessing a large pool EPs doing the work we will review more in the upcoming AFIB Report am working on non stop now through this coming weekend when I hope to have it all wrapped up. However, much of this apparent gap is multifactorial and a good portion of it stems from the generalby Shannon - AFIBBERS FORUM
Glad to hear it helps Nick, It really should, regardless of the fact that its obviously a hassle and not what any of us would chose to do for our spring vacation, as Jackie put it. But as you noted, you are in truly the best possible expert hands and just as you no doubt had an overall positive experience in the index ablation with Dr Natale, you can expect an even easier ride through the wholby Shannon - AFIBBERS FORUM
Hi Lynn, I can answer that question about my little part of the equation for helping Jackie get in early this time. Jackie had already been in contact with Dr Natale's nurse assigned to her after she noticed the tachycardia and thus they were already getting up to speed on her monitoring before I first learned of her tachycardia episodes a couple days later. So I only greased the wheels aby Shannon - AFIBBERS FORUM
Sustained NSR is your best, and really only, good shot Les at significantly lowering your LA diameter. The catch 22 is that you are not likely to get sustained NSR short of getting a going on Tikosyn which is often not a fun drug to take long term and they likely would not give it too you anyway with your type and degree of AFIB ... or Amioderone which you generally want to avoid if at all possibby Shannon - AFIBBERS FORUM
Hi Chuck, Have you had a break through past the blanking period? I must have missed you referencing that if so. Generally the rule of thumb, is that any repeated actual confirmed atrial arrhythmia past the blanking period is a good sign to get a touch up scheduled as soon as possible. It does not buy you anything to postpone waiting to see if you can sort it out any further with this or thatby Shannon - AFIBBERS FORUM
Hi Steve, Welcome too to the forum, I've been very busy since your first post an unable to reply before now. Congrats too on your very thorough and systematic approach to your experiment of one in so far helping to quell your AFIB episodes and I dearly hope the cranberry protocol added to calcium avoidance and Vitamin D sufficiency, both things we have preached here for many years witby Shannon - AFIBBERS FORUM
The Lariat's success rate of 85% is more or less baked into its design based on the original version Lariat experience simply because of two main issues ... The first is anatomical compatibility due to the previous original Lariats fixed size 40mm diameter pre-tied surrender not being big enough to fit around multi-lobed large LAA shapes, however the new Lariat + of the potential of a late rby Shannon - AFIBBERS FORUM
I spoke twice to JohnB from Florida after his Thursday early morning ablation with Dr Natale at St Dabids and have gotten a few inquires as to how it all went so I thought I'd let everyone know that John is in good spirits and was to be discharged today at noon as planned in NSR and having been very impressed by the whole experience there. He did require an LAA Isolation after two prior ablaby Shannon - AFIBBERS FORUM
Great report Mike and so glad to hear from you! As you know there is a decent size army of us now here who enthusiastically second your experience with Dr Natale. A truly special and rare man, with a warm heart that matches his enormous skill and pioneering spirit in this challenging area of cardiology. Send me your contact phone and we can discuss the ATRICLIP and options in more detail now tby Shannon - AFIBBERS FORUM
Hi Craig, Please remind me again, did you have a full LAA isolation or a did Dr Natale just delay your LAA, I think it was a full one if I remember correctly, right? Sorry Its hard to keep track of everyones procedure details when I hear so many variations each week and month. But if you did have a full LAA isolation, I would have expected you to have had a 6 month TEE a long time ago by now?by Shannon - AFIBBERS FORUM
You are welcome Peter, Please send me your number too and I can share with you some info and options from the recent ISLAA conference that I will get around too sharing here too after I wrap up this AFIB Report Issue that I am feverishly putting the final touch to this weekend working non stop. But when that is done, we can talk perhaps Tuesday by I can't seen to locate your cell you hadby Shannon - AFIBBERS FORUM