Quotedocboss. It appears you pay early with a mini-maze or perhaps later with the ablation(s) Well put! You owe it to yourself to at least have a consult with Dr. Wolf, which can be done over video chat if you don't want to travel to Houston.. You should also check out the Wolf mini maze(WMM) Facebook Group if you haven't already. Jimby mjamesone - AFIBBERS FORUM
QuoteDaisy There is also the added risk of subsequent risk if added atrisl flutter after (Mini) Maze . As part of the healing period, about 10% of Dr. Wolf's patients develop a single flutter episode which is resolved by cardioversion with no further ablation needed. Keep in mind that repeated catheter ablations can leave you with atypical flutter that could require another ablation. Thby mjamesone - AFIBBERS FORUM
Quotegreyhoundgal Yes it is the only ingredient but it does have inactive ingredients which look questionable such as carbomer homopolymor Type B, FD&C Blue No. 1, hypromellose USP, magnesium stearate, NF, microcrystilline cellulose, NF, and sodium starch glycolate, NF. I am so sensitive to any meds. As long as they're listed as "inactive ingredients" you should be fine.by mjamesone - AFIBBERS FORUM
Just make sure the particular formulation is guaifenesin only. They keep mixing in other ingredients with all these cold meds. Jimby mjamesone - AFIBBERS FORUM
I was thinking similar although you are definitely better at the math Turns out not a new finding, with similar studies going back a few years and apparently not persuasive enough for at least the ep's I've worked with to mention the increased risk. On the other hand, I could see it an issue with some. I know one of the big selling point of NOAC's is that you don't have to moby mjamesone - AFIBBERS FORUM
Like to hear opinions on this recent study.Of course Diltiazem with Apixaban or Rivaroxaban Is a common combination that many of us take (or have taken) including myself. Jimby mjamesone - AFIBBERS FORUM
How you feel is your best guide. Some go back to normal activities right away, others take weeks or months. Personally, I spent the first week in the house with only short strolls around the block. Gradually increased activity and did not get back to my full walking program for three months. Your body will be going through a physical and perhaps psychological insult, so give it back some kindnessby mjamesone - AFIBBERS FORUM
(My Doctor) said (Afib Progresses). I asked if it's just regular aging that does it or what, and he says it's its own disease process that just keeps going on. I don't think there's a simple answer yet to that question. It may seem that way to cardiologists and to many afib sufferers, but that could be in part because cardiologists tend to see more of the chronic (progressiby mjamesone - AFIBBERS FORUM
For a more reliable HRV measurement, you want to manually activate a HRV reading, as opposed to just relying on Apple's averaging formula. Here's how. 1) First thing in the morning -- or per whatever HRV protocol you subscribe to -- press digital crown and find the "Mindfulness App". 2) Now press "Breathe 3 minutes". (You can follow the breathing prompt or nby mjamesone - AFIBBERS FORUM
After two failed afib catheter ablations, it might be reasonable to consider a surgical ablation like the Wolff mini maze (WMM) where they ablate on the outside of the heart vs the inside. Also, more centers are now offering the Hybrid approach, where they ablate both inside and outside. Certainly can't hurt to have a consult which can usually be done virtually. But as stated, if there isnby mjamesone - AFIBBERS FORUM
You might be taking about post procedural pericarditis. I got it after my cryo PVI and the ep nurse said she sees it in maybe 20-30% of the cases. It wasn't overly painful or disabling, but I did have to hold back on normal activity for a couple of months. How did it feel? Sort of like a mild pain that increased when taking deeper breaths, like for example going for a walk. I think worryingby mjamesone - AFIBBERS FORUM
Quotecornerbax I've been in Sinus Tachycardia or some combo of sinus tachycardia and aflutter for 11 consecutive days now Putting it in perspective, you're still very early in the blanking period after a more aggressive ablation (Maze) as compared to catheter ablation . For example, with MiniMaze, flutter is not that uncommon during blanking and will sometimes have to be cardiovertedby mjamesone - AFIBBERS FORUM
Quotecornerbax Any specific medications work better for Sinus Tachycardia then the amiodarone and metoprolol combo I'm currently taking now? It's not unusual for Amiodarone and a beta blocker like Metoprolol to be given post ablation -- tachycardia's or not -- especially after a Maze. The Amiodarone to hopefully help keep things in rhythm until the heart heals during blanking. Soby mjamesone - AFIBBERS FORUM
Kardia Mobile takes a CR2016 battery. Jimby mjamesone - AFIBBERS FORUM
Quotecornerbax I checked once today and Kardia actually flagged the EKG as Tachycardia. My heart rate was 107bpm and that's the first Tachycardia I've gotten but I did just pay for the premium a few days ago. With the premium service, anything over 100 will be determined to be "tachycardia" unless it's afib, then it would be tagged "afib". Tachycardia could bby mjamesone - AFIBBERS FORUM
I definitely got some things cleared up. Glad to hear. Yes, it can often be confusing, especially when you get different readings close together. You were right to question what Kardia's AI told you, because it's not 100% accurate in its interpretations, however in this case, Kardia was right. And you had that confirmed by both Kardia's cardiologist as well as a couple of opby mjamesone - AFIBBERS FORUM
If you or Jim wouldn't mind sharing your thoughts on the EKG Yes, both the 96 and 99 bpm ekg's look like afib. The first ekg you posted in this thread (111bpm?) does not look like afib. Even though it was taken very close in time to the ekg that is afib, this is not unusual. You can have multiple types of tachycardia's -- sometimes within a short time of each other -- especby mjamesone - AFIBBERS FORUM
You should have been given a diagnosis based on the ekg. If not, request a copy of the ekg and have it read by an ep (electrophysiologist). In fact, that's always a good idea anyway, as the ekg machine's AI often gets it wrong as well as those without ep training. As mentioned, likely flutter, but only the ekg will tell what actually was going on. Jimby mjamesone - AFIBBERS FORUM
Quotecornerbax I just took a picture of the EKG that ... The Kardia ekg at 96bpm look like afib. The first ekg you posted in this thread does not. Did Kardia tell you the first ekg was afib? Jimby mjamesone - AFIBBERS FORUM
QuoteNoTrigger Thanks Jim - I did have both procedures done when I had open heart valve surgery to fix/replace multiple valves 7 years ago. The maze didnt help and of course I have to be on blood thinners due to the mechanical valves. In that case, couldn't hurt to have another consult with someone like Natale and see if they are more more confident about a 5th, but I'd really questioby mjamesone - AFIBBERS FORUM
QuoteNoTrigger He is also very fond of the AV node/pacemaker option as well - ugh! Sounds like he may not be too optimistic about how ablation number five will work out? Rather than pace and ablate, have you looked into a surgical ablation like the Wolf Mini Maze (WMM)? Many have found that it worked after catheter ablations have failed. Another benefit is that the clip the LAA which would aby mjamesone - AFIBBERS FORUM
Quotecornerbax how accurate is Kardia? In short, Kardia classified the last two EKGs as Unclassified and Possible Afib. I'm wondering why the last EKG wouldn't be Unclassified the same way the first one was but instead listed as Possible Afib? Any ideas? It's how you define "accurate". Kardia produces single and six lead medical grade ekg's that can rival andby mjamesone - AFIBBERS FORUM
I believe only in a trial. Not up to date, but from what I've read, they've already established in trial that Abelacimab significantly reduces bleeds versus the NOAC it was tested against. However, the big question is if the stroke risk is also reduced. This will be tackled in future trials. Maybe someone has more update information. Very exciting development should things pan out.by mjamesone - AFIBBERS FORUM
QuoteDaisy I also have an iPhone 7 and I follow these step but then, instead of taking a screenshot, hit the share button and then “save to files” so that I can then attach it to an email or somewhere else. Are you using the updated Kardia app version 5.36.0? (go to "settings" then "about kardia")? My software does not have a universal share button, but only "download pby mjamesone - AFIBBERS FORUM
Better, but still just a partial ekg. Again, looks like normal sinus rhythm (see pronounced "p" waves) with Trigeminy (two normal beats followed by one ectopic and repeats). And while it's not afib,something to show to your ep if it keeps on continuing. PS With Kardia'a PDF view, you should be able to do a screen shot of the entire ekg, but don't stress yourself overby mjamesone - AFIBBERS FORUM
These instructions are for the Iphone app, but hopefully the concept will work with Android and/or with your computer. The key is to get a visual of the complete ekg before you take the screenshot. This is best done with the PDF file. Alternatively, you might be able to upload the PDF file here, but might be more complicated. Jimby mjamesone - AFIBBERS FORUM
I think the problem is you're taking the screenshot of only the preview. Try this. (1) click on the preview.; (2) then scroll down and click on"download pdf"; (3) then click on "skip" or enter a password if necessary, and then click on "next" (4) scroll down a little and now you will see the entire EKG; (5) now take your screenshott; (6) edit out any personaby mjamesone - AFIBBERS FORUM
Apparently moving the clock forward can put some of us in afib. This article details some of the "why's" and what we can do to help prevent it. Jimby mjamesone - AFIBBERS FORUM
You've been given some very good advice, but you're not doing it already, you might first want to up your sleep hygiene habits. One bad habit a lot of us have is laying in bed in bed too much while we're awake. So keep the bed exclusively for sleeping and not for relaxing. And along these lines, if you wake up in the middle of the night and can't get back to sleep in sayby mjamesone - AFIBBERS FORUM
Cannot tell from the ekg unless you expand it. But if you're getting a pattern of ectopics after two regular beats, that would be Trigeminy. If Trigeminy, very possible it confused the Kardia into thinking you had afib. Best to show the ekg to your ep for a definitive diagnosis. Jimby mjamesone - AFIBBERS FORUM