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Dealing with Nasal Congestion - 9 months ago

I’m on CPAP. With the advent of winter the humidity has decreased. As a result I get nasal congestion at night which is a problem with using a nasal Cpap mask. The temp and humidity settings on my Cpap machine don’t seem to be solving the issue. This morning I drug out our humidifier to see if that will help, though I’m doubtful. In the past I’ve used Flonase but I’m pretty sure that’s what trig

by Pokey - AFIBBERS FORUM

Re: SHOILD I GET A REDO ABLATION - 10 months ago

Carey. Thanks for helping me make sense out of all my misunderstanding, confusion and fear surrounding this AFIB stuff. The medical professionals don’t necessarily do that very well. I’m going to hang tight and see what happens. If I get another bout without the Flonase being involved then as you say that pretty well will be a good indicator I need a redo.

by Pokey - AFIBBERS FORUM

Re: SHOILD I GET A REDO ABLATION - 10 months ago

Thanks Gloaming for the detailed response. After my bout of Afib in August my EP recommended a 2nd ablation. Several months went by without any more bouts thinking the bout in August was due to the flonase I had been taking nightly for nasal congestion which I had stopped. My PCP and regular cardio doc recommended I hold off and see how things went. which I did. But then I "cheated' two

by Pokey - AFIBBERS FORUM

Re: SHOILD I GET A REDO ABLATION - 10 months ago

Well here I am again fidgeting about if I should get a redo ablation. Last night I had a 3rd bout of AFib since my ablation almost a year ago now. I’m not sure what triggered it. I’m not sure it matters what triggered it, it happened. It started about 7pm, was calming down ( HR <100 & less irregularity) by 10 at bedtime. Went to sleep with it at 1030. Awoke at midnight and was back in sin

by Pokey - AFIBBERS FORUM

Re: SHOILD I GET A REDO ABLATION - 12 months ago

I’m scheduled for a redo ablation 10/20 because I’ve had a couple bouts of AFib after the blanking period. I had none during the blanking period. That 2nd bout was over a month ago. None since. But that one bout lasted 8 hours. My EP thought maybe it was because I was taking Flonase to reduce nasal congestion while on cpap. Flonase is a corticosteroid. I stopped the Flonase and have had no bouts

by Pokey - AFIBBERS FORUM

Re: SHOILD I GET A REDO ABLATION - 1 year ago

I cannot currently take Flecainide again. I mistakenly allowed one of my docs to put me on 50mg of doxepin for fibromyalgia like pain, anxiety & sleep issues. Flecainide & doxepin are a no no as it can result in QT elongation I’m told. I’ve not had any bouts of AFib since I terminated the Flonase. Don’t know if that was the cause for sure or not. I just know no bouts since stopping. I gue

by Pokey - AFIBBERS FORUM

Re: SHOILD I GET A REDO ABLATION - 1 year ago

Thanks for the feedback everyone. Sounds like a redo ablation is warranted…..I failed to mention another possible contribution to my 2 bouts of AFib post ablation. Maybe it’s not the Flonase at all??? In February I was put on 50mg of doxepin for sleep & pain. My cardiologist OKed it. I think that was a mistake as I have read that doxepin, a tricyclic antidepressant can aggravate AFib in some

by Pokey - AFIBBERS FORUM

SHOILD I GET A REDO ABLATION - 1 year ago

I had an ablation 11/7/24. I had no bouts of AFib during the 90 blanking period. Then out of the blue in April I had a short bout that resolved on its own within 30 minutes . Then night before last I went into AFib about 10pm and it was 730 am before it stoped. I think there were a couple possible triggers that caused it. 1) a medication, Flonase,that I’ve been taking for nasal congestion which p

by Pokey - AFIBBERS FORUM

Re: Post Ablation Bout of Afib - 1 year ago

Apparently per my EP my QT is relatively narrow. I was taking Flecainide before my ablation as a pill in a pocket and it seemed to work fine. Supposedly I can’t take it now because I’m on doxepin which is a tricyclic antidepressant which reacts negatively supposedly with all anti arrhythmic. But apparently I have a narrow QT interval so my EP doesn’t think it would be a problem from that perspect

by Pokey - AFIBBERS FORUM

Post Ablation Bout of Afib - 1 year ago

Greetings Fellow Afibbers: I had an ablation November 7, 2024. Did well, not one bout of afib during my blanking period. Nothing until recently. I have been put on CPAP starting in February and its been a royal pain adapting to it. I think my moderate rated apnea was the likely cause of my having Afib. As I said its been a struggle to adjust to. A couple different night s I said to hell with it a

by Pokey - AFIBBERS FORUM

Re: Stopping Eliquis After Successful Ablation - 1 year ago

Thanks for the input. I will discuss my options with my EP at my 90 day appointment and see what he thinks.

by Pokey - AFIBBERS FORUM

Stopping Eliquis After Successful Ablation - 1 year ago

I’m 10 weeks post ablation and thus far I’ve had no arrhythmias that I’m aware of. I always felt the AFib when I’d go into it. I just read about a UPenn study where it was apparently shown it was safe to go off blood thinners after successful ablations and there were no symptoms of arrhythmias over time. But it’s one study. What is the general advice here? I understand if you have a Chad score of

by Pokey - AFIBBERS FORUM

Re: CAN AN ABLATION AFFECT YOUR O2 SATURATION?? - 1 year ago

I just realized something today I forgot to share with my EP. I may be grasping at thin straws though. I play a French horn in an orchestra. I started blowing it again about 3-4 weeks after the ablation. Blowing through 16ft of tubing on a French horn creates a modified valsalva maneuver which increases intra thoracic pressure and one study indicated it raised diastolic pressure. Wondering if th

by Pokey - AFIBBERS FORUM

Re: CAN AN ABLATION AFFECT YOUR O2 SATURATION?? - 1 year ago

I shared my sxs best I could with my EP. He had me get a chest X-ray. I have no idea what that’s going to tell him other than to rule out pneumonia, congestion and the like. I’m not a smoker. I guess it will show the size of my heart but as far as I know that’s not an issue, I don’t CHF. Also I know is i am having a weird set of sxs when I wake up anywhere between 4-6 am and they are new sxs &a

by Pokey - AFIBBERS FORUM

Re: CAN AN ABLATION AFFECT YOUR O2 SATURATION?? - 1 year ago

I’m 8 weeks out now. No sob this morning when I woke up 🤔 which is a good thing of course. Maybe I’m just to paranoid??

by Pokey - AFIBBERS FORUM

Re: CAN AN ABLATION AFFECT YOUR O2 SATURATION?? - 1 year ago

My EP and regular cardiologist have been messaged. I found some information that indicates SOB after ablation can occur for several reasons due to the "trauma/irritation" of the procedure to the tissue in the heart, but usually/hopefully is temporary. Fingers crossed. Thanks

by Pokey - AFIBBERS FORUM

Re: CAN AN ABLATION AFFECT YOUR O2 SATURATION?? - 1 year ago

I’ll contact my EP. I have a new PCP that’s I’ve seen exactly once. I suspect he’d just refer me back to my cardiologist or EP for this matter.

by Pokey - AFIBBERS FORUM

Re: CAN AN ABLATION AFFECT YOUR O2 SATURATION?? - 1 year ago

what’s some of the other possibilities? I do have mitral valve prolapse with moderate regurgitation. Per a TEE in July my EF was still 65% with normal LV wall motion and size. It did show mildly dilated left & right atrium. The other 3 valves were fine. Could the ablation affected my MVP/MVR?? I have no COPD to my knowledge. My resting day time SPO2 is lower than it was before the abla

by Pokey - AFIBBERS FORUM

Re: CAN AN ABLATION AFFECT YOUR O2 SATURATION?? - 1 year ago

I saw a sleep doc in July. Had an in lab sleep study. My 4th. I hardly slept so no definitive conclusions were made. I Can’t sleep in a damn sleep lab unless I’m drugged. But the only drugs that really work for that on me are benzodiazepines. I was on one for a very long time and it took forever to get off it. I can’t ever have a benzo again. Sleep labs are To unnatural and my sleep anxiety does

by Pokey - AFIBBERS FORUM

Re: After stopping Nebivilol my anxiety level has gone up - 1 year ago

The BB wasn’t knocking me flat. I did fine with it most those 14 years. As a comparison they tried me first on Metoprolol and that kicked my ass. I couldn’t tolerate 1/2 of the lowest 25mg dose, or 12.5mg. I couldn’t climb a single flight of stairs on that crap. That’s when my then cardiologist put me on the Nebivilol. After my ablation they had me stop the Nebivilol for a 24 hr Holtor monitor. I

by Pokey - AFIBBERS FORUM

After stopping Nebivilol my anxiety level has gone up - 1 year ago

I was on Nebivilol for at least 14 years at the lowest dose, 2.5mg 1x/day. It kept my BP and HR nice and low, well, except when I get really stressed!! After my ablation my cardiologist had me stop it. Since stopping my BP and HR are higher but within acceptable levels. But my anxiety level has significantly increased and my sleep has become very fractured. I'm working with sleep specialist

by Pokey - AFIBBERS FORUM

Re: CAN AN ABLATION AFFECT YOUR O2 SATURATION?? - 1 year ago

I’m waking up hurting all over, but I am 75. But I also feel slightly SOB But I’ve noted that when I wake up like that and deep breathe a few times the pain goes away and I can go back to sleep only to have it happen again. I don’t know if I’m getting some hypopneas or apneas. I was borderline for sleep apnea before the ablation but am wondering if I’m not actually having sleep apnea. What else

by Pokey - AFIBBERS FORUM

CAN AN ABLATION AFFECT YOUR O2 SATURATION?? - 1 year ago

My O2 saturation normally would run 96-100 before my ablation. But now it often hits below 95. They did stop my beta blocker I was on and my pulse rate & BP has gone up some as you might expect. But damn I’m tired. I’m waking up with some SOB in the morning now too. Im concerned about what’s going on with my SPO2. I’m not having any arrhythmias that I can feel or palpate. Pokey.

by Pokey - AFIBBERS FORUM

Re: Taking a medication after successful ablation that was contraindicated before - 1 year ago

I’m at least a 2, maybe 3 ☹️ I was on a BB for BP but have stopped that. Don’t know if that counts now or not. Being at least a 2 that alone meaning I need to stay on Eliquis dictates that my psych doc cannot put me on a SNRI OR SSRI as all of them are contraindicated when on a blood thinner.

by Pokey - AFIBBERS FORUM

Re: Taking a medication after successful ablation that was contraindicated before - 1 year ago

I will have to review the link you sent. I know nothing about a CHAD-vasc score. Without knowing more at this time if my ablation was successful and I have no arrhythmias going forward why does one need a blood thinner? Is it because having had AFib I’m at risk of getting it again at any time which would put me at risk of stroke??

by Pokey - AFIBBERS FORUM

Re: Cartezem and Metropolol - Thoughts, experiences? - 1 year ago

I can only relate to metoprolol. I couldn’t tolerate it, even 1/2 the lowest dose tablet. After taking 12.5mg for a few days I couldn’t climb a flight of stairs. My brother on the other hand takes 100mgs a day and does fine. We’re all different in how we react to drugs.

by Pokey - AFIBBERS FORUM

Re: Taking a medication after successful ablation that was contraindicated before - 1 year ago

Carey & Gloaming. Thanks for the feedback. I’ve not taken any Flecainide since before my ablation and I only took it PRN when I’d have a bout of AFib. I’m aware of the list of side affects from TCAs. Some are worse than others. SSRIs & SNRIs aren’t much better when it comes to their listed side affects. One of the meds my psych doc posed is Trintellix which is a newer atypical SSRI but I’

by Pokey - AFIBBERS FORUM

Taking a medication after successful ablation that was contraindicated before - 1 year ago

I have a history of anxiety and depression for which I took medication in the past. I have not taken any such meds like that for several years now. Since that time I developed Afib, that's why I am on this forum. 7 weeks ago I had an ablation for it and thus far it has been a great success. I've not had any bouts of arrhythmias. .I'm 2/3 of the way through my blanking period. Wit

by Pokey - AFIBBERS FORUM

Re: What to replace my Beta Blocker with??? - 1 year ago

After meeting with my cardiologist he thinks it’s fine if I stop the BB nebivilol and see how it goes. If my BP should start to creep up he will put me on lisinopril. I’m coming up on 7 weeks post ablation and thus far no arrhythmias 🤞

by Pokey - AFIBBERS FORUM

Re: What to replace my Beta Blocker with??? - 1 year ago

I think I agree with you when it’s all said and done…… My understanding when I was put on nebivilol back about 2010 it was to keep the pressure low in my LV in order to help reduce my mitral regurgitation due to my mitral valve prolapse. My BP may have been up then, I don’t recall. Maybe that was a misguided approach ??? I do think the BB is what is making me complain of being tired much of the

by Pokey - AFIBBERS FORUM