Daisy, yes, it's as you describe....usually. The 'challenge' is at the end, or near it, where they give it your heart an accelerant and put it under stress to see if other foci can be found. My own EP said the last thing he usually does is to cardiovert...which I thought weird, but maybe it's a final step to ensure the heart really is willing to run normally, even with a goby gloaming - AFIBBERS FORUM
There should not be atrial tachycardia, but just a higher heartbeat. What leads you to suspect only atrial tachycardia? Most people who have an ablation report an elevated HR for weeks, sometimes up to a year, It almost always reduces over time...you just have to be patient. If you're not getting AF or flutter, and your monitor says NSR, you're doing well and can relax.by gloaming - AFIBBERS FORUM
Oh c'mon, Megan. You know darned well you can have an argument with hubby at the drop of a hat. ><by gloaming - AFIBBERS FORUM
Wouldn't it be great if they could keep patients alert during challenging and mapping, and only anesthetize them once the ablation commences. I think most of us are encouraged to go sedation-free during an angiogram, which is sort of the same initial process. But, it's complicated. Some are in AF, as I always was during my angiogram and both ablations (worked up, maybe loss of some slby gloaming - AFIBBERS FORUM
I would think the risk of heart attack would be for those with significant ischemia. If your cardiac blood supply is not compromised, or close to being compromised, say with a largely obstructed LAD, you'd probably not be a candidate for that kind of challenge. But, if a recent angiogram shows minor deposits here and there, I don't see why isoproterenol would cause a heart attack. Tacby gloaming - AFIBBERS FORUM
Going without sleep, eating foods that disagree with you (belching, indigestion), dealing with something you've been putting off....these are likely to bring on at least a temporary arrythmia.by gloaming - AFIBBERS FORUM
It's so good to get 'the nod' when you hear it. I'm glad you're going to be looked after. Good luck!by gloaming - AFIBBERS FORUM
I attempted to donate via PayPal, but the site won't let me donate to a US society/site. Do I have to use a credit card? Any tips, runarounds..?by gloaming - AFIBBERS FORUM
I forget it you had tried diltiazem, Megan. Propafenone, Multaq,...any of these in your history already? There is a surprisingly high number of other drugs used for arrhythmia and rate control. I'm continually amazed. I'll keep my fingers crossed for you with Natale.by gloaming - AFIBBERS FORUM
IF the metoprolol does encourage weight gain, then it would be the gained weight, and not the metoprolol, that, in turn, begets metabolic syndrome and possibly Type II diabetes. But metoprolol has a good rep for keeping heart rates down when the heart is experiencing bouts of paroxysmal AF, and even when in persistent and permanent AF. So, it has its purposes and uses. I blamed statins forby gloaming - AFIBBERS FORUM
Yes, I learned some time ago to go back at least six pages to encounter 'traffic' on old threads. Strange, but true.by gloaming - AFIBBERS FORUM
Titrating with tinctures is a hit-n-miss thing. You have to have absolutely homogeneous solutions so that any portion of it taken will be identical to the rest left behind (from which subsequent doses are to be taken). Then, measured doses taken in roughly the same circumstances, so on the hour, ideally. And then you've got to figure out how to titrate up if the desired effect isn't reby gloaming - AFIBBERS FORUM
I'm not on FB, but that platform uses Messenger. It's quite good and popular. So, so far it's Telehealth, which they ought to have provided at least a clarification over, or Zoom, or Messenger. Used to be Skype, if that still is a thing.by gloaming - AFIBBERS FORUM
It is standard for surgeons to want more pressing matters cleared up. My father had to have an endarterectomy before the osteo would agree to a hip replacement. !!! It's understandable. Get the occluded carotid fixed, and if he's still viable and able to argue persuasively that an 86 year-old should bother getting hips replaced, we'll do it. And they did. My wife was suspecby gloaming - AFIBBERS FORUM
My understanding is that, stroke or HF, they are all statistical probabilities, not absolute end-states. That is to say, enough people do go on to get these if left uncontrolled that the literature warns of those consequences. I understand that HF is likely for those who have intractable, difficult, or prolonged arrythmias of pretty much any/every kind. The heart is a composite of four chaby gloaming - AFIBBERS FORUM
The MAZE procedure, as I understand it, is much more invasive, and probably requires a hospital stay. This adds levels of cost. Catheter ablation, while enjoying a modest success rate (about 75-80% for the heavy majority of practitioners and their patients for a first, or index, ablation, seems to hold out well if the blanking period passes without any further arrythmia in the last three/four wby gloaming - AFIBBERS FORUM
Holy COW!! This is a gold mine!! It is largely consonant with my understanding so far, not that I am remotely expert in any of this, and not that I understand much of what is being presented, but the material I can understand is very much aligned with most of our views on the topic of AF, its progression, how it is better to be mechanically treated in many/most patients before it advances to loby gloaming - AFIBBERS FORUM
I agree, and posted research to that effect about a year and a half ago. The article said that AF and PACs in the first 6 weeks don't predict a poor outcome as much as later runs in the last half of the blanking period do. I have assumed this to be correct, notwithstanding my own index failure at just six whole days, and a run of AF for about 12 hours at the two week mark after my second abby gloaming - AFIBBERS FORUM
You're most welcome. OOOooooooohhhhmmmm.... OOOOoooooooooohhhhmmmmmmmm.....by gloaming - AFIBBERS FORUM
QuoteCarey Mucinex should be okay. And if you've had a successful ablation, you really don't need to be concerned about raising your heart rate. This. You've done very well, and should not fear a suddenly truculent heart because you've forced it to raise its rate by 15 bpm. For one thing, every time you rise from a seated position your heart rate jumps, just as it does wheby gloaming - AFIBBERS FORUM
Good lord!! I'm on Vancouver Island. I was referred in Nov 21, and was first contacted by that office in February to get an angiogram. That was done on the 27th of March. Next week was my first meeting with Dr. Novak, and at the end he agreed to perform an ablation on the 27th of July. So, from referral to procedure was about 8 months. My daughter has waited two years to have ortho repaby gloaming - AFIBBERS FORUM
Tramadol seems to work for my wife who has several auto-immune disorders and whose body aches, burns, and is generally not great to live in. She was also prescribed a low-dose morphine when in an acute phase recently where she had to be catheterized in order to void. The prescription was to cover only the acute phase, maybe four days worth.by gloaming - AFIBBERS FORUM
Who sez connexions don't count? Happy for you, Megan.by gloaming - AFIBBERS FORUM
Have you ever, or recently, been checked for sleep apnea. Foggy brain is a common complaint of those who don't sleep well, but especially due to sleep apnea. Or, even if it isn't full-blown apnea, you may be experiencing frequent RERAs (Respiration Effort-Related Arousals) due to mild hypopnea or just body movements. I agree with Carey that if your BP is low, or your heart rate droby gloaming - AFIBBERS FORUM
Those are impressive returns. Especially the huge reduction in flouroscopy...who wouldn't be enthusiastic just on this factor alone?!?!? Thanks for posting.by gloaming - AFIBBERS FORUM
When I had to overnight in the ER six days after my first ablation, they gave me melatonin and Zopiclone when I said I hadn't been sleeping for about a week. I'm gonna fall on the side that it is not contraindicated with apixaban, which I had been taking daily for about four years by that time.by gloaming - AFIBBERS FORUM
For some cancer treatments, yes, and surely for some surgeries, but I'm not aware that it is an impediment to catheter ablation. There's very little bleeding involved.by gloaming - AFIBBERS FORUM
That's great advice. None of us likes to take medicine, but sometimes it's the least of the evils ahead of us. I take melatonin or a portion of a Zopiclone about every fourth or fifth day, and it really helps. By taking them so seldom, their effect on me is more potent...I don't get used to them at all. So, they mostly work...not absolutely every time, but often enough that theyby gloaming - AFIBBERS FORUM
While not directly attributable to AF, there was a famous study published probably 20 years ago now linking infected gums/periodontal disease to atherosclerosis and myocarditis. It's just an elbow swing to reach toward AF. Thanks for posting...it's all a reinforcement to clean our mouths at least once a day....thoroughly. I never fail to do mine before bed to ensure it doesn't taby gloaming - AFIBBERS FORUM
It's wonderful to see that you are heard, Megan, and the gentleman sounds like he's a winner. No ego running before him in his mission of service. He's willing to collaborate with Natale and be his aid in YOUR recovery. He's the consummate professional, and as I already characterized him, a true gentleman. Now, we pray for advancements and improvements for you.by gloaming - AFIBBERS FORUM