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Cindy, congrats! That’s great to hear! Wishing you continued good reports and good days ahead.by Nancy9 - AFIBBERS FORUM
Quotesusan.d For me, slouching and squatting and bending over still triggers arrhythmias. I think each of us are individually different..... Susan, so sorry for all the pain and difficulty. I hope that you are safe, and I'm wishing you better times ahead.by Nancy9 - AFIBBERS FORUM
Probably years down the road, but sounds promising…by Nancy9 - AFIBBERS FORUM
QuoteCindyS Hi Nancy, I'm at the end of my blanking period after my first ablation (PVI) and am just starting to have what I consider a normal amount of energy, which is so wonderful. I haven't really noticed an increase in PACs, although I do have some. The main difference I'm having to adjust to is the brief rapid pulse I get when I stand after sitting or lying down. I had beby Nancy9 - AFIBBERS FORUM
QuoteDaisy I waited too long for my ablation--about 9 years after diagnosis--because my EP didn't believe in them and convinced me to just stick with medications. In the end I self-referred to Natale, my ablation was complex, but I have not had a problem with PACs afterwards. Thank you, Daisy! That’s great to hear! I appreciate the reassurances from everyone. ☺️by Nancy9 - AFIBBERS FORUM
I’m using the “reply” button—looks like I should be using “quote”? Sorry for the technical ineptitude—it’s been one of those days….by Nancy9 - AFIBBERS FORUM
George, I’m so impressed with your systems! I use a Wellue 24-hour monitor, which gives me a count of PACs and of course other arrythmias. With the exception of a handful of instances when I’ve had runs of them (lasting 5 minutes to an hour or so) I tend to have few PACs and was fearing that the ablation could cause me to have more than I have now.by Nancy9 - AFIBBERS FORUM
Thank you! It’s really encouraging to know that your PACs did settle down eventually. I am in this place where I’m obsessing about everything that could possibly go wrong. 😑.by Nancy9 - AFIBBERS FORUM
Posted too soon by accident… I was wondering if there is any correlation with the timing of the ablation, like early ablations tend to have fewer post-ablation PACs? I’ve read (and can’t verify accuracy) that AF can “mask” existing PACs that then turn up after PVI—like they find that there were areas outside the pulmonary veins “firing” and causing PACs all along. Does that make any sense medicaby Nancy9 - AFIBBERS FORUM
Thanks, Carey. Appreciate the response. That was the impression I was getting, but I thought I’d ask. It makes for a hard ablation decision when you have relatively few arrythmias to begin with but want to get ahead of the likely progression.by Nancy9 - AFIBBERS FORUM
For those who have had an ablation, did you end up with more PACs after it than you had before the ablation? I understand that there will likely be more during the blanking period while your heart is healing. I’m hoping to hear what you experienced long term, after the blanking period. I’ve heard a few people say they feel like they traded their afib for PACs and I’m wondering how common this isby Nancy9 - AFIBBERS FORUM
I have a Wellue 24-hour heart rate monitor that I’ve found to be very useful. You can wear it on your chest with stick-on electrodes or on a chest strap (which I prefer). It records a 1-lead ECG, which you can upload to their AI for interpretation. The AI is not perfect, and can interpret SVT as AF, or undercount SVTs. With their older models, you download the data to a computer via USB. I thinby Nancy9 - AFIBBERS FORUM
Thanks. Do you know how sometimes you just need another human being to say “yeah, that’s nothing to be concerned about”? Especially with no EP or substitute readily available. Right now the internet and this forum are my only resources.by Nancy9 - AFIBBERS FORUM
Sorry, meant to say my potassium levels were not high on my recent bloodwork, not calcium.by Nancy9 - AFIBBERS FORUM
Hi all, I just got an ecg (urgent care, so not read by a cardiologist) that showed peaked t waves in v5, but the overall evaluation was "normal." AI says: Peaked T waves in lead V5, also known as tall or hyperacute T waves, are a significant finding on an ECG and can indicate a few different conditions, most commonly acute myocardial infarction or hyperkalemia. Possible Causby Nancy9 - AFIBBERS FORUM
I am really sorry about your coworker. That is shocking, and so sad for everyone involved. Please accept my condolences.by Nancy9 - AFIBBERS FORUM
Very interesting—thank you for posting!by Nancy9 - AFIBBERS FORUM
Hi, I can't vouch for this personally, but I noticed that Medstar Washington Hospital Center is doing what seems to be a new procedure for inappropriate sinus tachycardia. (scroll to about p. 6). There is also a study coming up:by Nancy9 - AFIBBERS FORUM
There is the Wellue 24-hour monitor. You wear it either via stick-on electrodes or a chest strap, and it will record up to 24 hours. You download the data to a computer via a usb connector. You get ecg tracings and can upload the data to a website for AI analysis. The AI analysis will tell you % of time in afib, number of PACs, PVCs, and much more. It’s not perfect in its interpretation (you caby Nancy9 - AFIBBERS FORUM
Mbd, thank you for all these great questions and thank you, Carey and George, for your answers! Very helpful!by Nancy9 - AFIBBERS FORUM
I didn’t realize it, but it looks like there are several companies with PFA systems (Farapulse, Varipulse, Pulse Select, etc) in the works. I agree—it’s really encouraging to see all the innovation and it’ll be interesting to see how it all develops.by Nancy9 - AFIBBERS FORUM
Varipulse just paused their U. S. rollout due to concerns about stroke.by Nancy9 - AFIBBERS FORUM
Wow, a 14-year run of no afib is pretty impressive! Wishing you many more years of NSR.by Nancy9 - AFIBBERS FORUM
Very interesting, thanks! Also check out the book, “Breath: The New Science of a Lost Art,” by James Nestor. It emphasizes the importance of breathing through your nose, among many other things.by Nancy9 - AFIBBERS FORUM
Megan, so glad to hear that the headaches are gone! May the tachycardia pass as well!by Nancy9 - AFIBBERS FORUM
QuoteCarey There is no such thing as ablating "too soon." Current guidelines now consider ablation a first-line therapy and studies have shown there's no benefit to delaying. Medicare and insurance companies have recognized this, and you know they're always reluctant to recognize anything expensive. It wasn't long ago that they required you to fail at least one and oftenby Nancy9 - AFIBBERS FORUM
Thanks for your thoughts! I appreciate the input. I am still trying to understand if there is such a thing as as ablating "too soon," and what would constitute that. Seems like if AF has been documented, the EP would do a PVI and ablate any other sites with errant electrical signals. If there are few other sites found, well, good, maybe it was nipped in the bud and the patient can unby Nancy9 - AFIBBERS FORUM
That's really interesting! And a topic that has been much on my mind of late... Here's another video on the same topic: The Importance of Early Ablation: An Overview of the Evidence (Jason Andrade, MD) It makes a very similar point up until the discussion at about 39:55, where he states that they weren't really considering first presentation of AF, because "If we looby Nancy9 - AFIBBERS FORUM
And I didn't know that cryo is temporarily reversible! Thank you!by Nancy9 - AFIBBERS FORUM
This is the study I found comparing PFA with Cryo: Pulsed Field Versus Cryoballoon Pulmonary Vein Isolation for Atrial Fibrillation: Efficacy, Safety, and Long-Term Follow-Up in a 400-Patient Cohort Median procedure time was significantly shorter in PFA (34.5 [29–40] minutes) versus CB (50 [45–60] minutes; P<0.001), fluoroscopy time was similar. Overall procedural complications wereby Nancy9 - AFIBBERS FORUM