Any thoughts on the findings of this study that suggests that non-PV triggers play a bigger role? Paradigm shift in ablations from PV to non-PV triggersby NoTrigger - AFIBBERS FORUM
Carey - For some reason this and other posts did not show up for me. I had to search for it. I wonder why?by NoTrigger - AFIBBERS FORUM
Carey Thanks for pointing me to this and other studies I found through the link. It seems to be that PV ablation is the holy grail for many so I went back to the notes of my 3 ablations to figure out what was done. As you can imagine they use a lot of acronyms in their procedure notes so it was difficult to decipher. I believe they focused on both PV and PW areas in all 3. The first one failedby NoTrigger - AFIBBERS FORUM
Carey - You mentioned success rates of 75 - 90% for elite EPs in the post above and I was wondering where you found these numbers. Maryby NoTrigger - AFIBBERS FORUM
Agree with the others that any discomfort in the chest is inconsequential if at all present. That said, it is possible to experience other discomfort or pain. Long before I actually had an ablation one of the EPs described it as being hit by a truck! I was quite relieved it was nothing like that and wondered why he would describe it as such. My first ablation was over 10 hours and I did end up wiby NoTrigger - AFIBBERS FORUM
Daisy - I had no idea there were so many options in dealing with the LAA surgically. I am pretty sure the surgeon removed it completely during the surgery but unclear if the tissue problem still exists. I read through the notes of the ablation and found no references to LAA isolation. Will have to bring it up with the EP next time.by NoTrigger - AFIBBERS FORUM
Daisy - my LAA was taken care of during the open heart surgery. Less tricky then I would imagine. I am getting a better understanding of my situation and why my EP, skilled as he is, was somewhat reluctant to do another ablation. Since I have had 3 (not counting the Maze) they know exactly what is going on. Unfortunately, each time they induce flutter, it jumps around and doesnt stay long enoughby NoTrigger - AFIBBERS FORUM
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.by NoTrigger - AFIBBERS FORUM
Hello all I am having a difficult time trying to decide on which path to take. My last ablation (#4 done in Feb 2020) finally gave out a month ago, a total bummer. I was asked to take propafenone which is actually working but with bothersome side effects. I have tried so many other meds in the past and none was suitable so the only other drug left is amiodarone which I would prefer to avoid forby NoTrigger - AFIBBERS FORUM
Curious where you did the PFA as it was only recently approved. Was it part of a clinical trial? I am trying to find out who has it in California. Maryby NoTrigger - AFIBBERS FORUM
This might be too obvious but I stumbled on a list of recommended books here. Link below. Recommended booksby NoTrigger - AFIBBERS FORUM
A bit late here but I did take propafenone for many (7 I think) years for paroxysmal afib and it worked very well. Until it didnt. I don't believe I tried it as a PIP nor was ever advised to do so. When it stopped working I tried sotalol, dofetilide and dronaderone and they either did not work or caused major side effects. The only drug that worked then was amiodarone but it also stopped worby NoTrigger - AFIBBERS FORUM
I agree you are in excellent hands. I have read very good things about Dr. Chikwe. All the best. Maryby NoTrigger - AFIBBERS FORUM
Thought I would weigh in here as someone who thrives on travel but have been forced to put that on hold for 8 years because of major surgery, afib, pandemic and now more afib. I agree that if one is asymptomatic and if rate control works it should be fine. You did say that you were able to convert with PIP which is great as well. I am wondering though if anything will change between now and Decemby NoTrigger - AFIBBERS FORUM
I know first hand what it's like having to deal with valve surgery and trying to decide on a multitude of things and getting conflicting opinions. I will try and address each one and hopefully it will help. First, will the Maze procedure work and what are the chances? My surgeon was keen to do it as it adds no time and no additional risk. He gave it 90% which turned out to be far too geneby NoTrigger - AFIBBERS FORUM
My EP said it was sinus with a few atrial tachycardia runs...He does believe that I am probably going in and out and the ECG just did not capture it.by NoTrigger - AFIBBERS FORUM
Thanks for all the suggestions. I did find it eventually at a mail order that I use for a fraction of the price. It is Mark Cuban's cost Plus. About $30 vs $592 for a 3 month supply at local Safeway. So outrageous. I have Medicare Part D which has the drug at Tier 4. No insurance required for Cost Plus. It didnt work 4 years ago, in fact, made it worse. So I am not very hopeful.:-( I do haby NoTrigger - AFIBBERS FORUM
Hi Gloaming - yes I did. Not exactly confirmed as opinions were all over the place. Am sending the strip. Also my EP finally got in touch and has decided that I should try propafenone again even though it did not work last time. He thought it might after the ablation. Problem is no one seem to have it. I've tried both Safeway and Walgreens. Trying a few others. Also super expensive at $600by NoTrigger - AFIBBERS FORUM
Hello all, I have a long history of afib going back 30 years or so and flutter which came on after my first ablation in 2017. Tried a whole bunch of anti-rhythmics - some of which worked for a while. Finally had 4 ablations, last of which was about 4 years ago. All good until about 2 weeks ago when my heart rate would go up from 50s typically to 90s in the evening and persist off and on until Iby NoTrigger - AFIBBERS FORUM