. George, How can you tell PVCs from PACs using a Polar heart monitor? I use one but only reads heart rate---beats.by Anton - AFIBBERS FORUM
Hi Shannon! I couldn't resist "dipping my toe in the water" on this subject. Thank you for the reference to Dr Reddy article which I have now read quite a bit of... I surrender already! By his admission it is lengthy and filled with statistics, some of which I really glazed over! He is a prime partner for and compensated for his input as he mentions. But generally his articby Anton - AFIBBERS FORUM
Jackie, LarryG mentioned Dr Mandrola's article which was just recently quoted by Dr. Eric Topol (for those unfamiliar see Wikipedia). Essentially Dr Mandrola is questioning the (clinical trials) data. Watchman is not "better than Warfarin" in preventing strokes. It's not that simple but strokes may be caused by factors other than Watchman repaired LAA. He is afraid the currenby Anton - AFIBBERS FORUM
My wondering whether to go for LAA/CS ablation has me pondering over taking Eliquis for a long period. About Eliquis side effects; I've wondered if reducing the dosage might limit these. Jackie, you are still taking a half dose but not taking Natto? I had tried my prescribed dose of Eliquis (10mg/day in 2 doses) but started to notice bruises on my arm without cause. Still taking fish oilby Anton - AFIBBERS FORUM
Thank you Shannon! I think it may explain what one of Dr Natale's nurses told me about poor success rates in LAA and CS isolations. Impaired LAA function is not lack of success in isolation. It is a shame however, that stroke risk increases in 60% of LAA isolations, requiring oral anti-coagulation or LAA closure device. I remember "getting free" of warfarin after 3 months post-by Anton - AFIBBERS FORUM
Thanks Gill, Your adding Mg should make the heart calmer and feel calmer as well. I've been taking Magnesium Glycinate "to tolerance" for years and for me, 800 mg is about there. Since cardioversion and Eliquis 100mg more seems to work, but not at all times. my Ectopics seem to be all PACs, and I barely notice them but check via single trace rhythm strip about every other day.by Anton - AFIBBERS FORUM
Catherine, Pericardial effusion is too much fluid around the heart. We all have fluid in the pericardial sac but if too much (or too little) there could be complications. That's a bit outside the arrhythmia topic but your doctor should describe how much fluid they estimate, and what they will do. If the nurse calling you didn't explain better, call her back. If you Google the term yoby Anton - AFIBBERS FORUM
Special Thanks to Shannon and Jackie! Shannon, Thank you so much for the call. The first ECG copy I sent would have been the only 12 lead trace. It shows the forward leads II, aVR, & aVL as having low voltage (>.5v) which has been noted since my cardioversion on another 12 lead tracing. It also shows an incomplete RBBB in leads V1& V2 which is an old "problem" but ok as lby Anton - AFIBBERS FORUM
Thanks Jackie Good info to research (I'm dancing as fast as I can) Interesting as my PACs are almost exclusively outside the QRST period which includes the absolute, effective and relative refractory periods. Except for a few PACs in the latter third of the T wave, most of mine occur in the remainder of the RR period and are usually about .2 -.4 sec later. (resting HR in mid 50'sby Anton - AFIBBERS FORUM
Here's a recent quote from a St David's Hospital letter (Natale) "Some patients require ablation of non-pulmonary venous triggers such as the left atrial appendage (LAA) for improved outcome .However, electrical isolation of the LAA can diminish out flow velocity." I read it as not favorable and reason to consider a LAA plug. Antonby Anton - AFIBBERS FORUM
Anti-Fib, Thanks Sleeping body position somewhat limited but have noted LHS position less favorable. Low key exercise does improve PACs a little but not too significant (yet) Lots of day by day data but no significant reduction in PACs. I take 1 lead strip (resting) about every other day. I would call "significant" a 50% drop which would still be over 10000/day. But since I believeby Anton - AFIBBERS FORUM
Front & back of chest. No details yet if 1st try was the successful one. Looking for new ideas on PACS-- location and how best to limit or stop them. (i.e. upright p-wave PAC probably left atria focus; best way is potassium)by Anton - AFIBBERS FORUM
Was cardioverted from my Aflutter Thursday 4/27 and I've since been observing my heart rate calming down. The first day it was noisy and rapid but looked like NSR under it all! Today my resting heart rate is down to the mid/lower fifties where it was before the afib/flutter took over. But the PACs were occurring every 2nd, 3rd, or 4th beat! (Bigemeni, trigemini, quadrigemini) I check myby Anton - AFIBBERS FORUM
Many thanks to Shannon and Jackie for their support with my afib/flutter returning after 13 years. I'm back in CT and due this week to see a local EP and my cardiologist before deciding to head out to Dr Natale in Texas! I now have an appointment there in June but still reluctant to put this old body through the ablation. Shannon talked to me at length on Afib issues, and most importantby Anton - AFIBBERS FORUM
MDep Sorry to miss your question but no I wasn't on antiarrythmics when VT supprised me. I had been on them and "failed".by Anton - AFIBBERS FORUM
Wolfpack==yes 4:1 is seen in the last EKG taken; atrials beating at 320 and the AV node responding at 80bpm. Often called AV block, it didn't make as much sense to me why the AV node would only respond every 4th beat all the time. I do get more uncomfortable when exercising-- chest tightness included.by Anton - AFIBBERS FORUM
Hi George, I agree 80bpm des not require rate control. My atrials are fluttering 4 times as high and regular so it's very tolerable-- until exercise unhinges the pattern. Evidently my refractory period is long enough so those "inbetween" atrial beats don't disturb the ventricle response. Exercise most uncomfortable and I always worry that the VT might get triggered althoughby Anton - AFIBBERS FORUM
Hi Jackie! I thought to get that out first as I couldn’t figure how to send a PM (?) Ablated LAF by Dr. Natale in 2004, about a year after Jackie’s ablation, mine was successful until now. I’ve been in touch occasionally, and peruse posts, but it’s taking arrhythmia to get me back posting. Now on vacation in AZ,(no tools to measure heart trace) I've been diagnosed with AFib/Aflutter. (aftby Anton - AFIBBERS FORUM
Hi Jackie! Thanks for info on coco water; I think most everyone needs to watch sugars added to any drink. I do consume Knudson Very Veggie for the reasons you discuss and think the taste is more to my liking than V-8. The cost is a little more, but you can't put a price on benifits. Hope all is well with you, Antonby Anton - AFIBBERS FORUM
Jackie, (I've been busy as well, so just getting to it now) I take 500mg Mg (glycinate) daily-- more than that means bowel intolerance for me. I did make Waller Water in the past but haven't lately. Lazy, perhaps. I also try to take 4 Pottasium & spread intake over a few meals -- with 1/2 bannana in the am gives me over 400mg but not as regular so probably get 300+ mg/d averby Anton - AFIBBERS FORUM
Colindo, I've taken tumeric, curcumin for a long time but don't believe it is responsible for increased PACs. But the latest AFib report cautions about using NSAIDS and anti-inflammatories that increase susceptibility to Afib. But anti-inflammatories is a broad category including NSAIDS and this is the first time I've read they might be linked to Afib. My first assumption aboutby Anton - AFIBBERS FORUM
Aside from Jackie's excellent summary of why Calcium supplements can trigger Afib (Hi Jackie!), there are other supplements and foods that can act as triggers, (including Hawthorne) which can be gleaned from the archives. Alex's topic shouldn't get lost. I've wondered about L-Carnitine, and although my 10 year old ablation still holds, I worry about my frequent PACs and whby Anton - AFIBBERS FORUM
Hi George -- I'm interested in your muscle release pain relief, as my 6 year old shoulder seperation has just required a cortisone shot to relieve recent painful inflammation. Just coincidence that I happened on your Email after not having logged on in months! Thanks, Antonby Anton - AFIBBERS FORUM
Wow again Jackie, So sorry you had to go through some post-ablation activity, but I'm hoping for your now-easier recovery. I'm sure we'd be interested in procedure details but more important is to rest and recover. Best wishes and prayers, Anton/Anthony/Tony :>)by Anton - AFIBBERS FORUM
Shannon, that Afib report was a wonderful and detailed explanation of your LAA/LARIAT problem. Amazing and generous of you to remain as positive throughout. Aside from being very interesting reading, the report does raise interesting questions to this ablated afibber. Ablated back in 2004 by Dr. Natale,(Cleveland) I’ve been Afib free despite the absence of any LAA isolation. I have been off ofby Anton - AFIBBERS FORUM