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"I’ve had 54 ECVs" Yes Susan, you still have the record here. I stopped at 53 about 5 years ago.by The Anti-Fib - AFIBBERS FORUM
I have had over 50 Cardioversions, about 12 of them though the ER, the rest as an cardiology out-patient. Nobody ever wanted to check for gastro-bleeding before I was given an anticoagulant. Either I was on Anticoagulants for at least several days prior, or in about 5-6 of them I went without anticoagulation, as I went in to get cardioverted < 48 hours from the episode onset. My point iby The Anti-Fib - AFIBBERS FORUM
I agree with Mjamesone. At 6 months without an episode, it is reasonable to try getting off of some of your Meds. It would be a risk, does the AFIB come back or not? How are your side-effects from your Meds? You don't need a top level EP like Natale to help you with this, just an EP who cares. At least you are on relatively low doses of the Flecaide and Bisopropol.by The Anti-Fib - AFIBBERS FORUM
I go fairly close to my about my normal activities. The thing is I monitor my HR, to make sure it is not to high or low, so I have my rate control meds with me at all times, and also try to keep a pulse oximeter with me to measure my HR. I am a little bit less tolerant of heat while in AFIB, so I take that into consideration. I am like Carey, I go ahead and exercise, in fact If I go on a lby The Anti-Fib - AFIBBERS FORUM
"This week my NEW cardiologist/ EP recommended and prescribed a DOAC (Eliquis) 5mg twice daily. When I asked why, she said it was fundamentally because of my prior afib history and age" At nine years free of AFIB, my opinion is that the history of AFIB shouldn't be much of a factor. If your AFIB returns, then add that in to the equation of your decision.by The Anti-Fib - AFIBBERS FORUM
My BP is lower when in AFIB, and I assume it is because the drugs I use for rate-control are in fact high BP Medications (Bystolic and Diltiazem). In other words, when I have an episode I take more BP meds than normal, in order to control my HR while in AFIB, this in turn causes my BP to be comparatively lower while in AFIB.by The Anti-Fib - AFIBBERS FORUM
There has been posts on this in the past. I was like George, only more pronounced with the effect of CA+. I go into AFIB much more easily if I consume very much Calcium. Since I have been on a CA+ restricted diet, I convert back into NSR much easier, if I do have an AFIB episode. I would ask your Dr's about trying to restore your bone mass by increasing your Vit D3 intake substantiallby The Anti-Fib - AFIBBERS FORUM
"Tadalafil was obtained from an online source initially, but was subsequently prescribed by my cardiologist. (Here it can be bought from a pharmacy for erectile dysfunction therapy-don’t laugh) " So in other words, being able to maintain an erection in men can defeat AFIB.by The Anti-Fib - AFIBBERS FORUM
Saline Nasal Spray? I live in the desert, and I get up 3 times a night and use the spray.by The Anti-Fib - AFIBBERS FORUM
This is the Thread were this question was asked under the topic "Simethicone"by The Anti-Fib - AFIBBERS FORUM
"Say, by taking a beta blocker along with the steroid? " I think you just have to try and experiment. That sounds like good idea. This is a response from Grok AI: Managing the Risk of Corticosteroid-Induced Atrial Fibrillation (AFib) Yes, while corticosteroids (like prednisone or dexamethasone) can increase the risk of AFib—especially at high doses (>7.5 mg prednisoneby The Anti-Fib - AFIBBERS FORUM
Arrhythmia's are more likely to manifest if someone has something mechanically wrong with their heart, have a low EF, or are coming off a surgery. Your success is not unheard off, but you are fortunate. It could be a combination of things, but it sounds like a recover from surgery, and improved EF may be the primary contributor to success in getting out of AFIB.by The Anti-Fib - AFIBBERS FORUM
Not sure, maybe variation occurs as to the leads are not hooked up in excatly the same spots? Also people hearts mechanically are not the same. Ejection fraction, and the differences in in all the measurements that show up on an Echo? Medication can effect EKG's.by The Anti-Fib - AFIBBERS FORUM
I think sweating could be also caused by a decrease circulation accompanying AFIB. I had Heart Failure for several years with a reduced Ejection Fraction as low as 20-25%. I was unusually cold in the winter, and the summer felt 15 degrees hotter than it actually was. I went undiagnosed for quite awhile, and when I played in pickup basketball games, the others players noticed how flushed and swby The Anti-Fib - AFIBBERS FORUM
As far as the sweating and shortness of breath, that is an indication that your heart is not pumping enough blood under exertion. Like George said, this effect varies among people. One explanation for this response could be too high of a HR while in AFIB. Do you know what your average Heart Rate has been while you have been in AFIB? It would say on the EKG. If your average rate is tooby The Anti-Fib - AFIBBERS FORUM
QuoteGeorgeN For those of you with pill in a pocket anticoagulation, what is your protocol for when to take and for how long? This is a recommendation in 2024 from the staff of a top EP as coming from the doc: "If you have events lasting longer than 6 hrs- take the OAC at 6 hr point & continue taking for 48 hrs past conversion back to Normal rhythm. " I think that advice woby The Anti-Fib - AFIBBERS FORUM
Yes, when I finally got a handle on my AFIB, was when I switched to an air mattress laid on top of a Futon mattress. About every 4 months or so I have to buy a new air mattress, as they get leaks, but for $17 at Walmart it is definitely worth getting the upper hand on my previously persistent AFIB.by The Anti-Fib - AFIBBERS FORUM
"1. I thought I had to be in persistent afib, that is more than a week of being in afib, not just having afib solidly for 24hrs, was the requirement for cardioversion?" There is no time requirement like that, your Dr. set that guidance based on your circumstance. As long as you are in Afib, then you could Cardioverted, but if you might convert on your own, then why go through the Caby The Anti-Fib - AFIBBERS FORUM
It just dawned on me after thinking about Carey's post, is that another hypothesis is that I am able to convert by lengthening the ERP, from 3 different angles. 1) Flecainide 2) Breathholds 3) Exercise According the GeorgeN's research, Breath Holds can increase the ERP We know this is one of the main mechanism's by which Flecainide is effective. And finally, Careby The Anti-Fib - AFIBBERS FORUM
I have noticed several scenarios where this applies: The first is when I am in NSR, but having alot of PAC's, that walking tends to smooth them out and diminishes them. The second scenario is when I am in AFIB. (I was persistent for about 10 years, requiring Cardioversions to convert). Now when trying to covert out of AFIB, I notice that by going for a long hike of 3+ hours, and theby The Anti-Fib - AFIBBERS FORUM
I have run into this sort of issues with Dr offices in general more than I used to.by The Anti-Fib - AFIBBERS FORUM
1mg is a low dose. Maybe start low and titrate up? AI says it can effect Ventricular Arrhymia's. I have taken it from 2-8mg/night, and have not noticed any effect on my heart. Due to insomnia, I have also gotten up 3-4 hours after taking it and exercised well enough, as I just had to push through the sluggish feeling. From what I can tell it's effect is more hormonal and and leby The Anti-Fib - AFIBBERS FORUM
It it was me, and I have taken Steroid packs a hundred times, I would do 3,3,3,2,2,1.5,1,1 or 4,3,3,2,2,1.5,1,1 and then save the rest for later. That's just me, and I weigh 205 lbs. I can feel the drug working at 12mg after several days., but then again individual people react differently.by The Anti-Fib - AFIBBERS FORUM
It's safer to taper off. Some Doctors don't think you need to taper, but they don't realize all the causes and effects that some can have after abruptly stopping.by The Anti-Fib - AFIBBERS FORUM
This sort of thing depends on the individual person, like alot of things regarding AFIB. I have taken many steroids for an inflammatory condition that I have, and I ended up doing much research on this. For me the period of time that provoked AFIB, was after I tapered down and stopped the drugs. The steroids boost your natural Cortisol levels and then they drop down after you stop taking them,by The Anti-Fib - AFIBBERS FORUM
"I know that machine-read ecg reports can be inaccurate" Yes, they often show stuff that is not actually going on. I would ask your EP's medical assistant to have another Dr who might be covering for your vacant EP to read this EKG for you.by The Anti-Fib - AFIBBERS FORUM
QuoteCarey I suspect what that doctor meant was to ask the ER for flecainide as a one-time dose to help keep the cardioversion from reverting quickly back to afib, but that begs the question of why the doc didn't just write the prescription themself. ERs are typically very reluctant to start new meds they're not familiar with, and particularly something like an antiarrhythmic that needsby The Anti-Fib - AFIBBERS FORUM
How about just doing the Echocardiogram, and not the Nuclear Stress test? I have heard the Nuclear test is expensive, and is a money maker for the Cardiology Centers. Have you had an Angiogram done recently? that would make the Nuclear test less important. Also an exercise stress test could be used in place of the Nuclear test.by The Anti-Fib - AFIBBERS FORUM
I took Tizandine (Zanaflex) about 12 years ago. I saved the bottle, and wrote on the bottle that this drug slowed my HR way down, and also caused an erratic Heartbeat. I remember it was a bad experience, although I took it at 6mg over 4 hours. I am reading that the type of IR Heartbeat caused can be QT prolongation, which can be very serious. The dosage of a drug that impacts the heart isby The Anti-Fib - AFIBBERS FORUM
2cc of Celestone is probably the higher dose of 12mg that you got, as from what I discern, it is formulated at 6mg/cc. They give a larger dose for a bigger joint, like a knee. Orthopedic Dr's tend to want to give larger doses, than a primary care dr. To give idea of how much this is, 12mg of Celestone is as strong as 75 mg of Prednisone, or 300mg of Hydrocortisone.by The Anti-Fib - AFIBBERS FORUM