QuoteSearching9 Previously Cary had recommended asking for Dr Santangli at Cleveland for a second opinion before going an ablation route. Is that still the recommendation, and is there any recommendation at UPMC in Pittsburgh as an alternate. . Yes, my recommendation has changed. She has progressed to persistent afib, she's highly symptomatic, and now she's failed two drugs, with oneby Carey - AFIBBERS FORUM
Why are you checking your Kardia 3 times a day? I think Calvin's right that that's just going to create stress. Do you feel okay? Pulse feels normal? Then why check your Kardia? I think you're getting kind of obsessive about it and I've seen a lot of that here. It just creates stress and anxiety. You've posted a whole lot of recordings and almost all of them have been unrby Carey - AFIBBERS FORUM
That's not wide enough to be of concern. An echo can't see BBB, and I don't think there's any here. Show it to your EP but I think you can safely ignore it in the meantime.by Carey - AFIBBERS FORUM
Quotecornerbax I am guessing BNP levels play a roll in frequent urination? Oh yeah. BNP = B-type natriuretic peptide. Guess what natriuretic means. It means something that tells your kidneys to excrete more water. BNP and ANP are secreted by your heart, particularly your left and right atrial appendages. So during afib, flutter, or really any sort of tachycardia, your heart tends to produce moby Carey - AFIBBERS FORUM
Yep, I know a guy who produces a ridiculous amount of urine when he's in afib. He'll have to empty his bladder every 30 minutes or so. I have no idea what his BNP levels are during afib, but you can bet they're high, and I would bet the tachycardia is doing the same to you.by Carey - AFIBBERS FORUM
If it's been a week you're good to do with the yoga.by Carey - AFIBBERS FORUM
Fatigue is a very individual thing. I never experienced fatigue at all after ablations, but others do. So it's hard to say how long it will last but a week or so is usually the limit. I think most of it is due more to anesthesia than the procedure itself. Some people walk away from anesthesia like it's nothing but it affects others for days. Yeah, the bump at the insertion site is noby Carey - AFIBBERS FORUM
Quotegloaming Only ever 3mg, which the research seems to have settled on being the maximum needed dose. Yep, read an article about melatonin a while back, and research found that the most effective dose is in that range, while higher doses actually have a paradoxical effect that impacts sleep negatively. But most people don't realize that and assume more is better, so they buy the supplemby Carey - AFIBBERS FORUM
Most people don't experience those symptoms. I never did and I've had multiple ablations. Some people describe a dull sort of discomfort that lasts a day or two but it's very mild and nothing to write home about. The only people I've ever heard complain of significant pain from an ablation are the few who experienced complications such as pericardial effusions (fluid buildup aby Carey - AFIBBERS FORUM
It really is this simple: HR > 100 = bad HR < 100 = good Whether you're in flutter or not doesn't matter much as far as long-term heart health goes. The rule above still applies. It would be better not to be in flutter for the same reasons it's better not to be in afib, but with both the rule above still applies. Neither flutter nor afib will do you any serious harm asby Carey - AFIBBERS FORUM
You can be in afib for decades without harm if your resting heart rate remains below 100 bpm. Afib in and of itself does your heart no serious harm. But tachycardia, even if it's sinus tachycardia, will do damage if it's allow to continue for long periods of time. It causes enlargement of heart muscle the same way being a runner causes enlargement of leg muscles. This results in reducedby Carey - AFIBBERS FORUM
Tachycardia for a week or so isn't going to hurt you, but you certainly can't remain in it for 60-90 days. Hey, it's surgery, not an ablation, so it comes with a lot more things like this. If your surgeon isn't concerned about it, I wouldn't be. Just don't let it go for weeks on end.by Carey - AFIBBERS FORUM
The best combinations are individualized, so what works great for one person might not work at all for someone else. You're just going to need to work with your EP on this. Hopefully, metoprolol alone will work for you because you don't want to remain on amiodarone long term.by Carey - AFIBBERS FORUM
Hmmm... so a 2032 probably won't even fit. I wondered about that.by Carey - AFIBBERS FORUM
But even the 2016 will last upwards of a year or more so it doesn't matter all that much.by Carey - AFIBBERS FORUM
It seems you have a recording that is likely afib and another that isn't. Okay, so what is the underlying question here? I don't understand what you hope to learn from comparing the two.by Carey - AFIBBERS FORUM
I don't know. Things are getting a little confusing with all your recordings. I'd have to see the two full recordings side by side to see why they might be different (or not).by Carey - AFIBBERS FORUM
Flutter is actually a type of SVT (there are several), so you might be imagining you have three arrhythmias when you really only have two: flutter and afib. Flutter can occur in different pathways in the heart producing very different heart rates. I had two distinct flutter circuits when I went into Natale's lab in 2017. One of them originated in the LAA and produced a rate of 250 bpm. Tby Carey - AFIBBERS FORUM
Thanks for the 12-lead but it's only a narrow slice of the results since it's a screen shot from a phone. If you can't download a PDF or something from the portal you got it from, don't bother unless you're on a PC or Mac with a screen large enough to display a full ECG. Phones are really limited in what they can display and ECGs are beyond those limits.by Carey - AFIBBERS FORUM
Sounds like it could have been flutter. A rapid, regular HR somewhere near 150 is always suspicious for flutter, and flutter is notoriously resistant to rate control drugs like diltiazem. It's also prone to continue unabated for long periods of time because unlike afib it's a very regular, stable rhythm. There's really nothing to be done about it unless it keeps happening.by Carey - AFIBBERS FORUM
This does seem like a very good idea.by Carey - AFIBBERS FORUM
They look essentially the same to you but the computer is seeing things you don't, and an EP might also. ECG interpretation is not a trivial skill. Small, subtle changes that are easy for an unskilled person to overlook can be meaningful.by Carey - AFIBBERS FORUM
QuoteNoTrigger My EP is highly skilled in a major hospital in San Francisco and has suggested either lowering the dose or try for another ablation. He had said a few weeks ago that there wasn't any other places left to ablate but seems to have changed his mind. He has left it entirely up to me to decide. He is also very fond of the AV node/pacemaker option as well - ugh! Your EP may be hiby Carey - AFIBBERS FORUM
I got 120 from doing a quick measurement on the QRS spacing. It could be off by 10 bpm because I only measured a small sample but the device averaged the whole thing. Anyway, 120 vs 111 doesn't matter. It's tachycardia either way and shouldn't be allowed to continue uncontrolled. By the way, it's not an echocardiogram. It's an ECG (or EKG). Totally different things. Anby Carey - AFIBBERS FORUM
Amiodarone is an antiarrhythmic, not a rate control drug. Amiodarone is very effective, but it does have serious side effects if used long-term. It also has a very long half-life so it takes weeks or even months to get out of your system after you stop taking it. So what does your EP actually want? A rate control drug or an antiarrhythmic? Since you just had an ablation I would imagine itby Carey - AFIBBERS FORUM
Definitely not afib. Could be flutter but it's almost impossible to diagnose flutter without a 12-lead. So it's sinus tachycardia, or flutter at worst. Whichever it is, the 120 bpm needs to not be allowed to continue.by Carey - AFIBBERS FORUM
Read the conclusion again and think about how it applies to you: QuoteCardioselective beta-blockers prescribed to people with asthma and CVD were not associated with a significantly increased risk of moderate or severe asthma exacerbations and potentially could be used more widely when strongly indicated. Well, they're right. The cardioselective BB didn't cause moderate or severe aby Carey - AFIBBERS FORUM
Yeah, you probably shouldn't be on a beta blocker.by Carey - AFIBBERS FORUM
Do you have asthma or COPD or has any doctor ever told you that you have reactive airway disease? Beta blockers should be avoided in general in people with reactive airways because they can exacerbate the condition.by Carey - AFIBBERS FORUM