Dr Gupta just posted a video taking about the watchman and how the NHS is beginning to fund it. He also goes thru the 4 studies that tested it. Are there downsides or risks to the watchman? If not and money wasn't an object (don't know how much it would cost as a self pay) does it make sense to get it so that you forever avoid bleed risk? Naturally a hypothetical for most peopby Brian_og - AFIBBERS FORUM
QuoteSammy Thanks for the advice. Went to ER today. As I thought, I was diagnosed with PVC. All other bloodwork, xrays etc came out normal. So my next question is, how common is it to have an ablation just for PVC or PAC ? It looks like I’ll be guided towards Metoprolol which I really did not care for when using it back in the day. Any help is appreciated ! S Interesting article aboutby Brian_og - AFIBBERS FORUM
I find this fascinating. Why would the surgeon object to that protocol? Is it because the patient might bleed the night of the surgery?by Brian_og - AFIBBERS FORUM
Naive q here. Went wouldn't they use a clot buster drug to get rid if this?by Brian_og - AFIBBERS FORUM
That's today. Good luck!!!by Brian_og - AFIBBERS FORUM
I guess it hinges on what he means by aggressive? Does he mean that he does stuff that other EPs are disinclined to do because of lack of experience etc. Or does he mean that he does stuff that other EPs think are unwise? We'd have to have an example of something that's considered "aggressive"by Brian_og - AFIBBERS FORUM
I've read also that Xarelto causes a lot more severe nosebleeds possibly due to it being strong enough to last a whole day.by Brian_og - AFIBBERS FORUM
Here's another link. One question I have is does it matter if you're not still in AFib? Or is this not a problem if you're in nsr? Whether the hypercoagulate state causes stasis of the blood on the laa faster and thus when you go back into nsr you get the stroke, or something else that's nothing to do with that?by Brian_og - AFIBBERS FORUM
I've had mine since late 2016 and am also grandfathered in not having to pay the 10/mo. I've had no issues at all over the last few years although I keep it in a drawer so it doesn't get beaten up. From everything I've read it gets better reviews for accuracy than the Apple Watch, but don't have any direct experience. I would recommend it 100%.by Brian_og - AFIBBERS FORUM
Quotekatesshadow Could you point me in the direction for the for and against arguments on the PIP blood thinner arguments? I've never seen arguments for or against it, just individuals deciding on their own they're going to do it. I've never heard of a cardiologist recommending it and the manufacturers don't. My EP told me to stop Eliquis. He said if I did have an eby Brian_og - AFIBBERS FORUM
This is some info on the study referred to by opby Brian_og - AFIBBERS FORUM
It would be so nice to know what's the minimum time in AF to form a clot. The ASSERT trial came up with 24hrs I think but that applied to sub clinical and I don't know if that might even apply to PAF. Looks like Natale thinks 6-8 hours?by Brian_og - AFIBBERS FORUM
QuoteCarey Even a CHADS-Vasc 0 is at risk of stroke if you're have active afib. The atria don't pump effectively during afib, so blood can become stagnant and clot, particularly in the left atrial appendage. That's where 90% of all afib-related clots form. If a clot forms, when the episode terminates and the atria begin pumping again, the clot gets pumped out and there's yourby Brian_og - AFIBBERS FORUM
QuoteCarey I would start it now. Frankly, you've probably just been lucky so far. I wouldn't push my luck further. Why do you say that if his CHADS-V is 0? Naturally if Natale says you should be on AC then that's settled. But I wonder where the 6-8 hours cane from, and why bother with everyone recommending the use of the CHADS-V if we're going to ignore it? Not a challeby Brian_og - AFIBBERS FORUM
"New scientific studies show that NOACs may be safer for patients because there is less risk of bleeding, and they may also be more effective at preventing blood clots than warfarin," said Craig T. January, MD, PhD, FACC, co-chair of the focused update. Further, the decision to use an anticoagulant should not be influenced by whether the AFib is paroxysmal, persistent or permanent.&qby Brian_og - AFIBBERS FORUM
Hi George No I'm not. Go into AFib every few months for a couple of hours. Self convert.by Brian_og - AFIBBERS FORUM
This was the reason I took up the higher intensity workout. Basically do what they did in this study.by Brian_og - AFIBBERS FORUM
I was reading through the transcript linked below from some EPs at Cleveland clinic and read the following question and answer. "If you can't feel afib, is there a heart rate that you should stay below? Walid Saliba, MD: It is recommended that good heart rate control indicates a resting heart rate of 90-100 beats per minute, with avoiding peak heart rates during exercise of 140 beby Brian_og - AFIBBERS FORUM
" did notice however that bloating can cause me to have more pacs so when I started using HCL and eating smaller meats things improved. Any of you experienced this or is it all in my head? " Well if it's in your head it's also in my head. Mine can definitely be triggered by bloating, eating too much etc. Took me a while to figure that out but since I did and now eat less mby Brian_og - AFIBBERS FORUM
Nice tweetorial on why ablation is used. Great background information.by Brian_og - AFIBBERS FORUM
QuoteCarey No, it's not misleading. If you have afib, your stroke risk is about 5% per year on average, with that risk rising as your CHADS-Vasc goes higher (eg, the risk is 10% for a CHADS-VASC of 6). People without afib have about a 1% risk on average, so in fact it is about five times higher. If you take an anticoagulant, that cuts your risk roughly in half. It does NOT reduce it to the sby Brian_og - AFIBBERS FORUM
I had issues with breathing as well right around the same time as an AFib attack. The breathing issues were quite severe and scary. Turns out the issue was gerd. Drinking black tea especially. All kinds of tests just like you and in the end after a round of PPIs the issue went away. Now I realize that aside from dehydration, eating issues trigger my AFib. Try googling pseudo-dypsnea. Alsoby Brian_og - AFIBBERS FORUM
Quotecolindo Hi Brian, I to have had some success with Natto, it's another story but in short I have been afib free for more than 4 months. As for it being a blood thinner, i recently carried out some blood bleed time tests after taking natto (and nattokinase) using the Duke method and found the blood bleed time was about twice as long compared to not taking natto. So it's doing sby Brian_og - AFIBBERS FORUM
QuoteElizabeth Dean posts on here once in a while he has posted about his success with eating Natto. Good grief, you think that Carey isn't scaremongering always telling everyone they should be on blood thinners or they will stroke, even if you only have a few min. of AF once in a great while. I never heard this over and over until Carey, there are some of us that cannot take these blood tby Brian_og - AFIBBERS FORUM
QuoteElizabeth Carey said: That is flatly false and you're not doing anyone any favors scaremongering. How is Colindo scaremongering? Isn't this a board that is open to discussion about AF, Carey anything you don't like you call it criticizing doctors, scaremongering and false. People get strokes even while they are on bloodthinners, Shannon has written about his after heby Brian_og - AFIBBERS FORUM
Quotesafib Carey is correct in his statement (note he said minutes not one minute). The ASSERT trial showed even 6 minutes of AF resulted in 2.5 times increased stroke risk. Other studies have disputed this, and the trend seems to be moving away from short duration risk. In fact, there is evidence that neither the timing nor patterning nor perception of AF is predictive of stroke risk. Consequenby Brian_og - AFIBBERS FORUM
Dr John Day recommends cardioversion if you've been in AFib for 24hrs because that might be the time where stroke becomes a riskby Brian_og - AFIBBERS FORUM
Impressive video of a heart in AFibby Brian_og - AFIBBERS FORUM
Quotejpeters I know you've got a thing about warfarin vs. NOACs but I'm just stating the facts. I don't have a dog in the fight. I do have considerable personal experience with warfarin that I've shared. Facts never got in the way of altering your opinions. 2018 Oct 25 " In patients with atrial fibrillation, self-managed oral anticoagulant treatment was associaby Brian_og - AFIBBERS FORUM