QuoteRucan In this article here, isn't it saying that Kardiamobile can detect Aflutter? Yes, it states it is non inferior for diagnosing flutter. However, in the full paper: in Table 1, none of the patients were listed as having a prior flutter diagnosis. Furthermore, as I read the paper, they used 3 expert human teams of two people each to analyze the 12 lead ECGs as well as the Karby GeorgeN - AFIBBERS FORUM
QuoteRucan When I get these attacks my heart rate stays generally no higher than 160 BPM but usually 125-140 BPM. Could those beats per minute rate still be Aflutter? Sure. Let's assume the atria are beating 300 BPM in flutter. Then with 2:1 conduction through the AV node, then the ventricular rate is 150 BPM. 3:1 would be 100 BPM and 4:1 would be 75. Now the atrial rate of 300 is an aby GeorgeN - AFIBBERS FORUM
QuoteRucan So it will say normal sinus rhythm and tachycardia on the kardiamobile when it could actually be atrial flutter? Yes, flutter is hard to diagnose without a 12 lead ECG. The Kardia device uses the large beat to beat variability to diagnose afib. Flutter, on the other hand, has a very regular beat. The only time I personally see flutter is when I used to use a larger dose of flecaiby GeorgeN - AFIBBERS FORUM
In 2004, I was in the midst of what turned out to be a 2.5 month episode & discussed getting an ECV with my EP. His comment at that time, was, "I can convert you to NSR with the ECV, the question is how do we keep you in NSR." This is a valid point, unless you change something, the conversion is likely not to last long (and there are quite a few reports here of this happening). Tby GeorgeN - AFIBBERS FORUM
I started off the New Year with a donation to Afibbers.org. I wanted to let people know (or remind veterans) that Afibbers.org is a US 501(c)(3) non-profit charity. It is wholly supported through donations. I've just made one. The donation button is located on the upper right hand side of the main, not Phorum page here. On a phone, click the "hamburger" (three horizontal linby GeorgeN - AFIBBERS FORUM
QuoteCarey Ps I think they might be from the same company... Ha ha! Yeah, totally. Look at the photos where they have the pills laid out in front of the cutter. Both photos use all the same pills. They're arranged differently but definitely the same collection of pills. The videos from both products say that they are made by the same company.by GeorgeN - AFIBBERS FORUM
QuoteDovewing does he do it in LA? I believe Los Robles once a month, though the word is that the tech & team are best in Austin.by GeorgeN - AFIBBERS FORUM
My understanding is they triage cases, based on severity. Have a local friend, a 19 year afibber, who consulted with Natale for an ablation last summer and it was looking like a number of months. He tweaked his supplement regime and was able to improve his situation enough to postpone an ablation for the time being. He is on 50 mg flec BID as well.by GeorgeN - AFIBBERS FORUM
QuoteSam I suffer from allergic rhinitis and Quercetin is highly recommended for this but I'm concerned it might affect normal sinus rhythm. I can't say about Quercetin, but at 68, I've had rhinitis since birth (as told to me by my parents). My rhinitis is now the best it has been in my life. I've done two things. First, I consulted with this doc & follow his food pby GeorgeN - AFIBBERS FORUM
QuoteNana Do antiarrhythmics help to keep afib from starting? Just got put on cardizm at hospital, hasn't stopped the afib, but wondering if it will eventually and then keep me from going into afib. Does it just help to control the symptoms? Thanks The point of antiarrhythmics taken chronically is to keep you in NSR. The point of antiarrhythmics taken acutely is to convert you to NSR. Ifby GeorgeN - AFIBBERS FORUM
Quotecolindo There have been other posters recommending magnesium for ectopic, maybe someone could elaborate. Also magnesium could help you with your sleep problems. I'm sure my friend I mentioned above is taking magnesium. I don't recall the dosage. I'm also sure that what changed for him was dramatically increasing taurine.by GeorgeN - AFIBBERS FORUM
Hi Mark, In the "for what it is worth" category. Last week I was chatting with an in-person (vs virtual) friend who, like me, has been an afibber for around 19 years. He used propafenone for many years on-demand. Then was switched to flecainide chronically. Currently 50 mg 2x/day along with 12.5 mg metoprolol 2x/day. This is controlling his afib very well, but he was subject toby GeorgeN - AFIBBERS FORUM
Hi Shannon, Merry Christmas and Happy Holidays to you, Carey and the members here! Georgeby GeorgeN - AFIBBERS FORUM
QuoteWhyMe Wow, do you cycle it or it's an everyday thing? May I ask why 10 vs the standard 5? Thx. No cycling. I did 5 for a while, then, as I recall, I looked at the g/kg dosing and decided 10 was OK. The cognition benefits were my motivation for taking it, though it probably benefits my resistance training too. Again, as I recall, I didn't see a negative to doing 10. I'mby GeorgeN - AFIBBERS FORUM
QuoteNana I'm new to this forum and can't find the button for new topic so I can make a new post, could you please help me? Thank you If you go back to the main forum page It is above and to the left of Subject (written in white letters with a green background). See the image file I've attached.by GeorgeN - AFIBBERS FORUM
If your system isn't happy with beta blockers, propafenone has basically the same action as flecainide, but has some rate control properties built in, so no need for a separate med.by GeorgeN - AFIBBERS FORUM
Higher BP during exercise is usual. Here is what ChatGPT4 says about PVCs after high intensity exercise, it will be interesting to see what your doc says: Dehydration and Electrolyte Imbalances: Intense exercise can lead to dehydration and the loss of important electrolytes, such as potassium and magnesium. These imbalances can increase the risk of PVCs. Staying well-hydrated and maintaininby GeorgeN - AFIBBERS FORUM
Slow breathing (generally 4-6 breaths a minute) increases vagal tone. Resources: Type 1 diabetic friend found slow breathing helped his blood sugar control and runs this site: The Oxygen Advantage app has some slow breathing exercises (not all exercises in the app are slow breathing): Do you nasal breathe at night? Any apnea episodes could cause a sympathetic spike. Here are twoby GeorgeN - AFIBBERS FORUM
Per @Daisy, here is a whole thread on the topic of ear vagal stimulationby GeorgeN - AFIBBERS FORUM
Cold water or ice bathing. I do this, say 1 minute soak at 34 deg F and it takes a long time for my heart rate to increase, even with sprint interval training. In fact, I caused an afib episode after doing the soak, then only warming up for 3 minutes before doing 8x 20 seconds max sprinting on a fan bike then 10 seconds rest (Tabata) with a 3 minute cool down. The afib came on maybe 20 secondsby GeorgeN - AFIBBERS FORUM
One thing to be aware of is that a very high percentage (75%?) of his caseload are "tough" cases and "fixing" those whose issues could not be solved by other EP's. Point being, is that even if his success percentage is equivalent to others, he's working much tougher cases. See this thread for Carey's story for an example: I'll give an example whereby GeorgeN - AFIBBERS FORUM
Quotemjamesone Thanks. Just to clarify, are you saying that after LAA isolation, either continuous anticoagulation or a Watchman is required 3/4 of the time -- regardless of your CHADS score, afib frequency, etc -- and simply because your LAA performance has deteriorated because of the isolation? Jim Correct. See Shannon's post describing this in more detail here:by GeorgeN - AFIBBERS FORUM
QuoteJeff W You said: "I exercise very hard without problems for years at a time." It sounds to me like you "do" have problems...Everybody's body is different. Although "you" want to exercise "very hard" maybe your heart does not want to exercise that hard. Reasonable proposition? Much afib is from overdoing. Maybe consider pulling your intensity bby GeorgeN - AFIBBERS FORUM
QuoteMeganMN You have more options than that. Go see Natale in Austin or Pasquale Santangeli at Cleveland Clinic. I could certainly look into it. But have to figure out how any other doctor would have better luck inducing? I suppose if someone else was willing to try the procedure at night, that would certainly do the trick. Something to ponder for certain! A virtual consult to chat about iby GeorgeN - AFIBBERS FORUM
QuoteQue I'm interested in learning if I go into Afib and would like continuous monitoring. Looks like the Galaxy recently got FDA approval to do what you want. A search on more. It looks to me like it is using beat to beat variance for this monitoring and if it detects anything asks you to take an ECG with the watch. I'd explore which watches this is available for. Iby GeorgeN - AFIBBERS FORUM
QuoteJeff W I would steer clear of V8 as it contains "natural flavors", i.e. neurostimulator to enhance taste, but potential trigger for adrenergic afibbers. I believe there are organic brands that would be safer. BTW "natural flavors" are not at all natural, do your research... LS V8 is just the veg juice spiked with potassium chloride (plus the flavors). You can get potaby GeorgeN - AFIBBERS FORUM
QuoteQue What are the best Continuous Heart Monitors, and what's the value of the Apple Watch? What data do you want? ECG? Arrhythmia monitoring? Beat to beat heart rate? Averaged heart rate? PAC's & PVC's, afib?by GeorgeN - AFIBBERS FORUM
Quotegloaming You'd think a bright bulb at the ER would look over my year's history for clues, see that I had low K four/five months earlier when presenting for the same problem, and give me...oh, I dunno...maybe ONE of those tablets?! You'd think the first guys would have sent you home with a script for daily timed release K.by GeorgeN - AFIBBERS FORUM
Quotemjamesone What you may be thinking of is that mini-maze does not treat flutter, which is true. But the OP did not mention flutter as an issue, only afib. Problem is, MM causes it in many cases (as can ablation).by GeorgeN - AFIBBERS FORUM