Cheers Steve, on my way over there now!by mwcf - AFIBBERS FORUM
Steve, Came across these and - assuming you haven't see them before.... - thought you might find them interesting. Talking of which I'd be interested in your take on them - all a bit over my head but maybe you might see some useful info in there? The take-away for me? On one hand the whole electrolyte situation is so complex with multiple feedback everywhere must mean it's hardby mwcf - GENERAL HEALTH FORUM
Same story here Dean/Steve. Milk at school and at home and even 'recreationally' on top of that via loads of milk shakes that were 'all the rage' in the late 60s early 70s. I was still avidly drinking cold milk and having cereal with it every morning up until age 35 or so. To add insult to injury from age 25 or so owing to GERD (for which I drank more milk to 'sooth'by mwcf - GENERAL HEALTH FORUM
Seasonal greetings and all the best for 2020 to you too Peggy!!by mwcf - AFIBBERS FORUM
Hi Peggy, I took a read of that as soon as I saw your post. I agree highly relevant here. PC had 2 ablations in Bordeaux (PVI and a touch-up later) and as George says is doing well. I recall PC supplementing very determinedly with Mg for a year only to find he hardly moved his intracellular Mg levels upwards at all (he had an Exatest before and after the year of Mg supplementation). Thatby mwcf - AFIBBERS FORUM
Thanks for the clarification Carey. George, whilst I'd take a little loss in atrial kick in exchange for no or greatly reduced AF, any higher stroke risk where only a PVI (and little more than that) had been done would get my attention a little. Prof Jais said with my CHADs of 0 I did not need to continue AC indefinitely so I do not take it. But having read the post that I did and as perby mwcf - AFIBBERS FORUM
Saw this on a UK forum from a well-respected poster BobD BobDVolunteer a day ago If anticoagulation was one of the meds then I agree wholeheartedly. There is plenty of evidence that even successful ablation does not remove stroke risk. In fact the ablation itself can cause the internal surface of the atrium to change allowing pooling to occur . More and more people are advised to remain onby mwcf - AFIBBERS FORUM
Agreed TAF. Over the years I'd had rampant ectopics - as in as many as a couple of thousand singles and several runs (few seconds) of ectopics in a day certain that AF would show up at some point but it didn't. And occasions when I was having an excellent day-ectopics-wise and then BAM AF just starting out of the blue with no ectopics preceding it - and on one occasion I was actually feby mwcf - GENERAL HEALTH FORUM
I’ve read here many times that one hallmark of a ‘good solid’ ablation is a significantly elevated heart rate for 6-12 months after an ablation and that that is due not least to de-enervation of vagal nerves around the PVs. My HR only went up a few BPM and only for a few weeks after my Bordeaux ablation. Sam from Ireland who was also abated in Bordeaux around the same time as me also comments siby mwcf - AFIBBERS FORUM
Things sure have changed on this forum in the last 20 years. The main thrust used to be about trying to find out what causes LAF and alternative approaches were very warmly embraced by former mod Hans. Now it's increasingly ablation-focused. Not surprising given both mods here are very pro-ablation and to be fair with good reason. And ablation techniques and EP experience has improved a greaby mwcf - AFIBBERS FORUM
Wondering the same myself hwkmn05. Steve had vagally-mediated AF from age 50-58 but now following his low Ca intake and D3 supplementation regime has now been AF-free for 7 years since. Now absolutely no disrespect to the mods of this forum, but that certainly gets my attention from an AF perspective. I know George N here also closely manages his Ca intake to help keep him in remission AF-wby mwcf - GENERAL HEALTH FORUM
Great stuff Steve and many thanks for the further posts. Wolfpack is kind of on it I think in the sense that maybe the D3 (and for some folks at least K2) help direct the Ca where it SHOULD be going i.e. bones rather than letting an excess of it wash around ending up where it shouldn't be i.e. muscle tissue. As such, cutting Ca to 500mg or so AND taking D3 means that the 500mg one is takiby mwcf - GENERAL HEALTH FORUM
Great read that Steve. Well done you! I'm well over half way to your approach as it is, so might as well go all the way for the overall health benefits as well as to minimise ectopics (I still get a lot after my Aug 18 ablation in Bordeaux). You and me both AF history-wise i.e. always early hours attacks etc. even a cold draft on my neck in winter increases ectopics - I have always 99% fitteby mwcf - GENERAL HEALTH FORUM
QuoteGill afib is just too blatantly obvious in its irregularity for anyone even modestly trained in ECG interpretation to not recognize. Heck, it can be diagnosed without an ECG at all. It's almost always obvious just from palpating a pulse. Two ER doctors once told me that I was in AF after looking at my ECG. When my EP looked at it he said it was not AF but runs of many ectopiby mwcf - AFIBBERS FORUM
Carola, Sorry to hear that you are having issues. 12 years is good going keeping AF at bay though. When you say PCs you mean PACs, right? How long are the 'runs' you are experiencing? A few seconds? Or longer? But no AF so far as you're aware?? If you are returning to runs of flutter/AF longer than a few seconds, then I absolutely second the excellent advice from George, Carey andby mwcf - AFIBBERS FORUM
With a structurally normal heart Flec with Diltiazem is a good call by your EP until you decide to go the ablation route. I’ve read about plenty of folks for whom Flec has kept AF at bay for 20+ years with no adverse issues. That said, we’re all unique experiments of one and Flec won’t agree with everyone side-effect-profile-wise. I’d also add in my opinion Flec is deffo the way to go for vagal (by mwcf - AFIBBERS FORUM
Great write-up Ken and good to read. Many congrats and long may it last!by mwcf - AFIBBERS FORUM
QuoteGeorgeN And just as another FYI for everyone, this is a perfectly good thread topic above, but it is better suited to be posted in the General Health Forum rather than Afibbers Forum. I will leave i’m the thread where it is through the coming weekend and then I will move this thread to the General Health Forum with a link from this home page location for easy follow up with this topic forby mwcf - AFIBBERS FORUM
Just wondering..... I've lost weight this last year (42lbs - now 193lbs) ) and my partner says I now hardly ever snore. I definitely had SA issues 10 years ago when 264lbs as my partner then often noticed me struggling to breath at points during the night - as did I when I'd sometimes at its worst wake myself up not being able to breathe/gasping for breath. Never had a SA Study but fairby mwcf - AFIBBERS FORUM
Wow that's a helluva journey you've been on this last couple of weeks Lorraine! Massive respect to you for your positive attitude throughout! And what fantastic support from Shannon and Carey too. Fingers crossed that things settle down for you from here. Best regards, Mike F.by mwcf - AFIBBERS FORUM
Great to hear from you again PC - I have been missing those 'brain-cramp' posts of yours! Good to know you are doing well post-Bordeaux also - I headed there myself in Aug 18 and had a PVI by Prof Jais. After a couple of episodes of ectopics and bigenimy in the first couple of months all OK so far but fully prepared for a touch-up procedure at some point in the future. I still get qby mwcf - AFIBBERS FORUM
Sorry to hear this Sam. Particularly disappointing as you say as getting to the year mark AF-free usually indicates a successful first ablation procedure. That said, a couple of points. If I recall correctly your initial ablation was long (4 hrs) and difficult. Shannon told me before I had mine to expect to need two procedures and be grateful if I only needed one! Combining both of the aforemeby mwcf - AFIBBERS FORUM
If I recall correctly Prof Sabine Ernst (Royal Brompton in London UK) deliberately targets certain vagal ganglia as part of some of her procedures (subsequent procedures after previous PVI) - presumably where episodes have been vagally rather than adrenergically mediated. For PVI procedures, most ablatees report increased resting HR (10-20 BPM over pre-PVI) that typically resolves over 6 to 12by mwcf - AFIBBERS FORUM
QuoteKen Then there is the other extreme. No antiarrhythmics after ablation, only a blood thinner for a month (warfarin). No afib breakthroughs, no arrhythmias post ablation, just a calm heart for the last 11.5 years. But the Dr. did 60 burns in the atrium. He was good at finding the problems and burning where required. I have no other details about the actual ablation. If I recall correctlyby mwcf - AFIBBERS FORUM
It must be down to the individual Sam - I was at Bordeaux a month or two after you and even though I had a lot of Midazolam and a shot of Propofol for a CV I only had a few constipation issues for a couple of days and that was it. I recall yours was a long procedure: maybe all of the Midazolam you had combined with your particular system is the problem? Fingers crossed for the colonoscopy. Had onby mwcf - AFIBBERS FORUM
Lots of centres (including Bordeaux) don't give GA for AF ablation procedures - such as Propofol - at all. They use conscious sedation instead - such as Midazolam - and even this can cause fairly hefty constipation issues for a few days afterwards.by mwcf - AFIBBERS FORUM
50mg BID (twice daily) of Flec is a very low dose. The usual dose is 100mg BID (usual max dose 150mg BID). PIP of 100mg is IMO too low to be effective for normal sized males. When I used it as a PIP (before I started taking daily Flec) I used 300mg which so far as I’m aware is the normal PIP dose for a normally -sized male. IIRC George Newman of this forum uses a PIP Flec dose of 300mg. Whenby mwcf - AFIBBERS FORUM
HBK, Don't panic. What Shannon says! My report had exactly the same wording on the end - I just posted the mid section of my report - not the first para and last few short paras. They've never had an AEF at Bordeaux and they've done 10s of thousands of AF ablations of there from as far back as the early 90s. I too have read lots of stuff on folks having digestive issues poby mwcf - AFIBBERS FORUM
"After transeptal catheterization, the patient went into atrial fibrillation. PV isolation was performed using the contact force SMART TOUCH Catheter with the Carto system. We used high power (45 watts) short duration (7 to 20 sec) in combination with apnea. The 1st encirclement resulted in PVI on both sides. As the patient was still in fibrillation after PVI we also ablated the inferioby mwcf - AFIBBERS FORUM
Thanks for posting your report HBK. Agree strongly with George about tapering off. Presumably prior to your ablation you were getting regular AF episodes despite daily Flec - what daily dose were you on?by mwcf - AFIBBERS FORUM