Makes sense SteveCarr - thanks for your views.by mwcf - AFIBBERS FORUM
Thanks George, They won't let me donate blood here in the UK as I've a history of AF. Noted about the inflammation. After having faffed about half-doing the keto, I'm now on it for the last 6 days and am going to keep going. The Ca issue still remains though, but who knows eliminating carbs might even rebalance that to some small degree. This keto thing is tough! Evby mwcf - AFIBBERS FORUM
I'd like to supplement with D3 but am concerned given my genetic tendency towards I high IC Calcium and low IC Mg levels. I also find Mg supplementation difficult as bowel intolerance arrives very quickly and persistently. I also tend towards high ferritin (200-400 historically). A tricky one!by mwcf - AFIBBERS FORUM
Wise words wolfpack. As always! Cheers from over the pond, Mikeby mwcf - AFIBBERS FORUM
Agreed Carey: if there's a scale of 0 to a 100 with 0 being can't be bothered to make any effort at all and 100 being total unswerving cast iron intellectual and physical determination and adherence to a thoroughly researched protocol, then George sits at around 150!!by mwcf - AFIBBERS FORUM
Very hard to pin down what remodelling further to a <24hr episode of AF actually is. To my mind remodelling - whatever it actually precisely comprises - is more likely to be what happens many years of PAF and/or a few months of persistent AF. Yes I appreciate what all the literature out there says, but the reality is nobody really knows exactly what remodelling really is (and to what extenby mwcf - AFIBBERS FORUM
Even though I don’t personally have any direct experience with AN, what I can absolutely irrevocably tell you after 20 years on this forum is that he is absolutely top tier and then some. EDIT: in fact, just click on this: <;by mwcf - AFIBBERS FORUM
What Carey says (as pretty much always!)by mwcf - AFIBBERS FORUM
QuoteIDbill Please inform me: what is an "index" ablation? I see many have used this term. Does it have some uniform medical meaning, or is it variously being used subjectively? Index primarily meaning 'first' ablation procedure. This typically takes the form of a PVI only unless adenosine (after PVI) still precipitates AF when the EP will look for other problem (ectopic/irby mwcf - AFIBBERS FORUM
Index PVI ablation by Prof Jais at Bordeaux Aug 2018. A 20hr bout of bad ectopics 3 weeks after (that sorted itself out unassisted) - after overdoing it really straining and twisting to try and unloosen a corroded valve with one wrench in each hand in the very back of a low cupboard. Still quite a lot of ectopics but less than before. I still feel some faster NSR with high HRV along with ocby mwcf - AFIBBERS FORUM
QuoteGeorgeN George, Back in the old days, you were among those from whom I learned good stuff. I recall that you were an endurance athlete and continued doing stuff, albeit at lower intensity. I too take lots of magnesium - 1.8 grams daily - and tolerate fairly well. but I'm intrigued by the Jigsaw slow release, which advertises better absorption and less digestive mischief. Do yby mwcf - AFIBBERS FORUM
Thanks for the replies guys. "but for those who were successfully ablated I assume then magnesium or calcium doesn’t play much effect any longer. " The ablation hopefully cures AF as a symptom but the problem itself remains.by mwcf - AFIBBERS FORUM
When I had an Exatest in 2010 the results were pretty grim at 31.8 for Mg and 7.0 for Ca (reference range 3-5). My doc here in the UK indulged me in MgSO4 IM injections (albeit only once-weekly) for 20 weeks in addition to which I supplemented heavily with Mg to bowel tolerance and still no let-up in ectopics. My own AF is familial on my mother's side and I'm convinced that the weakby mwcf - AFIBBERS FORUM
As an aside, how much does Exatest cost these days?by mwcf - AFIBBERS FORUM
Profs Pierre Jais and Meleze Hocini at Bordeaux.by mwcf - AFIBBERS FORUM
I was as worried as hell about coming off Flec for 5 days pre-ablation (and that after having taken it daily for ten years....) and no problems at all.by mwcf - AFIBBERS FORUM
Sorry to hear about your BiL's troubles. Ditto what Carey and wolfpack say above. Hoping you get a handle on all of this soon.by mwcf - AFIBBERS FORUM
"Later, wide area circumferential ablation that disconnects the PV two by two became the strategy of choice. This technique is thought to have better results (Lo et al., 2007) by targeting the trigger sources and the ostial drivers and also by autonomic denervation (Redfearn et al., 2007)." Given how many folks who've had a PVI that has been successful in terms of preventing AFby mwcf - AFIBBERS FORUM
They wont let me give here in the UK with a history of AF.by mwcf - AFIBBERS FORUM
George, Does beet root powder need to be used raw to get all the benefits or is it just as useful if used in cooking? Thanksby mwcf - AFIBBERS FORUM
Vitamin D increases Ca absorption. For you (and me) that means more Ca and less Mg in cardiac cells = irritability in the form of ectopics.by mwcf - AFIBBERS FORUM
I've always been under the impression that high levels of Ca inside the cardiac cells increased rather than decreased PACs/arrhythmia, and I'm not sure how increasing serum levels of Ca would help with that!. Moreover, George N found that reducing (rather than increasing) Ca went a long way towards reducing his AF.by mwcf - AFIBBERS FORUM
From the article referenced by the OP: “Arrhythmias may also respond to taurine because it dampens activity of the sympathetic nervous system” Does this contraindicate taurine for vagal AFrs?by mwcf - AFIBBERS FORUM
Thanks Carey. One thing still baffling me.... given your earlier comments that a CT would reveal the presence of any thrombus, then anyone having a CT for mapping purposes would not need a TEE? If a MRI can also see if a thrombus is present and is also required for mapping (i.e. as an alternative to CT), then why does anyone need a TEE if they're getting either a CT or a MRI for mappingby mwcf - AFIBBERS FORUM
QuoteCarey A CT scan can detect a number of things but the sole purpose of a pre-ablation CT is to provide an anatomical map for the mapping system they use during the procedure. Carey, you posted earlier in this thread: "The data from the CT scan is fed into their mapping system so it will have a precise anatomical map of your heart. It's absolutely essential to an afib ablation. (Fby mwcf - AFIBBERS FORUM
In my 20 years of PAF I have always found lying on my left to increase ectopics and runs of ectopics. In the few weeks after my ablation any short runs (up to 10 seconds) of ectopics in bed always occurred on my left side that could always be pretty much (thankfully) terminated as soon as I turned over onto my right side. Definitely a strong correlation for me. That said post-ablation (now 5 montby mwcf - AFIBBERS FORUM
QuoteMSA Digoxin is most certainly still widely used - here in the UK anyway. So lots and lots of our doctors obviously never read a med journal. I was actually threatened by an Accident and Emergency doctor that I would be evicted from their hospital if I didn't agree to taking it. I left willingly. Subsequently a private consultant cardiologist at a famous London chest hospital told meby mwcf - AFIBBERS FORUM