Have you tried going very slowly with transitioning from lying to sitting, or from sitting to standing?by The Anti-Fib - AFIBBERS FORUM
"I play outdoor walking football" I assume that is European Football "Soccer" I wonder if American Football is played "walking"?by The Anti-Fib - GENERAL HEALTH FORUM
"Has anyone been able to find another strong pain killer which has a low enough risk of attacking the wall of the stomach? " I have sometimes temporarily taken Steriod Anti-Inflammatories in the past, like Prednisone or Hydrocortisone. They can also thin the blood to much, but they are not as much of a risk as the NSAID's. Also since the Napoxen work better than the Tylenol, tby The Anti-Fib - GENERAL HEALTH FORUM
I agree somewhat with the concept of getting into NSR, to see if he feels better. I also was in constant AFIB for a long period of time. I am relatively asymptomatic, but I do feel better in NSR. After you have been in AFIB for awhile, particularly if you don't know how long, you might not realize that you don't feel as well as you did in NSR. Perhaps substitute another Anti-Arrytby The Anti-Fib - AFIBBERS FORUM
There is much in your post to respond to, I will try to answer some of it, and others can add in more response. As for the Neproxin? Do you mean Naproxen Sodium?? That is a NSAID class drug, and is not advised for long-term use while taking Blood Thinners (Apixaban), as it can cause the blood to get to thin. Also, there is not alot of literature on this, but from my experience and researchby The Anti-Fib - AFIBBERS FORUM
These numbers/percentages come into play when figuring out if someone needs to be anti-coagulated or not, but again individual variability is at play.by The Anti-Fib - AFIBBERS FORUM
If they used a Bite Guard, they should have put it in before they pushed the Propofol. As you know they zap you pretty fast after your under. I have one of these, it has foam around it. It's about 1 1/4 " thick, so hard to get much force through momentum of mouth closing down.by The Anti-Fib - AFIBBERS FORUM
"Yesterday and 19 days ago I broke my front teeth during the ecv. I don’t know how because I was told they put a guard between my teeth. Also bad burns again. Lately my burns heal only to get zapped again." Some of the gaurds are hard plastic, if they even really used one. Try to get the kind with foam over the plastic. I take my own bite gaurds now (mouthpiece, bite block). Itby The Anti-Fib - AFIBBERS FORUM
This would be a good question for the Dr's and Nurses who are present at alot of ECV's. I have watched a number of ECV's on Youtube, and their eyes are open numerous times. From what I can tell the patients are kind of "out of it" and don't remember afterward, and sometimes they even speak right after the blast. I had this happen one time, and I think that even thby The Anti-Fib - AFIBBERS FORUM
Quotesusan.d The time to go to the Hospital for Electrocardioversion, is if you can't convert on your own, or it looks that way. Also by the time you went to the Hospital ER Room, even if they agreed to convert you, it would probably take 4-5 hours. I never waited that long. Before my first ablation I was a frequent ecv’er at the ER. I would be wheeled from the front to the triage andby The Anti-Fib - AFIBBERS FORUM
The time to go to the Hospital for Electrocardioversion, is if you can't convert on your own, or it looks that way. Also by the time you went to the Hospital ER Room, even if they agreed to convert you, it would probably take 4-5 hours.by The Anti-Fib - AFIBBERS FORUM
How often do you get episodes, and how long do they last? Are you able to control your Heart rate while in AFIB?by The Anti-Fib - AFIBBERS FORUM
I just remembered, their is a lag in the readings back to the CO2 machine of about 10 seconds or so, so a Blood-Gas test right after conversion would also be helpful, but I think this require being in the Hospital.by The Anti-Fib - AFIBBERS FORUM
George : So having a live recordable CO2 reading would even clarify things more? I have hospital grade CO2 machine, need to see if it records, then sync with live SPO2 which I have. Good job getting this recorded, its cumbersome for me to get all hooked up and monitored. My experiments show a rapid shift in increased CO2 is more conducive to conversion, as to effect change before the bodyby The Anti-Fib - AFIBBERS FORUM
Sotalol at only 40mg wiped me out for about an hour or so, I had trouble staying awake to drive, felt like passing out. 80mg x2 daily is the normal starting dose, never again.by The Anti-Fib - AFIBBERS FORUM
I see an increase in undisciplined arrogance in our society here in the US, including sadly in the healthcare field. Nurse says "Everyone will be getting Covid? What about the Vaccines?by The Anti-Fib - GENERAL HEALTH FORUM
I agree, call your Ablation Dr. asap. Otherwise, whats your HR? Oxygenation level? (if you have an Oxymeter). Also what are the dosages of your beta-blocker and calcium channel blocker?by The Anti-Fib - AFIBBERS FORUM
How long has it been since your last Ablation?by The Anti-Fib - AFIBBERS FORUM
How far below your armpits were the Pads? The idea to convert AFIB, is to get current directed across the Atria, not blast the lower Ventricles.by The Anti-Fib - AFIBBERS FORUM
I don't know about Lateral Placement causing SVT, but I do think from experience, and I have had even more ECV's than you Susan, that there is more room for error in the lateral placement vs front/back. Maybe they didn't get the Pads in the best spot the first shock, and then it required a second one. Also, both pads shouldn't have been both on one side, one should have beenby The Anti-Fib - AFIBBERS FORUM
My understanding based on research is that the max bolus dosage (PIP) is 300mg if your over 154lb, and 200 if your under that. However in clinical practice, the total daily 24hr dosage is 400mg for those with no cardiac structural issues (Lone AF), as some take 200mg X2 daily as a maintenance dose. Perhaps the research has recently changed. If your taking a bolus dose of 300mg to convert, theby The Anti-Fib - AFIBBERS FORUM
Are you asking about exercise while in NSR and you have had AFIB occasionally, or actually running while in AFIB? Your doctors answer makes more sense in your were actually in AFIB. I wouldn't worry if it was below 120, While someone is in AFIB, a fast HR makes filling the ventricles with blood hard to do. Atrial kick, or Atrial pumping is lost, so it takes longer for the ventricles to fiby The Anti-Fib - AFIBBERS FORUM
" When I called the EP department after my last conversation they said-- well you have an appt in December that is soon enough." That was someone in the Doctors office, not EP saying that right? I would re-contact them, otherwise if you go to the ER, be resolute that an EVC is needed.by The Anti-Fib - AFIBBERS FORUM
I haven't been in NLAMA's situation, but I have noticed that Diltiazem can really lower my HR. I only use it for rate control during AFIB, it works, but I only take 30mg of the short-acting formulation at a time, because my HR went down under 50 taking 45mg.by The Anti-Fib - AFIBBERS FORUM
How about Hydrocortisone cream?by The Anti-Fib - AFIBBERS FORUM
I looked into this before briefly, as with other drugs effecting the Heart, the risk of QT prolongation goes up with the dosage. At the normal dosage of 200mg X2/day, the risk is relatively low.by The Anti-Fib - GENERAL HEALTH FORUM
"Does a lower than usual BP while in AFib shows a weak EF ?" I am not aware of, or have ever seen anything written about low BP associated with low EF, but I have never looked into it. My own BP is lower during AFIB, but that is due to the rate control medication I take, Bystolic/Diltiazem, (these drugs are used to lower BP). Has your medication you take during episodes changedby The Anti-Fib - AFIBBERS FORUM
"So it seems to me it's still important to distinguish "Lone AF" from AF with CV comorbidities". I completely agree PoetKim. There have been some studies showing Atrial Flow is preserved while in AFIB if the the rate is controlled, and the ejection fraction is good, as the force of the ventricles contracting press up against the Atria, still creating flow. I want tby The Anti-Fib - AFIBBERS FORUM
I agree with Carey, at HR of 90/110 is too high cronically. One way or another it should be lowered.by The Anti-Fib - AFIBBERS FORUM
Has your medications or something else changed during this time?by The Anti-Fib - AFIBBERS FORUM