Carey said: "It's impossible to distinguish between flutter and SVT based on just an ECG, so don't expect your EP to be able to answer that question" I am thinking with a legit 10 or 12 lead ECG, one should be able to count the P waves to differentiate between SVT and Flutter, although at a HR of 150 the Flutter would be at 2:1, not as easy as seeing Flutter at 3:1, or 4by The Anti-Fib - AFIBBERS FORUM
It sound like you need a short acting rate-control drug on hand to slow down your HR during events. The metroprolol you have is extended release, you probably should have the short acting kind on hand, to help control your HR, at the onset of an event. As for the Flecainide, it would be better to get your HR slower, before trying a high dose of the Flec. If you haven't tried PIP yet,by The Anti-Fib - AFIBBERS FORUM
I am a repeat customer of theirs. I have had to put pressure on them in the past to to this, but know as long as I get in contact with Lady that has been there awhile, they let me do it this way: 1) Get my Dr. to write an Rx for the EXA test, (the diagnostic code is for Atrial Fibrillation for Ins. purposes) 2) I send the Rx to the EXA test office in Oregon the Rx, and they mail me the Kit.by The Anti-Fib - AFIBBERS FORUM
The steriod eventually goes throughout the whole body after awhile, so it carries the same risks as oral steroids, probably to a lesser extent though, depending on where it's injected. You could ask for a low dose the first time around to see how you react. Some medical professionals say that the drug just stays in the joint, others recognize it doesn't. Having used many Steroids boby The Anti-Fib - AFIBBERS FORUM
What would be a good starting dose?by The Anti-Fib - GENERAL HEALTH FORUM
"Metoprolol and diltiazem aren't antiarrhythmics, so it's no surprise they didn't work as a PIP. They'll keep your heart rate down, but they won't put you back in normal rhythm." I think he meant he used Flecainide PIP, along with first Metropolol then Diltiazem to protect against the risk of 1:1 Flutter.by The Anti-Fib - AFIBBERS FORUM
A side effect of the Flecainide is Atrial Flutter. Did you ever have Flutter before you increased the Flec dose? I reduced my daily dose, then stopped taking Flec except for use during AFIB conversion, because of the propensity for Flutter. Others have similar issues. It sounds like your OK now if you went from AFIB to AFL to NSR. Flecainide works that way, it converts AFIB to AFL, then to Nby The Anti-Fib - AFIBBERS FORUM
I agree with Keeferbeefer line of reasoning here. If you are most likely to self-convert, that is the safer way to go. There is a risk of the shock/blast knocking a small clot loose from the walls of the heart during ECV. Also a small chance the Hospital (ER I presume) would make a mistake administering the procedure/anesthesia. The decision to ECV, would be if you had gone past your normal cby The Anti-Fib - AFIBBERS FORUM
She can send them/take them to her Nurses/Doctors for analysis.by The Anti-Fib - AFIBBERS FORUM
Liz: I thought that since you were able to convert on your own for all of those years, that it was a good indicator that you could maintain NSR again, and that giving it one more shot was worthwhile. Of course the Covid thing and all complicates this decision. I do know of 4 people now who were in the Hospital for other stuff, and never got Covid from being there. "would being in AFby The Anti-Fib - AFIBBERS FORUM
It's AFIB triggered at least in part by acute adrenal suppression (low cortisol) resultant from the Corticosteriod withdrawal . I believe this happens much more than the Medical establishment realizes. It is controversial about the the need to taper off of these Drugs, and obviously individuals are different in their physiology and reactions. However I firmly believe that both Doctors andby The Anti-Fib - AFIBBERS FORUM
There was a Guy from Denver that used to post, and talked about extreme reactions to these Steroid Anti-Inflammatories (Corticosteroids). It sounds like your too sensitive to take Corticosteroids at a therapeutic level. If you did take them, Hydrocortisone, which is 1/5th as potent as Prednisone may be an option. You are getting the reaction right as you are taking them right? and not afterwby The Anti-Fib - AFIBBERS FORUM
A way to tell would be by monitoring your HR as you move around. If in NSR, your HR will fluctuate gradually between around 60-100 depending upon activity. If your in AFL, there will be a static reading. The AFL rate may change, but it would be at intervals, depending upon the conduction ratio. For example, when I was in AFL, my rate varied at the following intervals: Sleeping : HR 4by The Anti-Fib - AFIBBERS FORUM
Thanks George, also I am wondering, how does he know the ketogenic diet and fasting was responsible for the increased ejection fraction? Could have been other factors like weight loss or better rate control.by The Anti-Fib - AFIBBERS FORUM
I also found Bystolic to increase Ectopy/PAC's. Is Tom Seest a regular exerciser, does he fit into the VMLAF category?by The Anti-Fib - AFIBBERS FORUM
QuoteLorraine Have you asked your Doctor for an alternative to Metropolol for rate control? Why take it if it does not lower your HR, and causes low BP? Perhaps another Beta-blocker or a Calcium Channel Blocker might work better? Good question. No I haven’t, but I will. In conversation with Shannon a few days ago, he said that a combination of a low dose beta blocker and a high-normal dosby The Anti-Fib - AFIBBERS FORUM
Have you asked your Doctor for an alternative to Metropolol for rate control? Why take it if it does not lower your HR, and causes low BP? Perhaps another Beta-blocker or a Calcium Channel Blocker might work better?by The Anti-Fib - AFIBBERS FORUM
I am taking 100mg Lorsartan also. I have no noticable side effects. I do not even know if it is doing much good even at the100mg. I will stop taking it, and see what happens. My BP also goes up the afternoon. My readings are 145-155/95-100 during the afternoons. The only thing that I have found that works is hard exercise session in the swimming pool. (swimming/running). Then it goes down tby The Anti-Fib - AFIBBERS FORUM
I need to recheck this before leaving home, and then getting out of my Car in the parking lot. It was 115 as I was walking onto the gym floor. I have noticed also higher reading just as I start a Hike, then it drops down 10-15 BPM.by The Anti-Fib - AFIBBERS FORUM
My last HR last night was 115 going into the Gym and walking around, dropped to 95-100 during Cardio using stair machine, then dropped more still to 85-90 during weight training with little to no rest between sets, and afterward stayed around 90 for 4 hours. After this sitting down it was 75, and went down to 58 as I sleep later on. Paranormal cardiology? HR also slightly lower when I hike ifby The Anti-Fib - AFIBBERS FORUM
NLAMAF: You've sort of already did C. right? Exatest result? Re-anylyze.... If Mg is low (probably), then B., or alternatively D. then B.by The Anti-Fib - AFIBBERS FORUM
George: Which Oura tracking ring do you use? I guess for just keeping track of HR and SpO2 levels a cheaper one would suffice. I am seeing them as low as $25 on Amazon.by The Anti-Fib - AFIBBERS FORUM
George: How do you know the Oura Tracking ring is accurate for tracking deep sleep? Is there a brand you can recommend? Also after you exercise, how long does it take your HR to go back to normal? Mine has been staying elevated until 3-4 hours post exercise. I don't think it was like that in years past.by The Anti-Fib - AFIBBERS FORUM
PC MD: During the height of the Covid Lockdown, I went on a 3 hour Desert Hike of 3 miles RT and around 1,200 Ft elevation change. The next day I got 2 separate cramps within several hours in my right Calf, and left upper Trap/Neck area. They were horrible making me almost completely immobile. Never had anything near this bad as far as cramps. Thought about going to the ER Room, but Covidby The Anti-Fib - AFIBBERS FORUM
Thanks George and PC. Wow George you have a good memory as to what was written 15-20 years ago. PC, have you tried the CA reduction protocol to see if it reduces your PAC's?by The Anti-Fib - AFIBBERS FORUM
George: Does Steve's Ca reduction protocol effect ANS, as far as less issues with VMLAF?by The Anti-Fib - AFIBBERS FORUM
Yes, Tales of the Covid Crypt Elmhurst Hospital, House of Healthcare Horrors This Nurse may be embellishing and exaggerating. This a Doc rebutting her videoby The Anti-Fib - GENERAL HEALTH FORUM
PC, MD: Have you ever thought of, or do you know any literature talking about a link with VMLAF being triggered in part by acute hypocortisolism, or adrenal suppression?by The Anti-Fib - AFIBBERS FORUM
Do you happen to have a ferritin level? I only had that tested once, back in 2013, it was 143.by The Anti-Fib - GENERAL HEALTH FORUM