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No Rhyme or Reason to A-Fib

Heart Rhythm Conditions | Last Active: Nov 4, 2023 | Replies (36)

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@ggrulke

I am a new person to this chat room, am 71 YO and in good physical health (I live on 16AC and take care of most of it myself)... but I too have these random AFIB attacks. Mostly they were at night, but then a started wearing a CPAP and - although I may still be having them - it doesn't wake me up anymore. I've done everything I have heard might affect it, going vegetarian with lots of fresh fruits and veggies (although I ate a lot of that before, now just ramping it up more). I can't get any doctor to say what actually CAUSES AFIB. Lots of advice on minimalizing their frequency and length, but nothing on how it started in the first place (just 2 years ago). I also had a Watchman installed, which reduces risk of stroke AND gets me off of blood thinners (YAHOO!).
So this is all to say that I will read your posts looking for any new idea, and of course post myself if I find out something new.

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Replies to "I am a new person to this chat room, am 71 YO and in good physical..."

Thanks for your reply happy to hear watchman is working out for you. Agree that you can’t get a definitive answer on what may cause your afib. For me which i explained in detail in some earlier post (not sure if you can reference them however please try) I believe the first covid booster shot did it to me.

The fact is that science & medicine (which is rightfully termed "the medical arts") have NOT identified...the cause of atrial fibrillation. And all the blather about atrial fibrillation being a predictive predicate for ischemic stroke...is NOT based on controlled evidence-based study (but that doesn't stop Kardia mobile from hawking its product by striking fear of stroke in the hearts of everyone experiencing atrial fibrillation).

I heartily recommend the work of John Mandrola, M.D. & board-certified cardiac electrophysiologist. He is not only a clinician but also a physician-scientist, actively engaged in research (which makes a very big difference).

He is very critical of what he terms "dogmatic cardiology" & advocates alternatively what he terms "conservative cardiology," which eschews the widespread & indiscriminate practice/use of medication & surgeries, including the standard/dogmatic surgeries for...afib, which are NOT predicated on data from studies with controls or so-called sham comparison groups.

As it stands now, we have no definitive controlled studies documenting the efficacy of cardioversion, ablation or worse... for addressing/resolving atrial fibrillation. Witness: Why so many cardioversion & ablation patients experience atrial fibrillation rebound following the procedures.

But those procedures are the bread & butter of conventional cardiology practices in the United States. One is tempted to question the extent to which medical decisions by clinicians, including & especially cardiologists (well represented in the 1-3% income bracket), are influenced by uncritical/reflexive recourse to medical procedures with a long history of unquestioned third-party (read: health insurers) reimbursement (note: when there is no outcome data supporting their long-term efficacy).

I encourage everyone to spend some time on Dr. Mandrola's Web site: https://www.drjohnm.org/about/.

Dr. Mandrola works at Baptist Health in Louisville, KY & presents widely at scientific conferences & other venues. In addition, he is an editor/chief cardiology correspondent for Medscape.

Btw: He does telemedical consults too.