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Paroxysmal Atrial Tachycardia

Heart Rhythm Conditions | Last Active: Jun 8, 2023 | Replies (54)

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@gloaming

I advise you to google 'Vagus nerve and AFib' and read up on how that important nerve can help you to minimize the onset of AF.

Atrial fibrillation is the same thing as atrial tachycardia. A rapid, uncontrolled, heart beat. If it is paroxysmal, that is the best kind of AF to have. When it becomes persistent or permanent, it becomes essentially untreatable except by ablating the AV node and installing a pacemaker. So, paroxysmal is good...or the best kind if you have to have AF.
It's a progressive disorder, so stay on top of it. It won't kill you. Seriously, you won't die from tachycardia unless it is untreated and persistent for days and weeks. Yours comes and goes, so the heart doesn't suffer any real damage. My message is that, since it will progress from here, you should consider consulting an electrophysiologist as soon as you can see the best one around, and see about getting a catheter ablation. It might not be indicated in your particular case, but you want to know exactly what your options are, especially if you'd like semi-permanent relief and as little anxiety and intrusiveness from the disorder as you can pay for.

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Replies to "I advise you to google 'Vagus nerve and AFib' and read up on how that important..."

Paroxysmal apparently does not always progress. It hasn't for me. But mine are infrequent.

Let's be clear: There is NO established understanding of what causes incident/onset atrial fibrillation. Moreover, there are NO established cures, medical or surgical, for atrial fibrillation (& that includes...catheter ablation: virtually everyone who has catheter ablation experiences post-ablation relapse of atrial fibrillation; & cardiologists are only too happy to follow-up the first ablation...with a second & a third, which is often the case...as the atrial fibrillation almost always returns; at $80K to $90K per catheter ablation, one can readily understand the attraction interventional cardiology in the form of catheter ablation--which takes about an about and 50 minutes to complete, might have for many cardiologists).

Note: Many electrophysiologists agree that ablation for AF is beneficial in some cases but disagree about when this invasive procedure should be performed in the trajectory of the patient's condition.

So I turn to someone, a cardiologist, who has pioneered the Conservative Medicine Movement (you can read their declaration in "The American Journal of Medicine;" see below for link to full declaration), John Mandrola (an electrocardiologist), on the subject of addressing...& more importantly...managing atrial fibrillation (with an unacknowledged nod to now-deceased Dr. Stephen Sinatra): https://www.drmcdougall.com/education/lectures/john-mandrola/ (a short video).

When considering incident AF (including my own, which was caused by the booster C19 mRNA vaccine, following incident myocarditis), three concepts/words come to mind...LONG before I will ever consider...interventionist cardiology: Lifestyle, diet, & supplementation.

Here is the URL to Dr. Mandrola's Web site: https://www.drjohnm.org/about/. His Web site includes links to all of his published research & articles on Medscape.

Worth noting that Dr. Madrola is a...physician-scientist, which makes a very big difference in understanding & epistemology (scientists create knowledge; physicians consume/apply it) & is Medscape's Cardiology editor (he also pens a monthly column on cardiology & cardiological research for Medscape).

Here's "The American Journal of Medicine" declaration on Medical Conservatism, which I surmise to be in no small part inspired by what he has observed in...rising tide of interventional cardiology: https://www.amjmed.com/article/S0002-9343(19)30167-6/fulltext.

All the best!