Paroxysmal Atrial Tachycardia

Omigosh @ev11 every time I am in an ambulance with afib I desperately need to pee. Thanks for the explanation! It is actually one of the most difficult aspects of my episodes. Then I am in bed tied to monitors and have to use bedpans. Ugh!

Windyshores. I hear you. 👍

I have seen techniques where you gently stroke the ear lobes, or you can wash your face with cold water or immerse your entire head in cold water several times. Many get a prescription for flecainide and carry a PIP (pill in the pocket) to keep a bout of fibrillation short when out on the town.

I too have to urinate a lot when in AFib since i am basically asymptomatic sometimes that is the way I know. The worst is at night constantly waking up to go to bathroom.
I have tried all those natural techniques suggested in this conversation by others nothing works.
If you can find it see if you can find my post sent last month or so No Rhyme or Reason. Also I attached something about cause of frequent urination.

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!

Potassium/aldosterone dysregulation (featuring frequent urination): https://www.afibbers.org/resources/diurnal%20potassium.pdf

thanks for the article
quite a lot to digest no pun intended
Whenever i get a blood work up my potassium levels are good my last blood work up was february my level was 4.5 the normal range is 3.6 to 5.3. so i’m closer to the higher end. too much potassium can be bad and extremely dangerous so not sure if i should add more. As i have expressed to you and others this AFib is SO frustrating as in the title of my earlier posts No Rhyme or Reason. It appears at least to me almost impossible to game plan for it. As i have told you I am a very disciplined person (martial arts etc) and whenever presented with a situation particularly a bad one like to game plan have a strategy or system with AFib seems like that does not exist. Thanks again stay in touch!

Yes, C19-mRNA-vaccine-caused induced myocarditis leading to paroxysmal atrial fibrillation (AF) is infuriating!!! My life has been highjacked by it & by my preoccupation with finding ways to address, manage, & hopefully resolve my (still) paroxysmal AF. On top of the time & effort I am dedicating, I am spending a small fortune (worthwhile I believe) on technology (heart monitors--smartwatches plus a heat monitor that features a chest strap & two-lead sensors capable of 24/7 EKG recording, with machine-learnig software behind to flag & track normal vs. abnormal heart-rhythms as well as to measure, alert, & score heart strain, which helps immensely with my exercise routines--which I have had to dramatically scale back as I was "overexercising", & vagus nerve stimulators, etc.) & dietary supplements--which have helped me reduce my weekly Atrial Fibrillation Burden (a peer-reviewed scientific construct that is simply the amount of time the heart spends in AF over the total time measured, a statistic that only the Apple Watch measures)...(finally) after 8 consecutive weeks of increases!

I have learned so much from the Afibbers.org resource/Web site (the article above comes from it): https://research.afibbers.org/resourceslinks.

I am a confirmed admirer & follower of the now-deceased metabolic cardiologist, Stephen Sinatra. I aim to continue these lifestyle, dietary, & supplement interventions to reduce my AF Burden...down to the 2-3% level (11% & above is associated with increased risk for stroke).

In addition to the work of Stephen Sinatra, John Mandrola, Joel Khan, & even John Day, I am finding a number of other physicians (particularly within Functional Medicine) who espouse & practice one or another variation of metabolic cardiology....to address AF.

Yes, let's connect outside of this forum at some point.

Stay safe!

The Afibbers.org site i believe you turned me on to in the past. I always respected your holistic (or should I say Shoshin approach that I once sent a reply to you that I am aware what Shoshin is however you never responded to it😞). Regarding all the tech stuff I get it, however just having the Kardia Mobile device and walking around checking my pulse with my fingers is driving me crazy enough. Everyone tells me stop checking and live your life however I can’t and I’m drawn to the Kardia like a moth to a flame. And you know the flame kills the moth. I’m not being critical of your approach and methods many times I have complimented you on that topic. Like you my AFib is paroxysmal. However kicking and screaming I do take Eliquis to diminish stroke possibility. Whenever I go to the cardiologist or EP I always tell them if there is anyone who would like to TALK please feel free to give them my name and #. Of course it never happens. As I once suggested I’d be happy to give you my personal email and perhaps if you became comfortable we can then talk perhaps someday. And I would make the same offer to anyone on this Mayo chat site. Believe me I get it in this sick world you can’t be to careful. That’s why I push martial arts (thus my handle Krav Maga) Not to beat on people but if need be to hopefully extricate yourself out of a bad situation as well as the discipline etc. it brings in your life. I get so tired writing these long missives and so much is lost between the lines and in someone’s tone and annunciation. Let me know your thoughts. Feel Good!

Yes, Krav, I very much appreciated your recognition of my Dharma name (which I was given when I went through a Zen lay ordination process & ceremony)!

Note: I am working (& I work long & unusual hours as I have the latitude to work flexibly, which suits asynchronous nature of the work I do, which is primarily dedicated to the oversight of biomedical R & D)...so this will be brief (even if what I usually post does not seem "brief"...it is for me (my job as a health scientist administrator is to read, think, analyse, & advise).

Didn't know you were taking Apixaban ("Eliquis"). That's a road I am thus far unwilling to travel on (all pharmaceutical anti-coagulants, including thrombolytics). Rather, I take proteolytic enzymes, namely, lumbrokinase (Boluoke, which has a published RCT behind it), nattokinase NSK-SD (which has Japanese RCTs behind it), & serrapeptase, which evince slower-acting thrombolytic effects...without the adverse side effects so characteristic of pharmaceutical anti-coagulants (of all kinds).

Dr. Sinatra pioneered the introduction of....nattokinase to the US...many years ago--& prescribed it widely.

Now, on the subject of the progression--post onset (for whatever reason) of AF: Many incident Afibbers do NOT experience disease progression after onset--which is fantastic news. Some do (& American cardiology generally promotes the inevitability of disease progression in its justification for "interventional"--medical & surgical, cardiology.

As someone who spent a fair part of his life living in Continental Europe, I may well be biased in my preference for & admiration of European (vs. American) cardiology & protocols (see the video of Dr. Mandrola--above in another of my posts, where he references differences between American & European approaches). So I look to this European study, which is only one on record to follow longitudinally--without medical or surgical intervention, a large group off confirmed Afibbers to observe whether & to what extent...disease progression occurs.

Here's the URL to the study: https://academic.oup.com/europace/article/22/8/1162/5869098

Results: "Compared to the first 6 months, 111 (62%) patients remained stable during the second 6 months, 39 (22%) showed progression to longer AF episodes, 8 (3%) developed persistent AF, and 29 (16%) patients showed AF regression."

And on the important subject of AF Burden (which only the Apple Watch measures--& why I recommend to everyone that they purchase a new Apple Watch): https://www.afburden.com/ (parameters of afib burden).

As for exercise: I am a confirmed--but now scaled-back, devotee of the following exercise programs: Insanity, TapOut XT (which is MMA-themed extreme fitness) P90X, P90X2, P90X3, & Beach Body's T-25 (25-minute high intensity, body-weight with bands work-outs).

Just read a paper indicating that...HIIT workouts can result in arterial plaque clearing!

Finishing up this missive: How shall we exchange (for starters) email addresses (while preserving privacy on this platform)?

Stay safe (Arcturus & its evolving progeny are scaling up their evolutionary progression)--& cheers 🙂