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Sep 23, 2019 · AV node ablation in Heart Rhythm Conditions

Thanks @exboater I agree that triggers do exist for the majority of afib sufferers, particular those for whom there are no underlying structural causes such as rheumatic heart disease and multiple valve surgeries or even heart attacks etc. It is however very likely that afib comes and goes for some of us regardless of what we do or not do. I happen to be in this category ;-( One learns a lot when dealing with it for over 20 years….
Glad to hear you have no issues with your pacemaker and that it is helping to keep you in sinus. It is still option #5 for me, thank goodness.

Sep 22, 2019 · AV node ablation in Heart Rhythm Conditions

@1943 Hello — I have not had this but it is #5 on the list of options presented to me by my EP to treat my Afib. If your doctor has suggested this I would definitely get a second opinion. The thought of going through a procedure which is not reversible and what some describe as a 'nuclear' option was very unappealing to me. I was told that it works very well for a lot of afib sufferers but there is a chance it will not. Fortunately, it is #5 for me and very much down the road. I did do some research on the pacemaker that would be installed and posted on some forums asking about it. No one seemed to know anything about it and how it well it works. Hope this is helpful but really it depends on your particular situation. All the best. Mary

Sep 20, 2019 · Aortic Stenosis & Valve Replacement in Heart & Blood Health

I read this post with great interest, having had 3 valve surgeries in the past 50+ years and doing very well. Then I realized the original post was from 2016. I do hope that @divmercy is doing well.

Sep 5, 2019 · Dofetilide (Tikosyn): adjusting dosage in Heart Rhythm Conditions

@maryrohrer1 All the best on your ablation tomorrow..

Sep 5, 2019 · Dofetilide (Tikosyn): adjusting dosage in Heart Rhythm Conditions

I guess it comes down to tradeoffs. I was terrified of taking amiodarone for years until I started having episodes that were really intolerable. At that point, you just want it to stop and since amiodarone was the only thing that worked so I just learned to live with my fears. I think with everything there are exceptions, such as the 92 year old who took it for 20 years. Generally though the heart's electrical system somehow finds a way to break through and it's only a matter of time when the drugs stop working — meaning you will have episodes. Whether you will have fewer is another question and an interesting one. For some reason I never really considered that possibility. Most of us would rather not have any, or just short ones that convert on their own. It also depends on how you feel during an episode. Going on amiodarone is a big decision and even though I had no adverse side effects I do not plan on starting it again anytime soon. I would rather opt for a 3rd ablation if it came to that.

Sep 3, 2019 · Dofetilide (Tikosyn): adjusting dosage in Heart Rhythm Conditions

It's great to see that dofetilide is working for you and all the others. I just wanted to add that all anti-rhythmics stop working eventually and one learns to be happy for the time that it does. Both dofetilide and sotalol are notorious for causing QT prolongation — something to avoid at all costs hence the initial loading at the hospital. Unfortunately I did not pass that test years ago when they tried it. Now that I've had a number of ablations they want to try sotalol and see if that works. It's a long shot but a few days stay in the hospital is a small price to pay. A lot of drugs have scary side effects but the scariest of them all is amiodarone (or Vitamin A as they call it) It is highly toxic but also the only drug that worked for me after I had tried all the rest. And yet I took it for 6 years or so before it stopped working. I just had to have frequent monitoring of liver, thyroid and lung function. As for cost, I am astonished to hear how expensive the generic version can be for some drug plans — glad there are alternatives. Otherwise I would look for a better drug plan and switch.
I did have open heart surgery to replace 2 valves and fix a 3rd one… it was no picnic but I really didn't have a choice. I am also on metoprolol and am hoping it helps keep me in sinus since I am not taking anything else. I was fine for about 14 months after my 2nd ablation, was cardioverted, which only worked about 6 months. I am quite happy with cardioversion at 6 month intervals but my EPs feel I should give sotalol a shot so will do that next time I have an episode. Has been quite a journey.

Aug 22, 2019 · Recipes, Food Tips, Healthy Eating & More in Just Want to Talk

Lentils expand like crazy so I would not use the whole pound at once, Here is a simple NY times recipe for 4 that only uses a cup — one of my favorites. You can always add some kind of meat to it but it is very flavorful on its own. All lentils cook like pasta – the idea is to simmer until soft and that usually takes about 20 – 30 minutes. You can either puree or leave whole – have it really soupy or thick like stewy, entirely up to you. Flavoring comes from onions, carrots, garlic, fresh or canned tomatoes and spices like curry powder, cumin or even chili powder and a dash of turmeric if you have it. Here's the recipe.