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Atrial Fibrillation Support

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This is food for thought

fairgo45 profile image
24 Replies

go.clevelandclinic.org/dP0S...

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fairgo45 profile image
fairgo45
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24 Replies
BobD profile image
BobDVolunteer

I have been saying for many years that many EPs believe that early intervention by ablation stands the best chance of a successful outcome.

Kaz747 profile image
Kaz747

My EP recommends early ablation as outlined in this article. He said that often it takes a while for the correct diagnosis to be made and in the meantime many people, especially women, are treated for anxiety.

Buffafly profile image
Buffafly in reply toKaz747

😡😠

Aprilbday profile image
Aprilbday in reply toKaz747

“Especially women”?

Kaz747 profile image
Kaz747 in reply toAprilbday

Yes, I have read a number of articles/studies about the gender difference in both symptoms and the treatment of heart conditions. Next week I’m going to a presentation by a female cardiothoracic surgeon who has written a lot about this. I’m looking forward to seeing what she has to say.

Aprilbday profile image
Aprilbday in reply toKaz747

I didn’t think anxiety familiarizes with one particular gender, much like A-AFib itself. Equal opportunity misfortune. And some of the guys I know are real whimps about going to a doctor even. 🤣

Kaz747 profile image
Kaz747 in reply toAprilbday

I think that’s half the problem - women go to the doctor and say they’re having palpitations but unless it’s caught on an ECG they’re told it is probably anxiety and they are told not to stress or are given pills to ‘settle the nerves’. Many men don’t go to the doctor until things are really bad 👩‍🔧👨‍🔧

Aprilbday profile image
Aprilbday in reply toKaz747

That is it!!! Can’t wait to see what the female surgeon’s remarks on this.

Kaz747 profile image
Kaz747 in reply toAprilbday

Her book is great. “Can you die of a broken heart?” By Dr Nikki Stamp

drnikkistamp.com/can-you-di...

Buffafly profile image
Buffafly

Very interesting, good to have some up to date stats Hidden 😀

fairgo45 profile image
fairgo45

Kind of puts options in simple terms as well

Buffafly profile image
Buffafly in reply tofairgo45

I may have missed it but I don't remember any mention of Flecainide or Propafenone? Perhaps something to do with the beginning of the article which indicated it was referring to persistent AF for which Flecainide/Propafenone are not effective?

wilsond profile image
wilsond in reply toBuffafly

I think the drug underneath amdiarone is flecanaide under a different name maybe?

Buffafly profile image
Buffafly in reply towilsond

No, a Class III antiarrhythmic not available in Europe or Australia.

wilsond profile image
wilsond in reply toBuffafly

Ah!

doodle68 profile image
doodle68

The article states....

[quote “The best outcomes we saw were with patients who were ablated in the first year after they were first diagnosed with persistent AFib.”..............

Research suggests ablation improves symptoms for most patients with persistent AFib.]

Note the word 'persistent' there is no mention of Paroxismal AF .

RiderontheStorm profile image
RiderontheStorm

This was so correct for me. I actually wanted to hold off when my EP suggested it right away and try meds first. I did for a year and then Risked ablation at 80-85% success first time out. I still carry PIP and have adjusted my lifestyle and stress with living authentically. Only time will tell as the years roll on if It was a correct decision. *I was backed into a corner with more and more AF episodes coming more often so I made a managed risk decision.

fairgo45 profile image
fairgo45 in reply toRiderontheStorm

You made the right decision, you are lucky you had the ablation availability to go for, i would have jumped at it in those early miserable days

I first got A/Fib 14 years ago and in New Zealand they barely acknowledged A/Fib let alone Ablations.

As time passed and they became available i have had 3 Ablations now

They still did not fixed me completely but so much better than being on those antiarrhythmic drugs they hand out like sweets

Gincalpe profile image
Gincalpe

Interesting research - I am pleased I will be having an ablation within a year of diagnosis of persistent AF.

fairgo45 profile image
fairgo45 in reply toGincalpe

That's good to hear, I hope it's works well for you, keep us posted

Gincalpe profile image
Gincalpe in reply tofairgo45

Thanks

MarkS profile image
MarkS

This ties in with other research that shows that treating persistent AF is more difficult than paroxysmal AF. I had paroxysmal AF for about 15 years. My EP then said my time in AF was up to about 80% and heading towards becoming persistent, so I had my ablation then. Fortunately techniques had improved a lot over those 15 years and the ablation was successful.

Buffafly profile image
Buffafly in reply toMarkS

Snap!

fairgo45 profile image
fairgo45

That's great Mark caught it in time

May you stay that way forever

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