Norpace has anticholinergic effects or vagolytic effects and is believed to have better results with vagal AF. However, Norpace comes with pro-arrhythmic side effects and usually can not be prescribed on outpatient basis.
Long standing AF is AF that is continuous for a period of time, usually for one year or more. Success of the ablation depends on the degree of left atrial size. Being in AF for an extended amount of time can cause the left atrium to enlarge which makes attaining success from one procedure slightly difficult.
Any exercise is good as long as you keep listening to your body. The perceived level of exertion should be your guide. Do not push yourself when you are in pain or out of breath. You should be fine. Best wishes.
Paul, it is difficult for me give you an accurate response without having an echocardiogram results to guide me. I do not advise you to exercise beyond a heart rate of 140 beat/min. I am glad that the sleep apnea is under control since there is a strong correlation between AF and sleep apnea. I will be very happy to have a look at your echo if you wish to do so.
It is very true that AF can be triggered by GERD. And yes it is true that at Rhythmol may stop working after a while. Have you thought of the ablation route?
Your case unfortunately is not uncommon. I am glad you finally are free from the flutter and the SVT. Being in tachycardia for a long time may lead to heart failure and stroke. Please monitor yourself and consult with your physician if you have any prolonged episodes of those occasional arrhythmia's.
The EKG is a very objective tool of diagnosing AF. Some people has inappropriate sinus tachycardia or tachycardia triggered by stimulants which may be present in some medications.
Every person's triggers are different and so are the maneuvers which may stop their episodes. There is no one method that fits all. In some people sleeping on one side vs another my be a sure trigger for them.
Dr. Andrea Natale
Dr. Andrea Natale is a board certified electrophysiology expert and practices at executive medical director of the Texas Cardiac Arrhythmia Institute at St. David's Medical Center in Austin, Texas. Dr. Natale also is the Senior Medical Director at Pacific Atrial Fib and Arrhythmia Center in San Francisco. He visits MetroHealth in Cleveland, and Akron General, Ohio. He has pioneered a new circumferential ultrasound vein-ablation system to correct atrial fibrillation and performed the procedure on the world's first five patients. For further details Please visit :Link
Dr. Dhanunjaya Lakkireddy
Dr. Dhanunjaya Lakkireddy, MD, F.A.C.C, FHRS. is a board certified electrophysiology expert and practices at Mid-America Cardiology and The University of Kansas Hospital Clinics in Kansas City, KS, USA. He has several distinctions in clinical and research career to his credit and serves as an associate editor for Journal of Atrial Fibrillation.For further details Please visit :Link
Dr. Dhanunjay Lakkireddy, MD, F.A.C.C, FHRS, The Kansas City Heart Rhythm Institute (KCHRI), KS, USA.
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