edwardmitch
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edwardmitch, December 27,  2020  7:44pm EST

possible catheterabliation

within the next 6 months may do a catheter ablation.i get it off and on and had several shock treatment...plan on going to Portland Oragan to the OHSU (Oragan Health and Science University) hospital entering new territory to say the least and navigating come home well it's a job..I exercise 5 to 6 days a week..taking anticoagulant Pradaxa and blood pressure med. this afib messing up my exercises am a runner nough said I just feel down..worried about procedure cost after care etc I got Medicare A and B plus Tricare and with all this I still read doc Google to much ..I worry to much..But am grateful and feeling down hope all this makes since..just want to say am blessed hope xmas was good and lord knows hope 2021 is a whole lot better.thank you..All.or any in put from my new community will be most appreciated..,Edward a bit depressed in Thailand but coming home soon I hope

5 Replies
  • Thumper2
    Thumper2, December 28,  2020  9:13am EST

    Edwardmitch, I'm glad to see that you are considering having an ablation for your AFib.  Ablations (done by an EP who has done hundreds of them successfully) are the closest thing to a "cure" that one can have for AFib.  I hope you will read the advice and comments recently posted here for others.  Glad you're taking Pradaxa and that you recognize the negative role that anxiety plays in AFib.  It is ironic that so many folks who exercise regularly go on to develop AFib!  That doesn't mean to stop exercise but perhaps to moderate a bit (ask your EP).  Keeping hydrated is also a "must."  I hope the cardiology clinic at OHSU has a good history on doing ablations.  As others here have said, ablations are generally not difficult procedures.  Hang in there, and let us know how things are going.   And have a Happy New Year!

    Thumper2 (Judy)

  • MellanieSAF
    MellanieSAF, December 28,  2020  12:30pm EST

    For clarity, the reason athletes have a much greater risk of afib (I've seen numbers such as five times greater risk) is due to atrial stretch. The high volume of blood pumped through at a slower heart rate stretches the heart and creates scar tissue (called fibrosis). Some doctors recommend detraining when athletes get afib whereas others suggest moderation. We know that there is a hockey-stick effect for exercise - too little and too much are both bad for you. The sweet spot appears to be (this is still being researched) at about 5-7 hours per week of exercise. Dr. Rachel Lampert and Dr. Mark Link have discussed this in detail during their presentations at our StopAfib.org patient conference. You can access those presentations (for free) in the StopAfib.org Library (https://stopafiblibrary.com

    Mellanie

    Disclaimer: While MyAFibExperience.org is a co-sponsor of the StopAfib.org patient conference, StopAfib.org is solely responsible for the content of the conference. The American Heart Association/American Stroke Association has not reviewed nor approved the conference content (though Drs. Link and Lampert are AHA volunteers).

  • bfboca
    bfboca, December 29,  2020  12:00pm EST

    Hi Mellanie.  Re: exercise sweet spot.  5-7 hours per week of exercise is the sweet spot?  Good grief, that is not even 10,000 steps per day.  I'm actually wondering if you meant 5-7 hours per day.  I certainly don't consider anyone an athelete, including me, that does 10,000 steps per day.  Can you please discuss this subject a bit more.  Thank you.  Bob

  • MellanieSAF
    MellanieSAF, December 29,  2020  12:28pm EST

    Bob,

    Yes, that is the exercise sweet spot - about an hour a day - at least that is what the research had shown. That is why I suggested the two presentations at past patient conferences because they cite all the research. I'd encourage you to watch those videos. I believe Dr. Link was 2015 and Dr. Lampert 2016. There have been many other discussions of the research on that topic since, such as in talks by Dr. Emelia Benjamin, Dr. Mina Chung, Dr. Frank Marchlinski, etc. All are AHA volunteers. In fact, Dr. Chung chaired the writing group for the recent AHA statement on "Lifestyle and Risk Factor Modification for Reduction of Atrial Fibrillation: A Scientific Statement From the American Heart Association", which you'll find at: 
    https://www.ahajournals.org/doi/10.1161/CIR.0000000000000748 (check out the Physical Activity section).

    Mellanie

  • depotdoug
    depotdoug, December 29,  2020  12:33pm EST

    I am on it. I mean checking out  Lifestyle and Risk Modification statement you just provided. 

    Yes, I'm trying hard to up my 2 hrs/ day to more. But I better read review what Dr Mina Chung says 1st.

    Doug

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