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Re: Re: Second Ablation

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Tnaks for the info. Can you get us an address, phone number, etc?

A-FibFriendSteve

Re: Second Ablation

> Can you expand of where you had your ablation and who done it in

London.

Thanks for the comments . I had both ablations at the London

Bridge Hospital (next to Guy's and St ') by Dr Jaswinder Gill.

A brief 15 min run of afib this morning but otherwise, remaining in

NSR with the odd ectopic.

>

>

**********************************************************************

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Hi Bob

What happens when the heart re-models itself.

.

Re: Second Ablation

- certainly ,

I was treated by Dr J.S.Gill at the London Bridge (Bupa were paying).

He normally works at Guy's and ' Hospital for his NHS patients.

He is very conservative in his assessment of what success he can

offer and is a delight to consult with.

You may have caught my post about a month ago where I saw him again.

He is keeping me on Sotalol and Warfarin until ablation plus four

months to allow my heart to re-model itself.

Now two months in NSR and counting!

Bob

> HI Bob, can we have the name of the Dr and the Hospital you

> were in. Its seems very difficult for Uk patients to find out

> who and where to go for help.

>

> C Uk

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Hi Christian,

this depends on a few things. I use to travel a lot and I was

once in Blackpool and I had an attack , I went to the local

hosptial there and to be honest they were no interested.(This

was when I was first dianosed with AF and did not know much.)

I would suggest the following.

Go to hospital if you heart rate becomes very fast for a long

period of time. Fast depends on your usual pulse rate.

Go to hospital if you get pains in your chest or left arm.

If you get short of breath.

If the dr tells you that after a certain amount of time in AF

you need to go the the hostpial.

this is the way I played it, I use to get lots of chest pains

when taking Amiodarone, it was like a brusing of the inside

of the chest, I got use to it in the end. It was very

frightning at the time though!!!.

C

>

>I am a new member. As part of my job, I travel to

>London a lot (once a month). If I ever have a problem

>with an a-fib attack or need to see a doctor, what is

>the best approach? Walk into a hospital? Walk in

>clinics? Any advice?

>

>Christian

>--- john codling wrote:

>>

Codling

Hornchurch Essex England

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Hi Christian,

this depends on a few things. I use to travel a lot and I was

once in Blackpool and I had an attack , I went to the local

hosptial there and to be honest they were no interested.(This

was when I was first dianosed with AF and did not know much.)

I would suggest the following.

Go to hospital if you heart rate becomes very fast for a long

period of time. Fast depends on your usual pulse rate.

Go to hospital if you get pains in your chest or left arm.

If you get short of breath.

If the dr tells you that after a certain amount of time in AF

you need to go the the hostpial.

this is the way I played it, I use to get lots of chest pains

when taking Amiodarone, it was like a brusing of the inside

of the chest, I got use to it in the end. It was very

frightning at the time though!!!.

C

>

>I am a new member. As part of my job, I travel to

>London a lot (once a month). If I ever have a problem

>with an a-fib attack or need to see a doctor, what is

>the best approach? Walk into a hospital? Walk in

>clinics? Any advice?

>

>Christian

>--- john codling wrote:

>>

Codling

Hornchurch Essex England

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Hi Bob

The way I understand it , is the heart changes shape..whether this is good or

bad is unclear but as I`m in permanent af I would like to think that the chances

of returning to NSR would be better if the old ticker stayed the same shape.

I`m sure someone out there can clarify this question

Re: Second Ablation

,

I guess that the heart will then be more likely to remain in NSR as

it will recognise that as being the norm.

Bob

> Hi Bob

>

> What happens when the heart re-models itself.

>

> .

Web Page - http://groups.yahoo.com/group/AFIBsupport

FAQ - http://groups.yahoo.com/group/AFIBsupport/files/Administrative/faq.htm

For more information: http://www.dialsolutions.com/af

Unsubscribe: AFIBsupport-unsubscribe

List owner: AFIBsupport-owner

For help on how to use the group, including how to drive it via email,

send a blank email to AFIBsupport-help

Nothing in this message should be considered as medical advice, or should be

acted upon without consultation with one's physician.

------------------------------------------------------------------------------

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Hi Bob. yep you are right the longer you are in Afib the more

it changes shape.. This is called remodelling. Now for some

patients this is fine and they feel really well, with the

exception of feeling a little short of breath with some minor

exercise.

Now for those of us that feel unwell , which I estimate is 90

% of the board otherwise they would not be here?( is this

assumption correct).

The heart changes make the firing of the electrical impulses

react in a different manner and does not help with the NSR.

Now if you have the AF problems resolved then your heart will

not go into Afib but you will find after the PVA or what ever

procedure you are having there will be a period of extreme

trauma as the heart remodels back to normality.

I was told I would regain 30 50 % of normal heart shape.

C Uk

> Hi Bob

> The way I understand it , is the heart changes

shape..whether this is good or bad is unclear but as I`m in

permanent af I would like to think that the chances of

returning to NSR would be better if the old ticker stayed the

same shape.

>

>

Codling

Hornchurch Essex England

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In a message dated 12/26/03 1:35:02 PM Pacific Standard Time,

johncodling@... writes:

<< Now for those of us that feel unwell , which I estimate is 90

% of the board otherwise they would not be here?( is this

assumption correct).

>>

,

I think it's true that as people feel more unwell from afib symptoms, they

tend to participate more in a group like this. However, since the afib

experience changes over the course of one's afib career, it's possible that the

majority participating here are not currently feeling extremely unwell at this

time,

but they may be participating to learn more and to help others, as Ed said.

In my case, although I am having little trouble with afib now, I remember all

too well the horrible symptoms I was having two to four years ago when I was

in afib 50 percent of the time. I also clearly remember the absolute terror I

experienced twenty years ago when I had only two or three afib episodes per

year. Each time I was sure I would die. Twenty years ago it was only the

reassurance of my brother, who had lived through the same symptoms, that pulled

me

through. I feel a need to offer that same reassurance to beginning afibbers

who are now where I was twenty years ago. Just knowing that others have

survived is very helpful and calming, I think.

My other thought is a question about this remodeling process. I have no

doubt that it can occur, but again, I think the process must be as individual as

is the afib experience itself. That is, remodeling must occur over a longer

time period in some people than in others. For example, after twenty years of

afib, it now seems harder for me to stay in afib than to stay in sinus. My

rare episodes have become even shorter than they were during the first years

that

I had afib. Either twenty years was not long enough for complete remodeling

to occur or reversing the remodeling was fairly easy in my case. My E.P. said

he thinks that I would be in permanent afib by now if I were going to be,

probably because remodelling has had more than enough time and opportunity in my

case. I still regard myself as a member of the afib brother/sisterhood,

however, because I believe that when one demonstrates a tendency toward afib,

that

tendency is always there unless it is permanently reversed by ablation or

surgery.

in sinus in Seattle

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  • 3 weeks later...

> From: Steve

> Date: 1/13/04, 9:27 AM -0500

>

> Dear ,

> Physically the atria enlarge, weaken, and

> lose their ability to pump well. [snip] But

> Dr. Pappone's long term studies (three years)

> indicate that some aspects of remodeling can be

> reversed after patients are cured by a PVA(I).

> A-FibFriendSteve

> Re: Re: Second Ablation

>

>

> Hi Bob

>

> What happens when the heart re-models itself.

Snip - 3915 characters on 125 lines, mostly three footers.

How fast do the atria lose their ability to pump well?

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