Guest guest Posted February 23, 2004 Report Share Posted February 23, 2004 I had a visit with my EP last week. Many on this board write that they are worried of a clot forming because you can be in " silent " afib and not know it. I asked him about this and he said a clot doesn't start to form until you are in afib for 24 hours. If they are going to do a cardioversion, it has to be done within 24 hours. My questions is, if one takes their pulse several times a day, even if they go into silent afib during the night or some other time, aren't they still in that " safe " less than 24 hour period? I can't remember who asked me, but I live near Cleveland, Ohio and was asked to get the names of other EP's at CC who were highly recommended for PVA besides Dr. Natale. He gave me these two names: Dr. Schweikert and Dr. Saliba He also said that the practice that he is affiliated with is getting the equipment for PVA's and they will be doing them shortly. He said that mine is a long way off; by that time they should have a lot of experience under their belt. I think I would still choose CC, though. My hunch is that there will be a vast amount of EP's doing PVA's in the very near future. Loretta Quote Link to comment Share on other sites More sharing options...
Guest guest Posted February 23, 2004 Report Share Posted February 23, 2004 Loretta: I think you are correct (knowing from your pulse) if you were in A Fib, but I don't think any Dr. would take that risk (taking your word for it) without following protocol (a Holter monitor that verifies the fact that an A Fib episode hasn't occurred within 24 hours or an EKG in the same period, for an example) I am sure you are aware that the 2 EP's you mentioned are EP's that practice with Dr. Natale. I would guess the wait wouldn't be as long for them. I was told last week that Dr. Natale is now scheduled out to mid/late August now. Thor EP Visit I had a visit with my EP last week. Many on this board write that they are worried of a clot forming because you can be in " silent " afib and not know it. I asked him about this and he said a clot doesn't start to form until you are in afib for 24 hours. If they are going to do a cardioversion, it has to be done within 24 hours. My questions is, if one takes their pulse several times a day, even if they go into silent afib during the night or some other time, aren't they still in that " safe " less than 24 hour period? I can't remember who asked me, but I live near Cleveland, Ohio and was asked to get the names of other EP's at CC who were highly recommended for PVA besides Dr. Natale. He gave me these two names: Dr. Schweikert and Dr. Saliba He also said that the practice that he is affiliated with is getting the equipment for PVA's and they will be doing them shortly. He said that mine is a long way off; by that time they should have a lot of experience under their belt. I think I would still choose CC, though. My hunch is that there will be a vast amount of EP's doing PVA's in the very near future. Loretta Quote Link to comment Share on other sites More sharing options...
Guest guest Posted February 23, 2004 Report Share Posted February 23, 2004 I would think anyone with silent AFib should be on coumadin post haste as insurance! You cannot always be sure of your pulse, and while in afib a check of the pulse at the wrist can be very misleading and very inaccurate. If you afib is fast enough the pulse might not even register at your wrist. Stef Loretta and Chuck wrote: I had a visit with my EP last week. Many on this board write that they are worried of a clot forming because you can be in " silent " afib and not know it. I asked him about this and he said a clot doesn't start to form until you are in afib for 24 hours. If they are going to do a cardioversion, it has to be done within 24 hours. My questions is, if one takes their pulse several times a day, even if they go into silent afib during the night or some other time, aren't they still in that " safe " less than 24 hour period? I can't remember who asked me, but I live near Cleveland, Ohio and was asked to get the names of other EP's at CC who were highly recommended for PVA besides Dr. Natale. He gave me these two names: Dr. Schweikert and Dr. Saliba He also said that the practice that he is affiliated with is getting the equipment for PVA's and they will be doing them shortly. He said that mine is a long way off; by that time they should have a lot of experience under their belt. I think I would still choose CC, though. My hunch is that there will be a vast amount of EP's doing PVA's in the very near future. Loretta Quote Link to comment Share on other sites More sharing options...
Guest guest Posted February 25, 2004 Report Share Posted February 25, 2004 Subject: Re: EP Visit > > " Loretta: > I think you are correct (knowing from your pulse) if you were in A Fib, but I don't think any Dr. would take that risk (taking your word for it) without following protocol (a Holter monitor that verifies the fact that an A Fib episode hasn't occurred within 24 hours or an EKG in the same period, for an example) " > xxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxx > I did wear a Holter monitor for 24 hours and everything was A-OK. I definitely know when I am in afib for my h/r is very fast and I get the " Big Pee " ! Also, I can take my pulse easily and accurately. The EP said they are doing studies now to see if Plavix plus aspirin can be substituted for Coumadin. He and my cardiologist agree that until I am in my 60's and as long as my episodes are under control, the aspirin a day will be fine. There is an outbreak of flu right now in my region and, of course, I caught it and really bad. Hoping that this fever and coughing won't put me into afib. Loretta Quote Link to comment Share on other sites More sharing options...
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