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Posts Tagged ‘Electrical Cardioversion’

Health Update:  For those who haven’t been following my blog for long, I’ve spent the last dozen (plus) years suffering from non-continuous Atrial Fibrillation (AFib), which is an irregular and rapid heart rate that occurs when one or both of the two upper chambers of a heart experience chaotic electrical signals.  Basically, “AFib” is a fast and irregular heart beat.  The heart rate in atrial fibrillation may range from 100 to 175 beats a minute.  A little more specifically, AFib is a condition where your heart has a kind of loose electrical connection, and the top part of your heart (the atria) fails to pump smoothly – essentially it flutters (fibrillates).  If left unattended, the flutter can cause your blood to pool in your heart and eventually the pool coagulates and forms a clot.  Then, since your heart is still beating, your heart can push the clot to other parts of your body and you can end up with a heart attack (if the clot lodges in your heart) or stroke (if it lodges in your brain).  The clot can cause various other issues depending on where it finally settles.  (Obviously, this a VERY simplified explanation).
 
My most common symptoms include:  chest palpitations, sweating, a shortness of breath (difficult to fully inhale) and a “feeling” of weight on my chest.  Most of the time my symptoms are brief – a minute to a half hour.  My most frequent symptom is the chest palpitations.  Occasionally, the symptoms double up or last longer.  Rarely, the symptoms go to three and or last more than 90 minutes. When that happens, I go to the ER.
 
Just to be clear, many folks live with continuous AFib for decades.  As my cardiologist told me:  “Most AFib patients don’t die from AFib.”  They die from blood clots and related illnesses:  stroke, deep vein thrombosis (DVT) and pulmonary embolism.  My AFib has been non-continuous for most of the last decade.
 
To make a longer story briefer, last Monday (2 January 2023), I entered (more or less) continuous AFib.  About 4am, I woke up with difficulty breathing and very strong palpitations.  I was unable to breathe while laying down, so I got up, dressed and went to sit up in a chair.
 
Anyway, I hoped it (my heart) would revert to a normal rhythm on its own.  It did not, so I took one of my “as needed meds” to try to slow my heart and take the edge off the AFib.  The med, kind of worked, but not fully. I normally take my blood pressure (BP) three times a day.  My pulse slowed and I was falling back into a regular rhythm, but it was not consistent.  I continued to check my blood pressure / heart throughout the next few days and the AFib continued more consistently than the normal heart rhythm – but it didn’t get worse (or better) or have significantly different secondary symptoms.  In the end, my wife an I decided it was time to go to the ER – which we did today (Friday 6 January).  In the ER they decided to forgo IV drugs and just go for electrical cardioversion.  Basically, they hit your heart with an electric charge which “in effect” re-boots the electrical system of the heart.  Yes, it stops your heart, but only for a fraction of a second (everyone hopes).  For those of you keeping count, this is my third “jump-start” since retiring in October 2017.
 
The procedure was successful (big shout-out to all the staff, nurses and doctors at John Muir Hospital in Concord, CA) and (by the mid-afternoon) I was sent home with my heart in normal rhythm.  I’ll be chilling out for the next few days / week to make sure I don’t slip back into continuous AFib and then (again) I have to concentrate on dieting and exercise to lose weight and strengthen my heart.
 
Knock on wood…  That’s the plan, anyway.  In the meantime, it’s contact all the doctors on Monday and see about additional medical steps (Catheter Ablation is the “most likely” next step).  Still, it is much better than the alternative…  Please keep me in your thoughts and prayers (if you are that way inclined).
 
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Health Update:  For those who haven’t been following my blog for long, I’ve spent most of the last decade suffering from non-continuous Atrial Fibrillation (AFib), which is an irregular and rapid heart rate that occurs when one or both of the two upper chambers of a heart experience chaotic electrical signals.  Basically “AFib” is a fast and irregular heart beat.  The heart rate in atrial fibrillation may range from 100 to 175 beats a minute.  My most common symptoms include: chest palpitations, sweating, a shortness of breath (difficult to fully inhale) and a “feeling” of weight on my chest.  Most of the time my symptoms are brief – a minute to a half hour.  My most frequent symptom is the chest palpitations.  Occasionally, the symptoms double up or last longer.  Rarely, the symptoms go to three and or last more than 90 minutes.  When that happens, I go to the ER.
Just to be clear, many folks live with continuous AFib for decades.  As my cardiologist told me:  “Most AFib patients don’t die from AFib.”  They die from blood clots and related illnesses:  stroke, deep vein thrombosis (DVT) and pulmonary embolism.  My AFib has been non-continuous.
To make a longer story briefer, on 24 September, about 3am, I woke up with very strong palps.  I take my blood pressure (BP) three times a day.  In the morning, I still had the palps and my blood pressure and pulse were elevated, and my pulse was irregular (in AFib).  That evening, although not experiencing additional symptoms, I went to the ER.  They gave me a top-up on one of my meds and sent me home with instructions to contact my cardiologist ASAP.  I called the following day and arranged for the first available appointment – which was the following week (Wednesday, 30 September).
So we met and he put me back on a blood thinner (to prevent blood clots / strokes) and scheduled me for a COVID test and a visit to the hospital for an Electrical Cardioversion.  An electrical cardioversion is when the doctor uses a defibrillator to zap your heart to disrupt the electrical misfires and set you back into a normal heart rhythm.  In computer terms:  “A cold re-boot.”  This will be my second zap.  My first was back in November 2017.  In cat terms:  I’m on life two with seven to go…
I had the COVID test on Monday and today I got the “all clear / negative” results back.  I am scheduled for the “DFib” on Friday (in two days), so please keep me in your thoughts and prayers.
One thought can produce millions of vibrations
and they all go back to God… everything does.
   —   John Coltrane
From his poem:  “A Love Supreme
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If you’re planning for one year, grow rice.  If you’re planning for 20 years, grow trees.  If you’re planning for centuries, grow leaders.  If you’re planning for eternity, go to confession.
     —    Australian proverb
[One year ago, I had my heart stopped and re-started.  The procedure is called: “electrical cardioversion”.  Basically, the doctors zap you with electricity to “re-set” your heart rhythm from AFib to normal.  I’m still here a year later and Thanksgiving is coming up.  …One more year to be thankful for.  So far, good to go!  I’m hoping to plant a few trees this year.    —    kmab]
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Well, at long last I got back on the pavement!!  This morning, I forced myself out of my nice warm bed, strapped on my Keds and went out to pound some pavement.
The sun was just up.  The sky was cloudless and clear blue.  The frost was everywhere…  Despite my doubts and the persistent questions (“Why do you keep doing this to yourself?“), I managed to slow jog around the block three times (1.2 miles total according to Google maps).  This was my first time out doing anything other than walking my dog since mid-November when I had my electrical cardioversion.  I felt terrific, like I could go forever…  But tomorrow is another day.  I finished with a cool-down walk of my dog – for another mile.  All told, about 45 minutes and 2.2 miles.  And so it begins again (I hope).
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