Brother having heart problems, failure.....

[IROC]

Sleep apnea has been linked with atrial fibrillation. Alot of the "links" are anecdotal, but they seem to be there...

Mike

[IROC]

Originally posted by Nathans_Dad
His doctors might also keep him on blood thinners long term if they think his heart might go in and out of atrial fibrillation since the stroke risk is the same for those who pop in and out as it is for those who are in it all the time.

Actually, I think that relatively short episodes (less than 48 hours) don't represent a significant stroke risk. At least that's my understanding (I am not on any blood thinners besides beer). :>)

Mike

[livi]

Len,

Canīt believe I have missed your thread about your brother. Very sorry to read about him. I wish you all the best.

Adult heart conditions are not my area. My knowledge only extends as far as the newborns and their various heart defects. But it is amazing to see what vast knowledge there is on this piston head forum.

[Nathans_Dad]

Originally posted by IROC
Actually, I think that relatively short episodes (less than 48 hours) don't represent a significant stroke risk. At least that's my understanding (I am not on any blood thinners besides beer). :>)

Mike

The only situation where atrial fibrillation poses no additional stroke risk is called lone atrial fibrillation which is essentially atrial fibrillation in those without any cardiopulmonary disease and who are not elderly.

Paroxysmal atrial fibrillation (i.e. where it pops in and out of the abnormal rhythm) poses the same stroke risk as chronic atrial fibrillation.

Now, if you are talking about the first episode of atrial fib, then you are correct in that you can be cardioverted within 48 hours of onset. The problem there is that a significant percentage (50% or more) of atrial fibrillation episodes are asymptomatic, you can't feel them. Thus it is often impossible for the doctor to know if that is truly your first episode or if you are just paroxysmal and just now felt it.

[lendaddy]

FWIW, my father had some nerve issue that made hi heart beat crazy fast in episodes. They did a procedure where they remove one of the nrves that was triggering the other and he's all set now. I don't think that is atrial fib though is it?

[Nathans_Dad]

Depends.

It sounds like you are talking about an atrial tachycardia which is when a small area of the atria gets irritable (for whatever reason...kinda like a woman) and begins to fire off impulses rapidly. This overrides the normal pacemaker of the heart and makes the heart beat rapidly. Sometimes we can treat this with medications and sometimes it requires an ablation where we go into the heart with a catheter (through the arteries) and locate the problem area and then burn it to kill it.

There are multiple causes of a rapid heartbeat which might be treated with ablation, if your father had this come on late in life it is more likely the be the situation I described above.

Different than a-fib though.

[legion]

Originally posted by lendaddy
I just want to thank you guys again and give a brief update on my brother.

They were going to try and fix his afib problem Saturday(to hopefully ease some symptoms and allow more accurate monitoring), but they did an ultrasound on his heart and he has blood clots in there. These need to be dissolved before they can move forward.

The doctor also observed that he has severe sleep aptnia (sp?) and he feels this could be a contributing factor???

They have had him on various blood thinners and what not and are actually sending him home tonight until the clots dissolve.....then they'll bring him in and start over. I do not know if he is going to be ordered to bed-rest or what.

At this point they do not know what caused this.

Peter and Rick have been very helpful via PM and I cannot thank them enough for helping myself and my family understand what is going on. Once again the Pelicans come through, you guys are great!

My father was diabetic and had sleep apneia and may of the same heart problems, in addition to kidney and circulartory problems. I wish your brother the best.

[Craig 930 RS]

I hope he/you/whomever was involved with the doctors had revealed to the doctor his 'bodybuilding' additives.

This goes a LONG way towards diagnosing and curing ailments; indeed doctors #1 pet peeves tend towards a lack of information revealed by patients....

[lendaddy]

Originally posted by Craig911
I hope he/you/whomever was involved with the doctors had revealed to the doctor his 'bodybuilding' additives.

This goes a LONG way towards diagnosing and curing ailments; indeed doctors #1 pet peeves tend towards a lack of information revealed by patients....

Agree, and yes all information was shared.

[IROC]

Originally posted by Nathans_Dad
The only situation where atrial fibrillation poses no additional stroke risk is called lone atrial fibrillation which is essentially atrial fibrillation in those without any cardiopulmonary disease and who are not elderly.

That would be me. Mine is also paroxysmal as I convert on my own. Lone can still pose a stroke risk, though, if you don't convert within 48hrs.

Mike

[Nathans_Dad]

No, actually it doesn't. If you truly have lone atrial fibrillation your stroke risk is the same as the general population.

[artplumber]

Lendaddy,
Are they going to relook at his heart function soon?

[lendaddy]

Originally posted by artplumber
Lendaddy,
Are they going to relook at his heart function soon?

I honestly don't know, I'll find out next time we talk. Thanks again!

[lendaddy]

I just called him and he's out. He says he'll be into work tomorrow?????

He said they didn't recheck his heart function before he left either. I'm sure there are some things I'm not getting and he'll fill me in tomorrow.

[artplumber]

Well I wouldn't expect them to check it right now, but maybe at around the time they try to get him back into regular rhythm.

[CRH911S]

Sorry to hear about your bro and I wish him the best.
I had a weird thing going on with my heart about 5-6 years years ago. The doctors called the situation premature atrial contractions. Suggested that I reduce caffiene intake and the weirdness, sporatic rapid heart, went away on its own. I know this isn't what's going on here but I wanted to share this information.
Clint

[Joeaksa]

Originally posted by CRH911S
Sorry to hear about your bro and I wish him the best.
I had a weird thing going on with my heart about 5-6 years years ago. The doctors called the situation premature atrial contractions. Suggested that I reduce caffiene intake and the weirdness, sporatic rapid heart, went away on its own. I know this isn't what's going on here but I wanted to share this information.
Clint

Clint,

Had a friend years ago who was drinking 15-20 Mountain Dew soda's. He got into a situation much like yours and had no idea what was going on.

While the docs were looking at him he had his girlfriend go and get a soda. She returned and handed it to him, the docs put a stop to it and the amounts of caffein he was consuming came out in the open.

He did not realize what was in what he was drinking, stopped it and all is ok now. Wonder if all the people drinking Red Bull and their clones are doing the same thing these days?

[artplumber]

Lendaddy
Make sure he's staying away from salt. I cannot stress this enough. People have died from hamburgers. Seriously.

[SP2]

At this point it is an idiopathic cardiomyopathy. Sometimes these cardiomyopathies can improve, sometimes dramatically. Often the ones that resolve are thought to be secondary to a viral infection, i.e. a viral cardiomyopathy. The most common cause of a cardiomyopathy would be a blocked important coronary artery, aka coronary artery disease. I am sure his doctors will rule this out. It is also possible that if he has been in atrial fibrillation with a rapid ventricular rate for a long time and he didn't know it, that he has a tachycardia induced cardiomyopathy. Sometimes this can improve as well when the heart rate is slowed. There are many good therapies now that are proven to decrease mortality. Things like afterload reduction with ACE inhibitors and things like beta-blockers. Hopefully things will turn around for your brother. The important thing is that he receives the medical attention he needs.

[speeder]

Originally posted by Joeaksa
Had a friend years ago who was drinking 15-20 Mountain Dew soda's. He got into a situation much like yours and had no idea what was going on.

Holy balls! That's like having 8 gallons of strong coffee a day, from what I understand!

I remember reading about the guy who won the SF->NY Cannonball race one year on a Suzuki Hayabusa set-up for touring, he had a tank bag filled w/ Mountain Dew and a tube from his wiener to the rear license plate so that he never had to stop to whiz. The MD supposedly has more caffeine than any drink known to man, he was sharp as a tack after 28 hours straight @ 100+ average mph.