chopshop

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About chopshop

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    Rookie
  • Birthday 12/10/1984

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    Male
  • Location
    Suwanee, GA
  • Interests
    Medicine

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  1. Definitely, there are cases of non-sustained V-tach (episodes less than 30 seconds) where patients have no structural disease (congenital anomalies, coronary artery disease, or cardiomyopathy being the most common) and still have the tachycardia! It is less common, but I agree, based on what little we know, it is likely he has idiopathic NSVT or else a genetic abnormality involving the electrical pathways. Most of these have a lower risk of becoming sustained or leading to sudden cardiac death. I doubt if he had a structural problem he would have made it to the NFL level or have been cleared. Not trying to scare people, just trying to be helpful where I can with what I happen to do for a living
  2. This does explain the four week return. I assume we are talking about a radiofrequency catheter ablation procedure for recurrent V-tach. This only requires (surprise!) four weeks of anti-coagulation therapy. The ventricles (big chambers) are less likely to form clots than the smaller ones. They basically burn the area where they have triangulated the aberrant electrical signal to be originating from. This is a little concerning to me, as ventricular tachycardia is is more serious than atrial tachycardia. Strokes being the consequence of atrial versus inadequate systemic perfusion and cardiac arrest with ventricular. This is surprising, unless he has some kind of structural heart disease. I would suspect he has recurrent non-sustained (only a few beats) ventricular tachycardia that gives him symptoms (palpitations, chest discomfort, shortness of breath). They likely tried an anti-arrhythmic medication or two which failed. Again, we have scant details on his actual condition based on what he's said publicly, so take it all with a grain of salt. Regardless, glad to see he is back and I hope the procedure worked well and he can get back to crushing D-linemen.
  3. Internal medicine physician here. The American College of Cardiology, in their 2017 Consensus Statement on Atrial Fibrillation Ablation, gave the recommendation, based on peer-reviewed research, recommending that all patients undergoing an ablation should be placed on an anticoagulant like warfarin or a NOAC like Xarelto for two months after the procedure in order to reduce post-procedure stroke risk. At that time, his cardiologist will evaluate the need for further anticoagulation based on his stroke risk, not the clinical outcome of the procedure. I'd imagine his risk stratification would be quite low given his age and lack of conditions like heart failure, diabetes, or previous stroke. I'm not sure what other criteria his cardiologist might use given his status as a professional athlete, but physical exertion is not a risk factor for stroke in the normal population, however may slightly increase his risk of going back into atrial fibrillation. He is absolutely being held out due to bleeding risk while he is on a blood thinner. He would be at high risk of intracranial bleed or internal bleeding, given the violence of this sport. His atrial fibrillation seems to be paroxysmal, meaning it is not persistent and comes and goes. If the ablation were to fail, he could undergo further ablation procedures. The cardiologist burns areas of the inside of the heart chamber that may be the origin of the errant electrical activity. They can use some techniques to triangulate that area and burn that small area. From what I understand, his last procedure was years ago, and sometimes the burned area can reform the electrical connections causing the afib. If all else fails, he might be trialed on one of many antiarrhythmic drugd which can suppress the bad rhythm. Again, I'm not his doctor, so I can only speculate. Hope this is helpful.
  4. Heck yes! Bring on the BEASTLEY
  5. I don't get the TaTF attachment to Mass. Sure, Smith never gave him a lot of playing time, and he had maybe one big hit, but what did he do to wow everyone so much? I'm almost positive that a professional like Quinn, who coached one of the best defenses in the league, at least watched some tape before he decided he had no interest in Mass. Sure, it wasn't a huge cap recovery, but if the man doesn't see potential in a borderline player, I'll trust him. Was I expecting this? No. Can I understand it? Certainly. Clearly, our new leadership is cleaning house and there may be more to this than we as fans know. I'm going to try to see it positively and look forward to who the new boss has planned for his replacement. I'm interested to see who is next on the chopping block...