All about AF ablation
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- Опубликовано: 14 июл 2023
- I am delighted to be speaking with Dr Manssor Nasir, Consultant electrophysiologist about AF and in particular about AF ablations.
Dr Nasir will be joining the Yorkcardiology team and will help us provide you with more expertise for any heart rhythm issues.
I cut down on caffeine, reduced stress and limit carbs. My palpitations, PCV and irregular heart rhythm has gone back to normal. No surgery was required. There is hope.
The humility of Dr. Gupta is so refreshing. You do not act as if you know everything. You are asking questions as a student would. Deep admiration.
A specialist interviewing a sub specialist both in the same area This can’t get any better. Dr Gupta asks him questions that brings out THE MOST TEAL RELEVANT critical issues. I learned tons of things here that even in books you will not find. Most interviews are made by people of different areas and they often miss a lot of insiders issues. Thank you. This was phenomenal
Fascinating conversation between two heart professionals. Thank you Dr Sanjay for letting us into this most interesting discussion. May I add, Magnesium Taurate has greatly improved my AFib.
Thank you Dr. Gupta and Dr. Manssor for taking time to have and share this insightful conversation about AF and AF ablations. I will be listening again. Congratulations to Dr. Manssor for joining York Cardiology. Wishing you both the very best. Constance
I had my ablation 6 weeks ago and all is going as advertised. Amazing
Dr Nazir seems to be a Kind, knowledgeable and very informative doctor!
Wow visiting the channel today. I don’t know why it took me too long but it’s so nice to see you Doctor again. You helped one time with my palpitations and Im just been doing really good. You are a very humble doctor. Today I’m been checking for information about low blood pressure, I’m at peace this moment after your explanation. Now I’m liar if to your Dr guess to keep learning. I’m a Colombian living in USA. I can’t wait to share all this information! Thank you for what you do!!
My AF became so severe that I was unable to move too much. The result was that my weight then increased. I finally had an ablation, remapping and reset of the heart.
The doctor used a new method for the ablation that doesn’t use heat or freezing. It is supposed to do less damage to the heart.
I’m now two months after the ablation. It worked immediately and nothing has returned since. My heart is so regular that I keep checking my pulse just in case! I can run, cut the lawn and have returned to my old self after two years of becoming slower and slower.
I’m nearly 70 now, but this operation has really changed my quality of life. Now I’m working on getting the weight off after being inactive for so long.
The benefits of ablation are instant (once the entrance wound clears up) and I feel that I have got a more ‘normal’ life back again thanks to having it done.
Did you have the new pfa
Could you elaborate more on the actual method that was used to correct your AFib?
It was indeed, ‘pulse field ablation’. The doctor told me that it didn’t freeze or use heat and so did less damage to the heart in the process.
They used just one entrance via the leg and I was put to sleep because he said that they were going to ‘remap’ the heart. Again, he didn’t go into details, but I’m guessing, the blocking of stray electrical signals causing irregularities in my heart beat and then what he referred to as a ‘reset’ of the heart.
Normally, you are sedated during the ablation, but not completely put to sleep, but I was completely asleep for the operation because he thought that the process might be too painful.
7 months since now and everything has stayed in rhythm. I’m able to walk long distances and can run again!
@@iancraig Thank you for that information, I am in the states and have not heard of this treatment. Best of luck to you 🍀
Thank you. Basically it’s starting to be used here because it does less damage in the process. It had only just arrived in the hospital when I was admitted and the doctor told me I was the first in their place.
Excellent talk. I had a RF ablation 10 days ago, for both PAF (pulmonary vein ablation) and flutter (flutter ablation in right atria). My heart is structurally sound, I am fit, do not drink alcohol etc. but have previously undertaken endurance sports. No AF since ablation (early days!). This talk was very reassuring that, on balance, i made a good decision, especially given the potential for increasing fibrosis once the AF becomes persistent. Also that i have a good lifestyle, sleep well, low BMI and still suffered arrhythmias. Thanks Docs, so clear and informative.
Dr Gupta..your questions and approach to excellent medicine are amazing!! Thank you for your concern and radical integrity ❤❤❤
Best procedure I ever had, seriously improved my lifestyle, and so far (three years) my AF has not come back other than a couple of seconds here and there. It wasnt in York though Doc..sorry. Oxford.
Do you mind me asking where in Oxford? I've been offered ablation for paroxysmal A-Fib and it would be good to know your experience, especially if it was with the same hospital and possibly the same consultant.
Hi@@davidf6326 John Ratcliff - absolutely superb their Heart Clinic.
Fantastic video, Answered almost every question I had regarding ablation.
Have suffered P.A.F most of my adult life, with on average 2 attacks weekly lasting on average 12 hours each time.
A gradual increase in my flecanide to 200mg daily seems to finally have it under control with only 2 attacks in 9 months.
Having expressed my concern at the long term effects of such a high dose I have been offered ablation as an option.
This excellent conversation has reassured me that its something I should seriously consider in future in the event that my bloodwork starts to show irregularities with my liver/kidney function.
Thanks once again for your time and dedication to the subject.
I’m so glad you are still doing this. Thank you so much.
Absolutely pleased to find 2 experts on same subject. I am a patient with fast heart beats.
Thanks a lot for genuine videos by Dr Sanjay Gupta
JAI HIND JAI BHARAT 🌱
This is amazing discussion. I had an ablation one year ago. I wish heard this duscusdion before
Dr Gupta you are amazing. Thank you so much.
THANK YOU both for all you do! ❤
Thanks, Docs appreciate your taking the time to do this.
Very interesting!!! Thank you so much Doctors!
That was fascinating. Thank you for being so lucid and clear about the whole process. Much appreciated from someone who had a successful ablation early last year.
So much we have learned today. MANY THANKS DOCTORS.
I've learned so much about AFIB, the seriousness, the risks, symptoms and treatment from listening to Dr. Gupta's videos. So educational and comforting to understand once you're diagnosed. Doctors simple don't have the time to explain during an office visit and it can be quite scary. Its also good to know there are options in its treatment. Knowledge is always a good thing.
Thank you, Dr. Gupta & Dr. Nasir. This was very informative. It is sad that you are not located in the United States.
Thank you so much for the informative video. My cardiologist requested me having this for SVT, however the idea of “burning” parts of the heart seems more invasive than they suggested. Your videos answered lots of questions and I’m incredibly grateful. Warm wishes from Miami 💓
I had it done its no big deal
Good luck with your SVT! Everybody's got to weigh the risks and rewards according to their own needs. Personally, I needed more than double the typical number of burns during my ablation, but it still wasn't particularly painful or difficult to recover from. My afib went away and hasn't come back after five years. For me, the benefits far outweighed the risks, but I was so sick from afib that I couldn't live my regular life, so my choice was pretty clear.
Do it so it doesn't degenerate into afib
Fantastic content ! very informative! thankyou both for your service ! 🙏🙏
Brilliant & honored guest. Enjoyed the information. Thank you.
Fantastic update and in depth information surrounding AF causes and ablation techniques. Thankyou to you both! Faye ex CCU Nurse NZ.
Thank you Doctors!
Highly informative, comprehensive discussion on AF ablation Thank you Dr Sanjay.
thank you for such an informative interview about AF!
Thank you both an excellent and informative conversation. I have learned more in this discussion than in all previous research and meetings with my cardiologist!
Very informative thanks to both of you dr Nazir amazing explanation thanks
Amazing conversation and informative video.
Thanks for putting this together.
Thank you so much Doctors for making this video, really helpful and informative, many thanks
Hello Dr. Gupta! So good to see you! This is so interesting . Thank you so much! Both of you. Your gracious to teach us. Love you sir! Have a wonderful day!
Such an awesome video between two hugely experienced cardiologists. As a retired midwife I continue to have a huge desire for knowledge in all aspects of clinical areas. Thank you both for your inspiration!
Really interesting as a retired ccu nurse good revision.
Thank you for this important information!
This was extremely helpful to someone like myself considering ablation. Thank you both so much for doing this.
Thank you so much for this video..I have learned so much and you have answered questions that I have needed answered .
Great video, thank you.
We need this doctor in Jacksonville Florida❤ you will listen to your patients
Always fastening watching your videos.. thank You!! And to bring your teacher on and bouncing thoughts and knowledge around .. awesome 👌
Thanks Dr’s for that great video. I’ve had AF for 2 years and had 12 cardio versions and 2 Ablations and still have Afib. I’m a 69 yr old male and I guess I will have to live with AF. I am A symptomatic and otherwise very healthy. I feel better knowing that as long as I stay on Eliquise and Bystollic I should be ok. Thanks again for all the information you make available to us.
Im 66, had 2 Cardioversions and I am A symptomatic also. I have permanant AFIB. Im ok, just taking Beta Blocker and Eliquis. My dr does not recommend Ablation as my life quality is ok, and life expectancy ok, so its not worth the risk. Still indoor rowing and cycling indoors also, but at a lesser level than before. But its good to know that its not a death sentence.
Thanks Dr Gupta, that was a very informative interview!
Great Video Dr. Gupta!!!
Thanks Doc
💕Thank you both. Fantastic information. God bless from Australia 💕
I love dr Gupta’s analogies
Thank you for this video. I watched before having an ablation and came out of hospital yesterday. I also had a cardioversion and remapping, so I was treated under a general anaesthetic which I woke up and reacted badly to.
I am now home but my blood pressure has dropped quite dramatically. Before ablation, I was showing a systolic figure of around 150 to 160. (Along with permanent af) My blood pressure is now consistent but low. 100 to 120. The result is a dizziness when I get up so I may refer back to hospital to see whether I need to reduce my blood pressure pills. Early days now.
My AF has gone and so far, no episodes at all. Heart no longer races after walking up stairs. Just low blood pressure which I’ve never had before! Always been on high side.
The entry point in the groin is a little sore but I am amazed at how the technology in this area has developed even over the past 5 years. The surgeon didn’t use heat or cold to carry out the ablation, but a new device that is supposed to leave less damage to the heart. Electronically zapping the artery edges into the heart.
He also did what he called a ‘remapping’ of upper left chamber. Would love to know what that actually is. I’m thinking that it is getting at electrical sources in the heart to stop rogue signals.
In my case, I have probably had af for a very long time and not noticed. Inherited from my Mum! The effects only started to show when I hit 65 and finally 4 years later, it seems to have been zapped away.
What surprised me in hospital was how many younger people were being treated.
Thank you so much for such a informative video. I’ve had AF off and on for about 40 years, had 2 AF ablation’s that weren’t successful. The Tambocor (150mg twice a day) seems to keep it under control most of the time, although usually every 2 months or so my heart goes into AF for around 12 hrs, then goes back into normal rhythm. One question I do have, is AF hereditary.
I sincerely appreciate your RUclips postings, they are so informative.
Jim … Australia
I found this video to be very elucidating
Many thanks
Thanks for your video on AF ablation. I was diagnosed with AF in the ER after episode of rapid (150 - 160 bpm) and irregular heartbeat. The blood thinner Pradaxa, and Diltiazem were prescribed. Three months later I underwent a craniotomy from a subdural hematoma ( after c/o headache and vomiting); thankfully, there’s no neurological deficits. Blood thinner was discontinued until a month later from pulmonary embolism. Due to my history, I was implanted with the Watchman to cover the left atrial appendage in January 2024. Along with hematology, cardiology discontinued Pradaxa and prescribed Plavix and baby aspirin. Cardiology is scheduling ablation this July. Also in the same month, TEE is recommended to assess the Watchman.
Please discuss AF ablation and the need for or absence of DOACs with an implanted Watchman. I have paroxysmal vagal AF. Thanks in advance for your support.
My AF episodes have returned to NSR within 30 - 240 minutes with the longest at 10 hours. Diltiazem is 180 mg every 12 hours.
I started with palpitations over 30 yrs ago a week ago no problems flutters now and then butI started having continuous palpitations. Dr upt my meds from 2.5mg Bisoprolol to 5mg that was Wednesday this week but there's been no change. No diabetes, no smoking, 62 kilos.. scared.
Thank you!
I take bisoperole by prescription , but listening to this wonderful Dr Gupta and watched so many of his brilliant videos over the years, the information on (magnesium and the heart) , I have been taking magnesium supplements every day, so the combo of both have diminished my ectopics to near zero considering I was having ectopics beats every few seconds all day which I hated so much ❤
Dr Sanjay, can you please talk about the powerful anti arrhythmatic effects of taurine on the heart 😃 I know you have a few on magnesium but taurine my god!! so many of us lack it and it has a really powerful balancing effect on sodium potassium and calcium rations and also acts as a natural adrenaline suppressant while also lowering the excitability of the myocardium!!
powerful stuff :)
What is the risk of dying from this procedure? What would cause this?
Thank you…❤
Mostly the discussions were around paroxysmal afib. Would like to see another similar discussion on the challenges, risks and outcomes of treating persistent afib with ablation as I know many EPs do. Thanks
very good question
Truly appreciate all your priceless information💗 I would love to hear your thoughts on ascending aortic aneurysms! Possible causes? Care? Beneficial supplements and activities? Restrictions? How best to live with one with or without surgery, Etc. THANK YOU🥰
It was " believed" that my Father had an "electrical" problem with his heart. From what I understand this can be very difficult to diagnose. He had a team of Drs that were not sure about this diagnosis...
An Apple watch 6 or higher can detect your afib, even one of the newer blood pressure meters!
I used a Kardia mobile 6 lead to diagnose mine, my cardiologist said it is more reliable than an apple watch as far as accuracy goes but apple watch is a good choice as well. Especially wearing it
the kardia mobile can be taken with you in wallet or purse etc but watch obviously is less likely to be lost
Fabulous, be great to have one on SVT AVNRT etc
Dr. Gupta, when you have another guest, have them wear a lapel mic. It will help a great deal in bringing the volume up when you have rather quiet-voiced speakers. Keep up your great work! I'm a tech expert and have a media production biz. Let me know if I could help.
Thank you Dr. Gupta and Dr. Nasir for the excellent lecture on AFib and Ablation. I wish I had the chance to watch this video before my cardiac ablation for post Covid AFib last June.
I developed AFib 8 hours post ablation in the observation unit with a float RN who had no cardiac experience!!! I was a CCU RN before I became a Nurse Practitioner and had to tell her I was in AFib on the monitor. It was the most frightening experience not knowing AFib can result immediately after the procedure from "irritation to the tissues of the heart" as was explained to me the NEXT day. My question: I had 5 episodes of AFib in the 6 weeks post ablation and my EP informed me I was still in the blanking stage and that it could take 3 months to recover or improve. If you said the success rate of AF ablation has gone up to 80-85% (I was told only 60 %), how often do you see AFib post ablation within the 3 month blanking stage? Is this fairly common? or a sign of ablation failure? Second question: Dr. Wolf (cardiac surgeon) claims ablation never works because AFib is a nerve problem and not a muscle problem, and that the Mini-Maze procedure is far more superior with a 90-95% success rate. Please comment on this statement. Thank you.
The success depends to a great degree on the skill of the craftsman. If a doctor has performed hundreds of ablations it stands to reason that patient success rates increase. I would only have a doctor who is an EXPERIENCED electro-physiologist perform the procedure along with an EXPERIENCED team of support staff. Dr. Wolf (in Texas) is in my opinion the best at his craft, hence the procedure he performs is named after him. I would be hesitant to have anyone except him perform the Mini-Maze procedure as it comes with its own risks. I would agree that Afib is a nerve problem as it is electrical signals that are impacting the heart's ability to beat effectively. Disruptive signals can occur anywhere along neural pathways to the heart. At present, though, most cardiology practices deal with performing ablations, and the new pulse field ablation has just been approved by the FDA. Also, the use of AI has recently been incorporated into recent clinical studies.
Same here best procedure I ever had it's going on 3 years
02:54 wow! The BiG Mystery.
Thank you both, Men.
Really interesting and helpful information.
Thank you for this talk - very informational. FYI - the volume is VERY low - having to us closed captioning. Perhaps you could re-upload and up the volume?
Sunjay you are the doctor, the other guy is merely a technitian, period,
My electrophysiologist here in the USA told me that AF ablation is 80% successful and many patients need a second ablation. Ive had one and still have afib. I felt much better before the ablation.
SERIOUSLY same with ME! the ablation made MY heart ♥️ worse
@CYndibabI Here we are in the first quarter of the 21st century, and they have nothing for heat disease.
@roncaruso931 So, 20% need a second ablation!
Thanks for your comment. My doctor wants me to have an ablation for PAC's. I'm hesitating and after reading this, I'm REALLY hesitating. Much thanks.
@@m.harris2429 Don't believe everything your doctor tells you.
I think I'm 'an old banged up Skoda!' But I'm really suffering. It's not always A Fib, sometimes it's Flutter, sometimes it's SVT, and sometimes it's ectopics. An exercise bike test caught all of them happening, and it's totally debilitating. But it's all paroxysmal and there's no telling when it will kick off or how long for. I'm on Apixaban, Bisoprolol and Flecainide, but I can't control it. It's becoming more frequent and lasts 46 hours sometimes. I hate it but I can't get them to change my meds or suggest an ablation. 😢 I don't understand why they haven't offered me an ablation. Thank you for all these videos, I'm so grateful for the info.
24/7 afib for past few years. Cardioversion and meds worked for a couple of those years. Getting a "mini maze" this Fall to hopefully fix it for good. Skipping the ablation due to it's poor success rate for persistant afib. Getting the atrial appendage clip put on during the procedure to avoid having to take NOACs in the future. I don't "feel" my afib, but it's constant.
Thanks for your informative videos. Maybe talk about mini mazes in a future video?
What's a mini maze? I also have persistent a fib and a flutter with.tachycardia. i don't feel like getting ablation either.
I had been diagnosed with Atrial Flutter back in August at age 34.. I have lost about 30 lbs from 245 to about 215, cut coffee back from 4 cups a day to 1 cup decaf a day. I also take magnesium glycinate 3-4 times a week just to regulate my magnesium levels. I have been able to stop my metropolol and blood thinners after my monthly check up with cardiologist as the medications caused a lot of terrible side effects. You should definitely consult your cardiologist but there’s hope as I have bene in normal sinus rhythm since the incident!
Thank you for this informative video. I am an ultrarunner who has recently had an ablation. So far Afib has not returned, but I have noticed my HRV (RR) had dropped to below 20ms. It seems to have flatlined since the operation. Do you know if this is likely to recover or if it is a side effect of the ablation? Also, as low HRV signifies poor health, does it mean I will not be as healthy as I was before the operation, or does it mean that after an ablation the link between poor health and low HRV is no longer significant? Many thanks Chris
In the future,could Dr. Manssor have his own microphone?
I came across your videos & I wish you were a Cardiologist in my area. :-) I have had chest pain for a few years now on and off during exertion (it comes & goes) it has definitely hindered my life because at one point if I did anything strenuous, I would get these pains where I had to stop & wait until they subsided. I had an echo stress test which was inconclusive so my doctor wants me to get a cardiac Catherization but I am afraid of the contrast. (my ekg was also not normal--but he was not too worried about this) 15 years ago I had a CT scan of my lower back/spine and I never will forget the feeling I had when they injected me with contrast. It was just not that hot feeling like you were going to pee your pants, it was this jolt I had thru my body, it was the worst feeling so I am petrified to get this contrast. I feel since this has been going on for awhile, I am so exhausted ALL the time, I am 67, my choloestrol is elevated the doctor thought since all the tests I had are inconclusive, the Cardiac Cath would be the way to go. I am wondering if the contrast has changed over the past 15 years. Not sure you have the time to response, but I would really appreciate it. Oddly enough, I am not afraid of the Cath, it is the contrast. Thank you!!
Was wondering if you had decided to get that test done? Your symptoms sounded serious to me and so I'm hoping you got the test so that your doctor can see what's going on with your heart.
I've had contrast dye tests before but never experienced any side effects. Good luck to you!
I been dealing with pvcs.. and PVTs.. for last month… I been useing coconut juice and taking magnesium taurate.. and vitamin B1 in the morning.. I have not had another episode for about eight days now hoping this is going to help me .. wearing a Holter monitor also
thank you both so much for that excellent video. if the paroxysmal afib, is pretty well controlled by flecainide, would you recommend having or delaying an ablation ? age 61
What a great conversation. Thank you so much for sharing Dr Gupta. I’m a huge fan of the channel.
I’m a 45yo male and I had a cryo-ablation 4 months ago for my (very symptomatic) paroxysmal AF. I feel my AF is worse now compared to before the ablation. I’m having almost daily episodes and I’m getting a lot of flutter which I didn’t have before. I know the blanking period is between 3-6 months so I’m still hoping things will improve but at what stage do I consider my AF ablation was a failure and how do I address it with my cardiologist/EP? I have read some research where they’ve said that it is normal post ablation to have new atrial arrhythmias and flutter, and that it can take longer than 6 months for the heart to settle. 🤷🏽♂️ is there any truth to this or should I push for another ablation asap?
I should also mention that I have AVR & MVR when I was 17yo so an RF ablation is not on the cards.
Hi. I had an Afib ablation a couple of years ago. Had annoying arrythmias after the prodecure (Left atrial flutter and afib). Simply drinking cold bevarages and working out triggered flutters. These arrythmias stopped by themselves after about 6 months. I feel like for some people the blanking period can be quite long.
@@renovation-maison thanks for your reply.
I agree with you. I was told by my surgeon that if I’m still experiencing episodes at this late stage (5 months) then most likely the ablation hasn’t worked. He said AF begets more AF which I understand but I was hoping that it’s just going to take time for my heart to settle. He didn’t seem to think so 😏. Back to the drawing board 😞.
I think there needs to be more research done on valvular AF which I think is what I have. Good luck on your AF journey.
I would love to hear your take on a recent Medscape article on the association of omega 3 supplements and the exacerbation of A-fib.
Thankyou both for this video. I have been diagnosed with AF , but my heart beat is usually resting at 45 and at night it can go as low as 39/40. But it can also race away at 120/130. Would a ablation be of help to me. I have been unable to get my usual golf games in since this diagnosis as I get so out of breath , so my fitness and weight are suffering. I know I am old,82, should I be more accepting of the condition. But have been lucky enough to have been fit until now. Mary
I have had 2 cryo ablations.
(Emphasis on posterior area in the 2nd one.)
200mg of amiodarone/day.
*NO* atrial fibrillation for two-and-a-half years...
I'm pleased you are arrythmia free. Its not good to be on amiodarone
Sir, the size of my ascending aorta is 4.3 cm and it was 4.2 last year. Is there any possibility of preventing this enlarging with meditation and lifestyle. I have reduced 18 kg of my weight by last one year. Please tell me if there is any hope.
Both r guru.
Any chance of a video with him about ectopics please.
I was just discharged from the hospital after having a cardio conversion. My diagnosis was AFIB/AFlutter with RVR. I am an 84 year old woman. Do I need to see an EP? I take Flecainide (increased to 100mg twice a day) Metroprolol (12.5mg) and Xarelto (15mg). My rhythm is now normal. Thank you for the information!
I am a great fan of your RUclips videos, and the thought that you put into it about understanding our bodies and the things we can do to ameliorate the chances of getting serious health problems. Be they connected to cardiology or not.
In the world we live in in which everything has a natural state of balance. We humans create an unbalanced state, our bodies are unbalanced by the food we eat which is unnaturally grown, Is short of nutrients and with all sorts of additives not meant for us to eat. I do take some supplements. Like Vit K, Vit D and Magnesium L-Threonate.
I am well apart from arthritis which I find impossible to ameliorate by anything I eat or don’t eat, thus inflammation is impossible to control and is painful. I have very mild Psoriasis too.
The Question I’d like to ask is this. Being over seventy I have recently been sent a letter from my local GP to take part in a research study into AF - in it they propose to send us an “EEG recording device.Screening would involves simply holding a small, safe, non invasive recording device in your hands for 30 seconds at a time over a period of 3 weeks,
I watched your video on Silent AF and your remarks on the chance of catching a moment of AF in the devise that is given to you to wear for 24 hours, to test blood pressure and to detect any other problem you might have, such as AF. I was tested for high blood pressure with one of these bulky things some time ago. Indeed the usual electro-cardiogram is unlikely to show anything like AF, I want to know if this new device is likely to spot AF it presumably cannot be used at night for instance?
I do sometimes feel a period of fluttering of my heart when I lie down in bed but it only happens for a short time and is fairly infrequent.
I want to be helpful by taking part in studies. But is their something for myself to monitor myself without it costing a fortune, Many thanks for your videos full of helpful info.
All the best.
Barbara
Dr, there is a new procedure I read about called, I can’t quite remember the name, buts it’s called Precision Ablation! Could you ask Dr Nazir about that procedure versus Freezing?
It just shows you how many ppl are living with this horrible condition, afib, palpitations , ectopics etc, etc. Just like me, ❤ absolutely hate them and every shit heart beat that’s felt , and every shock of a beat it’s missed , like feeling that it gives you is absolutely crap, 😢but he ho
I am going to visit my doctor shortly because I was talking to a cardiac nurse at a social occasion. It came about that I said I did not drink alcohol any more because when I do my heart starts to flutter and I have palpitations and it stops me sleeping. She told me it was called alcohol induced AF and that I should get it checked out. I am seventy one and pretty fit and active. My mum had a stroke at seventy eight and she was told that she had AF. I wonder if I am taking after her, although my mother didn’t drink alcohol.
Dr Sanjay thank you for all that you do. Please how do i get a consultation from you and how do i join your WhatsApp broadcast? Thank you.
What about the use of Pulse Field Ablation (PFA,) can you speak to that?
thanks from the bottom of my heart from Amsterdam. I have a question that no one can answer, not even the cardiologist. my husband has had two cardioversions ten days apart. then an ablation six weeks ago. he wonders why he feels so much better after the ablation than after the cardioversion. what is the difference between them in the functioning of the heart? Thank you ❤
Thank you very much for your excellent questions, Dr Sanjay. I don't feel that the ones that I was most interested in, as a 'lone PAF' sufferer, were answered though. I have to question the blanket prescribing of anti coagulants based on....what? As a PAF sufferer (1 episode a month or several months which a PiP dose of Flecainide stops in about an hour) with no comorbidities, a healthy heart and good level of fitness I question why I should take a medication for the rest of my life (anticoags). I have had the figure of 5x increased risk of stroke mentioned multiple times but I eventually tracked down the source of this figure - from the Wolfe study done as part of the Framingham studies - and discovered that PAF sufferers were EXCLUDED from this study! How much evidence is there of increased stroke risk among a population with no comorbidities? I'm guessing very little because drug companies must make so much money from the huge number of people taking these meds. Same with statins. We are advised that the newer anticoags are perfectly safe....but NO medication comes without side effects and/or risks.
I had no co morbidities, only old age. Perfect CAD score. PAF. Refused blood thinners and had mini strokes. Now take Eliquis, my only med, and absolutely no side effects. Medical procedures i have to stop Eliquis with my cardiologist permission. Never knew i had mini strokes till the last one with a numb arm for 1 minute and slurred speech for a second. Hospital kept me 4 days for tests where they saw 5he old mini strokes on a scan. And i thaught i just fell once .... my legs went numb......no big deal! Please take an anticoagulant it may safe your life !
what is your age??
Thank you, I wanted to understand the ablation procedure a little more. I have Left Ventricular Dysfunction, and have 28% ectopic beats, which have only reduced by 3% with Bisoprolol and Ramapril. I've just had a 4th heart monitor, I will be having a 3rd Echocardiogram since having my meds doubled to 5mg if each daily. When I see my consultant in November the plan will be for an ablation. Will my ablation differ from the one explained in this video ?
Hi @debbiec9680, I am in a similar position - 25% unifocal PVCs and struggling with Bisoprolol/Flecainide having tried other meds too. My consultant suggested ablation and I agree while I'm young and have no co-morbidities it may be a good thing, so am seriously considering it. How did your conversation go?
You are the best doctor, regards from mexico Dr !
I do have a question. My longtime diagnosis (a few years) is PAT. ECG: sinus rhythm, tachycardia plus extra beats. No tolerance for beta blockers. Have been on losartan, amlodopine . Just prescribed digoxin (0.125 mg) but possible ablation if that doesn’t help. Would appreciate discussion of. PAT because I can’t find much about it. I’m 80,short. Some possibly of undiagnosed heart defect (inability to run in childhood). I was this many years old when I learned from RUclips that being “double jointed” is part of an actual diagnosis-HSD.
Had that surgery but Dr had to stop it after 35 minutes because I felt my brain swelling
Had my ablation in 2018.. an never had an episode again!
I do occasionally have palpitations but no more afib..
Thank you so much for the explanation🪻