Atrial Fibrillation (AFib) | Q&A
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- Опубликовано: 16 июн 2024
- Atrial fibrillation (AFib) is the most common heart rhythm abnormality, affecting more than 33 million people worldwide. Patients with AFib are at a higher risk of stroke if not properly treated. Watch Hugh Calkins, M.D., director of the Johns Hopkins Cardiac Arrhythmia Service, as he discusses the latest developments impacting AFib management, including a review of the recent guidelines, the latest techniques and strategies for stroke prevention. Learn more about the Johns Hopkins Heart and Vascular Institute by visiting www.hopkinsmedicine.org/heart_...
Questions Answered:
1. What is atrial fibrillation? What causes it? 0:03
2. How is atrial fibrillation diagnosed? 0:41
3. Once atrial fibrillation is diagnosed, how should it be treated? 1:07
4. Are all people with atrial fibrillation at high risk of stroke? 1:59
5. What other approaches are available to lower the stroke risk in patients with atrial fibrillation? 3:14
6. What techniques are available to remove or occlude the atrial appendage? 4:17
7. How do you decide which approach to use for a given patient? 5:03 
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My severe mental problems triggered my afib. The chronic state of fight or flight.
Just answered one of my questions. Is Afib hereditary? Yes, it's very possible. An immediate family member of mine took Coumadin for several years. Thanks for answering my question
I went into Afib after open heart surgery. Did a Cardioversion to restore the heartbeat, which worked. In Afib, I felt fine, B/P 128/65. They fixed the Afib, now I am at 190/90 and on 4 different B/P meads. I asked them to put me BACK in Afib, they don't know how to.
I'm 20 and just got diagnosed with afib. I hope I can get the help I need 🙏
I’ve been to the er 3 times in 2 weeks. I was rushed by ambulance I got this warm feeling and then my heart went crazy felt like it was going to explode. Er won’t find anything I’m on medicade so My er referral to a cardiologist wasn’t enough now I’m waiting and 3 weeks until I can get an appointment and I’m terrified I feel tingly and get really cold. I’ve always been out of break and high heart rate I just related it to anxiety. And my chest hurts constantly. I’m 31. Does that sound like any of your symptoms
@@cutewithoutheetbs0282 I used to think it was anxiety too but then randomly my heart will beat super fast out of control and it'll leave me breathless I'm on a Mobil heart monitor right now before I start blood thinners. I have blue cross insurance they referred me to the cardiologist but it took like 2 months to get in too
@@cutewithoutheetbs0282 How did it turn out for you?
wishing all the best i had a beartbeat test and i need to get testing but im terrified cause im only 14
Get well soon
Having trouble for the past year at least with my heart skipping and running fast at times I found out in the last 2 months that I have CKD, I changed my diet , cut down my sugar intake, no dairy, no red meats , loads of veg, Alpro and other vegan products,no salty products,plenty of grapes, apples, more water than I usually would drink, extra vitamins especially B12 B2 C and D. Zinc, magnesium , I'm not sure what has done it but my heart is functioning normal again.😳lost 8 lbs too, try to get as much exercise as I can , mainly walking.
very helpful. thank you.
Thx! Keep up the good work!
MKK Properties he’s lying !
@@powerjay8920 how so?
It’s all due to deficiencies and toxicity fact my dad and we reversed in within 92 days !
@@powerjay8920 like what?
When you’re consuming toxic foods substance such as Oreos and any oil‘s if that so you need to stop eating Oil Get off of all gluten foods I mean all
I know one of my issues is that I don't get enough sleep.... barely 5 hrs a night
I had never heard of this atrial appendage surgery that he mentioned so I learned something today and I'm going to mention this to my doctor even though I only have paroxysmal A-fib I have figured out that alcohol is the chief trigger for me and it used to be sleep apnea until I got a CPAP machine
After seven months of periodic chest pain then passing out, I've been diagnosed with Afib. It's amazing how little my cardiologist seems know or is willing to take the time to inform me. I have to go to You Tube in order to get basic information on a condition that can kill me.
@@enjoynature4113 Yep That's the Medical Community ! Sadly.
Ablation best out comes
What should have been in this presentation is the effect ALCOHOL has on one's heart. Avoiding all ALCOHOL is the first thing one must do if one has Atrial Fibrillation.
I am Having Knee Replacement and have A Fib I am currently on Eliquis and I know I have to come off that 3 days before the operation
what is the alternative and what pain meds can I take
We suggest speaking to your doctor about this.
I went in last Saturday because of a problem with my leg. Swelling from a blood clot I got in November. They diagnosed me with AFib and for two days my heart was all over the place. The cardiologist was going to shock my heart but sometime in the night my heart went back to a normal rhythm. I was put on Eliquis and Coreg. My paperwork says I cannot drink. Does that mean I can't drink at all? I like to have a glass of wine now and then. I turned 60 in October and everything has gone downhill ever since. It's so depressing.
How ya doing now? (Sept 2022)
I started to get nosebleeds from the blood thinner and so stopped taking the first prescription from a hospital cardiologist. He sent me to an outside cardiologist who gave me a different, cheaper prescription. However, I felt an extreme shortness of breath while walking after the first time I took this prescription and stopped taking it. I soon lost confidence in this doctor for other reasons as well and didn't go back to him. I'd like to get a third opinion from another cardiologist but trying to get an appointment with one takes forever. I've been taking half an aspirin at night with no apparent problems. What do you think of that? Also I take Magnesium and other vitamins, which you didn't mention. Why not?
Jim Ervin I am on Eliquis and it make my hands,feet and nose cold but other than that I’m fine.
Cold hands, feet and nose? Doesn't that mean that you have poor circulation? I get cold feet at night as it is.
All About the Money, Sadly.
Elsie Allen cayenne pepper is a natural blood thinner, aspirin can cause bleeding in stomach or eyes, should check out Barbara’s O’Neil videos of misty mt retreat from Australia , awesome speaker. I was just diagnosed with a fib and very short o breath, after watching her videos, I discovered that a fib can be caused from allergies, just so happens, my eyes feet and mouth have been swelling like crazy,
@@christinechatham8849 I just read your post. I wondered how are you doing with your afib? I was just diagnosed and I am very scared!
Why don't I ever see watchman or other appendage closing devices being used? So many of my afib patients are just on anticoags from my experience on a neuro/stroke unit. And they do end up with unfortunately either stroke or falls due to their age or other factors. I feel as though these surgical interventions for high risk pts really still, 7 years later, needs further advertisement and awareness. :)
Although Dr. Calkins does not directly state that Afib is a heart problem, he is a Cardiologist. What is wrong with that? Stating that atrial fibrillation (Afib) is a heart problem, specifically when referring to a person with an otherwise healthy heart, is like stating that Parkinson’s disease is a hand problem. That’s clearly wrong. Would Parkinson’s specialists be Orthopedic surgeons? No. Would Parkinson’s specialists operate on the patient’s hands to stop them trembling? No. That’s the problem with healthy heart afib treatment and research by Cardiologists. Afib is actually a problem of the Autonomic Nervous System (ANS), not the heart. Therefore, Afib specialty belongs with ANS specialists. Until the problem is focused upon by the right specialists and researchers, new treatments for the problem will still focus on tinkering with the heart. Catheter ablation and pacemaker insertion damage the heart. That’s barbaric, misconceived, is usually not very effective, and can seriously shorten the lifespan of the patient. That makes zero sense. Moreover, in the for-profit medical system in the United States, being branded with a heart problem is to render a person uninsurable or highly expensive to insure. Doctors and medical billing and coders brand you with heart disease if you have Afib. That’s tantamount to an injustice. Nervous system specialists are starting to focus on Afib as originating in the hypothalamus in the brain, part of the command center for the ANS. Because we are starting to discover the complexity of communication between the heart, organs and brain, especially by way of the vagus nerve, locating the origin of the afib may be very complex. DLC; Albuquerque, NM; 18 January, 2019.
@tyanite1 You are a Wise Person , Dr. I'm assuming? Thank you for Commenting, alot of People Needs to know This. ♥👍
You are so dead on target! You either have done research, or you are medically trained, or perhaps both? Newly dx with AFib and have my own reasons or suspicions that my afib is diffinetly connected with the vagus nerve. Well, the whole stomach/ heart connection really. (Some doctors are slowly coming around to this way of thinking, thank goodness!!)
It's a heart issue
Stop reading and start learning.
@@KingDecahedron It's an electrical issue. Signals from the arteries over-riding electrical impulses from the sinus node.
What are the risks associated with appendage occlusion procedure ?
Hi, unfortunately, because each person’s medical situation is different, we are unable to provide treatment recommendations or second opinions via this form of communication.
If you would like to request an appointment at one of our hospitals, please call 888-872-1408. Our specially trained medical concierges can arrange consultations or treatment plans with the most appropriate specialists. Johns Hopkins USA can also provide language interpretation, financial counseling, assistance with travel arrangements and anything else to help make Johns Hopkins feel as close to home as possible.
I’m 15, perfectly healthy, my grandma has diabetes and my other grandma has problems with her heart. Sometimes when I lay down to go to bed I have multiple heart palpitations and I can’t go to bed, is it something to worry about?
exactly the same problem I have. I have not been sleeping well due to fear I die in my sleep
Haizte Benelvides I went to the doctors and it’s probably anxiety. Try calming yourself
Haizte Benelvides same here. how are you doing now.
Did he say 5 to 600 bpm?
I had pneumonia 5 years ago in a cold winter in my garage. The lack of oxygen caused my heart to pump harder going into AFIB. Here I am with severe chronic pain, burning like a torch in my lumbar if I bend or stoop my 6' 3" frame. Plus, pinched ulnar nerves in both elbows, 3rd finger on left hand arthritis and feels broken. Green light on metal right elbow, but nothing.
I am being forced to reduce my hydromorphone 8mg from 5 per day after 3 years, to 4. Now new Dr. required as my solo practice Dr. doesn't have "E-Sript" as to follow state or even Federal laws. So, lets review...I am in pain bad, so I can walk to exercise, can't improve cardio, can't build muscle mass or improve bone density and now, they are going after 5 year old system data to sell Eliquis.
Hell, after the farm, and 40 years as dealer tech, and not overweight, not light headed, no passing out, no shortness of breath, but lots of pain. Let reduce his pain killers, even the FRA did not work. Possible spinal stenosis but one 1 income, I don't have $45 for MRI, $45 for Cardio Dr., $45 for Orthopedic surgeon to check spinal stenosis, or a new #5 lumbar fusion.
I had 18 cents in the bank for 7 days in July, $5.60 in August, $3.19 for Sept 2019 left.
My 25 years in the house my wife wanted is where I will die. Yes, hydromorphone 8mg at 5 per day was high, but I was able to function fine over the 3+ years of this dosage. Now, over-night, it is immoral, incorrect or illegal because it works for me? I am not a 5'4" 100 Girl who never had more than a tooth pulled. Been there, done that, got the "TEE" shirt. Come on guys.
My old Dr. told me he now knows when to retire as the LAW becomes official, Jan 1st, 2021 for all to have $3,500+ software for Electronic Prescriptions of a Controlled Substance or EPCS.
The August issue of the New England Journal of Medicine, the lady Dr. is mad because the MME assignment numbers where ascending, not descending and is upset as each case is different. Sure, a respiratory depressant but I set mile record running, 1/2 mile, 5 mile cross-country in 25 minutes flat. Don't blame me because I have twice the lung capacity of someone who just turned 61 and worked in a cube farm their entire life, because I worked in hot dealer shops lifting, bending, twisting and running up stairs to parts, burning 6-7k calories per day from 7AM to 9PM at night. No, let's use old records and ask him to pay for Dr, Meds, Specialist I can not afford. No wants to live on a credit card, and yes I make way more in "Disability" than most, but my wife raise her 2 kids and our 2 kids and only got $12.50 per hour as a cashier for 13+ years as of 2019. Hell, new employees start at this rate, but quit when they have to work, can't count back change nor put up with comments from contractors and non-english speaking workers who want to split a purchase into cash, card and check...using a shell game.
No one will reply to this one I am sure. Oh yea, how did your back get messed up. Well a guy who owned a shop tried for months to get to work there. Then with sinking concrete on his hill-top shop, lost his court case and found out I could run any tractor made. So 20' X 100' hole, 4 feet deep was dug out. Drain got fixed by plumber, then he pulls me off a stater rebuild to have me run a vertical "Jumping-Jack" earth compactor he had rented. It turned to mud and after 5 hours I quit. Woke up with the feeling of the worst sun-burn on my back ever, but not red. Just pulled 2 of the 4 muscle groups in my lumbar. Now, live nerves trapped in scar tissue. I can't even bend over to shave, wash dishes, or work on benches because they are built for short dudes.
Yep, We are from the Government and we are here to help you! Thanks, but no thanks!
Retired against my will / ASE Master Tech since 1978
Hi, thank you for reaching out to us. We’re very sorry to hear about what you’re going through. Unfortunately, because each person’s medical situation is different, we are unable to provide treatment recommendations or second opinions via this form of communication.If you would like to request an appointment at one of our hospitals, please call 888-872-1408. Our specially trained medical concierges can arrange consultations or treatment plans with the most appropriate specialists. Johns Hopkins USA can also provide language interpretation, financial counseling, assistance with travel arrangements and anything else to help make Johns Hopkins feel as close to home as possible.
@@JohnsHopkinsMedicine I completely understand the comment, as this is true with most everything. I am not asking for help, but just pointing out that most all complain of what is a symptom, it is the root cause that has to diagnosed.
As for lumbar burning when bending, it is a day long fight. The radio frequency nerve oblation did not work, but an L3 epidural did for 1 1/2 days. So as I have tried to pursue relief, the pain still is there. My post was long, but I have many issues that cause pain. With the fight on Opioids, I have fallen victim to less and less medication. Good intentions that result in new laws from the states or congress, still have unintended consequences. As pain is different from one to another, the law is not as it is a blanket rule to cover all equally. I would prefer to be pain free and perhaps enjoy the projects I like to do. Either way, thanks for the kind words, but won't be leaving Omaha anytime soon. Without a paycheck, I have no control or rule of measure of my value. Thats all!
Have a nice day. Good job on the AFIB information.
@@deankay4434 I understood clearly the points you were making. Yes, discovering and treating the source of the symptoms is crucial in successful treatment or cure. And it is a crying shame that the government cracked down too late and without discrimination on opioid use here in the U.S. Persons in unrelenting chronic pain are being lumped in with hard-core street addicts. I get it that doctors and everybody involved are rushing and reacting furiously to cover their behinds!! And I hate that someone who has worked hard and diligently all their life is forced into these dire circumstances. I can sense your more than justified frustration and righteous outrage at the whole situation.
It's SAD that our medical community and government are coming up so short-handed towards any realistic solutions.
What a Mess!!!
EKG is far from the best way to find AFIB. Need 24 to 72 hour monitor to pick up in many cases
No sound on playback
I am 67 years of age I was diagnosed with AFIB in January 2023 after I went to hospital with palpitations, I have kept myself fit most of my life and exercise regularly, I was prescribed a beta blocker to slow my heart which I no longer take as it was causing my heart to beat very slowly which in turn slows the metabolism, I have continued though with anticoagulant medication just in case, but I have had no further episodes of AFIB since my diagnosis 6 months ago, but I have no family history of this I am not overweight , my theory on how I developed this is covid vaccine, I will not take the covid vaccine ever again
I had a heart attack after being on Fleccanide and Bisopherol for A-fib. Why are so many more young people getting A-fib? Can it be EMF's and a lack of sun light? From what I have read there is less A-fib in the undeveloped pacific regions.
Yup, makes sense. I believe those things along with crappy nutrition ect., are contributing factors for sure.
I have afib at 28yrs and am in Kenya...anyone can have it...maybe lifestyle plays a major role but not always..most people in the developing world can have this but due to lack of knowledge just ignore it or lack money to see a doctor. So there maybe undiagnosed people.
@@reulaxx2349 Do you drink coffee or tea or alcohol? Do you have enough organic vegetables in your diet and are you getting enough sleep? Added to this do you use a mobile or cordless phone a lot. Do you have Wi-fi in your home or work with connected devices. Are you living or working next to a cell tower? All these can cause or exacerbate heart conditions! Make sure you are eating seafood with DHA omega 3 and you are getting plenty of sleep. Relationships, stress from these and your generally happiness may also not be helping? I look at the condition holistically. I really believe you will be able to fully get better. God bless
@@cuoredivita wow you might be right. I used to get these episodes when i slept late working...now i try and sleep early. I have wireless phone, laptop, wifi inside the house and a cell tower just 200 metres away..Maybe they could be causing everything..Also i had lots of healthy anxiety since i had chest pains for so long which have gone after treating h.pylori. I don't take coffee or alcohol but tea occasionally...I think I take enough green vegetables.
@@reulaxx2349 Cut the green tea out as it still has caffeine, to see if that makes a difference. Yes the h pylori may have been indirectly causing the issue, as there is a connection with the gut and heart, wind can trigger my episodes. Try and hard wire all your devices, and put them in flight mode at night. If you can't move you may want to try shielding your property from the cell phone tower. If it is a flat your in you may want to try and chag with any neighbours about turning their wifi of at least at night. God bless
My heart thinks it's a rock star , rocking out on the drums, grr
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@@nursed.porchae990 you can say that again....or maybe....
Is not blood pressure "medicines" the cause of most " diagnostic " testing result of afib ..i would ask about the possibiliy of lifelong kickback or commissions from prescribing these high priced drugs.. time wasted?..and needs of appointments testings and expesive procedures..forgot stents clottings??
Can you hear a bzzzing sound like a bee & missed beats at same time with this?
Hi Kathryn, If you would like to request an appointment at one of our hospitals, please call 888-872-1408. Our specially trained medical concierges can arrange consultations or treatment plans with the most appropriate specialists. Johns Hopkins USA can also provide language interpretation, financial counseling, assistance with travel arrangements and anything else to help make Johns Hopkins feel as close to home as possible.
My AFIB was caused by Energy Drinks, lack of sleep and cold weather--flu and bronchitis... those arenot good for anyone
How do you know about Energy Drinks? Are you young
My mom caught pneumonia and then one month later a fib was detected. Is that caused the afib?
Hi, we recommend talking to your mother's doctor about this.
I wish he would have held the "heart" so we could actually see it.
Tell folks 2 get there rest, which rest the heart. Nap time 4me💤💤💤
sorry doctor, that Doesn't make a Difference.
@@KingDecahedron It actually makes a huge difference for me. I have zero other factors that determine AF risk aside from likely genetic predisposition. Lack of sleep is my only common triggering factor. My Cardiologist echos that sleep is massively important to heart health and that science is starting to catch up to this notion.
@@roforsho Then it's genetics. get an AF pacemaker like me.
Warfin is the worst to prevent stroke. It is highly know you are danged if you do and danged if you dont. Warfin's con's is stroke probability
xarelto, beta blocker, calcium channel, catheter will all create your strokes.
Why would Xarelto, blood thinner, provoke stroke?
You forgot ace inhibitors and long term pain releivers or aspirin "therapy"
Very Common..? Wait.. 🤔
5million people in the US have it, but their are over 350million in the US...So thats only 1.4%. That seems rare to me..? 🤷♂️
Make each day count, have fun, kiss and sex, have a beer ... you only live once
He should go to Jail or someone should ...... stop lying! Tell people they should Take medication ,,when it’s deficiency
What’s the deficiency? If it can stop atrial fib, I need to know, please!
@@bimiup1 Just guessing here but he's probably talking about electrolyte deficiency.
yonathan gebru a lot of that malady going on it seems is that business
electrolyte deficiency can cause things like changes in T wave... possibly ventricular arrhythmia. But not afib... this does require the treatments he has mentioned as well as lifestyle changes if it is caused by a modifiable cause
It’s not genetic !!!!
One of the causes is a mutation of the KCNQ1 gene. My guess is not everyone gets it from genes but you can get it from your parents genes.