The two types of Afib
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- Опубликовано: 15 июн 2024
- Type 1 and type 2 AF
Most medical conditions in the western world are caused by one or more of the following conditions:
Age
Genetics
Luck
and Lifestyle.
Lets look at diabetes.
There is type 1 diabetes which is usually caused by bad genetics or just bad luck and affects young patients
and there is type 2 diabetes which affects older patient and is usually caused by age and lifestyle.
They are managed differently.
Type 1 diabetes is treated with Insulin
Type 2 diabetes is treated with tablets/diet and sometimes insulin (and lifestyle changes)
In the same way, i believe that there are 2 types of Afib and they are caused by different things but unfortunately they are thought of as one condition and therefore all Afib is managed in the same way but ideally they should be managed differently and if you understand the difference, it may allow you to target those treatments which will give you most benefit.
Type 1 Afib.
Whilst most patients with Afib is seen in older patients with comorbidities,
we do see it in younger patients who have no comorbidites…this has historically been termed lone Afib.
In these patients, the reason of Afib is usually genetic or bad luck
when you scan these patients they have normal sized left atria and often their Afib comes and goes and interestingly they seem to really not tolerate their Afib very well at all. When you follow them up, they have an exceptionally good prognosis with no increase in stroke risk and these patients seem to respond extremely well to ablation.
Type 2 Afib,
Older patients with Afib usually tend to develop it because of increased age and bad lifestyle. They often have comorbidites such as diabetes, hypertension, sleep apnoea and vascular disease. Interestingly when you scan their hearts they have big sized left atria and they seem to tolerate their Afib very well. Often many are found to be in Afib incidentally and they are often in persistent Afib. When you follow them up, they do very badly in the short to medium term and have a much higher incidence of strokes, heart failure and even sudden death and therefore need anticoagulation. Often they don’t respond as well to ablation and even if they do they often end up requiring more than one procedure and taking away the Afib does not alter their risk of strokes or overall prognosis.
and therefore I think that patients with type 1 Afib should be treated with reassurance and ablation
and patients with type 2 A fib do better with anticoagulation and lifestyle modification and ablation in the case of refractory symptoms
I am a 65 year old female. My first episode of Afib happened in a remote area of Utah just recently. We just finished camping and hiking for 6 days and I woke up at 5 am with aAfib with a rate of 140. It felt horrible. Was taken to a small hospital, given Cardizem and Metropolol as well as Xeralto and then converted on my own after 24 hours. I have a strong family history of Afib, echo indicated a normal left atrium, hike and exercise all the time, healthy weight, eat a healthy diet, get plenty of rest, drink water, and meditate. Just recently added Magnesium and hoping that keeps further episodes at bay. I especially feel there is a link between my GI system and arrhythmias, as I have had GERD for years and experience rapid heart rate ( sinus tachycardia) with large meals. Have cut down on quantity of food, and that helps.
Thank you for the differentiation of Type I and Type II Afib as well as the associated outcomes. I think I fit into the “bad luck” category and will be finding a Cardiologist from a reputable cardiology institute who can help me manage further episodes.
Once I switched to sleeping on my right side, I had no more episodes of AF, while lying in bed.
I'm fairly sure I'm type1 over 65. Food seems to bring on any event. The amount and type of food. If I just stay with non processed food I seem to be ok.
Hi, I found your video extremely helpful. I have P A Fib, diagnosed 9 moths ago , episodes 3 to 4 months apart, I'm an extremely fit and healthy 72 year old female with no co morbitities, scored 2 on my chads purely because of age and gender, my mother had Afib and died recently aged 97, my GP Scares the hell out of me as he keeps pushing anticoagulation, I am just over 5 feet tall and weigh 52 kg, sounds like I'm type 1 , it's a mind field ! Keep up the good work. All the A Fib folk out there need somebody to turn to.
What is a fin and how do u know if you have it. Mt heart flutters then a bang I'm scared
Same with me but I can go one better. Not only do I have a high fitness level of a much younger person but I also have low factor XI clotting factor which is THE most important clotting factor in stroke risk. It turns out I have a 60% less stroke risk because of it, almost as if I was on a standard anticoagulant.
Yet still I get doom laden warnings. Basically doctors want to feel powerful and needed. It builds their ego to see you hanging on their every word. They hate it when you tell them you don't need their barbaric procedures like ablation or LAA isolation.
Nice. Never heard of that clotting factor. 65 M paroxysmal AFib mostly asymptomatic. Very Fit. Do HIIT classes and play tennis. AFib was found at a routine physical at a very prominent teaching hospital in the US. Young doctor started lecturing me that I could have a stroke. And I have to see a cardiologist. She made an appointment for me two days later. I cancelled it because I had something to do. She also said I needed a vaccine booster. I said no-the only reason I got 2 vaccine shots was I had to travel overseas for a wedding. She said I needed the flu shot - I said no . Never got the flu that season. My wife got the flu shot and later got a bad case of the flu. My bad cholesterol is slightly high so she tried to give me a statin. I said no. Before COVID I had gotten one shingles shot so when she said I needed my second shingles shot I said ok.
I eventually saw the cardiologist and everything was fine. Low risk of stroke because CHAD VAX score is 1. He said my choice is if I want blood thinner. No. He said he can do an ablation. The only reason I'm considering it is AFib gets worse with age. While doing my own research I found pulse Field Ablation is about to be approved in US. I'll probably get it onece approved. Sorry for the long story.
@@lrc87290 I wouldn't have any type of ablation if I were you. Watch York cardiology on the two types of afib. A 30 year 2007 study indicates that those with paroxysmal afib had no greater risk of stroke than the general population. Afib is like covid 19 it's not the condition that kills you it's the comorbidities. People with paroxysmal afib don't have comorbidities, unlike those with persistent afib they don't have heart disease, the cause of afib for them lies in the autonomic nervous system. Dont mess with anticoagulants of ablation you don't need them and beta blockers don't work for paroxysmal afib. This isn't just my personal experience but is confirmed by York cardiology.
There's no proof ablation works, there are no double blind trials to eliminate the placebo effect. So for someone with paroxysmal afib and structurally sound heart why on Earth would you want to damage your heart with a branding iron? Your heart isn't fillet steak! Burning your atria reduces its function by 10% thereby causing a small amount of heart failure. But this damage may trigger further damage over time. There are no long term studies looking into long term effects. Even if it were shown that ablation subject had greater risk of heart failure or stenosis the doctors would deny it and claim any heart failure was caused not by ablation but by afib. They never admit they are wrong.
Moreover, if you have persistent afib and an already damaged heart why would you want to damage it further with an ablation? It's a money making exercise by doctors that convince themselves of its efficacy. Many don't believe in it but don't want to cause waves.
The nonsense around Corona virus when millions of healthy people were locked up through shaky science tells you that you should think carefully before listening to these demi gods.
Try magnesium, so far it's worked for me as well as giving up sugar and processed foods. Ablation only seems to work because it damages the atrium. Normally a person with paroxysmal afib will always know when the are in afib unlike the persistent afib sufferer. That's because the paroxysmal sufferer has a preserved atrial kick, as soon as he goes into afib he loses the atrial kick and immediately notices it. The persistent afib sufferer has lost the atrial kick long ago so never notices the change between normal sinus rhythm and afib. So if a paroxysmal afib sufferer has an ablation they lose 10% of the atria's pumping action so you could still be in afib and not know it. Is that worth it, damaging your heart setting yourself up for future heart failure just so that you get used to being in afib without knowing it?
Unless you eat badly there's absolutely no reason why you should progress to the persistent stage of Afib. They are two distinct types with different causations, they are not one and the same condition with a natural progression.
Everything I say is born out by the York cardiology videos. When you have a condition you are worried about you are vulnerable and willing to submit to all types of Frankenstein procedures by arrogant doctors.
Regarding CHAD that's only a rough rule of thumb. If your 1 score is down to age ignore it. A far more reliable guide is VO2max score. Get a Garmin watch to measure your VO2max. If it's over 35 you're fine. It's fitness age that counts more than your chronological age
@@lrc87290 Howdy, so you never went on a blood thinner? My profile is almost exactly yours right down to age and CHAD of 1. Cheers.
I have Afib because of my age 76 I am in the class2 qualification. I have the procedure and in blood thinner for 2 years now with no recurring episode. Thank you Lucia I am following your program. Please keep more information like this going. work
Dr Gupta you are a rock star. A rock star who saves lives. Please start touring the world and speaking at large venues to spread your amazing and beautifully presented knowledge live with audience participation. Best show in town!
Great video! I would have fit into the type 1 afib. Absolutely felt horrible and knew every second when I was in afib. Food preservatives such as MSG, TBHQ, Sodium Benzoate would make it start within seconds or minutes after consuming. I became more and more "allergic" to food/drink additives. Within 5 years it became unbearable with occurrences happening more frequently and longer durations. Had an ABLATION 3/2020. Got my life back! So grateful 🙏. I hope it never returns. I still try to stay away from preservatives.
Love your videos.
When we talk to our cardiologist about my husband AFib, he did mention the two different types and when he would be concerned but he didn’t call them type one or type two. Which I can kind of understand better where we are at with this problem with the way you explained it to us. I appreciate All of your information/topics even if it doesn’t directly affect me at the moment. I love learning new things. Thank you
Thank you so much for all your videos they are very informative and supportive.
Excellent and interesting video. I have type 2 AFib . Diagnosed with obstructive sleep apnea some years ago, now treated with aid of cpap machine and great improvement with getting deep sleep. Also on anticoagulants. Episodes of AFib with great tachycardia are helped by taking magnesium. I have seen many of your video sessions and they have taught me so much and impacted my health for the better. Thank you, thank you for all you do.
Appreciate the video and closing humor.
Classic example of simple identification of a problem and applying a solution versus a deeper dive into a complex problem and considering the various possible corrective actions.
As always, it was VERY useful
Thank you so much for this.
Very nicely distinguished the two types of AFIB thanks dr sahib good wishes
Love your videos Doc - they help me to better understand my situation
Very much appreciate your videos. I am persistent type 2. I have been put on the big five medications to control rate, BP, and stroke risk. I also have aortal aneurysms. My comorbidities (sp?) Are obesity, BP, apnea, and insulin resistance.
I gave begun mineral supplementation in the form of mg citrate and K salt mixture along with intermittent fasting. I have a long way to go but you give me some hope.
That’s excellent & ver useful my best Doctor - God Bless you for all you’re doing 👍👏🏻🙏🌷
Thank you,very interesting as always.I never get bored listening and I never fall asleep.
Thank you Dr. Gupta! This is very helpful.
I have Afib, and your videos help me understand my condition, and to have intelligent conversation with my cardiologist.
hi good day doctor sanjay gupta is surgery is the best solution to cure my afib the doctor told me they have to change the valve left atrium of my hearth please adbice me doc thanks god bless you always
What does your afib feel like?
Very helpful videos to inform our family what's happening with our dad. 💖
As always excellent explanation, so enlightening
I enjoy your videos and I could listen to you for hours ,you are very knowledgeable and interesting Doctor.I learned a lot from you
I have symptoms of afib, according to my Dr but he hasn't diagnosed me. I am a heart patient I had heart surgery at the age of 31 and now I'm 53.Almost daily I have heart palpitations shortness of breath and I get very tired when walking. What questions should I ask my Dr or should I go to another Dr who will give me answers as to why o feel the way o do.
Dr Gupta, I so appreciate these videos on Afib. I'm researching for a dear friend who has just been diagnosed at age 73. He has always had a sharp mind, been in good shape and is still working part time. Before this, he was working about 60 hours a week or more. Thank you again for sharing your knowledge!
How very kind ..thank you so much!
Thank you for all your thoughtful AFib ideas and videos. I put myself in your Type 1 AFib category having my first episode at age 15. I am now 68 and over the past 50+ years my AFib episodes have occurred at intervals of only once every 3 to 5 years. Less often now than when I was younger. I've fired my last two Cardiologists for insisting I take daily Lipitor because of my age and intermittent AFib. Great to find your videos that agree with my idea that my AFib is not necessarily like everyone else's! I claim I always know when I'm in AFib. So my new Cardiologist has me wearing a 30 day heart monitor (data not complete or analyzed yet) and his recently ordered Echocardiogram shows I have a healthy heart. My previous Cardiologist did a CT Scan that shows my Calcium Score is "zero" in the 17th percentile. I am a moderate drinker and have been an occasional cigar smoker for more than 20 years (I do not inhale). But I have always had a pretty good diet and lifestyle even before adopting mostly a whole-food plant-based diet 10 years ago. I have my blood pressure down to normal readings without using medication despite cigars and drink. I told my new Cardiologist I do not want to have a stroke and I will take a medication you recommend if you tell me I have an elevated risk of stroke or heart attack; but you will have to tell me "why" and not simply because of my age and intermittent AFib. BTW I made this challenge to my new Cardiologist prior to very recently finding your RUclips Channel and many educational videos. I appreciate the thoughtfulness of all your videos.
I have the type one AF. Hated it so much as found it so scary and uncomfortable .Started having it in my early 30s . Thank you for sharing this information I feel relieved as I didn’t want to take an anticoagulants for the rest of my life. I was obese before but after a 70kg weight loss feel great. Haven’t had an episode of AF for three years .
Informative and scary too. Nice to know though. Your videos are SO good.
How very kind ..thank you so much!
You are very right sir.There are definitely two types of Adib.
I first got AF in 2013, my late fifties. I was totally incapacitated by it. Told Electrical not physical problem with my heart. Actually no, I was developing a parathyroid hyperplasia and my AF stopped when that was removed. My problem was too much calcium in my blood, released from my bones by the elevated parathyroid hormone.
Did u have it after that?
Did you see an endocrinologist for this?
You are a good doctor Sanjay. In every way. I would go to doctors if I knew they had your knowledge calm demeanor and understanding human nature. But I live in the US.
I am in love with your demeanor, way you explain and provide simple solution. If you ever come to India, please let your followers in India know.
Not even the largest stadium would hold the number that would want to be there. But you are right. There's no one quite like Dr Sanjay Gupta.
Two years go I had sn Afib episode. My lab work showed my potassium a little low. Doc gave me some and I increased my potassium foods, that appeared to correct it. Recently, now age 70 had another episode not sure what triggered it. I live a healthy life style and have no known health issues. Just before it occurred I was celebrating and consumed more sugary and salty foods than usual - could that have cause it? Overall I still feel great but will schedule appt with Doc. Sanjay you are very helpful!
Thank you for this. Just had an AF study done and they said I was not a good candidate for an ablation. They were trying to stimulate the SVT but couldn't. They could only stimulate the Afib. I dont have any heart damage or abnormalities according to an echo stress test. They did insett a Linque to monitor my heart though. Think I am definitely a type two afib.
I made a change in my lifestyle with weekly 2 hours Taiji, sometimes go for slow jogging and regular swimming did improved my A Fib. I am a 72 years old retiree on 1.5 mg of warfarin.
That's great sir ur 74
I am convinced its caused by omeprazole?stops the ability to absorb magnesium?should be looked into.
@@petermoulden5010 I truly think you are right about that! I don't take that medication myself, but I do take an ACE inhibitor for blood pressure. It works by elevating your potassium level. Therefore unbalancing the blood magnesium levels. I notice when I take supplemental magnesium that I experience far fewer Afib episodes!!😉
(In fact, this doctor has recommended taking a good magnesium supplement in another one of his videos dealing with Afib!)
Wow good for you sir, how are. you now since it was a year ago?
I have Afib with no comorbities. I do take one medication for a Thyroid problem. I am 87, wt.101lbs and 4.11 ht. My diet is Keto. I was born with five nodes in my heart and had an oblation, two were removed some years ago. However In the last three mo. Afib has reared it's ugly head again. My Doc. wanted me to take Eloquist but it was too expensive. He had suggested a procedure but then transfered me to another Doctor, I can't remember the name of the procedure. It is not the Watchman. Thank you and keep up the good work.
enjoyed your video on lone afib.was wondering if you could expand the comments on the increase in frequency in the patients in the study that received a recent pacemaker implants. Thank you in advance!
hey Dr. sanjay,
your definitely not boring, and I love love😍 love 😍your😍 !!!! videos there very informative, and interesting. in fact some of these topics you've talked about in the past and even now, I never really new or heard of, and was looking to know about it.☺👍👍👍👍👍👍
thank you!
and good luck with everything you do!
I am still active only just turned 75 couple months ago. Never stopped working on account of it. I recently retired to care for my wife with dementia.
Dr gupta sir undoubtedly very useful feedback on types if AfIbs enjoyed your videos always very interesting to listen 21/11/2019
Thanks for the information and advice for two types of Aetrial Fibrillation,, I had type 2 Aertrial Fibration,,I had to know to handle and understand about it, get d bless!
Thank you Dr, we needed that explanation, my Cardio advice me to have a monitoring device for EKG /ECG so that she can give me the right Med. for my AFIB, I am 64 Yrs old and suffering from it! I cammot sleep, lacking so much sleep even I'm taking up Melatonin.
I think I have type one. My Paroxysmal Afib came about as a direct result of chronic stress due to lifestyle and working stupid hours for many years without respite. I also suffer extrasystoles or additional heartbeats which are very alarming. I’m on Viazem and Propafenone which helps but still get mild AF at night. I’ve lost 3 stone and taken up mountain biking which helps and I have removed all stimulants from my diet.
thanks Dr.it is v usefull inf .
Thanks for this. When I went to the doctor for heart problems they never spent more than 10 mins with me and I'm the type of person that has a lot of technical questions about thinga. I'm younger, 27. Last year I had bad problems with my heart and the cardiologist told me they didn't know what was wrong because my heart looked good, but my heart monitor that I wore for a day came up with a lot of anomalies. I knew something was wrong with all of the palpitations and other stuff. They ended up telling me they don't know what's wrong.. I started going to the gym 4 times a week, eating a little healthier, and doing my own research and now it just comes and goes. When it comes back it's about 25% of what it was when it started a year ago, before the gym. Thank you for this, so much
Exactly. There are so many bases to cover and it feels like they want to be done with the appointment right away before the appointment even started.
Also does it correlate with cardio? I know a lot of gym people who overlook cardio. I say this because lots of ultra runners get AFib. Maybe look into running and AFib. I made a Quora post that helped me.
Thanks so much doc...
Please do a video on copd and it’s effects on heart failure patients, thanks
Very informative. I have two friends , one in their 40's and one in their 60's that have lone a-fib. both had ablation. The younger one is doing well with it, the older one is beginning to become more episodic and may be in need of another ablation. the older one was diagnosed many years ago, when young .
Curious what the cause of heredity A-fib is from. Is the issue anatomical or physiological?
Would be interesting to know where you fit vagal AF into the type 1/2 designation. My own experience of AF from age 40 or so was in my view entirely prompted by persistent gastric problems and vagal hypertonicity, plus obviously some degree of susceptibility, and experience of talking to a lot of folk on the support forums suggests the same - that what you term Type 1 is quite likely to be Vagal.
Mine was also probably vagal, it came on when I was relaxed
Yes I’ve have severe gut issues too. Have had AF after eating. Yes definitely Vagal
@@dalegriffiths3628 mine was at 2am. So I'm guessing vagal for me. My Mother also had Afib.
Mine started about 7 years ago with ectopic beats, then a more severe arrythmia and finally full blown afib which hospitalised me with a pulse of 160. All that time I have suffered with symptoms from my hiatus hernia, and I'd say 90% if my episodes have been within a couple of hours of eating. The other 10% have either woken me from sleep or started as I awoke. I can't convince my consulatant that the 2 are connected, but my left atrium is fine, I'm generally relaxed when it comes on, so consider it to be vagal. I have recently revisited my GP who has now referred me to an arrythmia clinic...though it looks like there is a 6 month or more waiting list...so hopefully will be taken seriously now.
Thank u so much , good information.what is Ur suggestions about a patient with HCM,52 yrs, diaphragmatic venetration,who is suffering from AF.please. Suggest
Thank you. 😇
Heart disease runs in my mom's side of the family. I was diagnosed with a heart murmur (mitral valve prolapse) when I was 13. I only started noticing my ectopic heartbeats in my 40's. It was only in my 60's that I started experiencing bouts of afib. These bouts were usually triggered by intense exercise. They would last from 2 to 10 minutes. The experience was absolutely horrible. It looks like I'm a type 1 afib patient.
I am 45 and have had 4 episodes of afib in my life, usually brought on when I exercise too much. 1st one was in my early 30,s. My last one was brought on when I was injected with lexiscan and sestamibi for a stress test, I also developed SVT at that moment, I’ve seen my electro physiologist twice a year since then and have had no further issues. I’ve recently switched to a plant based diet and am losing weight. From this video, I would guess I am a type 1 afib patient, does that sound right to you?
Thank you!
I had AFib due to a heart valve problem. Had a cardioversion procedure. Later had mitral valve repair and the maze procedure. Also ligation of the left atrium. Got off warfarin after 10 months. Doing well. I was 59 when all this happened.
Nancy, would you mind if I asked was the cardioversion painful? I was just diagnosed and this sounds awful. A friend told me it hurt so 😢 badly! He had to have it twice.
@@amberj6760 I had a cardioversion and did not feel a thing. Was put too sleep for about 15 minutes and no pain other than at the pad site where they pulled it off and the hair on my chest came with it. However the fix didn't last but an hour or so and I was back to an irregular heart beat. I'm not sure it is worth doing again.
@@warmac57 , thank-you for your reply Warren. May I ask what you did next since the cardioversion failed?
The bad luck may be due to Hypocalcemia as I noted. Thank you for another great explanation!
I'm 58, type II diabetic, overweight so would seem to fall into your type 2 AF classification, however my only episode of fast AF I had a couple of months back had me retching, nauseous, lightheaded, and generally feeling awful... Needed iv atenolol and digoxin and 3litres of fluid to stabilise me. Am currently on bisoprolol 2.5mg awaiting echocardiogram. Any thoughts on which side of the classification fence you think I might fall on?
I have lone afib or paroxysmal afib which is Consider type 1. Your best suggestion for me would be ablation but I here if we get an ablation, would I need a pacemaker later in life? I can tolerate it pretty well and I take metropolol only when needed but I would hate to wear a pacemaker later in life. What would you suggest doc.
I am type 1 AFib. 46 years old male . Otherwise no underlying . I am extremely aware when I am in AFib and feel awful sometimes needing to miss work. Dx four years ago, 120 mg calcium channel blocker . Episodes have increased and will have ablation next month.
Is it possible to cross over from one type of Afib to another? I am 68 years old and my Afib comes on only when lying down (vagal Afib?) I had a few heart events after some extreme trauma (left bundle branch block) followed by heart failure after extensive anesthesia for breast cancer surgery. I recovered from heart failure by going vegan for several years and walking 2-3 miles with my dogs every day (hills and trails). I was given Motoprolol for my heart failure and wondering if the drug that helped me recover has now contributed vagal Afib. I am having trouble fitting into the categories and would like your thoughts? I am talking to my cardiologist about possibly rethinking my meds and trying Fleconide? My Afib is very extreme when it happens...lots of big thumps and nausea feeling in my face and ears and lasts for 3-5 hours? Thank you so much for your generous videos!!!
If you haven't already done so, could you do a video on atrial flutter? I have had two cardioverted flutter episodes, but also have bicuspid aortic valve.
Perhaps there is a third category for Atrial Fibrillation which is when AFIB is caused by scarring post Aortic valve surgery which is what I have . In addition I have a left bundle branch block. I am 52 years old and suffer from AFIB episodes on the average once every three years with an average duration three days . I have been converted each time with various anti arithmetic drugs . Never using cardio version. Presently I am in AFIB and have been for two weeks . The hospital I went to only kept me there for a few hours and refused to try IV drugs to convert me. They said that they would only be willing to try cardio version. Since I am very apprehensive to do that as a first course of action I am still in AFIB. I decided an electro physiologist and He's planning on admitting me into the hospital for three days to try Tikosyn . If that does not convert me then I,d have a T E E followed by a cardio version if all else fails. Can you give me your thoughts
Hello Dr Gupta,
I am interested in your report on vit C as effective for Afib. I was previously diagnosed w/afib after surgery when episode occurred with no sensation to me, only monitor.
After many years treatment with metapro & gradual start hyper ten, I was moved to xarelto & lisinc.
I changed lifestyle/diet/vit & lowered bp to 126/79 past 4 years.
I am currently on 1000+ mg of C to strengthen immune for obvious reasons. Would this help me wean off Xarelto?
I have had a stroke in 2015 due to stress & before Xarelto. No episodes of extreme heart race since originally diag. I do have an ilreguar heat beat.
I listened to your post regarding Afib type 1 or 2..I developed Afib when I was about 65 .I tend to get Afib at totally unusual times.Just had successful knee replacement and I feel some of drugs etc did bring on the dreaded.I use flecinade as pill on pocket.I have private health insurance and am wondering if an ablation would help me .x
I’m 36 years old and had 3 Afib attack (2014-2019-2022). All of these attack happened after I had a lot of alcohol (I don’t often, when I do, I end up in the hospital haha)
I’m happy to know I’m a type 1
You described the symptoms quite well : when I’m Afib, my heart is beating at 240-260 and I feel sick.
Cardioversion is the only way to go back to Sinus rythme
My cardiologist is thinking of Ablation is I get a 4th Afib.
I had one incident of afib back in 2019 after a long day of hard work. They had to shock me. I never had it ever since. I’m afraid it might happen again. Any advice?
I think you're totally correct there are two types.My friend has Type 1 he just had an ablation it did not help. I'm going in 10 days for my ablation.I two or three episodes per day lasting about 20. minutes
Hi, can you make a video on atrial flutter ? thanks for you support.
Awww... I'm type 1 Afib, and I responded great to ablation and reassurance lol
I am supposed to have an ablation if my meds, with some changes in dosage, don't work. I'll be in the hospital for this search. Thank you.
Hi, could you go over the topic of anticoagulant medications for A fib? Specifically speaking comparing warfarin with the DOACs in terms of their pros and cons / some pt experience stories if you know any. If you were to recommend for yourself or for your family, which medication would you recommend? Thank you.
Dr. Gupta has a few videos on this subject. He said he would recommend his family take the newer NOAC's. He said he would take them as well , if needed.
Dr. Gupta, For those with type 1 afib which also have a high PAC/PVC burden, does it still hold true that ablating the abhorrent pathway causing the ectopics tend to solve the afib as well?
My husband has AFib,and you discussed "lifestyle" modifications as a recommendation. What lifestyle modifications are you referring to - more exercise? If so what do you recommend? My husband is 68 years old and was just diagnosed with AFib a few months ago. Thank you for your assistance.
I am a A-fib sufferer for 20 years now 2 ablations almost all the meds there are minus Tikosyn. I am a guy who lifted weights all his life since 16 years old won Mr Teenage Orange County Muscle Classic at age 18 all natural. But the heavy lifting slightly enlarged and stretched my atrium and age and high blood pressure and hard training caught up with me. To answer your question First a good clean diet, and loose weight, get the weight off and watch the spicy foods, a major trigger. Second very moderate exercise is good for you, moderate and regular consistent. Control sleep apnea, and or get checked for it. Control stress. And in today's day and age, with a starbucks on every corner coffee is one of the worst triggers of A-fib, I have learned the hard way, I love my coffee and redbull's, and they are major triggers, there are lots of people in denial and even Dr's but Caffeine and acid from coffee is beyond any doubt a trigger, but eating to much, or the wrong things are just as bad, stretching the stomach always causes my A-fib to happen, drinking carbonated drinks, not controlling my stomach acid, even becoming constipated and having the sigmoid colon area tight and full, can cause A-fib to be triggered, or ABS a spastic colon will trigger the A-fib as well, all that sympathetic, vagus and central nervous system all play a important role in controlling or triggering the A-fib. If you have any questions about A-fib message me, I will explain much in detail, this is only 1% of what I know, I have studied about it a lot, and can tell you about every medication from my experience to studying about them intensively from old meds to the newest. And I can inform you on questions to ask your Dr. Hope this bit of info helps you.I am 57 years old now, and i developed A-fib at age 39, so I know how scary it must be for your husband, but with proper meds and anticoagulants there is no reason to be, and to learn your leeway, and amount of freedom you can go up and down with your meds, takes the need to go to the ER every time you get stuck in A-fib away, and with calming the nervous system down via benzodiazepine, taking extra anti arrhythmic meds and working close with your cardiologist, and calling him and talking with him even after hours to get his advise on what is your options for converting back into sinus rhythm will help him gain knowledge and comfort knowing just as he can go into A-fib, in time he will come out of it too, given the proper amounts of personalized care with his medication regiment...
@@reggiepalmer6157 Did you ever have or consider an ablation ?
Hi Reggie,
Do you have a message link, on A Fib info?
Thanks
@@blakemoore666 I believe he said he had 2 ablations , if that helps.
@@reggiepalmer6157 What meds do you take daily? They have me on Metoprolol 25mg at bedtime. Flec as a pill in a pocket too.
Thank you Dr Gupta
My dilemma is over a year ago I had Pericarditis for months then got AF which was difficult to treat but nothing since , at the time had very high inflammation level re blood tests. I do have stomach and gut issues but am not on any medication as nothing has helped, so reluctant to go on blood thinners. Yes I am old
I am a 59 year old female who lives in Alaska. I have been told that I have A-Fib (type2) and SVT.
Is there anything special I should be aware of if you have both of these problems. It has gotten to the point that I am in an SVT Episode more often then I am not. The doctors have not mentioned A-fib at all lately just addressing the SVT. None of the at home procedures ever have worked to make me come out of it and I end up in the emergency room. I’ve heard you mention people usually stay in SVT for minutes to a couple/few hours mine goes on for days. I end up feeling like I have pneumonia and I’m walking around having a lien on walls doorways whatever because I can’t catch my breath I can’t have enough energy to get anything done and I get awful sick I’m going to the hospital to get the shot to bring my heart rate down I am wondering why are they so hesitant to do an ablation on me or will it an ablation not helping my case.
Have had atrial fib for many years. Was put into shock to stop heart twice both times it lasted less than a week the went back into AFib. I have been on a Riveraxiban protocols for 10 years now originally on warfarin buy got to difficult to keep blood in right state. No issues since I've been on Riveraxiban. I don't know I have it but it's there when they check me. This is first time I've heard of two types of Atrilfib
Can Minoxidil cause Afib? Also can a echo stress pick up Afib?
Thanknu
The first sounds like me. Comes and goes but when I am in it I need to be told I am not experiencing the last heartbeat ever. 50 y/o next year.
I feel the same sometimes. It's VERY scary!
I am much older than you. I'm 66 years old. And I have high blood pressure to boot! I developed AFib 2 years ago. It was extremely frightening that first time. But now, not so much at all.
I understand what's happening now and I am good at being able to terminate it on my own!,... Usually within just a few minutes!😉
@@gloriamaryhaywood2217 I am very interested to know how you stop it yourself! I would like to try this. I have type 1, according to this video.
@@dianefuchs7567 Well, as coincidence would have it, just yesterday I had my first Afib episode in over a year now! It came on suddenly, out of Nowhere, as usual. I felt a sort of fluttering in my chest and my ears started ringing loudly. So I checked my pulse and yup, no doubt about it!...totally in Afib!😜 Since it was close enough to when I normally take my beta-blocker, I decided to go ahead and take it. Then I did a few bearing down and pressing with my fingertips on my vagus nerve several times. (You can use Google to find several different techniques that people use to get themselves back into normal sinus heart rhythm! Different tricks work for different people!😉) The main thing I want to say is that I didn't panic or really let it rattle me at all. I knew it would soon stop on its own, or I would go to the ER and have them to use intravenous medication to bring me back into normal sinus rhythm. The waiting is the hardest part for me, coz I was aggravated and just wanted to get back to my errands I had scheduled for the day!LOL. Actually I decided to keep my doggies vet appt. while waiting! And sure enough, about an hour later my heart decided to suddenly behave itself!Yay!🤗 Just remember that we don't have to let Afib rule our frigging lives! Like everything else it's something we learn to live with without letting it unduly bother us!!😉😎
@@gloriamaryhaywood2217 Thank you so much for your reply and advice! Your response was very heart warming and encouraged me so much. I also take a beta blocker. Do you take an anti-coagulant, too? I will try searching for those techniques you mentioned.
I'm 70 years old and developed persistent aFib about two years ago. I started taking a blood thinner and beta blocker until I discovered that I could eliminate aFib by lowering my blood sugar through a low carb diet (60-100gm/daily) and daily exercise (walking). I understand that sugar erodes the fatty insulation of the nerve between the heart's two electrical nodes (batteries), and the resulting electrical shorting causes the irregular heartbeat. Instead of a clean regular pulse between the two nodes that creates the bump-bump, your heart struggles. Six months and counting.
Thank you Dr Gupta , I feel alot more assured now I know I have type 1 Afib , but I would feel even better if I could get an ablation as I hate getting afib and the attacks always last about 8 hours
Mate I agree with your hypothesis that there are two types of afib.
I have lone afib and you confirm my decision not to take anticoagulants or beta blockers which the doctors have tried to ram down my throat with hysterical warnings.. It's the comorbidities that kill you not the afib on its own. It's logical.
Yes I feel crap when in afib but on the rare occasions it goes beyond two days my system eventually adjusts.
Makes sense that ablation has no effect on those with persistent afib because the procedure is merely a placebo. In someone with lone afib a mere placebo is all that is required to "cure" the condition. If you only have one episode every year or two you are easily fooled into thinking you're cured The placebo effect I think creates endorphins that calm the nervous system where the afib originates. My very strong gut feeling is that afib stems from the central nervous system in lonely afib whereas for those with co- morbidities it's more general heart health.
Increasing my Vo2 max by 25% to the point where my cardio vascular age is 25 years less thany actual age has had zero impact on my episodes. So I'm looking into stretching exercises to remove muscular tension that might distort energy flow through the body and the nervous system. At the same time this might create endorphins like in the placebo effect that calms the nervous system. Bear in mind that as you get older, even though your heart health might be good, everything gradually stiffens up l, your body becomes less flexible and this must have an effect on energy or electrical flow through the body.
Though for those with persistent afib and then aerobic exercise will be beneficial as well as anticoagulants etc..
You should search You tube for the cardiologist Brian Olshansky "the role of placebo nacebo in cardiovascular health". While giving an ablation patient an ECG the patient thanked the doctor for curing his condition with the recent ablation though his ECG was showing he was in afib.
With paroxysmal afib it's impossible to rule out placebo because there is not a single double blind trial to prove otherwise But that doesn't stop surgeons from making a lot of money out of the procedure
Other observations, beta blockers have no effect. They only place a straight jacket on the heart ensuring it doesn't go above a certain level, they don't end the arrhythmia. I can go into afib at 70bpm so speed isn't significant. If you want to slow the beat just rest. Beta blockers might cause syncope so in my case not worth the risk. Though in another video you make the distinction between sympathetic afib and parasympathetic afib. I must have the latter since beta blockers have no effect as they only work on the SNS.
Doctors are so arrogant they don't listen to the patient only to their own medical school prejudices. They assume all patients must be cretins if they didn't go to.medical school. I've been dismissed and told to my face I'm incapable of knowing when I'm in afib in order for me to decide when to take medication as needed. I have a finger to feel my pulse, I have a garmin watch to track my heart rate and stress and I know how I feel thank you very much
U ARE EXTREMELY HELPFUL TO ME ID LOVE TO TALK TO U
hello,
i occasionally get a palpation here and there and once i was getting it for about 4 days but most the time im okay. i went to the doctors and they did all the tests and said there was nothing wrong with my heart but i was just curious if its okay for me to drink alcohol because iv read that it can cause palpitations
Just had a real doosy of an event - you would see my profile as a classic type 1 afib patient. I am learning much as for triggers and taking steps to learn more. I do have a question specific to being able to get good quality data to my doctor when and if I feel other instances of afib starting. Is there an decent over the counter monitor I could have and use to save data for later review by the doctor?
Kardia app. Or the Apple Watch. You can record and send ekg to your doctor
Do you regularly check for sleep apnea or central apnea on patients who are diagnosed with Afib?
Do you ever see any relation between Agent Orange exposure and atrial fib
I was in Vietnam had testing several years ago but no signs then.
A big thank you for your excellent help in cardiology. I was diagnosed geneticly with v- tach/ Cardiomyopathy Dec 2020 age 56. My episodes started at age 40 and continued until they worsened Dec 2020. I'm struggling to take the anticoagulants because we've always been passionate about health, fresh organic nutrition and exercise yielding great results. My Dr recommends the anticoagulants but would be ok with my turmeric, raw garlic, cinnamon, water, ginger ect... but can't because it doesn't have an INR measurement. I only want to use my proven herbal lifestyle to eliminate any stroke chance. Please help me if your able or anyone's input would be very helpful, thank you ! Tim 🙏
Maybe have a heart to heart (excuse the pun!) talk with your cardiologist? I get it that you rather not take a blood thinner with the risks that come along with that. I do take an anti-coagulant. I take xarelto. It's been almost 2 years now and so far no negative side-effects. (At least none that so am aware of!) I have been dx with Afib and the risk of fatal stroke outweighs the side-effects for me! Wishing you all the Best!😉
How about discussing the possibility of ablation therapy.
I have AFib but also have mod Left side mitral valve prolapse and regurgitation and do you think this precipitates AFib?
thanks again for a great video. I was 25 when I had my first A-Fib episode. The blood tested positive for coxsackie B virus which the doctor says may have triggered the A-Fib. I have only had one attack since (when I was 28). I'm not on Flecainide but I was wondering, perhaps you can do a video on viral causes of A-Fib?
Interesting about the viral link.
Unfortunately I caught covid 19 a couple of months ago and had preexisting problems of lone af.
Af usually went back into sinus rhythm after 3-7 hours after I take 150mg of flecanide.
But during covid virus I went for a week straight and 2 days later another 13 hour episode.
Apparently 30% people extremely sick with covid presented with Af
@@brynedisney7958 I would say my first case of covid in March 2020 probably brought on the AFib. I never had a palpitation before that case, but now I have palpitations every day. Cardiologist put me on Eliquis and Metoprolol. So definitely a post-viral case. I am 72. Thanks for bringing this cause to our attention. Would love to hear Dr. Gupta speak about it. Dr. Gupta-thank you so much for these videos. Your generosity is so appreciated and so valuable! 🙏
what about the type 1 a fib patient as they grow older. I have had it since I was a teenager maybe early 20's but not diagnosed until age 30 - I was on anti arhytmic medication for many years then changed my diet to a more vegetarian or vegan style mainly to lower my cholesterol levels and my a fib symptoms also vanished for about 8 years. Two weeks ago I went to the ER in a fib again. I'm now 58 years old. I think I have also developed sleep apnea which might be triggering some of my problem going for a sleep study in April. I want to avoid blood thinners and ablation if possible.
How are you doing? I'm in a similar boat as you. I wasn't diagnosed until my 30's but after that i'm pretty sure I had it in my 20's. I'd get it once or twice a year. I'm 48 now and had the ablation last year and guess what? I had afib twice since then. Both times I drank something too cold too fast. Crazy right? Cold fluids and Head cold medications get me everytime. The ablation was rough for me. I've had a lot of ectopics ever since getting the ablation and heart rate was 10-20pbm faster for almost year. My Doctor thinks I should get it again.
I wonder which one of these is the vagal nerve involved with?
Hmmm... sounds like IF I have AFib, which it sounds like I do based on your videos, then I must be Type 2. Time to change! I'm in my late 50's!!!! :o
Thanks, my cardiologist had identified my afib as paroxysmal, and your description of feeling terrible when it occurs fits right in. As a matter of fact I can generally tell b4 it starts as I get a little tingle at my left elbow. I occasionally take a baby aspirin and I hate the idea of ablation. But my wife who is a retired RN and misses her job wants me to be type 2 as it gives her more to do (laugh) Her reason is that I have HBP and at a few years ago a little skip beat.
What do you think? I say type 1
How can the person be sure which one they have for certain positive sure.. I know someone who seems to fit into the type 1, but why would that person want to stop medication.. and take that chance.. would you?
Hi really I agree with you. I had cardio version, ablation and after 5 Whiskies in 2 hours after 2 years ok, I went in AF. It's my life stile the problem sure😢. I'm trying no drinking but....I'm 63 fit, no diabetes, no cholesterol, 17000 steep for day, I can't cut everything no??
Sanjay Gupta is gifted to
There are too many variables if you ask me! I had Afib and only found out I had it after my heart was racing whilst I was in a state of rest!
After a few years of visiting different Cardiologists, I elected to undergo a Catheter Ablation!
Fortunately for me that was the end of my Atrial fibrillation!
I might add that I had no other underlying symptoms whilst in Afib
How old are you then when you had CAblation, how are you now? If you don't mind my asking,. Since I experiencing Afib now! Thanks
@@poochieming928 I was 55 years old when I underwent surgery. I am currently 5 weeks away from turning 60. If you are experiencing afib, surgery is a good option! Best of luck.
Dr Gupta. Can this happen only in sleep accompinied by sleep paralysis?
just went to afib. at 6:15 this evening...
Dr Gupta l have type 2 afib because l have sleep apnea, and high blood pressure and liver disease. I had my first heart ablation 3yrs ago. And now my doctor thinks l should have a second one.
Im 70 years old, but my heart is in good condition. No high blood pressure or diabetes but am over weight. My bmi is 32. I dont tolerate the symptoms well when they occur and my heart rate is between 130-200 . A&E give me a potassium supplement and advise that i take supplements as my electrolytes are low which i do. I also notice that when theres a bad thunder and lightening storm this triggers afib. Petrified to go on blood thinners. Apixaban had been prescribed but ive not taken them owing to side affects.
What is occurring in the body to stop AF on its own.? AF reoccurs every few weeks up to month or so. Mine started over 20 yrs ago after severe allergy to hornet sting, then bee sting then wasp sting. I nearly died.
I'm type 1 with DCM had 2 strokes 13 years ago heart is of normal rate and asymptomatic and use warfarin.
Thank u so much.pl tell me what to do as my heart beat is 52 to 55 only.i am on metroprolol since 6 months I am 62 yrs Old woman and have hypothyroid since more than 15 yrs.pl help me.