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Just having been diagnosed with Afib, I found this incredibly enlightening. Answered many questions I have about Afib and treatment. Just another great video from Dr. Leslie.
I'm 84 and was recently diagnosed with Afib. I have no symptoms but I exercise daily and I noticed my heart rate would jump up into the 150s but was usually maxed out in the 130s. I went to my doctor and after tests, he said I had afib and an overactive thyroid and I was thought to have blockage in a carotid artery. I just had the TCAR procedure. Until 5 months ago I didn't consider myself an old person. Some change. Thanks so much for this video.
Wish more of this was taught in high school preparation for future and adjusting lifestyle. Food. Excersize. Education is the key. We are in 70 s. And was caught totally off guard.with a fid.
What an excellent discussion and solid information. I am 85 and take two 5mg Apixaban per day. How fortunate to live in Australia where recently the Goverment increased the dosage allowable on one prescription to 120 tablets at a cost of $AUD 6.20, That is about 2 months supply. I also take daily aspirin to prevent my platelets from clumping because I also suffer from intermittent claudication. Recently my excellent skin specialist excised two basal cell carcinomas without the need to stop my blood thinners. Thank you again.
I am greatly thankful for your video; I watched it several times: I am over 80 years old and under treatment. The information in you video helps me understand my cardiologist chose for me. Now I know my options regarding the blood thinner. I know better asking my doctor questions. Dr. Fellegrini is the best in her field; between you and her, the utmost knowledge on AFib is given to anyone who has AFib. I will be watching all your videos. Thanks a million. Linda Tran
Thank you! A year ago, I had a bad AFib episode and went to the Hospital. It seemed like I was more of a test patient because they couldn't stop it. Eventually it stopped on its own. They put me on a blood thinner (Warfarin) I.V. and measured my troponin. This year, I had two episodes this holiday and three before that. No cure. Just control it. Goodbye alcohol and caffeine. Cheers, Brendan
Yes, that's a rhythm control medication. For this episode, we didn't have time to go into any of the specific drugs that are used for rate control or rhythm control...the pharmacological management of rate and rhythm control is a very dense topic to cover. Dr. Pellegrini teaches it regularly to medical trainees, however it's beyond the scope of this video.
In the U.K. there is little support for the mental health side of having this condition which is known to cause anxiety and depression. They just give you very strong medication and let you get on with it.
Very good conversation with fresh and useful information!❤ thank you ! ❤ also I liked the fact that conversation had diagram showing important facts! ❤ I wish both doctors speak about pacemakers in more detail in the future dialogue ❤ thank you again ❤
Very interesting. Excellent and common sensical. The last cardiologist I viisted was full of doom and gloom. These ladies are upbeat and reassuring which is more than Ican say for the cardiologists I went to. I have two questions. 1) Are there any clear differences in symptoms between atrial fibrillation and ventricular tachycardia? 2) My "flutters" seem to be always triggered by physical duress and/or sudden movement. The stress test itself is proof that doctors consoider physical duress as important, so isn't physical duress and sudden movement also a major factor in triggering this?
Great video. I have afib and have no symptoms. I was on Eliquis for about 5 years. Was waiting for the generic version to happen. I was having troubles paying for Eliquis (after my insurance). It was costing about $300.00 a month. How can someone who has no insurance pay for this. Last February Eliquis was to have generic version. They did not have it ready for release. The "powers to be" gave the drug company another 3 years of "Raping" our elderly. At that point my Dr. told me about "Watchman". It has been 1 year since I had it installed. No more Eliquis, yay. The worst part of the procedure are TEE's that you have to have. My last TEE is this Thursday. No problems.
Thanks for sharing your story. Yes, the blood thinner Eliquis (apixaban) is still very expensive. And yes, Watchman usually requires getting transesophageal echocardiograms (TEEs). Glad it has worked out well for you!
Why no mention of AtriClip vice Watchman? I recently (Nov 13) had an AtriClip “installed” with no issues in conjunction with an endoablation/MAZE procedure for my persistent Afib. Obviously more surgically invasive than Watchman but seems to accomplish a similar atrial appendage occlusion. In 2 weeks I return for the conclusion (I hope) “normal” catheter ablation of this “hybrid” procedure. Hope it works since I only had 2 days (Nov 13-15) of sinus rhythm. We will see. Nice vid BTW
I know a few people who are older and younger than me that have afib. I was wondering from the info you just gave is it possible that just getting more exercise into a person's life who is a little over weight and not as active can strengthen the heart and possibly reverse it? They are otherwise in good condition. Thanks for the video and information.
Yes, as Dr. Pellegrini noted, recent research suggests that exercise and other healthy lifestyle measures can reduce atrial fibrillation. Here is an interesting recent scholarly article: Effects of different exercise methods and intensities on the incidence and prognosis of atrial fibrillation www.sciencedirect.com/science/article/pii/S1050173824000021 "Multiple studies underscore the efficacy of moderate-intensity continuous training (MICT) in reducing AF incidence and symptom burden, rendering it the currently favored exercise therapy for AF patients...Conversely, prolonged high-intensity endurance exercise exacerbates AF risk."
Is mitral valve prolapse / regurgitation also called or be a heart failure ?? And could it cause atrial fibrillation ?? 🤔 As I do get AF , sometimes really heavy fast thumping palpitations for lengthy periods ! Tia 🙌
A leaking mitral valve can cause the atrium to enlarge, and anything that enlarges the atria tends to increase the risk of afib. I would recommend asking your health provider to explain your echocardiogram findings and whether you have signs of heart failure; it can be related to mitral valve regurgitation but they don't always happen together.
@@BetterHealthWhileAging ty soo veryyy much 🙌 Truly appreciate your response 🫶 Yes I will ask him … as I’ve often thought it could be related & read that it might be also !? 💁♀️ It’s a mind field out there with varying info 🤔 Important & Excellent work well done 👏 ☺️ Bless 💜
I would recommend discussing your magnesium levels with the health provider managing your AFib. Magnesium levels can certainly affect heart function and arrhythmias, here is a recent scholarly review: www.mdpi.com/2227-9059/10/10/2356
I had low magnesium - below range. A couple of weeks after eating foods high in magnesium I was mid-range. pumpkin seeds (1/4 is 40% daily requirement), brown rice, black beans, almonds, cashews, and more yummy foods. No need for a supplement which gave me GI issues.
I ha A Fibrilation. I take blood thinners for mine. I haven’t had any trouble since. I myself don’t ever buy chocolate, don’t eat anything fatty, biscuits don’t buy. and have any real creamy cakes a very odd occasion I will. I have blood pressure but am in tablets for high blood pressure. I’ve never had any problem since. I’m on blood thinners pradaxa. There are others around. When taking warfarin take it the same time each day you’ll be fine.
Ablation is not a cure. Not even close. It merely 'dams' the spread of the spurious electrical impulse by virtue of scarring. If you were to reverse the scarring, you'd instantly revert to AF. In other words, the heart is electrically disordered when it first begins to fibrillate. If you were in persistent or permanent AF at the time of a successful ablation (free of the treated arrhythmia for one full year), ablated, and some time later reversed the ablation so that the endothelium of the left atrium were restored to its state or condition immediately prior to the ablation, your heart would once again be in persistent or permanent AF. Also, AF is a progressive disorder....it advances, whether slowly or quickly. Most successfully ablated patients will have to have at least one more ablation in their lifetime, and some may require several. I know a person who has had six! The last one, by the vaunted Dr. Andrea Natale at the Texas Cardiac Arrhythmia Institute in Austin, left him apparently permanently and robustly in normal sinus rhythm. In sum, a progressive disorder that AF is, it is not 'cured' by catheter ablation using any method, cryo, RF, or PFA. It is just constrained so that the heart only gets the one signal from the SA node.
Some people cannot tolerate a given anti-arrhythmic drug. If you want to learn of the possible side-effects, just google, 'side effects of X', where X is the drug of interest.
PFA is still in its early stages, even if approved, but it is currently only approved for PVI, or pulmonary vein isolation...last I heard...things change. About the two great advantages of PFA are that a TEE is not needed most often, and there's less of a chance of damaging the phrenic nerve and the esophagus.
This is no more than an advert for unnecessary Frankenstein medical procedures. What you have to understand is that Afib is a western lifestyle condition, it's not a genetic condition. Afib is either an extrinsic condition related to electrolytes a deficiency of either magnesium, potassium or sodium or it's intrinsic to the heart. So you don't need expensive medical procedures, either take magnesium or potassium for for paroxysmal afib or if you have persistent afib might indicating heart disease then change your diet and exercise to repair your heart. To address obesity and high blood pressure, lose weight. Change your diet back to what we had in the sixties when people were healthier. That means more meat, more protein, less carbs, zero refined sugar and no processed foods. If you have less than 100 grams of carbs you will stop feeling hungry all the time because it's high blood sugar and the crashes that make you constantly feel hungry I could go on at length about ablation and the Watchmen procedure and why you should avoid them but it would involve a lot of facts which might overwhelm you. But there are no double blind trials for ablation to prove they work. You're just as likely to suffer a stroke with an ablation as without. All it does is reduce the atrial kick by 10% so like a persistent afib sufferer you just get used to being in. afib because your atria has been permanently damaged. Watchman can cause stroke from poor fitting and or heart failure. The Left Atrial Appendage may control thirst so if you occlude it you might drink less and cause higher BP arrhythmia etc. Don't stick things in your heart that shouldn't be there
You don't appear to have a great handle on AF. It can indeed be genetic, it can be due to stress, to iatrogenic causes, due to lifestyle choices, and, EGADS....just due to age. As for the efficacy of the Watchman, somebody should shout out to all the wonderful EPs who insert them and then allow their patients to go off DOACs because all the subsequent monitoring and diagnostics show no arrhythmia and no leaking into or out of the LAA. If the science seems to support it, and the EP's experience supports it..................................................... Tou start off saying to just change the diet if one has heart disease (and I'm assuming you intend that heart disease means fibrillation...it doesn't, not necessarily). If a heart is already atherosclerotic, changing one's diet to get rid of the disorder causing AF is like chasing the horse back into the barn from down county someplace. Not gonna happen. Finally, the Watchmen has the square root of sweet tweet to do with heart failure. It's like blaming the battery for the water pump failure.
Only in rare cases. Once the heart has begun to change its substrate, or what is called 'remodeling', it's a one-way process for 98-99% of all sufferers. It's a progressive disorder that involves electrical node cells growing in places they're not meant to be. An ablation or medication may stem the AF for a while, but the heart keeps seeking more foci to introduce more of the spurious signal into the atrial endothelium.
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👉 How to Help Your Aging Parent with Memory Loss Be Safer (Even If They're Resisting Your Help):👉 betterhealthwhileaging.mykajabi.com/free-memory-loss-safety-training
Just having been diagnosed with Afib, I found this incredibly enlightening. Answered many questions I have about Afib and treatment. Just another great video from Dr. Leslie.
I'm 84 and was recently diagnosed with Afib. I have no symptoms but I exercise daily and I noticed my heart rate would jump up into the 150s but was usually maxed out in the 130s. I went to my doctor and after tests, he said I had afib and an overactive thyroid and I was thought to have blockage in a carotid artery. I just had the TCAR procedure. Until 5 months ago I didn't consider myself an old person. Some change. Thanks so much for this video.
Wish more of this was taught in high school preparation for future and adjusting lifestyle. Food. Excersize. Education is the key. We are in 70 s. And was caught totally off guard.with a fid.
What an excellent discussion and solid information. I am 85 and take two 5mg Apixaban per day. How fortunate to live in Australia where recently the Goverment increased the dosage allowable on one prescription to 120 tablets at a cost of $AUD 6.20, That is about 2 months supply. I also take daily aspirin to prevent my platelets from clumping because I also suffer from intermittent claudication. Recently my excellent skin specialist excised two basal cell carcinomas without the need to stop my blood thinners. Thank you again.
I am greatly thankful for your video; I watched it several times:
I am over 80 years old and under treatment. The information in you video helps me understand my cardiologist chose for me. Now I know my options regarding the blood thinner. I know better asking my doctor questions.
Dr. Fellegrini is the best in her field; between you and her, the utmost knowledge on AFib is given to anyone who has AFib.
I will be watching all your videos.
Thanks a million.
Linda Tran
I'm so glad you found the video helpful! And I will be sure to pass on your appreciation to Dr. Pellegrini.
Thank you! A year ago, I had a bad AFib episode and went to the Hospital. It seemed like I was more of a test patient because they couldn't stop it. Eventually it stopped on its own. They put me on a blood thinner (Warfarin) I.V. and measured my troponin. This year, I had two episodes this holiday and three before that. No cure. Just control it. Goodbye alcohol and caffeine. Cheers, Brendan
My afib was asymptomatic, you are fortunate indeed, good luck🎉
I'm surprised you didn't mention antiarrhythmic drugs such as Flecainide. It's been nothing short of a miracle for me.
Yes, that's a rhythm control medication. For this episode, we didn't have time to go into any of the specific drugs that are used for rate control or rhythm control...the pharmacological management of rate and rhythm control is a very dense topic to cover. Dr. Pellegrini teaches it regularly to medical trainees, however it's beyond the scope of this video.
Concor 2.5 for me
Thank you ladies,
I am glad and thankful that I found this video, however it feels that it is so amusing for Leslie ! Her constant smile gives me panic attacks!!
Great video, compact, covering and clear. Thank you!
Mahalo to you both for the Very helpful info!🤙🏽
Would Dr pelligrini please suggest natural blood thinning treatments
In the U.K. there is little support for the mental health side of having this condition which is known to cause anxiety and depression. They just give you very strong medication and let you get on with it.
Very good conversation with fresh and useful information!❤ thank you ! ❤ also I liked the fact that conversation had diagram showing important facts! ❤ I wish both doctors speak about pacemakers in more detail in the future dialogue ❤ thank you again ❤
Thanks for your feedback! I'm hoping to have Dr. Pellegrini return in the future to discuss pacemakers in more detail.
Nutrition is the key to whole body health.
❤
Very interesting. Excellent and common sensical. The last cardiologist I viisted was full of doom and gloom. These ladies are upbeat and reassuring which is more than Ican say for the cardiologists I went to.
I have two questions.
1) Are there any clear differences in symptoms between atrial fibrillation and ventricular tachycardia?
2) My "flutters" seem to be always triggered by physical duress and/or sudden movement. The stress test itself is proof that doctors consoider physical duress as important, so isn't physical duress and sudden movement also a major factor in triggering this?
Great video. I have afib and have no symptoms. I was on Eliquis for about 5 years. Was waiting for the generic version to happen. I was having troubles paying for Eliquis (after my insurance). It was costing about $300.00 a month. How can someone who has no insurance pay for this. Last February Eliquis was to have generic version. They did not have it ready for release. The "powers to be" gave the drug company another 3 years of "Raping" our elderly. At that point my Dr. told me about "Watchman". It has been 1 year since I had it installed. No more Eliquis, yay. The worst part of the procedure are TEE's that you have to have. My last TEE is this Thursday. No problems.
Thanks for sharing your story. Yes, the blood thinner Eliquis (apixaban) is still very expensive. And yes, Watchman usually requires getting transesophageal echocardiograms (TEEs). Glad it has worked out well for you!
@@BetterHealthWhileAging In Canada Apixaban has been generic for over a year.
Whatt is Tee?.
🙂Very helpful. Thanks
Why no mention of AtriClip vice Watchman? I recently (Nov 13) had an AtriClip “installed” with no issues in conjunction with an endoablation/MAZE procedure for my persistent Afib. Obviously more surgically invasive than Watchman but seems to accomplish a similar atrial appendage occlusion. In 2 weeks I return for the conclusion (I hope) “normal” catheter ablation of this “hybrid” procedure. Hope it works since I only had 2 days (Nov 13-15) of sinus rhythm. We will see. Nice vid BTW
Thank you for your informative video!
Photobiomodulation can improve cardiac function and needs to be further studied
What about the Endo function? What hormones are apart of the cardiac system?
I know a few people who are older and younger than me that have afib. I was wondering from the info you just gave is it possible that just getting more exercise into a person's life who is a little over weight and not as active can strengthen the heart and possibly reverse it? They are otherwise in good condition. Thanks for the video and information.
Yes, as Dr. Pellegrini noted, recent research suggests that exercise and other healthy lifestyle measures can reduce atrial fibrillation. Here is an interesting recent scholarly article: Effects of different exercise methods and intensities on the incidence and prognosis of atrial fibrillation www.sciencedirect.com/science/article/pii/S1050173824000021
"Multiple studies underscore the efficacy of moderate-intensity continuous training (MICT) in reducing AF incidence and symptom burden, rendering it the currently favored exercise therapy for AF patients...Conversely, prolonged high-intensity endurance exercise exacerbates AF risk."
My a fib went undetected😢it caused me to have an acute strok😢I survived but life changing after effects, affects😢
Ive just been diagnosed with non-valvular AF and prescribed Apixaban.
I am also taking same meds😢
My daughter, Francesca Nicosia works at VA hospital in SF
I take Eliquis twice daily... no money left for food.
Is mitral valve prolapse / regurgitation also called or be a heart failure ??
And could it cause atrial fibrillation ?? 🤔
As I do get AF , sometimes really heavy fast thumping palpitations for lengthy periods !
Tia
🙌
A leaking mitral valve can cause the atrium to enlarge, and anything that enlarges the atria tends to increase the risk of afib. I would recommend asking your health provider to explain your echocardiogram findings and whether you have signs of heart failure; it can be related to mitral valve regurgitation but they don't always happen together.
@@BetterHealthWhileAging ty soo veryyy much 🙌
Truly appreciate your response 🫶
Yes I will ask him …
as I’ve often thought it could be related & read that it might be also !? 💁♀️
It’s a mind field out there with varying info 🤔
Important & Excellent work well done 👏 ☺️
Bless
💜
I have a mitral valve issue that causes a fib. I had heart failure due to this . Meds are necessary to contain my problem.
What about skipping beats?
What test can I do to know if I have atrial fibrillation
"This video is great. Thank you for sharing!"
Why aren't you looking into cardiac mitochondrial function in cardiac issues?
Thank you so much for the information..expecally watchman
I’m 67 exercise daily (hot yoga) not over weight don’t drink and was diagnosed with paroxysmal Afib w/RVR just over a year ago 🤷♂️
What’s a “little bit of time” to wall off the atrial appendage with the watchman device?
Watchman procedure? Ive never heard of it.
Why do people with a fib have trouble walking what is causing pain and weakness in legs???
I do not think NHS offers the patch
I take Bisoprolol 2:5 which has helped a lot !
Can taking a MAGNESIUM SUPPLEMENT counter AFib?
In my case it started off with PVCs, which then became full-blown panic attacks, and finally - AFib
I would recommend discussing your magnesium levels with the health provider managing your AFib. Magnesium levels can certainly affect heart function and arrhythmias, here is a recent scholarly review: www.mdpi.com/2227-9059/10/10/2356
I had low magnesium - below range. A couple of weeks after eating foods high in magnesium I was mid-range. pumpkin seeds (1/4 is 40% daily requirement), brown rice, black beans, almonds, cashews, and more yummy foods. No need for a supplement which gave me GI issues.
I ha A Fibrilation. I take blood thinners for mine. I haven’t had any trouble since. I myself don’t ever buy chocolate, don’t eat anything fatty, biscuits don’t buy. and have any real creamy cakes a very odd occasion I will. I have blood pressure but am in
tablets for high blood pressure. I’ve never had any problem since. I’m on blood thinners pradaxa. There are others around.
When taking warfarin take it the same time each day you’ll be fine.
When mitochondria are not functioning properly, decreased ATP leads to AFib
If there was no mention of Heart Ablation then it failed to memtion cure as opposed to treating symptoms.
Ablation is not a cure. Not even close. It merely 'dams' the spread of the spurious electrical impulse by virtue of scarring. If you were to reverse the scarring, you'd instantly revert to AF. In other words, the heart is electrically disordered when it first begins to fibrillate. If you were in persistent or permanent AF at the time of a successful ablation (free of the treated arrhythmia for one full year), ablated, and some time later reversed the ablation so that the endothelium of the left atrium were restored to its state or condition immediately prior to the ablation, your heart would once again be in persistent or permanent AF. Also, AF is a progressive disorder....it advances, whether slowly or quickly. Most successfully ablated patients will have to have at least one more ablation in their lifetime, and some may require several. I know a person who has had six! The last one, by the vaunted Dr. Andrea Natale at the Texas Cardiac Arrhythmia Institute in Austin, left him apparently permanently and robustly in normal sinus rhythm. In sum, a progressive disorder that AF is, it is not 'cured' by catheter ablation using any method, cryo, RF, or PFA. It is just constrained so that the heart only gets the one signal from the SA node.
WHAT ARE THE SIDE EFFECTS OF ALL THESE DRUGS?
Some people cannot tolerate a given anti-arrhythmic drug. If you want to learn of the possible side-effects, just google, 'side effects of X', where X is the drug of interest.
That’s scary and I have low pulse more scary for me?
What about Pulsed Ablation - a new better option
I'm sure Dr. Pellegrini knows about it. Unfortunately, getting into different types of ablation procedures was beyond the scope of this interview.
PFA is still in its early stages, even if approved, but it is currently only approved for PVI, or pulmonary vein isolation...last I heard...things change. About the two great advantages of PFA are that a TEE is not needed most often, and there's less of a chance of damaging the phrenic nerve and the esophagus.
This is no more than an advert for unnecessary Frankenstein medical procedures.
What you have to understand is that Afib is a western lifestyle condition, it's not a genetic condition.
Afib is either an extrinsic condition related to electrolytes a deficiency of either magnesium, potassium or sodium or it's intrinsic to the heart.
So you don't need expensive medical procedures, either take magnesium or potassium for for paroxysmal afib or if you have persistent afib might indicating heart disease then change your diet and exercise to repair your heart.
To address obesity and high blood pressure, lose weight. Change your diet back to what we had in the sixties when people were healthier. That means more meat, more protein, less carbs, zero refined sugar and no processed foods. If you have less than 100 grams of carbs you will stop feeling hungry all the time because it's high blood sugar and the crashes that make you constantly feel
hungry
I could go on at length about ablation and the Watchmen procedure and why you should avoid them but it would involve a lot of facts which might overwhelm you. But there are no double blind trials for ablation to prove they work. You're just as likely to suffer a stroke with an ablation as without. All it does is reduce the atrial kick by 10% so like a persistent afib sufferer you just get used to being in. afib because your atria has been permanently damaged.
Watchman can cause stroke from poor fitting and or heart failure. The Left Atrial Appendage may control thirst so if you occlude it you might drink less and cause higher BP arrhythmia etc. Don't stick things in your heart that shouldn't be there
Total rubbish. It is not just a Western lifestyle condition. You must be a fan of that other idiot Kennedy.
You don't appear to have a great handle on AF. It can indeed be genetic, it can be due to stress, to iatrogenic causes, due to lifestyle choices, and, EGADS....just due to age. As for the efficacy of the Watchman, somebody should shout out to all the wonderful EPs who insert them and then allow their patients to go off DOACs because all the subsequent monitoring and diagnostics show no arrhythmia and no leaking into or out of the LAA. If the science seems to support it, and the EP's experience supports it..................................................... Tou start off saying to just change the diet if one has heart disease (and I'm assuming you intend that heart disease means fibrillation...it doesn't, not necessarily). If a heart is already atherosclerotic, changing one's diet to get rid of the disorder causing AF is like chasing the horse back into the barn from down county someplace. Not gonna happen. Finally, the Watchmen has the square root of sweet tweet to do with heart failure. It's like blaming the battery for the water pump failure.
❤❤❤
The British nhs. Treat symptoms, " not" the cause😢
The healthcare system doesn't treat older people well at all.
PUT THE WATCHMEN IN? WHAT IS A WATCHMEN?
0:19 n 0:19 🎉The
Wilson Linda Robinson Matthew Allen Frank
Extreme nutrition Lifestyle Medicine Health and Well-being can reverse AF
Only in rare cases. Once the heart has begun to change its substrate, or what is called 'remodeling', it's a one-way process for 98-99% of all sufferers. It's a progressive disorder that involves electrical node cells growing in places they're not meant to be. An ablation or medication may stem the AF for a while, but the heart keeps seeking more foci to introduce more of the spurious signal into the atrial endothelium.
Get a banana down you every day - most apeeling!