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.
Thanks docs from an Augusta, GA VET with afib where my VA sent me to the Medical College of Georgia for the Watchman. The Watchman was easy. I actually don't remember any of the procedure. Blood thinners were out of the question due to bleeding. Your afib video is the BEST!
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
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?
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.
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."
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!
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.
Nutrition is the key to whole body health.
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.
Thanks docs from an Augusta, GA VET with afib where my VA sent me to the Medical College of Georgia for the Watchman. The Watchman was easy. I actually don't remember any of the procedure. Blood thinners were out of the question due to bleeding. Your afib video is the BEST!
"This video is great. Thank you for sharing!"
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.
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?
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
Mahalo to you both for the Very helpful info!🤙🏽
My daughter, Francesca Nicosia works at VA hospital in SF
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."
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 🤷♂️
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.
Would Dr pelligrini please suggest natural blood thinning treatments
🙂Very helpful. Thanks
What’s a “little bit of time” to wall off the atrial appendage with the watchman device?
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
💜
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 do not think NHS offers the patch
❤❤❤
What about skipping beats?
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.
Wilson Linda Robinson Matthew Allen Frank
Extreme nutrition Lifestyle Medicine Health and Well-being can reverse AF