My Apple 7 watch woke me in the middle of the night showing Atrial Fibrillation, when I sat up, I realized that I was in the middle of having a heart attack. Rushed to the hospital and had to have a stint installed. Remarkably this is a week after having started my COVID shots and feel they are related. I'm on medications now and feeling better but I Thank Apple for saving my life, because knowing me I would have tried to ignore the chest pain had it not been for the watch. Best part was showing all the doctors in the hospital that the watch showed my heart rhythm, none believed me!
ACE2 is part of what regulates blood pressure. The immunologist at university of Guelph who got cv19 and used his lab to show and study how humans develop immunity, studied the trial data, was silenced. Just typing the name might trigger the algorithm. I have noticed that linking to certain content can trigger a warning. The fact that ace2 is part of a signalling process is well by known. It’s like how caffeine by fitting into adenosine receptors alter sleepiness. It doesn’t have to do anything but bind to effect.
Take out the words "on A Fib" and it still holds good for me. It is a masterpiece of succinctness, clarity and accuracy, with excellent "slides". I have had several ablations in the last two decades and am still going strong in my early 80's so could relate well to the subject matter.
Ablation -- fixed mine 8 years ago! Best thing that ever happened to me. Gave me my life back after 2 years to trial-and-error medications, and one incompetent first ablation. Glad I insisted on the 2nd.
Very good! I gave up smoking and I'm working on my cardio. The a fib has reduced, and hopefully will disappear eventually. It's one year since my first episode. I'm also on a beta blocker and taking electrolytes.
My husband had sleep apnea for years, he never addressed it. He then suffered AF for years, his Dr tried to bring it back into rhythm, it didn’t work, he drank alcohol and coffee . I’ve heard of the Apple Watch warning people, and saving people from heart attack. My son has AF , I’m sending him this valuable information. Thank you Drs 😊
So i dont drink coffee quit the pop two ans half years ago. Lost 70 lbs almost 1/3 of my weight. Hopefully it will stop. Wasnt noticable anyway but was on metetopril zeralto and cholestrole med. Like to get off the Zeralto very expensive to be on it.
My husband's afib appeared to be related to sleep apnea. He got the ablation and has been rock solid for 10 years. I appreciate all the doctors involved in his care.
Curious, was he "rock solid" with no afib at all immediately after the ablation or did he have some during the "3 month" recovery period which then gradually became solid or ? Thx.
@@Learn2Think4Yourself I don't think he had any afib at all. I would listen to him every night at bed time. The only afib he's had since was when he was taking some crazy cacao/ caffeine supplement. He stopped that and it went away.
Thank you so much Dr Marcus. I am a 78 year old retired physician in the UK having investigations now of Afib. Your talk is very comprehensive, up to date and helpful to me.
Wir brauchen. FRIEDEN...sometimes I feel.lately. I do not need to know everything...that brings worry. The best you can day by day...and you need to have laughter...i am 81....manoman..was solls some white wine..stay slim...and laugh working with hands...we,all will go...
Dear Doctor, many thanks for this amazing vlog! I just had my second Afib surgery and not recovering very well. More places ablated than first time 13 yrs ago. I see my surgeon Monday, nearly three weeks later????? Hoping for answers and started PT. It is discouraging to feel WORSE than before you went in. Anyway as a non clinician this actually was in English even I could understand with only a teachers mind. So many many thanks. I will listen to it again! That is how informative this has been. I’m so very impressed as I’ve listened to other talks, and my eyes crossed from confusion. You are the best! Thank you for sharing your experience just wonderful!!!
@@toonvdh8987 my heart was way out of rhythm. Had a cardiac conversion today at the hospital. Dropped my heart rate in half, now 83. He says it takes three months to fully heal and hopefully it with stay in rhythm. Thanks for asking, to tired tonight to see if if feel better or not?
🫂 I feel for you ❤ are you on any blood thinners? After looong cv gave me blood clots and major stroke, i know how horrible & nonfunctional I was. Within 1 week of blood thinner, I felt better prior to my one ablation 26 months ago(my iron also gets too high = thick blood) I had a horrific try on sotolol for afib rhythm (which failed miserably). My ablation was done 100% in afib as 5 cardioversions did not work. Grateful my Dr was so talented & experienced and loved a challenge. Dr basically cryptoablated most the back side of my heart. I stay on a blood thinner for life now. Not much more they can do. I remember after my surgery, I had to pinch myself to see if I was dreaming or not, no heart thumbing. It was wonderful. I get some flutters or palps on occasion but function well today. On occasion, I do monitor on my Kardio card & app. 🙏 I'm sending u prayers & healing energy hoping you get much better!! It's a horrible condition most ppl don't understand 😢
This video is excellent and certainly appreciated! I am 78 and had my first (and so far only) paroxysmal episode with very obvious symptoms earlier this year. I was immediately prescribed rivaroxaban (Xarelto). Answers to my questions from an otherwise excellent cardiologist wrt the need for Xarelto while in normal rhythm and quantifying the risk of adverse bleeding if use NSAIDs (much OA pain) have been much less than satisfying or useful. This presentation answered these and many other questions in addition to providing an excellent, needed, understandable, useful, and respectful primer on the subject aimed at a level higher than intellectually compromised. The medical profession universally does not recognize how much compliance is compromised by a "do this or else" approach. Thank you.
I have Atrial fibulatiion, was diagnosed many years ago (about 40), was told it was common back then, about 40% of population. Given a pill-in-pocket option, but never had to use. Had heart shocked in emergency once about 20 yrs after first diagnosis after an incident which included a trauma where common treatment adjustments (coughing, ice water, sing in high voice) ineffective. Blood pressure is good. Fitness level is good. Now 72. Had heart procedure at 67 to determine the flow of blood, determined no issues. I did not take blood thinners, as I preferred to keep my fitness and nutrition levels up, and keep regular appointments with my doctor.
Just sent my smart watch back today before listening. I have a shadow beat and the watch was giving me a very low bpm and high. My heart Dr said its accuracy couldn’t be relied on as true. Now i am taking pulse regularly myself to get true beats. Not convenient but the other was causing anxiety and wonder. Thank you for support. I have heart failure and a low ejection fraction, hoping to improve with drugs and slow exercise but this was all very interesting. Thanks for coffee bit!
I developed atrial fibrillation 2 weeks after my compulsory booster for Covid. There have been studies that show damage to the heart muscle from the mRNA induced spike protein. I was first notified of this issue via my Apple Watch which picked up my initial issue which was brachicardia. The slow rhythm, 37-45 bpm, eventually changed to chronic atrial fibrillation where my heart rate at rest was regularly over 100bpm. Any activity would make it race to 150+ or more. Multiple skipped and irregular heartbeats. I’m now on blood thinners and blood pressure medication. I was perfectly healthy pre booster shot. Edit: I also wanted to add that I caught Covid about a month after my AF, so no chance that my condition developed from catching the virus. My elderly mother caught the virus about 3 days after myself. She was not vaccinated, became sick for 1 day, and the next was up doing her housework. I was bed ridden for about 5 days.
@mcaddc i had the same after getting Omicron in feb 2022, badicardia, tachycardia and palpitations, ectopic beats. I stopped caffeine, alcohol and smoking and now im mostly back to normal. There is hope that you can get completely better. I am over 60, family history of heart issues , sleep apnoea, thyroiditis, and a lifelong smoker, if i can get better from it then a lot can. I also stopped all sports and rested a lot, to the detriment of my overall health but i am sure a quiet environment has helped my heart heal slowly I am unvaccinated so it can get you either way.
Excellent and informative presentation. I first found that I had AF when I was forty. I have been a heavy drinker and had a stroke earlier this year aged 81. As usual knowing the problem and understanding the treatment always helps . Thank you sir.
Ablation fixed mine in 2020 Dr Austin my EP in a 90 minute procedure. Age of 75 with no CVD all clear and supple . That’s D 3 and K 2 plus keto ! I had it for 15 years somewhat controlled by Flecainide Acetate and beta blocker slowed my heart rate . But the ablation on multiple million dollar equipment and highly skilled team at Baptist Health Jacksonville Fl did a great job .
@slay2525 medical.advice w/o a license? My potassium is high so that would put me right into the hospital. And there are 5 types of magnesiums...u list the one for constipation. Not all mags are the same. I'll leave it to my drs as it is related to my high iron thick blood and looong cv not electrolytes.
Thank you so much for this explanatory video. I am recently home from Hospital after suffering from A-fib here in Australia. I underwent successful heart rhythm correction and found this information a timely addition to my knowledge base.
Just returned from my local ER last night after my first formally-diagnosed 14-hr long episode of A-Fib and ran across your video this morning. WOW, I'm thoroughly impressed with the wonderful depth of information and special focus on potential lifestyle changes I may need to make in order to help minimize future occurrences. A big THANK-YOU to Dr Marcus for summarizing so much information and distilling it down into easily-understood language just about anyone can understand! Well done, Sir!!
Very well done, Dr Marcus. I am currently being treated for A.fib and your video was very enlightening in showing the causes and responses to A.fib. Thank you very much!
My apple watch alerted me to AF and a throw away comment to my GP was the start of a journey. Thank goodness he took notice of what i said. I had a CT angogram that discovered that I had a congential anomaly. Anomalous right cornary artery 90% compressed between the pulmonary artery and aorta, no wonder i had passed out after playing sport. 4 weeks later open heart surgery - unroofing the artery, bypass (plan B surgeon said ) and ablation with a atriclip. I can't thank my medical team enough. I'm blessed to have them.
Your VERY lucky. I’ve only met one person in my 35 year cardiology career that was confirmed to be anomalous RCA. It’s tricky to repair effectively and the condition is associated with a high mortality rate at a relatively young age if it goes undiagnosed. ❤️🩹
Thank you, Dr. Marcus, for the research that you and your colleagues conduct; for the quality-of-life improvements you bring your patients; and for sharing your knowledge and experience with the worldwide community. God bless you all!
Great presentation and information. Due to needing a knee replacement procedure I stopped running 5 - 6 years ago, and within a couple of months I was suddenly diagnosed with A-Fib at age 74. I had been running from age 13, an had done many road races, and long distance runs...even competed in 1964 Olympic trials. I have been on 5 mg (2X/day) of Apixaban and 25 mg (2X/day) of Metoprolol. Have changed eating habits and holding at under 190 weight, 6 feet tall. Had a heat stroke 18 months ago due to officiating five high school ball games on a 114 degree day in Arizona. Don't perform these stupid mistakes any more.
Not having heart problems. Two doses of Covid vaccinations and becoming more tired and having trouble walking. My leg feeling like it was going to give out. To shorten story - the paramedics are taking me to the ER and someone is telling me I’ve got AFib. This is 2021 and in 2022 I’m having a stint put in my heart. Wish I had never taken the Covid vaccine.
Fantastic presentation! I'm 61 and had first episode of afib late 2019 at 57. Then another episode late 2021. Then progressively got worse. Diagnosed of sleep apnea in 2022 and cpap stopped it for 7 months then it came back late 2022. Alcohol was originally my trigger then it just started happening more frequently so I decided to go with cryoablation which I had yesterday. Feeling great so far. Looking forward to getting back to being active like golf and mountain bike rides leaving Afib behind 🙏
@@2nostromo doing great thanks! About 12 weeks post ablation and have remained in sinus rhythm since. Fingers crossed it stays that way. I'm finally 100% back endurance. My resting HR is about 10 higher than preablation and the doctor said that's a good sign. I read some research confirming what the doctor said. Thank God for good medical insurance my total bill for the procedure was $81K! I paid $15. Fingers crossed I stay in NSR. Thank you again for asking.
@@sparker931 ah sorry to hear it came back. Hopefully you can do another cryoablation successfully. I'm now 6+ months afib free and feeling good. Right now I'm losing weight and focusing on fitness. I feel great even at almost 62 years old. I'm hoping to keep Afib away forever or at least a decade or more. I guess I'm somewhat mentally prepared if I need ablation again. Good luck Sparker931 and happy new year!
Really great. Recently diagnosed with a-fib. My sister too who had remodeling and her son who has had ablation. I am not sure, but I think anxiety is going to get me. ☺️ I am 79 years old. Now I have issues with insurance pre-approval. Thank you to Dr. Marcus and all those who have lent their talents and efforts to help. God bless you.
@@lautoka63 i was just informed i have it. Im waiting to go back to the cardiologist in January. I already have HF. What meds did you get and how did they make you feel
@@tip6725 I take two; one to stop me going into af, the other to stop me going into atrial flutter, which is the worse, I gather. Flecainide 200mg daily, along with Dilitazem 120mg daily. Since taking these, I have had no further instances of af, yet have done several long bike tours. They may make you a little breathless, but they work for me.
Terrific explanation. We needed this kind of conversation when my mom went into the hospital with pleural effusions. We had a cardio consult while she was there and he said she now had baseline afib. But she never felt the afib. The reason we were at the hospital was because of the effusions. No one mentioned a nexus. The effusions became more frequent and it was two years before her pulmonologist suggested that the pleural effusions were likely caused by the afib. She would have tried the ablation or the drugs even the cardioversion if it would have stopped the effusions, too.
Thank you for this very detailed informative video I live in fear with it every day You have explained it so I can understand what is happening inside of me. I am grateful for all your dedication and knowledge on this subject
At 85, I've heart disease; it runs in our family. But thanks to the efforts of my cardiologists, I'm still here. And that's the key. In my fifties, my cardiologists found that I needed a stent and an angioplasty. Later they had to intervene with medication and ablations because of my afib. And most recently they installed a pacemaker.
One key to my survival has been that I've been under the care of a team of cardiologists for years/decades who are able to make diagnoses and able to intervene on a timely basis, thus avoiding the necessity of rushing me to the ER because of some medical emergency, where medical decisions are made under chaotic and very stressful circumstances. IOW, your cardiologists can be your best friends if you've been working with them over the years. I joke that my cardiologists are determined that when I die, it will not be from heart failure.
This has just given me great hope that I can survive to a good age ! I’m 47 I have heart disease and afib. I’ve had a surgical ablation for my af and ended up with a collapsed lung and emergency thoracotomy. I’m 12 weeks out and hearts doing ok no afib. Will maybe need a stent moving forward. Thanks for a positive boost !
@@sassysandie2865 I wasn’t over weight I surfed and run and did weights. I drank maybe a little too much alcohol over the years. My diet was healthy but my snacking habits were bad too many chips n sweets and too much cheese and butter. Being slim I thought I was getting away with it. I wasn’t.
Constipation is an overlooked factor for atrial fibrillation. Constipation raises vagal tone. Vagal mediated atrial fibrillation is a real thing. However most doctors dismiss it. So colon cleanse may help.
@@TrueLoveNetwork I’m not sure. However one or two Body Gold colon cleans a day for a couple weeks may help. Constipation is also a very important factor in low energy and tiredness. Again most doctors overlook it.
I can confirm that the likelihood of AFib is higher with alcohol. And for me other risks are of higher influence also. Stress, not enough sleep, high blood pressure and for me speaking e-cigarettes. If all come together it leads to AFib for sure. Positive influence has moderate exercise such as walking and I think caffein. I quit drinking alcohol and the other risks just happen but I should always be aware of what I am doing.
I found your video presentation very interesting Dr Marcus. I am 74 and have had AFIB for many years. I take sotalol to slow my heart and I have a pacemaker (10 years) to make sure it doesn't stop all together. I am now on Xarelto as well. A few points. I tried one of the Cardio Mobile and found it inconsistent. I was told by one of their reps that it may be due to the pacemaker so I returned it. I find physical exertion can bring on AFIB. Things like pushing a car for example bring it on. Limiting my exertion level or type of exertion seems to help. Tiredness is my biggest issue but as you get older you don't know what to blame. Thanks, Keep up the good work.
I'd always heard engineers say people with pacemakers should be very careful around all wireless and really should not be on these new devices so your point is very important
I had a CABG4 operation and on the second post op day I had an atrial fibrillation event and the gave me a shot of potassium and then started me on a daily potassium supplement for the time I was on Furosemide (about 3 months). Touch wood I haven't had an event since.
Fantastic information Dr! I have intermediate AF! Mine typically occur at bedtime. I get up and sit in my chair and relax for about an hour and it typically subsided! My typically occurs. If I eat late in the evening!
Very informative. I have had Paramoxl Afib since I was 21 (59 now) and have just switched from Sotalol and Flecainide. I am hopeful this will reduce the number of episodes I have and am in the process of getting an ablation. I knew a fair bit about the condition, but you broadened my knowledge and explained the various options much better than I had known before. Thank you.
@@michellemaynard4385 I have only been cardioverted once...and that was about 5+ year ago. Normally I wait it out....my episodes usually last between 12-24 hours. As I have aged, they have become much more frequent. The last few months, I have been going in / out of Afib every 2-3 days. Quite tough. I have just been put on 75mg flecainide with Bisoprolol beta blocker and I am 11 days without an episode.......fingers crossed.
Wonderful presentation, thanks you Sirs. Knowing, as we now do, about the neural cells and networks within the heart, I attribute my arrhythmia to having my heart broken when I was young, which was a physically painful event at the time.
In July 2022, my husband insisted I put his Apple watch on at the dentist office of all places because he noticed I had been short of breath a lot recently. His watch indicated I was in AFib. I checked my Fitbit app which had also picked up AFib the previous night. I went directly to the ER where I was diagnosed with AFib.
Sadly, Apple watches emit radiation which can also attribute to your AFib, as well many of us almost constantly being in the soup of other electromagnetic frequencies from WiFi, cell phones & towers, smart meters & appliances, etc, etc
Thank you for such an informative talk! I had 2 ablations (first didn’t work) at Cleveland Clinic by Dr. Andrea Natale over 20 years ago and am still afib free! I developed it in my early 40’s-it was known as lone afib. I was a fit athlete and failed most of the meds. I am so thankful to this day-I am 75 that I am free of this. It was so debilitating to me.
Thank you for an understanding of EKG watches, their advantages and disadvantages. I also understand the medications I have been prescribed and how they act on my system.
My wife was told by her consultant to buy and use the Kardia unit whenever she had an episode. Then to E mail the result to him and from those results he diagnosed atrial fibrillation. She’s now on Apixaban and Bisoprolol, so far she’s not had another episode of atrial fibrillation. Her mother died at a fairly early age from several strokes.
I found this interesting and have done several testing on the effects of Alcohol and Afib myself. I am Not a doctor or even a medical student but have known for many years that Alcohol dehydrates your body and have experimented with drinking Alcohol many times. My test involved drink mainly Beer and Wine (Red) and I have found that if I have 3-4 beers or wine I have no Afib. Once I go beyond 5-7 drinks per day my chance of having Afib increases 40%. Knowing that Alcohol causes dehydration in the body I got to thinking that when I drink alcohol I need to drink lots of water so before drinking I will drink 3-4 glasses of water and during drinking I will have a glass of water after every 2 drinks. I have an Apple watch and it does an excellent job of telling me when I am experiencing Afib and when I consume the amount of water when drinking as I mentioned I have No Afib. I don't know if I told you something that You already knew but I wanted to say that keeping the body Hydrated while drinking keeps me from having Afib and also feeling good the next day. Thanks
Excellent video! Exceptional information with great citations. Drs Dewland and Marcus are to be commended for their outstanding video. Highly recommend anyone who suffers under Afib or wants to lessen their odds of incurring it, to watch and study this video.
Have you investigated the use of vitamin D3 for the treatment of Afib. My heart used to shake my bed when I went to bed at night. I started to take vitamin D3 for prostate cancer (10,000 units ). After a blood test we discovered that I was still short of D3, so I took 20,000. The result was that my Afib was reduced to the point that I have almost normal heart rhythm. A ECG still shows Afib on the printout. But I have a good life. I am 88 and was first told i had irregular heart rate when I was 14 years old. I would be interested in your reaction to this.
I have afib on ekg result but no symptoms whatsoever. Afib was detected 9 years ago. Doc put me on eliquis as a precaution. Other than that living a normal life.
I have palpitations and switched from Espresso (2 a day) to a medium roast coffee and there is a big difference. I flat out refused for along time to give up my Espresso but it helps. Drank it for many years without problems but now sensitive to caffiene.
I think espresso is different than dark roast because it is ground so much finer and the amount of coffee is compressed and extracted with high pressure. I'm relating to having to give up iced Americanos due to tachycardia but am enjoying a half caff kpod in the morning without any problems🎉
I worked at Starbucks for 2 years and got my coffee master certification. The darker the coffee the less caffeine! New Guinea Peaberry which is a Green coffee bean is the least caffeine. But if you have a histamine intolerance you want to drink green tea or take Vivarine Caffeine pill and stick with green tea.
Pooling blood is NOT a good thing. As a retired cardiology nurse I met with more than my share of AF patients. I also have a direct family member who has had RF ablation for refractory AF. It’s not an easy thing to live with, treat effectively and often reoccurs. You’ve done a great job explaining in such a way it’s easier to understand. Thank you 🙏
⚡️❤⚡️ I have plowed through a ton of media of all kinds since being diagnosed with AFib in Sept. of 2023 and this is by far the most comprehensive, informative and relevant resource that I have encountered! It also seems to be the most up to date and cites recent studies to contradict some assumptions that are widely accepted by most other sources I've consulted, including my GP. (I can drink regular coffee?! There are now antidotes for modern blood thinners?!) The only topics I would've liked to have seen included would have addressed how diet, alcohol and exercise can affect or be affected not by AFib itself, but by the medications used to treat AFib. I also would've appreciated some information and/or opinions regarding the Minimaze procedures as options to ablation. I'll be rewatching this one!
I first went into AFib in 2005. In 2014 i had a high frequency catheter ablation. I now go into AFib quite infrequently. When i go into AFib i eat jalapeño pepper slices to put my heart back into rhythm.
I wish someone would investigate the effect that topical salicylic acid has on causing AF. When I used astringent on my face, it would cause AF after a few days of use. After cessation of the astringent it would take a couple of days for the AF to stop (pissing out the salicylic acid in my system). Recently I got AF from sunscreen, and I found they also contained a form of salicylic acid. Stopped the sunscreen and the AF went away. Nothing I googled has shown a connection between topical salicylic acid and AF, only irregular HR from high doses of “ingested” salicylic acid.
So interesting when you listen to someone who REALLY knows their subject! I've come down this route as I have had palpitations and my watch has also measured Afib once or twice ... but not again. I just wanted to understand what the common thoughts were regarding this subject. I was lucky enough to stumble across this. Thanks to Dr Marcus for discussing this and making it so easy to understand!
My Apple Watch had a red line alert on it > that I had A Fib. Mentioned to call a Dr.., which I did and am on meds. I have it for a week or two and then it might disappear into normal rhythm for 3 weeks and then back to A Fib. Annoying since I do get out of breath walking up a hill. Watch is wonderful.. ALL my elderly friends have one. !!!!!
I had an ablation 29 years ago. The episodes improved, but it didn’t totally stop them. Over the years I have found a few things that helped. I started taking a magnesium supplement and that helped. I also noticed that I had more when eating sugar, gluten. A keto diet works best for me. I still am able to enjoy a cup of coffee every day, with no episodes. I do self medicate with a baby aspirin 3-4 week, just in case.
Nowhere in this did I hear anyone address the deficiency of electrolytes like magnesium, potassium and sodium. In any of your studies has anyone done testing to see what these electrolyte balances were when AFib was diagnosed, correct the balances to the correct amount then follow to see if the patient still had AFib? I have had AFib for 12 years, the same amount of time my sodium levels were too low. Yet my cardiologist continued to tell me to eat a low sodium diet until my sodium bottomed out. Once they realized I needed sodium and started allowing it, then my magnesium bottomed out. I think these essential minerals need to viewed with heart function.
Thank you Dr. for detailed info you provided. I had very severe A Fib, i am gone true the presider and it has been 2 years and never has happened after presider. i am 71 Y. O.
Alcohol wrecks my heart rate - especially when sleeping, and four glasses of wine for my caused a-fib while sleeping. One glass of wine at night lowers my HRV, and more than that keeps my heart rate high all night. It’s just not worth it to me to drink regularly. Especially after my breast cancer diagnosis.
Try the ketogenic way of eating and especially mostly animal based, carbs under 20 g per day resolves a wide variety of health issues and can only help with AFib as it lowers inflammation throughout the body.
When my Garmin smartwatch measures my pulse rate at rest going from 80 to 150, I may not know it's my Afib, but I'm pretty sure something is going wrong. And since I've been diagnosed with Afib, my go-to explanation is Afib. Either that, or I'm transmogrifying into a hummingbird. And I don't see any feathers yet.
So far I have skipped all the expensive stuff, relying on my oxygen saturation gadget which also shows heart beats per minute. Trying to avoid all those expensive watch things.
I take CoQ10 regularly for a few years and it seems to lower my fast heart beats to the low 80 per minutes from more 90 before. I wasn’t diagnosed with Afib though but fast hearts always scared me before that.
Cardia Mobil is extremely useful and reliable. I’ve been using one since 2017. When in Afib, only Amioderone was effective in getting me out of Afib. In September of this year, I had ablation surgery. So far, since the surgery, I’ve gone into Afib several times, but, each time, it has resolved on its own, within a couple of hours, and without my having to take amioderone.
My question has to do with the condition of the myelin sheath protecting the nerves that conduct electrical impulses to the heart. I have listened to researchers who have suggested that patients suffering abnormal rhythms suffer from degraded nerve sheaths causing "shorts" with similar effects to brittle spark plug wires causing misfires in an automobile. These researchers have suggested that alcohol, and a diet that promotes systemic inflammation as leading culprits in the development of conditions that lead to CVD and AF. Comments?
Unhealthy diet ,too much meat ,alcohol ,lack of balanced nutrients ,lack of cardio leads to accumulation of toxins that throw it off balance .It seems like it likes to work hard once in a while ,it does no like prolonged periods of rest .
Outstanding presentation of key elements in the ongoing conundrum that is afib. Now I'm off to enjoy some coffee and have a think. If I lived in CA I'd be calling for an appt. Thanks Doc.
FANTASTIC video thank you very much! I am scheduled for a PFA Ablation at the end of October and relatively nervous about the complications from procedure even if the chances are considered very low. One thing that i am not seeing mentioned in any of the comments is possible relation to other conditions such as EoE or Eosinophilic Esophagitis. I am 44 male tall and thin but generally pretty health. In my early 20s i spontaneously became allergic to tree nuts and several other foods. I began having issues coughing and having difficulty with eating certain foods which drove me crazy. I dealt with my food allergies by basically staying away from the foods that set me off though sometimes food that normally didnt bother me would randomly cause issue. in 2016 or so i had a pretty bad coughing episode that included full vomiting overnight into the next morning so had to go to the ER. Was scoped and all that and it was determined i was choking on small bits of food stuck in my esophagus. I was diagnosed with EoE and have been taking 40mg omeprazole twice a day to deal with my acid issues. In my early 20s i also had my first AFIB episode that lasted 8 hours. Yes like many other people i drank a bit too much when i was young which i am sure helped lead me down the path to Afib. Though i stopped drinking well over 5 years now and still had minor episodes along the way. Since about 2007-2008 i've had off and on elevated heart rate, skipping beats (flutters?) and just dealt with it by calming myself and falling asleep in the bathroom until i felt better and could go back to bed. I found it to be something i could typically resolve myself by listening to music and/or mediations and sleeping it off for an hour or two even if that meant popping a low dose prescribed xanax or a small 0.5ml dose of childrens benadryl to calm myself and help me fall asleeo. Looking back my afib episodes 99% of the time happened at night whether i had been drinking or not. I noticed that heavy mental stress and/or anxiety would often lead to a racing mind i could not stop which could kick off flutters or minor afib. I also came to find that even though my EoE is generally under control during the day - at night i sometimes had a larger acid episode while sleeping or right before bed and it would 99.9% kick my heart into flutters/afib and those were usually the worst afib episodes. Though even being generally sick with the flu and vomiting NOT due to stomach acid issues could also activate my heart issues. Well March of 2024 i had my now worst episode of Afib lasting 14 hours straight. The Cariologist suggested possible ablation as a cure. I had to wait 5 months for an appointment and then travel 2.5 hours to see him but he said i am a good candidate for PFA as i am young and my flutters or mild afib are not constant. My primary doctor always dismissed my theories that the afib could some how be related to my EoE problems. The EP i went and met with said they can very much be related. I am hoping that the PFA will help stop the triggering of afib due to anxiety/stress/whatever my EoE has to do with my heart issues... i would love to put this behind me. I am generally very healthy and my blood work always comes back looking fantastic. Though i am not as physically active as i get older and sit at a desk all day and i know that is one major thing i need to work on. I recently met one other family who were openly discussing EoE so i was rude apologized and inserted myself to their conversation to share but they were open and grateful. Without volunteering it they asked me if i also suffer from afib as the men in their family all have both EoE/Afib. So... just wondering if this is even actively looked at as being associated and how common it actually is. *OH - And to make myself sound extra crazy (HA) i'm wondering if anyone else considers possible relation of flutters/afib episodes to solar flares/activity? My half brother has EoE and Tachycardia problems but not actual afib like myself. He would often message me out of the blue and tell me how he had heart issues and strangely enough his episodes often lined up around the general time frame i would also have some of my own issues. I mentioned this to another one of my friends and he suggested solar flares as a possible blanket cause that is making people increasingly experience issues like this. I thought it was total nonsense at first until i googled it and saw that yes that sort of actively is reported to have effects on people moods/anxiety/heart etc. When my brother would mention to me that he felt bad weird off or had heart issues and i did as well i would look up solar flare activity and sure enough strong solar activity was reported. Just thought that was interesting... not that it proves anything but i still find it curious and wondering if anyone else has considered the possibilities?
A friend of mine is scheduled for an ablation early next year , she's been on beta blockers , anticoagulants , she had an 'eye' stroke 3 years ago leading to blindness in that eye . She is not well controlled on the meds...hopeful ablation will give her a better quality of life
Thank you for a very informative video. My new Apple Watch Ultra alerted me to my AFIB. I don’t know how long it would have went undetected had I not purchased that watch. I stay in AFIB. Now I know why I’m often fatigued for no explanation.
My late husband who passed from cancer had AF now our eldest son has it. I hope my other adult children don’t develop it. My husband had a knee replacement and his heat rate went haywire . He’s Dr was called in at midnight, he was diagnosed with AF after that operation.
Thank you so much for all of this information and for giving it in such an easy way to understand. We are grateful to you. ( I had a CV 20 months ago, but AF returned. Awaiting cardiology appt Nov). Pamela. UK.
I watched pretty much the entire visited RIVETED and comprehended everything, so kudos to you for explaining more or less on layman’s terms. I happen to fit a particular combination of ailments you discussed here, indicating that ablation may end up being my best route, though not sure how long I’ve had Afib. At any rate, thanks again for this fabulous information 🙏🏽👍🏽🙏🏽❤️
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My Apple 7 watch woke me in the middle of the night showing Atrial Fibrillation, when I sat up, I realized that I was in the middle of having a heart attack. Rushed to the hospital and had to have a stint installed. Remarkably this is a week after having started my COVID shots and feel they are related. I'm on medications now and feeling better but I Thank Apple for saving my life, because knowing me I would have tried to ignore the chest pain had it not been for the watch. Best part was showing all the doctors in the hospital that the watch showed my heart rhythm, none believed me!
If you took the clot shot you need to help your vody and heart heal. Nattokinase does that best and also NAC.
According to the British Heart Foundation here in the uk, atrial fibrillation reports have increased 60% since the shot!
Thanks for the update.@@ArmadilloGodzilla
Thanks for the update,@@SuperBC10
ACE2 is part of what regulates blood pressure. The immunologist at university of Guelph who got cv19 and used his lab to show and study how humans develop immunity, studied the trial data, was silenced. Just typing the name might trigger the algorithm. I have noticed that linking to certain content can trigger a warning. The fact that ace2 is part of a signalling process is well by known. It’s like how caffeine by fitting into adenosine receptors alter sleepiness. It doesn’t have to do anything but bind to effect.
OMG This was by far the BEST informative lecture/talk on A Fib that I have ever heard. Thank you so much. BTW I am an MD!!
Take out the words "on A Fib" and it still holds good for me. It is a masterpiece of succinctness, clarity and accuracy, with excellent "slides". I have had several ablations in the last two decades and am still going strong in my early 80's so could relate well to the subject matter.
Ablation -- fixed mine 8 years ago! Best thing that ever happened to me. Gave me my life back after 2 years to trial-and-error medications, and one incompetent first ablation. Glad I insisted on the 2nd.
Stop coffee, soft drinks and started Apnea treatment. Lost 60 pounds and with diet and moderate cardio, A fib was gone within the year.
Very good! I gave up smoking and I'm working on my cardio. The a fib has reduced, and hopefully will disappear eventually. It's one year since my first episode. I'm also on a beta blocker and taking electrolytes.
My husband had sleep apnea for years, he never addressed it. He then suffered AF for years, his Dr tried to bring it back into rhythm, it didn’t work, he drank alcohol and coffee . I’ve heard of the Apple Watch warning people, and saving people from heart attack. My son has AF , I’m sending him this valuable information. Thank you Drs 😊
Stop Apple and Alcohol, dont stop coffee because its proven to be incredibly good for your health....@@WendyHannan-pt7ez
So i dont drink coffee quit the pop two ans half years ago. Lost 70 lbs almost 1/3 of my weight. Hopefully it will stop. Wasnt noticable anyway but was on metetopril zeralto and cholestrole med. Like to get off the Zeralto very expensive to be on it.
@@joescheller6680 Tty verberine
My husband's afib appeared to be related to sleep apnea. He got the ablation and has been rock solid for 10 years. I appreciate all the doctors involved in his care.
Curious, was he "rock solid" with no afib at all immediately after the ablation or did he have some during the "3 month" recovery period which then gradually became solid or ? Thx.
@@Learn2Think4Yourself I don't think he had any afib at all. I would listen to him every night at bed time. The only afib he's had since was when he was taking some crazy cacao/ caffeine supplement. He stopped that and it went away.
Over a year. Im very happy. Same cause.
How did he feel after the ablation
@@patstar5 he felt just fine. Way less tired and worried
Far and away the best overview of AFIB, AFIB drugs, and AFIB treatments that I've run across in the past 15 years. A most excellent video !
Thank you so much Dr Marcus. I am a 78 year old retired physician in the UK having investigations now of Afib. Your talk is very comprehensive, up to date and helpful to me.
You ain't 78
Wir brauchen. FRIEDEN...sometimes I feel.lately. I do not need to know everything...that brings worry. The best you can day by day...and you need to have laughter...i am 81....manoman..was solls some white wine..stay slim...and laugh working with hands...we,all will go...
@@dagmarvandoren9364 26:21 😊
😅
Dear Doctor, many thanks for this amazing vlog! I just had my second Afib surgery and not recovering very well. More places ablated than first time 13 yrs ago. I see my surgeon Monday, nearly three weeks later????? Hoping for answers and started PT. It is discouraging to feel WORSE than before you went in.
Anyway as a non clinician this actually was in English even I could understand with only a teachers mind. So many many thanks. I will listen to it again! That is how informative this has been. I’m so very impressed as I’ve listened to other talks, and my eyes crossed from confusion.
You are the best! Thank you for sharing your experience just wonderful!!!
why arent you recovering well?
@@toonvdh8987 my heart was way out of rhythm. Had a cardiac conversion today at the hospital. Dropped my heart rate in half, now 83. He says it takes three months to fully heal and hopefully it with stay in rhythm.
Thanks for asking, to tired tonight to see if if feel better or not?
🫂 I feel for you ❤ are you on any blood thinners? After looong cv gave me blood clots and major stroke, i know how horrible & nonfunctional I was. Within 1 week of blood thinner, I felt better prior to my one ablation 26 months ago(my iron also gets too high = thick blood) I had a horrific try on sotolol for afib rhythm (which failed miserably). My ablation was done 100% in afib as 5 cardioversions did not work. Grateful my Dr was so talented & experienced and loved a challenge. Dr basically cryptoablated most the back side of my heart. I stay on a blood thinner for life now. Not much more they can do. I remember after my surgery, I had to pinch myself to see if I was dreaming or not, no heart thumbing. It was wonderful. I get some flutters or palps on occasion but function well today. On occasion, I do monitor on my Kardio card & app.
🙏 I'm sending u prayers & healing energy hoping you get much better!! It's a horrible condition most ppl don't understand 😢
This video is excellent and certainly appreciated! I am 78 and had my first (and so far only) paroxysmal episode with very obvious symptoms earlier this year. I was immediately prescribed rivaroxaban (Xarelto). Answers to my questions from an otherwise excellent cardiologist wrt the need for Xarelto while in normal rhythm and quantifying the risk of adverse bleeding if use NSAIDs (much OA pain) have been much less than satisfying or useful. This presentation answered these and many other questions in addition to providing an excellent, needed, understandable, useful, and respectful primer on the subject aimed at a level higher than intellectually compromised. The medical profession universally does not recognize how much compliance is compromised by a "do this or else" approach. Thank you.
I have Atrial fibulatiion, was diagnosed many years ago (about 40), was told it was common back then, about 40% of population. Given a pill-in-pocket option, but never had to use.
Had heart shocked in emergency once about 20 yrs after first diagnosis after an incident which included a trauma where common treatment adjustments (coughing, ice water, sing in high voice) ineffective.
Blood pressure is good. Fitness level is good. Now 72. Had heart procedure at 67 to determine the flow of blood, determined no issues.
I did not take blood thinners, as I preferred to keep my fitness and nutrition levels up, and keep regular appointments with my doctor.
Just sent my smart watch back today before listening. I have a shadow beat and the watch was giving me a very low bpm and high. My heart Dr said its accuracy couldn’t be relied on as true. Now i am taking pulse regularly myself to get true beats. Not convenient but the other was causing anxiety and wonder. Thank you for support. I have heart failure and a low ejection fraction, hoping to improve with drugs and slow exercise but this was all very interesting. Thanks for coffee bit!
I developed atrial fibrillation 2 weeks after my compulsory booster for Covid. There have been studies that show damage to the heart muscle from the mRNA induced spike protein. I was first notified of this issue via my Apple Watch which picked up my initial issue which was brachicardia. The slow rhythm, 37-45 bpm, eventually changed to chronic atrial fibrillation where my heart rate at rest was regularly over 100bpm. Any activity would make it race to 150+ or more. Multiple skipped and irregular heartbeats. I’m now on blood thinners and blood pressure medication. I was perfectly healthy pre booster shot.
Edit: I also wanted to add that I caught Covid about a month after my AF, so no chance that my condition developed from catching the virus. My elderly mother caught the virus about 3 days after myself. She was not vaccinated, became sick for 1 day, and the next was up doing her housework. I was bed ridden for about 5 days.
I noticed my HR resting and not had been higher the last couple of years. Had AF 6 weeks ago 200bpm, scary stuff
The covid virus was found to be a cause of atrial fibrillation. The vaccine is not a cause of atrial fibrillation.
Same but with Pfizer
@mcaddc i had the same after getting Omicron in feb 2022, badicardia, tachycardia and palpitations, ectopic beats. I stopped caffeine, alcohol and smoking and now im mostly back to normal. There is hope that you can get completely better. I am over 60, family history of heart issues , sleep apnoea, thyroiditis, and a lifelong smoker, if i can get better from it then a lot can. I also stopped all sports and rested a lot, to the detriment of my overall health but i am sure a quiet environment has helped my heart heal slowly
I am unvaccinated so it can get you either way.
I had the watchman device installed in my heart. I’ve been taking MALTAQ twice a day and have not had any a fib for over a year now.
Excellent and informative presentation. I first found that I had AF when I was forty. I have been a heavy drinker and had a stroke earlier this year aged 81. As usual knowing the problem and understanding the treatment always helps . Thank you sir.
Ablation fixed mine in 2020 Dr Austin my EP in a 90 minute procedure. Age of 75 with no CVD all clear and supple . That’s D 3 and K 2 plus keto ! I had it for 15 years somewhat controlled by Flecainide Acetate and beta blocker slowed my heart rate . But the ablation on multiple million dollar equipment and highly skilled team at Baptist Health Jacksonville Fl did a great job .
@slay2525 medical.advice w/o a license? My potassium is high so that would put me right into the hospital. And there are 5 types of magnesiums...u list the one for constipation. Not all mags are the same. I'll leave it to my drs as it is related to my high iron thick blood and looong cv not electrolytes.
I hope you’re still doing well 😊 I’m down the road from you and it is super cold today 🥶
Thank you so much for this explanatory video. I am recently home from Hospital after suffering from A-fib here in Australia. I underwent successful heart rhythm correction and found this information a timely addition to my knowledge base.
hi i am also here in australia what kind of correction of heart rhythm did to you may i know please
I am in Australia too and would like to know which surgical procedure you had, please.
Just returned from my local ER last night after my first formally-diagnosed 14-hr long episode of A-Fib and ran across your video this morning. WOW, I'm thoroughly impressed with the wonderful depth of information and special focus on potential lifestyle changes I may need to make in order to help minimize future occurrences. A big THANK-YOU to Dr Marcus for summarizing so much information and distilling it down into easily-understood language just about anyone can understand! Well done, Sir!!
Best of luck!
I’m so glad I can keep enjoying my coffee!
Very well done, Dr Marcus. I am currently being treated for A.fib and your video was very enlightening in showing the causes and responses to A.fib. Thank you very much!
This is the most informative interview I’ve seen on atrial fibrillation yet. So glad I found it!
My apple watch alerted me to AF and a throw away comment to my GP was the start of a journey. Thank goodness he took notice of what i said. I had a CT angogram that discovered that I had a congential anomaly. Anomalous right cornary artery 90% compressed between the pulmonary artery and aorta, no wonder i had passed out after playing sport. 4 weeks later open heart surgery - unroofing the artery, bypass (plan B surgeon said ) and ablation with a atriclip. I can't thank my medical team enough. I'm blessed to have them.
What Apple Watch do you have
Your VERY lucky. I’ve only met one person in my 35 year cardiology career that was confirmed to be anomalous RCA. It’s tricky to repair effectively and the condition is associated with a high mortality rate at a relatively young age if it goes undiagnosed. ❤️🩹
This is the best strategic information I’ve received on AFIB. Thank you dr Marcus
Thank you, Dr. Marcus, for the research that you and your colleagues conduct; for the quality-of-life improvements you bring your patients; and for sharing your knowledge and experience with the worldwide community. God bless you all!
Great presentation and information. Due to needing a knee replacement procedure I stopped running 5 - 6 years ago, and within a couple of months I was suddenly diagnosed with A-Fib at age 74. I had been running from age 13, an had done many road races, and long distance runs...even competed in 1964 Olympic trials.
I have been on 5 mg (2X/day) of Apixaban and 25 mg (2X/day) of Metoprolol. Have changed eating habits and holding at under 190 weight, 6 feet tall. Had a heat stroke 18 months ago due to officiating five high school ball games on a 114 degree day in Arizona. Don't perform these stupid mistakes any more.
Not having heart problems. Two doses of Covid vaccinations and becoming more tired and having trouble walking. My leg feeling like it was going to give out. To shorten story - the paramedics are taking me to the ER and someone is telling me I’ve got AFib. This is 2021 and in 2022 I’m having a stint put in my heart. Wish I had never taken the Covid vaccine.
Fantastic presentation! I'm 61 and had first episode of afib late 2019 at 57. Then another episode late 2021. Then progressively got worse. Diagnosed of sleep apnea in 2022 and cpap stopped it for 7 months then it came back late 2022. Alcohol was originally my trigger then it just started happening more frequently so I decided to go with cryoablation which I had yesterday. Feeling great so far. Looking forward to getting back to being active like golf and mountain bike rides leaving Afib behind 🙏
how are you doing post cryoablation?
@@2nostromo doing great thanks! About 12 weeks post ablation and have remained in sinus rhythm since. Fingers crossed it stays that way. I'm finally 100% back endurance. My resting HR is about 10 higher than preablation and the doctor said that's a good sign. I read some research confirming what the doctor said.
Thank God for good medical insurance my total bill for the procedure was $81K! I paid $15. Fingers crossed I stay in NSR. Thank you again for asking.
Praying for continuous Happy Days with NO Afib episodes ever. God Bless YOU. 🙂
@@andy5478-MTBhad a PVC gyroblation in 2017. I was good for 5 years. Unfortunately illness sent me back to afib. Good luck
@@sparker931 ah sorry to hear it came back. Hopefully you can do another cryoablation successfully. I'm now 6+ months afib free and feeling good. Right now I'm losing weight and focusing on fitness. I feel great even at almost 62 years old. I'm hoping to keep Afib away forever or at least a decade or more. I guess I'm somewhat mentally prepared if I need ablation again. Good luck Sparker931 and happy new year!
Really great. Recently diagnosed with a-fib. My sister too who had remodeling and her son who has had ablation. I am not sure, but I think anxiety is going to get me. ☺️ I am 79 years old. Now I have issues with insurance pre-approval. Thank you to Dr. Marcus and all those who have lent their talents and efforts to help. God bless you.
All the best, Sharon. God bless you.
I’ve had af for 4 years, since I was 60. It’s well-controlled with drugs. Don’t worry too much.
@@lautoka63 i was just informed i have it. Im waiting to go back to the cardiologist in January. I already have HF. What meds did you get and how did they make you feel
@@tip6725 I take two; one to stop me going into af, the other to stop me going into atrial flutter, which is the worse, I gather. Flecainide 200mg daily, along with Dilitazem 120mg daily. Since taking these, I have had no further instances of af, yet have done several long bike tours. They may make you a little breathless, but they work for me.
@@lautoka63 thank you
Terrific explanation. We needed this kind of conversation when my mom went into the hospital with pleural effusions. We had a cardio consult while she was there and he said she now had baseline afib. But she never felt the afib. The reason we were at the hospital was because of the effusions. No one mentioned a nexus. The effusions became more frequent and it was two years before her pulmonologist suggested that the pleural effusions were likely caused by the afib. She would have tried the ablation or the drugs even the cardioversion if it would have stopped the effusions, too.
Thank you for this very detailed informative video
I live in fear with it every day
You have explained it so I can understand what is happening inside of me.
I am grateful for all your dedication and knowledge on this subject
I just got diagnosed. It is scary. What meds do you take
i truly share your fear brother
Thanks for such a sophisticated yet accessible lecture on this topic. Top notch.
Very useful information, I’m glad I can still enjoy my morning coffee.
At 85, I've heart disease; it runs in our family. But thanks to the efforts of my cardiologists, I'm still here. And that's the key. In my fifties, my cardiologists found that I needed a stent and an angioplasty. Later they had to intervene with medication and ablations because of my afib. And most recently they installed a pacemaker.
One key to my survival has been that I've been under the care of a team of cardiologists for years/decades who are able to make diagnoses and able to intervene on a timely basis, thus avoiding the necessity of rushing me to the ER because of some medical emergency, where medical decisions are made under chaotic and very stressful circumstances. IOW, your cardiologists can be your best friends if you've been working with them over the years. I joke that my cardiologists are determined that when I die, it will not be from heart failure.
This has just given me great hope that I can survive to a good age ! I’m 47 I have heart disease and afib. I’ve had a surgical ablation for my af and ended up with a collapsed lung and emergency thoracotomy. I’m 12 weeks out and hearts doing ok no afib. Will maybe need a stent moving forward. Thanks for a positive boost !
Were you overweight? Do you exercise? Do you eat a healthy diet?
@@sassysandie2865 I wasn’t over weight I surfed and run and did weights. I drank maybe a little too much alcohol over the years. My diet was healthy but my snacking habits were bad too many chips n sweets and too much cheese and butter. Being slim I thought I was getting away with it. I wasn’t.
And all caused by the blood thinners for the stent,
Great video, I just went through a ablation, 62yrs old, non-smoker, no drugs, no coffee, it worked great. went from 110 to 65 at rest
Thank you for this comprehensive review. Truly one of the best this nurse with Paroxysmal A-Fib has heard!
Thank you for this video. Excellent information, very interesting. Complex subject matter presented in terms the layperson can understand.
Constipation is an overlooked factor for atrial fibrillation. Constipation raises vagal tone. Vagal mediated atrial fibrillation is a real thing. However most doctors dismiss it. So colon cleanse may help.
I have found constipation to be a major factor!
What about bloating (stomach distension) from more than a decade on a CPAP?
@@TrueLoveNetwork I’m not sure. However one or two Body Gold colon cleans a day for a couple weeks may help. Constipation is also a very important factor in low energy and tiredness. Again most doctors overlook it.
If I have a bowel movements it makes my heart, mind, and body feel perfect. Gets rid of afib.
i always have diarrhea at the end of every episode i've ever had. Is that a recognized part of this condition?
I can confirm that the likelihood of AFib is higher with alcohol. And for me other risks are of higher influence also. Stress, not enough sleep, high blood pressure and for me speaking e-cigarettes. If all come together it leads to AFib for sure. Positive influence has moderate exercise such as walking and I think caffein. I quit drinking alcohol and the other risks just happen but I should always be aware of what I am doing.
I found your video presentation very interesting Dr Marcus. I am 74 and have had AFIB for many years. I take sotalol to slow my heart and I have a pacemaker (10 years) to make sure it doesn't stop all together. I am now on Xarelto as well. A few points. I tried one of the Cardio Mobile and found it inconsistent. I was told by one of their reps that it may be due to the pacemaker so I returned it. I find physical exertion can bring on AFIB. Things like pushing a car for example bring it on. Limiting my exertion level or type of exertion seems to help. Tiredness is my biggest issue but as you get older you don't know what to blame. Thanks, Keep up the good work.
I'd always heard engineers say people with pacemakers should be very careful around all wireless and really should not be on these new devices so your point is very important
Maybe let somebody ELSE PUSH THE CAR- love you bunches 😉
I had a CABG4 operation and on the second post op day I had an atrial fibrillation event and the gave me a shot of potassium and then started me on a daily potassium supplement for the time I was on Furosemide (about 3 months). Touch wood I haven't had an event since.
ENJOYED THE FILM;,,,,,i have A-FIB,,now,,for the last 34 yrs.,,,am now ,92 yrs of age,,and love my 2-3 cups of coffee every morn.
I’d die for a cup of coffee..
Daaam I can’t drink nothing w/ caffeine 😢😢 look at you congrats 🎉
Wow, and the world thinks seniors don't do technology, yet here are a number of them clicking away on their computers.
Thank you Dr. Dewland and Dr Marcus.....you guys are studs!
Fantastic information Dr! I have intermediate AF! Mine typically occur at bedtime. I get up and sit in my chair and relax for about an hour and it typically subsided! My typically occurs. If I eat late in the evening!
Mine also occurs mostly at night🤷🏻♀️
Me too!
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Very informative. I have had Paramoxl Afib since I was 21 (59 now) and have just switched from Sotalol and Flecainide. I am hopeful this will reduce the number of episodes I have and am in the process of getting an ablation. I knew a fair bit about the condition, but you broadened my knowledge and explained the various options much better than I had known before. Thank you.
Did you have cardioversion?
@@michellemaynard4385 I have only been cardioverted once...and that was about 5+ year ago. Normally I wait it out....my episodes usually last between 12-24 hours. As I have aged, they have become much more frequent. The last few months, I have been going in / out of Afib every 2-3 days. Quite tough. I have just been put on 75mg flecainide with Bisoprolol beta blocker and I am 11 days without an episode.......fingers crossed.
Can you let us know how your ablation went?
Wonderful presentation, thanks you Sirs. Knowing, as we now do, about the neural cells and networks within the heart, I attribute my arrhythmia to having my heart broken when I was young, which was a physically painful event at the time.
Many thanks for donating your time and information.great lecture 🙏
In July 2022, my husband insisted I put his Apple watch on at the dentist office of all places because he noticed I had been short of breath a lot recently. His watch indicated I was in AFib. I checked my Fitbit app which had also picked up AFib the previous night. I went directly to the ER where I was diagnosed with AFib.
Sadly, Apple watches emit radiation which can also attribute to your AFib, as well many of us almost constantly being in the soup of other electromagnetic frequencies from WiFi, cell phones & towers, smart meters & appliances, etc, etc
Thank you for such an informative talk! I had 2 ablations (first didn’t work) at Cleveland Clinic by Dr. Andrea Natale over 20 years ago and am still afib free! I developed it in my early 40’s-it was known as lone afib. I was a fit athlete and failed most of the meds. I am so thankful to this day-I am 75 that I am free of this. It was so debilitating to me.
Thank you for an understanding of EKG watches, their advantages and disadvantages. I also understand the medications I have been prescribed and how they act on my system.
I have found that cutting out all non-water drinks has helped tremendously.
My wife was told by her consultant to buy and use the Kardia unit whenever she had an episode. Then to E mail the result to him and from those results he diagnosed atrial fibrillation. She’s now on Apixaban and Bisoprolol, so far she’s not had another episode of atrial fibrillation. Her mother died at a fairly early age from several strokes.
I ordered it bc of this video since my arrhythmia never gets recorded but is always uncomfortable 🙏glad to hear it works
I am and still using it. Really great to have it. Can immediately email the readings to my Cardiologist for his comments..😅
Thank you Dr. Marcus! That was the most comprehensive explanation of a-fib that I have ever heard.
I found this interesting and have done several testing on the effects of Alcohol and Afib myself. I am Not a doctor or even a medical student but have known for many years that Alcohol dehydrates your body and have experimented with drinking Alcohol many times. My test involved drink mainly Beer and Wine (Red) and I have found that if I have 3-4 beers or wine I have no Afib. Once I go beyond 5-7 drinks per day my chance of having Afib increases 40%. Knowing that Alcohol causes dehydration in the body I got to thinking that when I drink alcohol I need to drink lots of water so before drinking I will drink 3-4 glasses of water and during drinking I will have a glass of water after every 2 drinks. I have an Apple watch and it does an excellent job of telling me when I am experiencing Afib and when I consume the amount of water when drinking as I mentioned I have No Afib.
I don't know if I told you something that You already knew but I wanted to say that keeping the body Hydrated while drinking keeps me from having Afib and also feeling good the next day.
Thanks
Coffee dehydrates too.
Excellent video! Exceptional information with great citations. Drs Dewland and Marcus are to be commended for their outstanding video. Highly recommend anyone who suffers under Afib or wants to lessen their odds of incurring it, to watch and study this video.
Thank you for such a clear, detailed and wide ranging discussion of afib. Great work.
My spouse drank and smoked his whole life and was diagnosed with AFIB. Now on 6 prescriptions. Mighty expensive too.
Have you investigated the use of vitamin D3 for the treatment of Afib. My heart used to shake my bed when I went to bed at night. I started to take vitamin D3 for prostate cancer (10,000 units ). After a blood test we discovered that I was still short of D3, so I took 20,000. The result was that my Afib was reduced to the point that I have almost normal heart rhythm. A ECG still shows Afib on the printout. But I have a good life. I am 88 and was first told i had irregular heart rate when I was 14 years old. I would be interested in your reaction to this.
D3...immune system...lymphocytes use this vitamin first...billions attack any foreign bodies!!!
Did you happen to get anymore info on your question? I’m interested too
I have afib on ekg result but no symptoms whatsoever. Afib was detected 9 years ago. Doc put me on eliquis as a precaution. Other than that living a normal life.
I hope your prostate cancer was resolved and you are doing well now 🙏
😊..
I have palpitations and switched from Espresso (2 a day) to a medium roast coffee and there is a big difference. I flat out refused for along time to give up my Espresso but it helps. Drank it for many years without problems but now sensitive to caffiene.
Medium roast coffee has more caffeine than dark roast
I think espresso is different than dark roast because it is ground so much finer and the amount of coffee is compressed and extracted with high pressure. I'm relating to having to give up iced Americanos due to tachycardia but am enjoying a half caff kpod in the morning without any problems🎉
What about Greek coffee
@@pememepee greek and Turkish coffee contains cardamom which contains a moderate stimulant.
I worked at Starbucks for 2 years and got my coffee master certification. The darker the coffee the less caffeine! New Guinea Peaberry which is a
Green coffee bean is the least caffeine. But if you have a histamine intolerance you want to drink green tea or take Vivarine Caffeine pill and stick with green tea.
Fantastic video! Best informative video I’ve ever watched! Thank you so much for sharing this information 🙏
Pooling blood is NOT a good thing. As a retired cardiology nurse I met with more than my share of AF patients. I also have a direct family member who has had RF ablation for refractory AF. It’s not an easy thing to live with, treat effectively and often reoccurs. You’ve done a great job explaining in such a way it’s easier to understand. Thank you 🙏
What a good, thorough presentation of this very common CV complaint!
Sweet! More material to feed my insomnia
This is a great overview of my newly diagnosed disease. Thank you, and I will enjoy my second cup now.
Brilliant, clear and engaging, cogent presentation, bravo zulu!!
⚡️❤⚡️ I have plowed through a ton of media of all kinds since being diagnosed with AFib in Sept. of 2023 and this is by far the most comprehensive, informative and relevant resource that I have encountered! It also seems to be the most up to date and cites recent studies to contradict some assumptions that are widely accepted by most other sources I've consulted, including my GP. (I can drink regular coffee?! There are now antidotes for modern blood thinners?!)
The only topics I would've liked to have seen included would have addressed how diet, alcohol and exercise can affect or be affected not by AFib itself, but by the medications used to treat AFib. I also would've appreciated some information and/or opinions regarding the Minimaze procedures as options to ablation.
I'll be rewatching this one!
I first went into AFib in 2005. In 2014 i had a high frequency catheter ablation. I now go into AFib quite infrequently. When i go into AFib i eat jalapeño pepper slices to put my heart back into rhythm.
Wow! Way kewl!! How in the world did u figure that worked?? 😊
@@TS-iv9ml It was by accident. One day I ordered a sub sandwich with jalapeño pepper slices.
@@TS-iv9ml I found this out by accident eating jalapeño peppers on a sub sandwich from Subway.
I wish someone would investigate the effect that topical salicylic acid has on causing AF. When I used astringent on my face, it would cause AF after a few days of use. After cessation of the astringent it would take a couple of days for the AF to stop (pissing out the salicylic acid in my system). Recently I got AF from sunscreen, and I found they also contained a form of salicylic acid. Stopped the sunscreen and the AF went away. Nothing I googled has shown a connection between topical salicylic acid and AF, only irregular HR from high doses of “ingested” salicylic acid.
@@TS-iv9ml I found it out accidently by eating sub sandwiches at Subway with jalapeño pepper slices.
So interesting when you listen to someone who REALLY knows their subject! I've come down this route as I have had palpitations and my watch has also measured Afib once or twice ... but not again. I just wanted to understand what the common thoughts were regarding this subject. I was lucky enough to stumble across this.
Thanks to Dr Marcus for discussing this and making it so easy to understand!
Doctor, very well said and detailed explanations. Kudos to you. 😊
My Apple Watch had a red line alert on it > that I had A Fib. Mentioned to call a Dr.., which I did and am on meds. I have it for a week or two and then it might disappear into normal rhythm for 3 weeks and then back to A Fib. Annoying since I do get out of breath walking up a hill. Watch is wonderful.. ALL my elderly friends have one. !!!!!
Fantastic lecture on A Fib. Thanks for spending this knowledge Dr. Marcus.
I had an ablation 29 years ago. The episodes improved, but it didn’t totally stop them. Over the years I have found a few things that helped. I started taking a magnesium supplement and that helped. I also noticed that I had more when eating sugar, gluten. A keto diet works best for me. I still am able to enjoy a cup of coffee every day, with no episodes. I do self medicate with a baby aspirin 3-4 week, just in case.
What is ablation?
8
@@heythave Watch the video. It explains this clearly.
@@Richard.Holmquist k
What an Awesome talk and amazing lecturer
Nowhere in this did I hear anyone address the deficiency of electrolytes like magnesium, potassium and sodium. In any of your studies has anyone done testing to see what these electrolyte balances were when AFib was diagnosed, correct the balances to the correct amount then follow to see if the patient still had AFib? I have had AFib for 12 years, the same amount of time my sodium levels were too low. Yet my cardiologist continued to tell me to eat a low sodium diet until my sodium bottomed out. Once they realized I needed sodium and started allowing it, then my magnesium bottomed out. I think these essential minerals need to viewed with heart function.
Very informative. I find that triggers can also be MSG and the preservatives in wine.
MSG is a hoax. It was racist attempt to tank Chinese food. It’s just salt 🤦🏻♂️
Really well done, thank you for walking us through this
Very informative! Thank you Dr. Marcus
Thank you Dr. for detailed info you provided.
I had very severe A Fib, i am gone true the presider and it has been 2 years and never has happened after presider. i am 71 Y. O.
Alcohol wrecks my heart rate - especially when sleeping, and four glasses of wine for my caused a-fib while sleeping. One glass of wine at night lowers my HRV, and more than that keeps my heart rate high all night. It’s just not worth it to me to drink regularly. Especially after my breast cancer diagnosis.
ya think?!?!
I have to cut back on vino & stop bourbon completely
My pantry now has a supply of non-alcoholic beer and wine. I don't miss the alcohol.
Try the ketogenic way of eating and especially mostly animal based, carbs under 20 g per day resolves a wide variety of health issues and can only help with AFib as it lowers inflammation throughout the body.
Thank you for the information and your work in this matter..
When my Garmin smartwatch measures my pulse rate at rest going from 80 to 150, I may not know it's my Afib, but I'm pretty sure something is going wrong. And since I've been diagnosed with Afib, my go-to explanation is Afib.
Either that, or I'm transmogrifying into a hummingbird. And I don't see any feathers yet.
So far I have skipped all the expensive stuff, relying on my oxygen saturation gadget which also shows heart beats per minute. Trying to avoid all those expensive watch things.
I take CoQ10 regularly for a few years and it seems to lower my fast heart beats to the low 80 per minutes from more 90 before. I wasn’t diagnosed with Afib though but fast hearts always scared me before that.
…add d-Ribose….the actual energy source the heart muscle uses…
And can erode warfarin inr
Cardia Mobil is extremely useful and reliable. I’ve been using one since 2017. When in Afib, only Amioderone was effective in getting me out of Afib. In September of this year, I had ablation surgery. So far, since the surgery, I’ve gone into Afib several times, but, each time, it has resolved on its own, within a couple of hours, and without my having to take amioderone.
Why didn't you mention the watchman procedure?
This is a very informative lecture and the lecturer is quite thorough and easy to understand
Thank you
My question has to do with the condition of the myelin sheath protecting the nerves that conduct electrical impulses to the heart. I have listened to researchers who have suggested that patients suffering abnormal rhythms suffer from degraded nerve sheaths causing "shorts" with similar effects to brittle spark plug wires causing misfires in an automobile. These researchers have suggested that alcohol, and a diet that promotes systemic inflammation as leading culprits in the development of conditions that lead to CVD and AF. Comments?
Unhealthy diet ,too much meat ,alcohol ,lack of balanced nutrients ,lack of cardio leads to accumulation of toxins that throw it off balance .It seems like it likes to work hard once in a while ,it does no like prolonged periods of rest .
There are other causes of systemic inflammation too, like RA and other autoimmune diseases that may need to be addressed
*😲😲WOWWW‼️‼️ I LIKE THIS TOPIC..THANKS SO MUCH.. 🤙🤙🤙💖👏🥰*
Outstanding presentation of key elements in the ongoing conundrum that is afib. Now I'm off to enjoy some coffee and have a think. If I lived in CA I'd be calling for an appt. Thanks Doc.
Fantastic Presentation Thank You...
FANTASTIC video thank you very much! I am scheduled for a PFA Ablation at the end of October and relatively nervous about the complications from procedure even if the chances are considered very low. One thing that i am not seeing mentioned in any of the comments is possible relation to other conditions such as EoE or Eosinophilic Esophagitis. I am 44 male tall and thin but generally pretty health. In my early 20s i spontaneously became allergic to tree nuts and several other foods. I began having issues coughing and having difficulty with eating certain foods which drove me crazy. I dealt with my food allergies by basically staying away from the foods that set me off though sometimes food that normally didnt bother me would randomly cause issue. in 2016 or so i had a pretty bad coughing episode that included full vomiting overnight into the next morning so had to go to the ER. Was scoped and all that and it was determined i was choking on small bits of food stuck in my esophagus. I was diagnosed with EoE and have been taking 40mg omeprazole twice a day to deal with my acid issues. In my early 20s i also had my first AFIB episode that lasted 8 hours. Yes like many other people i drank a bit too much when i was young which i am sure helped lead me down the path to Afib. Though i stopped drinking well over 5 years now and still had minor episodes along the way. Since about 2007-2008 i've had off and on elevated heart rate, skipping beats (flutters?) and just dealt with it by calming myself and falling asleep in the bathroom until i felt better and could go back to bed. I found it to be something i could typically resolve myself by listening to music and/or mediations and sleeping it off for an hour or two even if that meant popping a low dose prescribed xanax or a small 0.5ml dose of childrens benadryl to calm myself and help me fall asleeo. Looking back my afib episodes 99% of the time happened at night whether i had been drinking or not. I noticed that heavy mental stress and/or anxiety would often lead to a racing mind i could not stop which could kick off flutters or minor afib. I also came to find that even though my EoE is generally under control during the day - at night i sometimes had a larger acid episode while sleeping or right before bed and it would 99.9% kick my heart into flutters/afib and those were usually the worst afib episodes. Though even being generally sick with the flu and vomiting NOT due to stomach acid issues could also activate my heart issues. Well March of 2024 i had my now worst episode of Afib lasting 14 hours straight. The Cariologist suggested possible ablation as a cure. I had to wait 5 months for an appointment and then travel 2.5 hours to see him but he said i am a good candidate for PFA as i am young and my flutters or mild afib are not constant. My primary doctor always dismissed my theories that the afib could some how be related to my EoE problems. The EP i went and met with said they can very much be related. I am hoping that the PFA will help stop the triggering of afib due to anxiety/stress/whatever my EoE has to do with my heart issues... i would love to put this behind me. I am generally very healthy and my blood work always comes back looking fantastic. Though i am not as physically active as i get older and sit at a desk all day and i know that is one major thing i need to work on. I recently met one other family who were openly discussing EoE so i was rude apologized and inserted myself to their conversation to share but they were open and grateful. Without volunteering it they asked me if i also suffer from afib as the men in their family all have both EoE/Afib. So... just wondering if this is even actively looked at as being associated and how common it actually is.
*OH - And to make myself sound extra crazy (HA) i'm wondering if anyone else considers possible relation of flutters/afib episodes to solar flares/activity? My half brother has EoE and Tachycardia problems but not actual afib like myself. He would often message me out of the blue and tell me how he had heart issues and strangely enough his episodes often lined up around the general time frame i would also have some of my own issues. I mentioned this to another one of my friends and he suggested solar flares as a possible blanket cause that is making people increasingly experience issues like this. I thought it was total nonsense at first until i googled it and saw that yes that sort of actively is reported to have effects on people moods/anxiety/heart etc. When my brother would mention to me that he felt bad weird off or had heart issues and i did as well i would look up solar flare activity and sure enough strong solar activity was reported. Just thought that was interesting... not that it proves anything but i still find it curious and wondering if anyone else has considered the possibilities?
A friend of mine is scheduled for an ablation early next year , she's been on beta blockers , anticoagulants , she had an 'eye' stroke 3 years ago leading to blindness in that eye . She is not well controlled on the meds...hopeful ablation will give her a better quality of life
Brilliant wide-ranging articulate summary
Thank you for a very informative video. My new Apple Watch Ultra alerted me to my AFIB. I don’t know how long it would have went undetected had I not purchased that watch. I stay in AFIB. Now I know why I’m often fatigued for no explanation.
Wish you would research photobiomodulation and afib.
Nice presentation and FAQ! Nothing about het relationship between duration-exercise (triathlon/marathon/biathlon etc) and AFib, which surprises me
, very informant and interesting. I have this problem. Thank you somuch
Thank you so much for your time .
My late husband who passed from cancer had AF now our eldest son has it. I hope my other adult children don’t develop it.
My husband had a knee replacement and his heat rate went haywire .
He’s Dr was called in at midnight, he was diagnosed with AF after that operation.
Thank you so much for all of this information and for giving it in such an easy way to understand. We are grateful to you. ( I had a CV 20 months ago, but AF returned. Awaiting cardiology appt Nov). Pamela. UK.
First rate educational material. Thank you.
Fantastic talk, cleared up a lot of questions I had.
I watched pretty much the entire visited RIVETED and comprehended everything, so kudos to you for explaining more or less on layman’s terms.
I happen to fit a particular combination of ailments you discussed here, indicating that ablation may end up being my best route, though not sure how long I’ve had Afib.
At any rate, thanks again for this fabulous information 🙏🏽👍🏽🙏🏽❤️