This is the cause of my AFib every time it happens I have been dehydrated for sure. I had 16 Cardioversions in one year and I just went 18 months without an attack watching my hydration and electrolytes.
What A Decent , Polite And Friendly Doctor . In His Whole Speech He Skips All The Nagetivity And Disappointing Things And That Is The Beauty To Courage People Not Scared Them. Thank You And Salute To You Sir. God Bless Regards
Tried your exercise method and it worked perfectly. I was at 120 on the high end and a couple of games of pickelball reset me to normal sinus rhythm. Was scolded by my doctor for trying this and was told it was bullshit, but results don’t lie. Thanks so much.
the most measured and informative advice I've heard. thanks so much. I have tried all of these (including cardioversion and an ablation) at different times with success. I'm getting your book asap. :)
one of the best advice, thank you. no repeating, to the point, great presentation. some of the presentation on you tube from others I keep fast forwarding as the are boring. but this was great to the point and therefore i took the time to write this comment
very very useful video! I bought your book this Summer after my 2nd very scary attack that sent me to the ER! I appreciate all the good information .. waiting for the appointment for an ablasion!
Exercise interesting. I have noticed my a fib starts when I am worrying about things. Therefore, if I can walk that changes my focus. I believe that a fib is caused by emotions which is a heart issue. therefore, for me stop the worry and go for a walk.
How do I exercise when I don’t have energy, my chest feel as if someone is standing on me and my stomach is extended and pulling pressure? Thanks for any suggestions
I’m a 36 year old mom of a 3 year old with extensive family history of heart diseases. I don’t know how it originally happened but my doctor said it was from either COVID or birth control or an abscessed molar I had, but I came down with acute myocarditis. Since I’m younger I was sent home from the ER 4 times being told it was anxiety, indigestion or in my mind. I spent 9 days at home in unbelievable pain and constant painful afib to the point where I couldn’t breathe and it felt like I had something blocking my airway. My ekgs at hospital all only ever showed borderline abnormalities but when I was home my Samsung health watch was constantly beeping telling me afib was detected and my pulse never went below 110 for those 9 days. Maybe because I’m on Medicaid but I couldn’t get anyone to take me seriously. I appreciate this video… I still have serious painful afib flare ups regularly especially while laying down or sleeping. I wake up gasping for air. I don’t know why or what I need to do from here. I wish regular, consistent quality healthcare wasn’t so hard to access. Yes! Also agree about the exercise. It’s ALWAYS the worst when I’m sitting, relaxing, sleeping or laying down. I would even just do quick laps around my house and it would help.
I never had heart problems till I had my covid vaccine went into hospital after the first one had the second one and back into hospital same with the third one wish I had never had them now I am terrified all the time and on pills for the rest of my life I have heard of lots of people that this happened to 😢😮
@@josephinelevi6675 I agree with the both of you that it absolutely could be from the vaccine. I had heart a lot about women who were on birth control getting blood clots and it just made me wonder if it didn’t have some effect on what I ended up getting. I got the first vaccine and 2 boosters because of work but I haven’t had any in over a year but I did stop getting my monthly period for almost a year after the last booster, which is why I never got it again. I can’t imagine what it’s done to peoples bodies. Men and women, but I think women have a more delicate, balanced system that when disrupted can cause complete havoc… and it doesn’t take much to throw it off. If I could go back I would’ve found another job that didn’t require vaccination, and I would never have gotten the shot. I wish I could go back. I still ended up getting a terrible case of Covid anyway so I don’t see what the point was.
I was having the same as you they gave me a burst of the paddles on the chest and I was good for 5 months and in the last week it’s slowly starting again
Outstanding! I got a fib after appendectomy. Dr. was pushing for electrical cardioversion. I scored 1 point on CHA2DS2 VASc (for my age). I seldom notice anything so I'm going to employ some of his 7 suggestions whenever I feel a bit short of breath and also exercise a bit more.
My husband just fixed a 36 hour episode by exercise - getting on the rower…. After five minutes or less he said he felt a pop and his rhythm was back to normal. Thank you so much for this video. Very grateful.
Yes, he is. Thanks… He’s had palpitations since that event, but never back into atrial fib. His testing came back normal so I believe he is one of those anomaly cases… That was his second a fib event over many years so fingers crossed
Recently I found out that humming did quickly fix my Afib. I was out walking when the attack started and I thought of trying it. With my oximeter on my finger I saw the numbers quickly fall from about 110 bpm to under 60, all in less than one minute.
This has been the best video on the subject. No one has ever offered such helpful possible solutions before. Thank you. Really appreciated. I had an ablation a year ago but have had 3 afib events in the year. They all came at thee separate stressful times but they are now much milder. I will try your tips if there is a next one. Still. Or ruling out a second ablation.
I agree with your comments about this info. it's the best I've heard too...and so relaxed. It makes me feel like I'm actually ok with this. I've also had an ablation and very nervous about having a second...I'm hoping these tips might keep it it check. All the best to you too.
@@QuantumOfSolace1 you're not reading the comments from this thread since you're saying people commenting disagree with this doctor, so what's your real point?
Try stretching the right atrium briefly by: take a slow deep breath (sucks venous blood into the chest by decreasing the pressure in the chest); lie down and elevate legs with deep breath (dumps the venous blood in the legs into the chest). Stretching the right chamber heart muscle fibers might slow the circular conduction in the right atrium by lengthening the conduction paths so that normal repolarization can occur before the next beat.
The last one I had was 218 bpm so I felled I was fainting. After an hour the ambulance transported me to hospital. Cardio version and 2x ablations and pacemaker.
I recently was diagnosed with afib. I have to wear a life vest now. I've found that laying down stops it pretty quick. I can feel it coming so I get down so I don't fall down.
Generally sound advice but I would not encourage anyone to press on their eyeballs but would encourage anyone who is predisposed to relapsing/recurrent a. fib. to avoid all alcohol consumption. Other "recreational" drugs can also precipitate a. fib. and other rhythm disorders.
I am on toprolol as a precaution for borderline familial long qt interval. I had what I thought was a PSVT episode while drinking a cold drink too fast which gave me a brain freeze. I used vagal maneuvers to lower the heart rate from 99 to normal range but since then my heart rate has been skipping beats and shows irregular heartbeat on my home BP monitor. My EP office is mailing me a patch monitor to wear for two weeks but this inconsistent heart rate is bothersome. The EP nurse told me over the phone coming in for an EKG will not tell them much even though I said this skipping beats feeling is constant. My resting heart rate has stayed in normal range since the PSVT episode. I wonder if it was actually an Afib episode and if I am still in Afib or the arrhythmia just left me with continuous PVCs or maybe the toprolol is causing this.
I find the Valsava Manoeuvre helpful: I take a deep breath, hold my nose and try to press the air out as if I'm trying to make my ears pop due to a change in altitude. Works well for me.
Same thing in the United States, you can actually go see a dozen cardiologists and medical doctors and go to the emergency room a half a dozen times and still come away with no resolve to your issue I know because I've been fighting this for over 4 years now.. .
Can too much electrolyte cause issues as well? Maybe not Afib but palpitations? I think there is a delicate balance and if someone takes too much magnesium could it not cause another electrolyte to be too low?
I hate it. Mine seems too act up if too much sodium, stress, or nit drink enough water. I always have to urinate frequent when having an attack. My chest always hurts the next day as well. Also hard to get to sleep even after the racing stops. I've had my heart race for up to 4 hours before it slows down.
Ons Finally, a well-mannered Doctor! My hospital dr was rude, kept interrupting and clearly had an issue with men, perhaps older men? Book-learned but green broke, she insisted that I couldn't know when I had afib. What she didn't know, was that a horse medical attendant took my pulse a few times prior to my 12 strokes, and found my heart beat erratic. He was trained by a physician to test the hearts of horses during some of the world's renowned endurance horse treks. He worked on three continents and was trusted by the elite. He was worried about my heart rhythm and advised me to see a doctor. That was in 2004. I could feel when my heart "ground rocks" in my chest, I felt uneasy when my blood pump became afib-ish. So my young doctor will know better in thirty years maybe, once she has experienced it in her own body. Until then, she made me very wary of doctors, and then the bad bedside manners of my anonymous, brusque cardiologist didn't serve to improve matters. I am alive, 4 years later, with the same heart, being fed warfarin daily as anticoagulant, NOT TO THIN BLOOD, and especially the benefits of my 3 months of strict carnivore diet. Blood glucose went down from high 18's to average 5.5 - within the first week. No more chest gallops, no more queasiness, no more cold, sweaty fingers. No more RLS at night, no more bathroom visits every 15-20 minutes. Just woke from ten hours of beautiful, deep sleep. My life turned around with carnivore. Afib, unstable angina, and seven train smashes with my heart. Teams of doctors argue ad nauseum about the diagnosis. Many say it were heart attacks, while the chief doctor denies it. He did diagnose me with a much enlarged heart and CHF. So, I once had an NDE, during my first stroke and then diagnosed heart attack. We don't really die. When the ghost leaves for a better place, the machine stops. I had slight afib 3 or 4 times since carnivore started late Nov 2023, not several times a week as in the past. I refuse to go for an angiogram, I refuse to get a stent. People died because of those. We have medical professional friends agreeing with that. So, one day, my spirit will migrate to the very real and true Heaven, for the second and final time. Then, only then, that little temperamental *itch can have my body to dissect. As she's really pathologist material, a place where she can't inflict further harm. We don't have qualified medical specialists available; vote for pro-socialist parties and you will soon lose yours. Thirty years ago, my country was at the forefront of medical science. I avoid caffeine and ONLY drink water and carb-fee soda. (I was Vegan and very unhealthy until a few years ago.) There is no QUICK treatment for state medical health. It's both free and also nonexistent.
My afib is constant. It never changes so what do you suggest for that??? Have had cardioversion twice which worked for maybe 30 mins each time but then I went back into irregular heartrate
On day 11 of another attack only 3 days in sinus in the last 28 days, I take all the supplements, my heart rate is constantly 110-150 anything more I can do?
I've seen my heart rate run up for no reason whatsoever, and come back down within a minute or so. Nothing feels different, and I thought it was just my Fitbit malfunctioning... Now I wonder...
I am a 77 year old retired ER physician and I am a rabid advocate of the health benefits of cycling. It truly works miracles and as an example I can still do a @ on the USAA Cycling 5 minute TT (a 4% average upgrade at 6300 foot elevation in Colorado Springs). I weigh low 170 pounds. I can't believe how good I still feel thanks to cycling BUT one area doctors never discuss (and this is huge) is alcohol and the heart. Alcohol is a potent cardiomyotoxin (meaning it is toxic to the heart muscle and causes heart muscle inflammation) but this is dose related. When I was in training I had a 23 year old die from his excessive alcohol intake causing congestive heart failure. In the ER I would see young people come in with an arrhythmia over the holidays due to excessive alcohol (thus the title "Holiday Heart"). As one gets older the risk of Atrial Fibrillation goes up logarithmically and AF can be exercise induced. AF causation is multifactorial and these precipitators make it much more likely during a ride: dehydration, low potassium, hypothermia (even drinking a smoothie can bring it on!), lack of sleep, too much caffeine, thyroid excess, and others. But no one ever seems to bring up the subject of excessive alcohol prior and the risk of AF. I love a nice red wine and this leaves me conflicted but I have found that half a bottle 2-3 days a week seems to not precipitate AF so one does not need to totally do without. My take home message to all us geriatric cycling advocates is keep all those precipitators to a minimum including alcohol and you can continue to partake of the Fountain of Youth and not need what most doctors would recommend: blood thinners or cardiac ablation! Also, watch your heart monitor (Garmin or whatever) like a hawk and when your rate starts getting in the upper ranges just back off to keep it out of trouble. Very high rate from exertion can bring on AF.
Dr. Ross, I too am a cyclist and an Interdisiplinary Engineer that is 71 and recently experienced heart arrhythmia and potentially Afib. I would appreciate discussing this with you to better understand my options and potentially eliminate future limiting events. You can use my channel's "About" page to send me an email.
Thanks sir! I am 73 and do a 1 1/2 mile bike ride 3 times per week. The bike really helps me relax and gives my legs a real workout. I plan to bike ride as long as I can. Good health to you doctor!
Good info. Last night I had a racing heart(possible afib) that lasted several hours. I probably should have gone to ER but didn't. But I had been fine up until I had 1 glass of bourbon(small). I drank water hoping to dilute my intake. Later I just went to bed and it was tough to get to sleep but finally I did. Fortunately it went away. I had something similar 4 years ago and I was put on amitriptyline to help me sleep better and for anxiety. I plan to call my cardiology group tomorrow to make an appt.
I agree dehydration has a lot to do with what I had. During my a fib attack I remember my lips being extremely parched and dry. Was constantly licking to no avail. So I am on Eliquis now but want to wean myself off, with the advice of my doctor of course. But I understand that what you are saying is that if I do have another A fib attack I can use the Eliquis to get the heart back in rhythm?
Eliquis does nothing for your rhythm - only thins the blood so a clot is less likely to form and induce a stroke. Metroprolol will lower your heart rate - which was part of his "pill in pocket" advice along with Eliquis. Anti-Arrythmic drugs like Amiodarone portend to keep you in better rhythm but it is one of the most dangerous meds out there. Eliquis is no bargain either.
Valsalva worked for me, much to the disbelief of the ER consultant. I did not know that there are Bari receptors on the Aortic arch. Also a change in diet assisted. K2 is essential with the correct deposition of calcium that is hardening the heart valves. After my aortic valve replacement my proximal Fast Afib stopped. Now my diet has much more fish oil in it. Canned sardines with green salad for breakfast or lunch every day, organic free range eggs, chicken, vegetables and different beans, lentils etc. a wide range of foods. NO SUGAR OR MILK! Green and black tea and black coffee. Also I fast one day a week.
Go Caffeine free and you'll totally beat it, that's what I did together with diet and exercise, Caffeine found in tea and coffee is a powerful stimulant on the heart muscle 💪
@@addiecoelman1996 Good point. Proffering medical advice without examining the subject is wrong and I should be pulled up on that. However, any individual should not abdicate their responsibility for good health in a blind fashion. Do not check out your brain at the door. I was sharing my personal experience.
Not that I have ever heard of because you still have the risk of a blood clot due to your Chads2 score which determines if you need an anticoagulant or not. Not your AFib
I live in Alabama and I is 2 months till I can get into a heart doctor's office. It's ridiculous! I had an ablation when I was 23 for svt and now I'm 33 and my heart is constantly going into afib for the past 3 weeks. It will stop for 12 hours or so then it will pick back up. It's making my life miserable. I'm on metoprolol 25mg er 1xday but my heart rate has been getting below 60 because I exercise everyday. I work at a gym. So I really don't know what to do. Wish I could get a good night's sleep. Happens bad at night trying to go to sleep. Feels terrible. Every 2 to 3rd beat it chocks up and I can feel it in my throat, head, chest. Feels terrible. What should I do?
I feel for you. If it happens too often to a point that it becomes too excessive, you should talk to your doctor if ablation is suitable for you or find out if increasing the 25mg dosage of metoprolol to 2 times a day would be beneficial. To stop the attack, try the modified valsalva maneuver or just lifting you legs up with your body laying flat. This has a 70% success rate or at least reduce the intensity. If you feel it in the throat, the ectopic may be just PVCs and usually beta blocker should calm it down.
I had a cardioversion which cured, for the most part the A flutter ( over 200 beats per minute ) back in 2020. On metoperlol, sotolol and blood thinner. Has been very helpful. However, had covid twice last year ( second bout far worse than the first ) and the flu twice( the second was also far worse than the first ), have had increasing Afib episodes since beginning December 2022, triggers being exercise induced, sitting down after eating, rest and digest trigger, waking up during REM sleep with an episode, getting up too quickly after sitting, resting during the day. My routine is to hold my breath for about 8 seconds, followed by vigorous coughing, followed by blocking my nose and blowing, ear popping, then chew crushed ice in a small glass of pepsi and swallow tiny chips of ice. Within seconds, sometimes 3 to 5 minutes it's all over. The ice numbs the bundle of nerves that serve the stomach and the back of the heart, disrupting the crazy Electrical impulses. I think chewing and swallowing the very small pieces of ice, with an ice pack over the heart if it's a bad episode, is the most effective remedy.
@@QuantumOfSolace1 It's hard to believe (actually I was very doubtful myself after I took the Flecainide) but yes within an hour my AFib went away and I had sinus rhythm. I also calmed myself down during that hour.
Flecainide did nothing for me - had to get a cardio conversion(?) De- fib - boom - 3 months so far so good ! I tried triggering it - alcohol, cigars, coffee - still ticking. On a serious note - I have no idea what my trigger is.
In my experience with two separate EP's, one was a pill pusher the other was the opposite but both were not interested in finding a root cause. What exactly were those additional two yeas for? Waste of my time and money.
Hello Dear Doctor, I am from Bangladesh and love to see your nice advice. I am 28 years old male. For the last two years, i have been suffering from afib. I consulted some of our reputed cardiologist here but the medication can provide efficacy. My afib without any pain starts frequently like 1/2 timer per week or months. Even 2 consecutive days, i have to suffer afib. Now I am taking Ecosprin and Metaprollol. My afib mostly starts at evening or night after dinner, and go automatically after sleep next. What should I do?
I recently had an AV node ablation for paroxysmal afib and psvt. I have been battling afib and psvt for 3 years. I was on three different meds to try and control the abnormal rhythms, but eventually they stopped working. I'm only 54 years old. I already had a pacemaker in for nearly a year prior, so the AV node ablation went quickly. However, now during my recovery (10 days out), I have continued to feel palpitations, skipped beats, tachycardia and what feels like afib. It can last a few hours at a time. It doesn't affect me as much now and I can function better. My cardiologist put me back on low dose metropolol because of possible rebound effect from coming off meds so abruptly. Is it normal to feel these symptoms during the recovery process? I feel discouraged that I am still feeling some symptoms. I know the AV node ablation is not a cure for afib, but should minimize symptoms. My cardiologist seemed to think that I wouldn't feel what the upper chambers were doing. I just don't want to feel it anymore. Thank you for your video and I am going to be purchasing your book.
Almost invariably, my Afib attacks occur at night, usually waking my up from 'dream sleep', but sometimes occurring while I'm only half asleep. I find that getting from a lying down position, to a sitting up position as quickly as possible can be very helpful. Also, though some may disagree, I keep a couple of bars of dark chocolate on hand. I don't know if there is any extensive research into it, but a few blocks of dark chocolate seem to help me get back into sinus rhythm. I find that a busy day can bring about an Afib attack several hours after the business of the day is over, especially if it has been a cold day. I can pre-empt the attack, and eat a few blocks off my chocolate bar before it happens. Cold water is sometimes helpful, but is not [for me] as effective as a few blocks of dark chocolate.
I have the same experience with my AF.Usually at night when I lie down in bed. Sitting up and breathing deeply definitely helps. I'll try the dark chocolate!
@@auggietorres8501 I read an article by a retired cardilogist once who said our magnesium and potassium levels are lowest at night - something about how that affects vagal tone. You definitely might wanna keep an eye on electrolytes.
thank you. this is good advice. My A fib often happens out of nowhere while I am laying down to sleep as well. I also just found out that dehydration can also affect the A fib. I believe more of us are dehydrated than we care to admit. Sometimes I just grab an electrolyte drink or even a Gator-aid. And I am also guilty of drinking way too much coffee all day long which I am sure does not help.
Hopefully someone sees my comment but a loved of mine recently had an ablation and a week later Afib returned everyday. I don’t know what to do or look for, but all I got is hope. We feel so alone in this
I actually had two cardioversions after ablation. The first lasted a short time and the second I took antiarrhythmic amiodarone a couple weeks before, had IV amiodarone during and continued amiodarone pills after. The lowered the dose after a few months then discounted them altogether. Was in regular rhythm after that. I had heard it takes the ablation 6 months to heal over completely and take full beneficial effect.
I use Vegas nerve exercises (bearing down) and cold showers but the thing that works best is great sexercize. I also keep amiodarone on hand. I supplement with potassium and magnesium.
I sure do not recommend exercising away AF! That is begging for V Fib or at minimum syncope. When you get AF your atrium contracts like a bag of worms ineffectually and you lose 30% of your cardiac output. This is a setup for an MI or at minimum passing out due to reduced cardiac output. Stop exercising when you get AF and let your heart convert naturally back to normal sinus rhythm.Also, it is good prevention to take a potassium supplement after each workout because you lose a lot of potassium with a good workout. It finally hit me that my habit of a bowl of chilled, crushed tomatoes after a workout on the bike was great prevention and not just an incredibly delicious treat after cycling. All my comments here and below apply only to Exercise Induced Atrial Fibrillation. AND take your doctors recommendations on AF with a grain of salt because there is a good chance they are either inappropriate or unnecessary.
Flopping backward hard to lay down instead of doing it gently causes transient a-fib almost every time. Why it’s so hard for me to get in bed and lay down lady like, I don’t know. 😮
exactly! I’m in Afib now and it’s 10:17pm laying in bed propped up on pillows UGH! How can anyone sleep with your heart jumping around in your chest this is horrible
Right?! Evenings is when a lot of us have episodes of Afib. I can't even lie flat as it seems to get worse. The vasalva bearing down works best for me but I usually have to do it several times.
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AFib is a BEAST of a condition! Just horrible. :(
I've seen what appears to be the elimination of my AFIB with conscious attention to my hydration levels and electrolyte consumption.
This is the cause of my AFib every time it happens I have been dehydrated for sure. I had 16 Cardioversions in one year and I just went 18 months without an attack watching my hydration and electrolytes.
@@chrislovegrove5861 was this while on medication for Afib also and if so which ones?
What A Decent , Polite And Friendly Doctor . In His Whole Speech He Skips All The Nagetivity And Disappointing Things And That Is The Beauty To Courage People Not Scared Them.
Thank You And Salute To You Sir.
God Bless
Regards
YES! for the first time I feel like I'm not in a life threatening position!! He's so good. Wish he as my specialist!
Notice he is conditioned for drugs and only drugs.
Tried your exercise method and it worked perfectly. I was at 120 on the high end and a couple of games of pickelball reset me to normal sinus rhythm. Was scolded by my doctor for trying this and was told it was bullshit, but results don’t lie. Thanks so much.
You should be looking for a new doctor exercise while having AFIB has been known to help Afib for decades now.
it seems to help me remember they want u on meds say no
This is the best advise I have heard. Thank you
I appreciate hearing this. It is comforting .
the most measured and informative advice I've heard. thanks so much. I have tried all of these (including cardioversion and an ablation) at different times with success.
I'm getting your book asap. :)
one of the best advice, thank you. no repeating, to the point, great presentation. some of the presentation on you tube from others I keep fast forwarding as the are boring. but this was great to the point and therefore i took the time to write this comment
Very comprehensive and helpful video. Great doc! I wish they all were.
Thank you, Dr. John, you rock!
very very useful video! I bought your book this Summer after my 2nd very scary attack that sent me to the ER! I appreciate all the good information .. waiting for the appointment for an ablasion!
Nice informative clip. thanks for giving me some hope. I'm going to go try a few of these now.
Exercise interesting. I have noticed my a fib starts when I am worrying about things. Therefore, if I can walk that changes my focus. I believe that a fib is caused by emotions which is a heart issue. therefore, for me stop the worry and go for a walk.
How do I exercise when I don’t have energy, my chest feel as if someone is standing on me and my stomach is extended and pulling pressure? Thanks for any suggestions
I’m a 36 year old mom of a 3 year old with extensive family history of heart diseases. I don’t know how it originally happened but my doctor said it was from either COVID or birth control or an abscessed molar I had, but I came down with acute myocarditis. Since I’m younger I was sent home from the ER 4 times being told it was anxiety, indigestion or in my mind. I spent 9 days at home in unbelievable pain and constant painful afib to the point where I couldn’t breathe and it felt like I had something blocking my airway. My ekgs at hospital all only ever showed borderline abnormalities but when I was home my Samsung health watch was constantly beeping telling me afib was detected and my pulse never went below 110 for those 9 days. Maybe because I’m on Medicaid but I couldn’t get anyone to take me seriously. I appreciate this video… I still have serious painful afib flare ups regularly especially while laying down or sleeping. I wake up gasping for air. I don’t know why or what I need to do from here. I wish regular, consistent quality healthcare wasn’t so hard to access.
Yes! Also agree about the exercise. It’s ALWAYS the worst when I’m sitting, relaxing, sleeping or laying down. I would even just do quick laps around my house and it would help.
Myocarditis has lately been blamed by covid injections. Id that a possibility?
I never had heart problems till I had my covid vaccine went into hospital after the first one had the second one and back into hospital same with the third one wish I had never had them now I am terrified all the time and on pills for the rest of my life I have heard of lots of people that this happened to 😢😮
@@josephinelevi6675 I agree with the both of you that it absolutely could be from the vaccine. I had heart a lot about women who were on birth control getting blood clots and it just made me wonder if it didn’t have some effect on what I ended up getting. I got the first vaccine and 2 boosters because of work but I haven’t had any in over a year but I did stop getting my monthly period for almost a year after the last booster, which is why I never got it again. I can’t imagine what it’s done to peoples bodies. Men and women, but I think women have a more delicate, balanced system that when disrupted can cause complete havoc… and it doesn’t take much to throw it off. If I could go back I would’ve found another job that didn’t require vaccination, and I would never have gotten the shot. I wish I could go back. I still ended up getting a terrible case of Covid anyway so I don’t see what the point was.
I was having the same as you they gave me a burst of the paddles on the chest and I was good for 5 months and in the last week it’s slowly starting again
@@josephinelevi6675 me too, i have abnormal heart bet seldomly but turn to regular AF after the vaccine.
You’re awesome. Great info Dr!
thank you Doc
you are so reassuring
I just found this video! I found your book and ordered it yesterday. Best wishes 🌸
Good tips, thank you.
Great info, I once stopped my AFib with holy water at the hospital! No kidding!
I’m a believer!
This is great advice for those new to afib and a great reminder for the rest of us.
Drugs did not create the afib and drugs will not correct it.
Thank You Dr. Day
Thank you very good talk just what we need.
Very Informative. I found hydration is the key for me to never have another a fib attack.
After listening to several vids by real doctors, moderate to high hydration should be avoided. You should investigate further.
This was great, thank you!
Outstanding! I got a fib after appendectomy. Dr. was pushing for electrical cardioversion. I scored 1 point on CHA2DS2 VASc (for my age). I seldom notice anything so I'm going to employ some of his 7 suggestions whenever I feel a bit short of breath and also exercise a bit more.
My husband just fixed a 36 hour episode by exercise - getting on the rower…. After five minutes or less he said he felt a pop and his rhythm was back to normal. Thank you so much for this video. Very grateful.
Is he still doing well?
Yes, he is. Thanks… He’s had palpitations since that event, but never back into atrial fib. His testing came back normal so I believe he is one of those anomaly cases… That was his second a fib event over many years so fingers crossed
I have your book; it’s very helpful!
Recently I found out that humming did quickly fix my Afib. I was out walking when the attack started and I thought of trying it. With my oximeter on my finger I saw the numbers quickly fall from about 110 bpm to under 60, all in less than one minute.
Thank you so much dr
Thank you
Laying down makes it worse - going to sleep is when its the worse - right guyz?
breathing technics do the job, not simply lay down and worrying
Yes
Yes,worsens in flat position
Yup
Mine 99% of the time starts in bed after I've gone to sleep or am going to sleep. I usually wake up because of them.
This was so helpful thank you
This has been the best video on the subject. No one has ever offered such helpful possible solutions before. Thank you. Really appreciated. I had an ablation a year ago but have had 3 afib events in the year. They all came at thee separate stressful times but they are now much milder. I will try your tips if there is a next one. Still. Or ruling out a second ablation.
Based on the comments - a lot of people disagree with this Dr.
I agree with your comments about this info. it's the best I've heard too...and so relaxed. It makes me feel like I'm actually ok with this. I've also had an ablation and very nervous about having a second...I'm hoping these tips might keep it it check. All the best to you too.
@@QuantumOfSolace1 you're not reading the comments from this thread since you're saying people commenting disagree with this doctor, so what's your real point?
Try stretching the right atrium briefly by: take a slow deep breath (sucks venous blood into the chest by decreasing the pressure in the chest); lie down and elevate legs with deep breath (dumps the venous blood in the legs into the chest). Stretching the right chamber heart muscle fibers might slow the circular conduction in the right atrium by lengthening the conduction paths so that normal repolarization can occur before the next beat.
Thanks Doctor ..... great help.
The last one I had was 218 bpm so I felled I was fainting. After an hour the ambulance transported me to hospital. Cardio version and 2x ablations and pacemaker.
I recently was diagnosed with afib. I have to wear a life vest now. I've found that laying down stops it pretty quick. I can feel it coming so I get down so I don't fall down.
My heart beat during an AFib episode keep going suddenly then up again, down again to 65 bpm then back up to to 135 bpm, it is worrying me.
Generally sound advice but I would not encourage anyone to press on their eyeballs but would encourage anyone who is predisposed to relapsing/recurrent a. fib. to avoid all alcohol consumption. Other "recreational" drugs can also precipitate a. fib. and other rhythm disorders.
Wish I lived in Utah!!! Hi from Australia.
me tooo! How good is this doc!
Thank you. That's a big help.
I am on toprolol as a precaution for borderline familial long qt interval. I had what I thought was a PSVT episode while drinking a cold drink too fast which gave me a brain freeze. I used vagal maneuvers to lower the heart rate from 99 to normal range but since then my heart rate has been skipping beats and shows irregular heartbeat on my home BP monitor. My EP office is mailing me a patch monitor to wear for two weeks but this inconsistent heart rate is bothersome. The EP nurse told me over the phone coming in for an EKG will not tell them much even though I said this skipping beats feeling is constant. My resting heart rate has stayed in normal range since the PSVT episode. I wonder if it was actually an Afib episode and if I am still in Afib or the arrhythmia just left me with continuous PVCs or maybe the toprolol is causing this.
I find the Valsava Manoeuvre helpful: I take a deep breath, hold my nose and try to press the air out as if I'm trying to make my ears pop due to a change in altitude. Works well for me.
Here in Canada we can't even get to see a GP. Seeing a cardiologist is a pipe-dream. We're forced to self-medicate ..... making these vids invaluable.
That is best because the killers called MDs are useless for anything other than supplying drugs for the drug cartels, for their trips to Hawaii
Same thing in the United States, you can actually go see a dozen cardiologists and medical doctors and go to the emergency room a half a dozen times and still come away with no resolve to your issue I know because I've been fighting this for over 4 years now.. .
😊@@bobadingo
Same in the UK 😢
Can too much electrolyte cause issues as well? Maybe not Afib but palpitations? I think there is a delicate balance and if someone takes too much magnesium could it not cause another electrolyte to be too low?
I hate it. Mine seems too act up if too much sodium, stress, or nit drink enough water. I always have to urinate frequent when having an attack. My chest always hurts the next day as well. Also hard to get to sleep even after the racing stops. I've had my heart race for up to 4 hours before it slows down.
sounds like anxiety
Ons Finally, a well-mannered Doctor! My hospital dr was rude, kept interrupting and clearly had an issue with men, perhaps older men? Book-learned but green broke, she insisted that I couldn't know when I had afib. What she didn't know, was that a horse medical attendant took my pulse a few times prior to my 12 strokes, and found my heart beat erratic. He was trained by a physician to test the hearts of horses during some of the world's renowned endurance horse treks. He worked on three continents and was trusted by the elite. He was worried about my heart rhythm and advised me to see a doctor. That was in 2004.
I could feel when my heart "ground rocks" in my chest, I felt uneasy when my blood pump became afib-ish. So my young doctor will know better in thirty years maybe, once she has experienced it in her own body. Until then, she made me very wary of doctors, and then the bad bedside manners of my anonymous, brusque cardiologist didn't serve to improve matters. I am alive, 4 years later, with the same heart, being fed warfarin daily as anticoagulant, NOT TO THIN BLOOD, and especially the benefits of my 3 months of strict carnivore diet.
Blood glucose went down from high 18's to average 5.5 - within the first week. No more chest gallops, no more queasiness, no more cold, sweaty fingers. No more RLS at night, no more bathroom visits every 15-20 minutes. Just woke from ten hours of beautiful, deep sleep. My life turned around with carnivore. Afib, unstable angina, and seven train smashes with my heart. Teams of doctors argue ad nauseum about the diagnosis. Many say it were heart attacks, while the chief doctor denies it. He did diagnose me with a much enlarged heart and CHF.
So, I once had an NDE, during my first stroke and then diagnosed heart attack. We don't really die. When the ghost leaves for a better place, the machine stops.
I had slight afib 3 or 4 times since carnivore started late Nov 2023, not several times a week as in the past.
I refuse to go for an angiogram, I refuse to get a stent. People died because of those. We have medical professional friends agreeing with that.
So, one day, my spirit will migrate to the very real and true Heaven, for the second and final time. Then, only then, that little temperamental *itch can have my body to dissect. As she's really pathologist material, a place where she can't inflict further harm.
We don't have qualified medical specialists available; vote for pro-socialist parties and you will soon lose yours. Thirty years ago, my country was at the forefront of medical science.
I avoid caffeine and ONLY drink water and carb-fee soda. (I was Vegan and very unhealthy until a few years ago.)
There is no QUICK treatment for state medical health. It's both free and also nonexistent.
My afib is constant. It never changes so what do you suggest for that??? Have had cardioversion twice which worked for maybe 30 mins each time but then I went back into irregular heartrate
A U.K. cardiologist will only do a cardio version after 3 weeks on an anticoagulant. CV often fails I know
On day 11 of another attack only 3 days in sinus in the last 28 days, I take all the supplements, my heart rate is constantly 110-150 anything more I can do?
I've seen my heart rate run up for no reason whatsoever, and come back down within a minute or so. Nothing feels different, and I thought it was just my Fitbit malfunctioning... Now I wonder...
I am a 77 year old retired ER physician and I am a rabid advocate of the health benefits of cycling. It truly works miracles and as an example I can still do a @ on the USAA Cycling 5 minute TT (a 4% average upgrade at 6300 foot elevation in Colorado Springs). I weigh low 170 pounds. I can't believe how good I still feel thanks to cycling BUT one area doctors never discuss (and this is huge) is alcohol and the heart. Alcohol is a potent cardiomyotoxin (meaning it is toxic to the heart muscle and causes heart muscle inflammation) but this is dose related. When I was in training I had a 23 year old die from his excessive alcohol intake causing congestive heart failure. In the ER I would see young people come in with an arrhythmia over the holidays due to excessive alcohol (thus the title "Holiday Heart"). As one gets older the risk of Atrial Fibrillation goes up logarithmically and AF can be exercise induced. AF causation is multifactorial and these precipitators make it much more likely during a ride: dehydration, low potassium, hypothermia (even drinking a smoothie can bring it on!), lack of sleep, too much caffeine, thyroid excess, and others. But no one ever seems to bring up the subject of excessive alcohol prior and the risk of AF. I love a nice red wine and this leaves me conflicted but I have found that half a bottle 2-3 days a week seems to not precipitate AF so one does not need to totally do without. My take home message to all us geriatric cycling advocates is keep all those precipitators to a minimum including alcohol and you can continue to partake of the Fountain of Youth and not need what most doctors would recommend: blood thinners or cardiac ablation!
Also, watch your heart monitor (Garmin or whatever) like a hawk and when your rate starts getting in the upper ranges just back off to keep it out of trouble. Very high rate from exertion can bring on AF.
Dr. Ross, I too am a cyclist and an Interdisiplinary Engineer that is 71 and recently experienced heart arrhythmia and potentially Afib. I would appreciate discussing this with you to better understand my options and potentially eliminate future limiting events. You can use my channel's "About" page to send me an email.
Thanks sir! I am 73 and do a 1 1/2 mile bike ride 3 times per week. The bike really helps me relax and gives my legs a real workout. I plan to bike ride as long as I can. Good health to you doctor!
Good info. Last night I had a racing heart(possible afib) that lasted several hours. I probably should have gone to ER but didn't. But I had been fine up until I had 1 glass of bourbon(small). I drank water hoping to dilute my intake. Later I just went to bed and it was tough to get to sleep but finally I did. Fortunately it went away. I had something similar 4 years ago and I was put on amitriptyline to help me sleep better and for anxiety. I plan to call my cardiology group tomorrow to make an appt.
Bad news my heart monitor. My cardiologist is sending me to your specialist. Both top and lower are not in sync. I have IHSS, do beta blockers help?
Geez I ahould have watched this years ago
I agree dehydration has a lot to do with what I had. During my a fib attack I remember my lips being extremely parched and dry. Was constantly licking to no avail. So I am on Eliquis now but want to wean myself off, with the advice of my doctor of course. But I understand that what you are saying is that if I do have another A fib attack I can use the Eliquis to get the heart back in rhythm?
Eliquis does nothing for your rhythm - only thins the blood so a clot is less likely to form and induce a stroke. Metroprolol will lower your heart rate - which was part of his "pill in pocket" advice along with Eliquis. Anti-Arrythmic drugs like Amiodarone portend to keep you in better rhythm but it is one of the most dangerous meds out there. Eliquis is no bargain either.
Valsalva worked for me, much to the disbelief of the ER consultant. I did not know that there are Bari receptors on the Aortic arch. Also a change in diet assisted. K2 is essential with the correct deposition of calcium that is hardening the heart valves. After my aortic valve replacement my proximal Fast Afib stopped. Now my diet has much more fish oil in it. Canned sardines with green salad for breakfast or lunch every day, organic free range eggs, chicken, vegetables and different beans, lentils etc. a wide range of foods. NO SUGAR OR MILK! Green and black tea and black coffee. Also I fast one day a week.
Go Caffeine free and you'll totally beat it, that's what I did together with diet and exercise, Caffeine found in tea and coffee is a powerful stimulant on the heart muscle 💪
@@markweatherall7437 True, however if you were already fit with a healthy diet ( questionable) and exercise, then there is no where to go
@@cityvisualwhy are you giving medical advice? You're obviously not qualified and don't tell people they can't improve.
@@addiecoelman1996 Good point. Proffering medical advice without examining the subject is wrong and I should be pulled up on that. However, any individual should not abdicate their responsibility for good health in a blind fashion. Do not check out your brain at the door.
I was sharing my personal experience.
I'm having one now 2 hours or stopped irregular Hb and fluttering
@Dr. John Day You mentioned that you can take Eliqius along with Flecainide. Does that mean that Eliquis may taken be only when needed?
Yes I’d like to know that too
Take Eliquis as ordered to prevent stroke. A fib causes blood to pool and may create clots without anticoagulant (Eliquis) on board
Not that I have ever heard of because you still have the risk of a blood clot due to your Chads2 score which determines if you need an anticoagulant or not. Not your AFib
How about for atrial flutter
I live in Alabama and I is 2 months till I can get into a heart doctor's office. It's ridiculous! I had an ablation when I was 23 for svt and now I'm 33 and my heart is constantly going into afib for the past 3 weeks. It will stop for 12 hours or so then it will pick back up. It's making my life miserable. I'm on metoprolol 25mg er 1xday but my heart rate has been getting below 60 because I exercise everyday. I work at a gym. So I really don't know what to do. Wish I could get a good night's sleep. Happens bad at night trying to go to sleep. Feels terrible. Every 2 to 3rd beat it chocks up and I can feel it in my throat, head, chest. Feels terrible. What should I do?
I feel for you. If it happens too often to a point that it becomes too excessive, you should talk to your doctor if ablation is suitable for you or find out if increasing the 25mg dosage of metoprolol to 2 times a day would be beneficial. To stop the attack, try the modified valsalva maneuver or just lifting you legs up with your body laying flat. This has a 70% success rate or at least reduce the intensity. If you feel it in the throat, the ectopic may be just PVCs and usually beta blocker should calm it down.
I had a cardioversion which cured, for the most part the A flutter ( over 200 beats per minute ) back in 2020. On metoperlol, sotolol and blood thinner. Has been very helpful. However, had covid twice last year ( second bout far worse than the first ) and the flu twice( the second was also far worse than the first ), have had increasing Afib episodes since beginning December 2022, triggers being exercise induced, sitting down after eating, rest and digest trigger, waking up during REM sleep with an episode, getting up too quickly after sitting, resting during the day.
My routine is to hold my breath for about 8 seconds, followed by vigorous coughing, followed by blocking my nose and blowing, ear popping, then chew crushed ice in a small glass of pepsi and swallow tiny chips of ice. Within seconds, sometimes 3 to 5 minutes it's all over. The ice numbs the bundle of nerves that serve the stomach and the back of the heart, disrupting the crazy Electrical impulses. I think chewing and swallowing the very small pieces of ice, with an ice pack over the heart if it's a bad episode, is the most effective remedy.
I can relate bro. You will be fine
Fantastic advices Dr. Day. For me your first solution (taking Flecainide) worked within an hour. Thanks for the short and to the point video.
An hour??
@@QuantumOfSolace1 It's hard to believe (actually I was very doubtful myself after I took the Flecainide) but yes within an hour my AFib went away and I had sinus rhythm. I also calmed myself down during that hour.
what dosis?
Flecainide did nothing for me - had to get a cardio conversion(?) De- fib - boom - 3 months so far so good ! I tried triggering it - alcohol, cigars, coffee - still ticking.
On a serious note - I have no idea what my trigger is.
Nightmares have triggered my A fib.
In my experience with two separate EP's, one was a pill pusher the other was the opposite but both were not interested in finding a root cause. What exactly were those additional two yeas for? Waste of my time and money.
I don’t think they know how to find the root cause.
don't look for the cause, but the solution
Hello Dear Doctor, I am from Bangladesh and love to see your nice advice. I am 28 years old male. For the last two years, i have been suffering from afib. I consulted some of our reputed cardiologist here but the medication can provide efficacy. My afib without any pain starts frequently like 1/2 timer per week or months. Even 2 consecutive days, i have to suffer afib. Now I am taking Ecosprin and Metaprollol. My afib mostly starts at evening or night after dinner, and go automatically after sleep next. What should I do?
We’re the same age!! I’m 28 with Afib now too
I’m 26years and I am
Having Afib at the moment, it typically last 24hours but unfortunately today, I have exams😢
Try eating much smaller portions at dinner, or no dinner.
Not all doctors are the same some doctors keep you on medication and filling script
What if you get a fib in your sleep?
I recently had an AV node ablation for paroxysmal afib and psvt. I have been battling afib and psvt for 3 years. I was on three different meds to try and control the abnormal rhythms, but eventually they stopped working. I'm only 54 years old. I already had a pacemaker in for nearly a year prior, so the AV node ablation went quickly. However, now during my recovery (10 days out), I have continued to feel palpitations, skipped beats, tachycardia and what feels like afib. It can last a few hours at a time. It doesn't affect me as much now and I can function better. My cardiologist put me back on low dose metropolol because of possible rebound effect from coming off meds so abruptly. Is it normal to feel these symptoms during the recovery process? I feel discouraged that I am still feeling some symptoms. I know the AV node ablation is not a cure for afib, but should minimize symptoms. My cardiologist seemed to think that I wouldn't feel what the upper chambers were doing. I just don't want to feel it anymore. Thank you for your video and I am going to be purchasing your book.
Almost invariably, my Afib attacks occur at night, usually waking my up from 'dream sleep', but sometimes occurring while I'm only half asleep. I find that getting from a lying down position, to a sitting up position as quickly as possible can be very helpful. Also, though some may disagree, I keep a couple of bars of dark chocolate on hand. I don't know if there is any extensive research into it, but a few blocks of dark chocolate seem to help me get back into sinus rhythm.
I find that a busy day can bring about an Afib attack several hours after the business of the day is over, especially if it has been a cold day. I can pre-empt the attack, and eat a few blocks off my chocolate bar before it happens. Cold water is sometimes helpful, but is not [for me] as effective as a few blocks of dark chocolate.
I have the same experience with my AF.Usually at night when I lie down in bed. Sitting up and breathing deeply definitely helps. I'll try the dark chocolate!
The two most important things in preventing a afib attack IMHO is, drinking plenty of water, and getting enough sleep.
@@auggietorres8501 I read an article by a retired cardilogist once who said our magnesium and potassium levels are lowest at night - something about how that affects vagal tone. You definitely
might wanna keep an eye on electrolytes.
STOP THE CAFFEINE!! No coffee .
thank you. this is good advice. My A fib often happens out of nowhere while I am laying down to sleep as well. I also just found out that dehydration can also affect the A fib. I believe more of us are dehydrated than we care to admit. Sometimes I just grab an electrolyte drink or even a Gator-aid. And I am also guilty of drinking way too much coffee all day long which I am sure does not help.
Thank u i know it's my vegas nerve
Lie down and completely relax so some deep breathing
Hopefully someone sees my comment but a loved of mine recently had an ablation and a week later Afib returned everyday. I don’t know what to do or look for, but all I got is hope. We feel so alone in this
I suggest you read his book. Also, I read that 25% of people need a second ablation procedure. Keep the faith.
I actually had two cardioversions after ablation. The first lasted a short time and the second I took antiarrhythmic amiodarone a couple weeks before, had IV amiodarone during and continued amiodarone pills after. The lowered the dose after a few months then discounted them altogether. Was in regular rhythm after that. I had heard it takes the ablation 6 months to heal over completely and take full beneficial effect.
I use Vegas nerve exercises (bearing down) and cold showers but the thing that works best is great sexercize. I also keep amiodarone on hand. I supplement with potassium and magnesium.
@hardtruth - ok perv.
Nope on the lay down......
I sure do not recommend exercising away AF! That is begging for V Fib or at minimum syncope. When you get AF your atrium contracts like a bag of worms ineffectually and you lose 30% of your cardiac output. This is a setup for an MI or at minimum passing out due to reduced cardiac output. Stop exercising when you get AF and let your heart convert naturally back to normal sinus rhythm.Also, it is good prevention to take a potassium supplement after each workout because you lose a lot of potassium with a good workout. It finally hit me that my habit of a bowl of chilled, crushed tomatoes after a workout on the bike was great prevention and not just an incredibly delicious treat after cycling. All my comments here and below apply only to Exercise Induced Atrial Fibrillation. AND take your doctors recommendations on AF with a grain of salt because there is a good chance they are either inappropriate or unnecessary.
I completely agree with you!
Magnesium supplement helped and induced coughing too.
W h a t are the r o o t causes for the tendency to get afib?
Probably being overweight, dehydrated and for me it is hereditary my whole family has it and I'm not overweight
Flopping backward hard to lay down instead of doing it gently causes transient a-fib almost every time. Why it’s so hard for me to get in bed and lay down lady like, I don’t know. 😮
Bananas
Uh, who can sleep or nap when you go into AFib w/RVR? Lol
exactly! I’m in Afib now and it’s 10:17pm laying in bed propped up on pillows UGH! How can anyone sleep with your heart jumping around in your chest this is horrible
Take lorazepam and beta blocker. Very effective
Me too started around 630 am.. had to call off of work
Right?! Evenings is when a lot of us have episodes of Afib. I can't even lie flat as it seems to get worse. The vasalva bearing down works best for me but I usually have to do it several times.
I can. After sleeping, no more AFbit for me.
Blabbermouth
My mums is not fast , it does this * * * * ** * * * * * * * * * * more like a dropped beat, although it is confirmed AF
consistent afib sucks