Sorry to hear about your dad. Please accept my condolences. I am 75 and had an episode of af 2 yrs ago. The cardiologist prescribed Eliquis. I made a decision not to take it anymore because I had to start taking Xtandi for bone ca. So if one thing does not kill me the other will. So, I am preparing for that event. Legal papers, cemetery plot, funeral home services, etc. Thank you for all you do for us. You are a kind and honorable man. Bless you.
Don't give up so easily and live the best life you can and let God handle it. As Sanjay says, which impressed me, "When your time comes, it comes and there's nothing you can do about it." Doctors are great, medicines are great but you have to do what you can and trust God. Bless you.
I am sorry to learn of your father's passing. i am certain your presence was a comfort to him and your family, and to you. Soon, your loveliest memories will be the lasting ones...
As usual you raise more questions than you answer (as indeed you always should if progress is ever to made!) As an AF sufferer since 1995, and 18 months on now from a stroke, and still feeling pretty dreadful much of the time, I wonder if you can give more details on atrial myopathy and how the patient should approach the possibility. My approach to AF has been 80 mg of sotalol per day for rate control (and apixaban of course, but only after the stroke) but in the last six months or so I have been putting a lot of effort into general fitness. This was after a year of almost being able to do nothing with exhaustion and various bizarre side effects, anxiety and severe depression. Now (at 75) I am hauling large bits of timber for the log stoves, splitting them, mostly by machine but occasionally by hand, walking with the dog three times a day, including ascending a very steep slope for about five mins morning and evening. In general I have the feeling/illusion that my cardiac health is better and I don't notice AF symptoms much at all now, though I am often breathless with effort. My dilemma is, although what I am doing in life style terms is probably good for AF, is it harmful or even dangerous for atrial myopathy... i.e. am I causing potential damage or further weakness to my atrium, which my cardiologist has already said is enlarged. Or does exercise actually help strengthen the atrium? I would be interested in your view on this, if you ever have time to see this or reply, or the thoughts of others in similar situations.
So sorry for your loss Dr. I am sure your father was extremely proud of you. He raised a wonderful son and we thank him. We are the recipients of his generosity and we are grateful. Take very good care....
Once the atria are weakened/enlarged is there anything patients can do to regain normal function? Or is it simply treatment (reducing comorbidities, drug therapies, etc.) at that point to reduce further stress/damage?
I am sadden to hear of the passing of your dad. You always made it clear how much he meant to you. I am sure ,he is proud of who you have become and the path you have chosen. He raise a good man. My prayers for you and your family.
Excellent presentation and theory which also explains why those with untreated sleep apnea get AF and strokes. The thicker blood requires more pressure and stretches the atria. Brilliant, thank you.
Excellent job of explaining both sides of the problem. Wish they could have taught this way 40+ years ago in Chiropractic college.Four months ago I developed COVID, ended up in the hospital where the biggest problem was revealed to be A fib complicated a ruptured Chordae Teninae. Surgery corrected that as well as the ear and they cauterized the pulmonary veins. My A fib is back but I’m going to take the sustained release Vitamin C you recommended.I know this is long but I hope you will see why I put all of this down so you will realize how valuable all of your videos are to me and everyone else! Thank you from the bottom of my freshly repaired heart!❤️
Sorry to hear of your Fathers passing. My wife and I express our deepest sympathy. There can be no doubt you made him proud. He raised a genuine, sincere son. I hope the following Bible passage gives you comfort as it has me. Job 14 chapter verses 14,15
So sad for your loss for your wonderful father. What pride and joy he must have felt in having you for his son. Thank you for so much for continuing with these heart-health videos.💜 Love the analogy of the hose/balloon. And then the rubber band that has been stretched too much and has lost its former elasticity! You have a special knack of being able to break down complicated stuff!! 😉🤗
My first nurse practitioner gave me quite a lecture about taking blood thinners, to avoid ... running over a child. It was weird. She had someone call me the following Monday to tell me I didn't need to take blood thinners... I never said anything, and they gave me a different NP, but it makes you wary of their decisions. Thank you for these videos. I have learned a lot.
This is a very very important distinction to clarify. I am an advocate of whole food plant based eating to reverse/stabilize CAD (atherosclerosis), and am frustrated most days by doctors who keep patients on warfarin, then tell them they shouldn't eat vegetables especially leafy greens. Warfarin therapy for AF patients is still criminally over-prescribed....and lifestyle changes to reduce other risk factors are ignored or compromised.
I too....Af x many yrs. Declined eliquis ( after taking it initially for a few wks...then started researching...) started on Nattokinnese ( 6k FU's). Complicated Hx of chronic lyme & mold... Limited ability for exercise...in fact 1 yr ago had to stop working as a homebirt midwife. Past yr very stressful, need to learn to slow it all down, take care of myself, build capacity for sleep, continue to remediate my body of mold. Ive always eaten well (as organic clean local many veggies clean protein) Fought off the " pharmacuitical enthusiast's " ( no statins for cholesterol) Begun intermittent fasting ( thanks to Dr Janip Jamhades cardiologist in Orlando Fl & his You tube videos) Just had a mild heart attack after stress overload, strawberry shortcake & sweet drink) threw my heart out of wack...now have a stent but need to still figure out txing the AF.... On cardizan, plavix, metropropol, asprin. Want to balance appropriate use of pharmacuticals & not end on on so many pills. Continuing w supplements ( magnesium amino acids heart targeted, herbs coq10 etc) Looking for nutrionally informed cardiologist & effective tx to correct imbalance of rate & rhythm as well as triggers that my heart responds to: wifi, stress, rushing, world news, foods...sugar!! Appreciate Dr Gupta Cares Curious Questions economically driven health care system Smart
So sorry to hear about your Dad, Sanjay, and know you will miss him for the rest of your life. The wonderful person you are is a testament to what kind of father and man he was. Time will help heal your hurt and one day you will meet him again.
I love that you can have a sense of humor and yet be extremely emphatic towards those suffering with AFib . I am 6 weeks post ablation and about to have a follow up with Dr Fischel my EP doctor in Palm Beach . I know he will be discussing with me his opinions on the need for continued anticoagulation and this little video has given me lots to think about . First I will ask for a B.N.P blood test and also go over my 2 D echo which will show the condition of my Atrial walls . I am 74 yrs old and am happily taking Xerelto ♥️
Your father was a special 'dad' as evidenced by your kindness toward him, all your patients and how you share this important knowledge to the rest of us. My sincere condolences to you and your family. I am very grateful for this information about Atrial Myopathy. It is a topic I wish to discuss with my physician. As I said before in one of your previous videos, today is the first day of the rest of my life. I don't know how much time I have... no one does... however, I want my life to be as full of life as I can help to make it. Thank you so much Dr. Gupta.
So sorry for your loss it has obviously been a lengthy and tough time for you and your family. I hope your time of grieving is short and that you soon return to a time of fond memories and positive thoughts. Thanks for all you do for all of us 'hearties'.
So sorry to hear of the passing of your father. It's very good of you to still be producing videos at this time. Many thanks for all you do. This subject really needs to be investigated by trials to ascertain who is really at risk of stroke and who does need to be anticoagulated.
Are you feeling better, Sanjay? My mother died in '82 and I still miss her and always will. The love of a parent is the greatest lesson about love. Your children will feel the same way about you. Eventually you'll be able to cope. Your Dad was a good kind man who lead a good life. No doubt to me, he loved you beyond measure and was proud of you. Your mom needs you so step in his shoes and make him proud. God is with you.
Dr Sanja, you are an absolute genius! This could be the answer that I’m looking for. I have Paroxysmal AF, my echo results are normal and I’m active and fit. If this is the case, I might consider an ablation at some point in the not so distant future to protect my atria from any stretching in future years.
My sincere condolences for your loss! Your father raised a great son! Thank you so much for cutting edge information on Afib! I have derived significant comfort from the knowledge you so generously share with us! Thanks!
Thanks so much, this makes perfect sense. I had slightly enlarged atria prior to my first episode of AF. I wonder if anything can reduce the stretch of the atria other than keeping blood pressure low. Loved your explanation of the size in millimeters of the chambers of the heart wall thicknesses. I am sorry about your dad. He must have been a wonderful father to have a son like you! ❤️
I’m sorry for you, your family and friends loss of your father! He had to be a very wonderful man to have such a magnificent son like you! Thanks for sharing this AF information! Great information that 99.9% of doctors don’t share with patients because they’re under contract’s that prohibit them from sharing what you do. Your Real Daddy analogy is wonderful to share so people can better understand! Much thanks and blessings to you!🙏❤️ (I’d appreciate knowing the studies you’re quoting, so I could study, further!)
Thank you for questioning the usual advise of your colleagues and for searching the cause behind the symptom, your dad was and always be very proud of you Sunjay and so are we.!!
I watch many of your videos and I have been comforted by them. I have in the past had A-fib and tachycardia and recovered from them due in part to taking your advice . Now because I do extreme exercise the Afib and tachycardia came back (100 mile bike ride) I am 78 . My heart will go from 144 to 44 and back again but have very little symptoms and listening to you I realize that I shouldnt worry and I dont and I cant wait to get back on the bike. I am taking angstrom magnesium which helps a lot
Dr Gupta I feel you are the most informed and informative source for me to get reliable and valuable information on managing my afib. I've been following you for a few years and I Am amazed at the theories you present which are something I have also come to realize in my own being. I totally agree about the studies that need to be done. I agree that afib can not be the daddy of strokes, I have personally experienced benefit from taking daily vitamin c. I choose not to take the blood thinners as they leave me weak. I will be 70 this year and just had my longest run of afib for almost 3 wks coming and going and no stroke even with enduring extreme stress factors during this time. Thank you so much for all the valuable information you share. It gives me hope and strength and faith. God bless you.
My heart goes out to you and your family, my father passed from this as well. This also happened to robust, capable, young friend who survived it, but it permanently diminished lung capacity and thus his abilities on all bases. To see such a strong, healthy man struggling on one lung is shocking.
Sending warm thoughts to you and your family, regarding the loss of your Father. Aside from being a curious and able clinician, you seem to possess a high level of intuitiveness. You will not be far from your Father at any time. But missing the hugs and visual exchanges, also the bits of spontaneous humor...there is no way to describe these losses. Thank you for thiis very rich presentation; my cardiologist knows that I study with you and frequently bring in many questions. Blessings, Margaret
I had a device called "THE WATCHMAN" installed into the LEFT ATRIUM to block blood from going there. This was performed at REX HOSPITAL, IN RALEIGH, NORTH CAROLINA, in 2019. I'm still in AFIB, but, for me, this lowers the risk of stroke as described here. Now taking 325mg aspirin and digoxin.
I had terrible AF and Premature Ventricular Contracts. I was told I was at a very high risk of stroke or heart-attack. "Traditional" doctor's wanted to do ablation surgery. An Integrative and FUnctional Medicine MD wanted me to have a less acidic lifestyle (food, exercise, etc.) - good advice. However I started fasting and my C-Reactive PRotein went from 12 to 0.01 in an unknown period of time but less than the 8 months between the tests). I had a 15 year old frostbite sore/scab that healed in the first month.
I adore intermittent fasting!! How long do you usually fast? I try to aim for OMAD several days a week. A couple days a week I do a short eating window of about 4 hours. Congrats on your success!!😉
My condolences on the loss of your father. Thank you so much for your generosity in sharing these groundbreaking insights in this fantastic video. Your explanation that atrial myopathy and not atrial fibrillation is the root cause of strokes, is extremely convincing.
This video actually made me feel better. The part about older folks with weakened atriums usually weren't aware of their Afib. Welllll, the few Afib episodes that I've experienced I was verrry aware of them!!!😎 Well, my Doc did say that my heart was structurally sound. But since I am 66 years old and have mild to moderate high blood pressure I will continue to take my blood thinner!!😉
Heart felt sympathy to you and your family doctor ji,🙏may the universe give u the strength to bare this loss,and always give u this ability to help humans ,thank you and God bless 🌀🇿🇦
I am actually understanding this. Thank you for this video where I have learned a lot. So sorry about your Dad. I am sure he was so proud of you and your contributions to the medical community!
I feel this is absolutely right. For such a long time before I ever experienced AF, I began feeling tired, and everything was beginning to be an effort to do. Atrial myopathy as the cause sounds really plausible!
Oh No!! I’m so very sorry for the loss of your dad. My heart is sad for you. I can relate. I lost my dad in 2018, I too miss him every day. Mini heartfelt blessings to you and your family
First of all, my deepest condolences for the passing of your father. I’m 61 and have dealt with skipping beats AF for 30 years. I was never prescribed anticoagulants because my AF occurrences were infrequent however I frequently have PACs and PVCs. Last week as I had a bout with AF, my right arm and leg felt numb and heavy. I’ve never experienced this feeling so I went to the ER. By the time I reached the ER, within 15 minutes of the onset, the symptoms subsided including a slight droop on the right side of my face. The ER Dr. ordered a CT scan with contrast which showed no sign of a blockage or clot. However one of my cranial arteries was shown to be narrow. I was discharged after an overnight observation and a follow up CT scan. I was diagnosed with TIA and prescribed Eliquis as a preventative measure. This was certainly a wake up call for me.
I am learning so much from you.Thank you,Dr.Gupta.Sorry to hear about your Father.I am sure he is soooo proud of you,and ur teaching everyone,about the heart..God Bless.
Excellent information Dr, looks like the evidence is heading towards your hypothesis ,much appreciated, love your medical analysis, best of luck to you and yours
Wow! That was an amazing video. Thank you! I’m in my early 60’s and constantly fighting with my cardiologist over anti-coagulants. I will not take them. I’m very athletic, and worry about bleeding. About a month ago, I had an armload of things, and slipped on the floor- falling chest first into the arm of a chair. I wasn’t able to brace my fall, and probably either bruised or broke a rib because I was in pain for six weeks. Had I been on anti-coagulants, I’m sure I would have had internal bleeding and would not be here today to tell the tale. I would rather risk a stroke than internal bleeding or a brain bleed. I know I’m playing the odds, but hopefully I won’t have a stroke. I hope these studies are done because it would be great to know if I’m not at increased risk. On another note, I”m saddened to hear of the passing of your father. How proud he must have been of you. You’re a one-in-a-million doctor with such compassion for others.
Look up the wolf mini maze. The close off the left atrial appendage during the procedure to eliminate the need for blood thinners and eliminate the risk of stroke. Best of both worlds!
I find this extremely interesting. Yes, I agree on the atrial myopathy aspect. I also am interested in the BNP. During my A-fib episodes I have frequent urination, would the BNP rise only during the episode and cause the frequent urination?
its normal for increased urination during afib as when your heart rate increases your kidneys are perfused normally more which means you would make more urine
Thanks a lot for all wonderful informations sir... Im from India actually tamilnadu hope u know that.. my 8 month old son have bicuspid aortic valve... His heart beat is extra 10 beats than other normal babies.. does it leads to early surgery or is there a possibility to get it settle down sir??? And it's Rcc and Ncc fusion type sir... Pls reply sir.. its really very new to us and for our culture its nearly killing me... All i want is to my son lead a simple normal life... Is that possible or does it affects its lifespan sir... i Hope get a reply from u sir.. thank u
Have there been any studies on the number of strokes resulting after the left atrial appendage has either been clipped or removed? Also, the effectiveness of the Watchman, although I don't believe it is good as the ligation or clipping of the LAA. My understanding is that is where the clots are primarily forming irregardless if it is afib, aflutter, or a poorly functioning left atrial chamber.
I have long covid,POTS and hypertension.I am just going to guess that I am at high risk.When I stand my rate goes thru the roof.I started taking omega 3.Going to start the C regime.We'll see what the future holds?
I agree. For many years when I lie down I would feel a surge in my chest. It finally showed in an echo cardiogram as aortic regurgitation. I think this is a much bigger problem for me than my a-Fib because it can be gone long before I get to the emergency room but I think is a much bigger threat to my health.
Thank you for sharing insights and personal work experience for our benefit. It is like radiant beams of sunlight striking out a path in a shadowed landscape. The wind shifts and ushers mourning clouds to diffuse and let the light shine. We are here for you. And love to hear from you as you journey and journal. QQ. is bnp released from other myopathy. Is it specific to heart 💌
I think that AF and stroke are manifestations of a minor/partial 'shut down' mode. The bodies attempt to repair pre-existing cerebral damage &/or cerebral circulatory systems might typically go un-noticed, but in these situations something that the patient is doing manifests as noticeable AF or clot formation (plug at the ready). eg When my brain is healing, I feel the need to relax, lie down and let my body work it's magic. When I can't do this because I'm on a nightshift, things go awry, I might feel that my heart is working harder or even get migraine. Yesterday I 'felt' a head injury that I've endured for decades finally clear up. Tension finally gone. But what was new to me was the feeling that there was a layer of plaque coating the roots of my teeth (only, I think great oral hygiene helps). Weird & gone today.
Very interesting this video. At 74 with permanent af(detected 4 years ago),I have a chadvasc score of 1. However,next year at 75 yo I will be advised to anti coagulate. I have resisted anti coagulation since being diagnosed,and wil continue to do so. The research then seems to point to a heart structural problem (weak walls?). I have had two ecg over the last 2 years which show no abnormalities,so I am relieved at the hopeful change in guidance ref automatic anti coagulation.
I had a consultation with him and discussed anti coagulation He referred me to a study which researched Alzheimer’s in AF patients who did not take anticoagulants! I now take them as prescribed Cutting the risk of strokes by 60% is also a big plus.
@@anelson8130 But what is the percentage risk of stroke without af? It is very low(providing no co- morbidities) Therefore the increased (supposed!) risk of not taking anti coagulants is much smaller again . Personal choice on the available evidence after rusk analysis. When considering the risk of bleeding whilst on anti coagulants,a risk also,then the case for prescribing tgem is reduced considerably.
@@MrDunni12 I used to think like you and a conversation with Sanjay changed my mind. That’s all I’m saying For full data perhaps you could email him He’ll happily provide you with details. At the end of the day it’s your choice. I wish you well x
Sincerest condolences to you and your family. I'm sure your pop was very proud of having such a decent, smart and kind son.
Sorry to hear about your dad. Please accept my condolences. I am 75 and had an episode of af 2 yrs ago. The cardiologist prescribed Eliquis. I made a decision not to take it anymore because I had to start taking Xtandi for bone ca. So if one thing does not kill me the other will. So, I am preparing for that event. Legal papers, cemetery plot, funeral home services, etc. Thank you for all you do for us. You are a kind and honorable man. Bless you.
Don't give up so easily and live the best life you can and let God handle it. As Sanjay says, which impressed me, "When your time comes, it comes and there's nothing you can do about it." Doctors are great, medicines are great but you have to do what you can and trust God. Bless you.
I am sorry to learn of your father's passing. i am certain your presence was a comfort to him and your family, and to you. Soon, your loveliest memories will be the lasting ones...
This information has just changed my entire perspective.
Glad to see you smiling and laughing. Followed you for years. Keep rocking it in your father's honor. He's always with you.
As usual you raise more questions than you answer (as indeed you always should if progress is ever to made!) As an AF sufferer since 1995, and 18 months on now from a stroke, and still feeling pretty dreadful much of the time, I wonder if you can give more details on atrial myopathy and how the patient should approach the possibility.
My approach to AF has been 80 mg of sotalol per day for rate control (and apixaban of course, but only after the stroke) but in the last six months or so I have been putting a lot of effort into general fitness. This was after a year of almost being able to do nothing with exhaustion and various bizarre side effects, anxiety and severe depression.
Now (at 75) I am hauling large bits of timber for the log stoves, splitting them, mostly by machine but occasionally by hand, walking with the dog three times a day, including ascending a very steep slope for about five mins morning and evening. In general I have the feeling/illusion that my cardiac health is better and I don't notice AF symptoms much at all now, though I am often breathless with effort.
My dilemma is, although what I am doing in life style terms is probably good for AF, is it harmful or even dangerous for atrial myopathy... i.e. am I causing potential damage or further weakness to my atrium, which my cardiologist has already said is enlarged. Or does exercise actually help strengthen the atrium?
I would be interested in your view on this, if you ever have time to see this or reply, or the thoughts of others in similar situations.
So sorry for your loss Dr.
I am sure your father was extremely proud of you.
He raised a wonderful son and we thank him. We are the
recipients of his generosity and we are grateful.
Take very good care....
Once the atria are weakened/enlarged is there anything patients can do to regain normal function? Or is it simply treatment (reducing comorbidities, drug therapies, etc.) at that point to reduce further stress/damage?
I am sadden to hear of the passing of your dad. You always made it clear how much he meant to you. I am sure ,he is proud of who you have become and the path you have chosen. He raise a good man. My prayers for you and your family.
Excellent presentation and theory which also explains why those with untreated sleep apnea get AF and strokes. The thicker blood requires more pressure and stretches the atria. Brilliant, thank you.
Excellent job of explaining both sides of the problem. Wish they could have taught this way 40+ years ago in Chiropractic college.Four months ago I developed COVID, ended up in the hospital where the biggest problem was revealed to be A fib complicated a ruptured Chordae Teninae. Surgery corrected that as well as the ear and they cauterized the pulmonary veins. My A fib is back but I’m going to take the sustained release Vitamin C you recommended.I know this is long but I hope you will see why I put all of this down so you will realize how valuable all of your videos are to me and everyone else! Thank you from the bottom of my freshly repaired heart!❤️
Sorry to hear of your Fathers passing. My wife and I express our deepest sympathy. There can be no doubt you made him proud. He raised a genuine, sincere son. I hope the following Bible passage gives you comfort as it has me. Job 14 chapter verses 14,15
I appreciate you sharing this useful information because I'm an AF patient. But have a terrible time trying to hear you. I appreciate the captions!
I laughed out loud at the title. Thanks for being informative and funny.
I try:-) thank you:-) i appreciate you Mia
So sad for your loss for your wonderful father. What pride and joy he must have felt in having you for his son.
Thank you for so much for continuing with these heart-health videos.💜
Love the analogy of the hose/balloon. And then the rubber band that has been stretched too much and has lost its former elasticity! You have a special knack of being able to break down complicated stuff!! 😉🤗
My first nurse practitioner gave me quite a lecture about taking blood thinners, to avoid ... running over a child. It was weird. She had someone call me the following Monday to tell me I didn't need to take blood thinners... I never said anything, and they gave me a different NP, but it makes you wary of their decisions. Thank you for these videos. I have learned a lot.
This is a very very important distinction to clarify.
I am an advocate of whole food plant based eating to reverse/stabilize CAD (atherosclerosis), and am frustrated most days by doctors who keep patients on warfarin, then tell them they shouldn't eat vegetables especially leafy greens.
Warfarin therapy for AF patients is still criminally over-prescribed....and lifestyle changes to reduce other risk factors are ignored or compromised.
I too....Af x many yrs. Declined eliquis ( after taking it initially for a few wks...then started researching...) started on Nattokinnese ( 6k FU's).
Complicated Hx of chronic lyme & mold...
Limited ability for exercise...in fact 1 yr ago had to stop working as a homebirt midwife.
Past yr very stressful, need to learn to slow it all down, take care of myself, build capacity for sleep, continue to remediate my body of mold.
Ive always eaten well (as organic clean local many veggies clean protein)
Fought off the " pharmacuitical enthusiast's " ( no statins for cholesterol)
Begun intermittent fasting ( thanks to Dr Janip Jamhades cardiologist in Orlando Fl & his You tube videos)
Just had a mild heart attack after stress overload, strawberry shortcake & sweet drink) threw my heart out of wack...now have a stent but need to still figure out txing the AF....
On cardizan, plavix, metropropol, asprin.
Want to balance appropriate use of pharmacuticals & not end on on so many pills.
Continuing w supplements ( magnesium amino acids heart targeted, herbs coq10 etc)
Looking for nutrionally informed cardiologist & effective tx to correct imbalance of rate & rhythm as well as triggers that my heart responds to: wifi, stress, rushing, world news, foods...sugar!!
Appreciate Dr Gupta
Cares
Curious
Questions economically driven health care system
Smart
So sorry to hear about your Dad, Sanjay, and know you will miss him for the rest of your life. The wonderful person you are is a testament to what kind of father and man he was. Time will help heal your hurt and one day you will meet him again.
I love that you can have a sense of humor and yet be extremely emphatic towards those suffering with AFib . I am 6 weeks post ablation and about to have a follow up with Dr Fischel my EP doctor in Palm Beach . I know he will be discussing with me his opinions on the need for continued anticoagulation and this little video has given me lots to think about . First I will ask for a B.N.P blood test and also go over my 2 D echo which will show the condition of my Atrial walls . I am 74 yrs old and am happily taking Xerelto ♥️
Your father was a special 'dad' as evidenced by your kindness toward him, all your patients and how you share this important knowledge to the rest of us. My sincere condolences to you and your family.
I am very grateful for this information about Atrial Myopathy. It is a topic I wish to discuss with my physician.
As I said before in one of your previous videos, today is the first day of the rest of my life. I don't know how much time I have... no one does... however, I want my life to be as full of life as I can help to make it.
Thank you so much Dr. Gupta.
Sorry for the loss of your Father. Thank you so much for what you do
So sorry for your loss it has obviously been a lengthy and tough time for you and your family. I hope your time of grieving is short and that you soon return to a time of fond memories and positive thoughts. Thanks for all you do for all of us 'hearties'.
So sorry to hear of the passing of your father. It's very good of you to still be producing videos at this time. Many thanks for all you do. This subject really needs to be investigated by trials to ascertain who is really at risk of stroke and who does need to be anticoagulated.
Are you feeling better, Sanjay? My mother died in '82 and I still miss her and always will. The love of a parent is the greatest lesson about love. Your children will feel the same way about you. Eventually you'll be able to cope. Your Dad was a good kind man who lead a good life. No doubt to me, he loved you beyond measure and was proud of you. Your mom needs you so step in his shoes and make him proud. God is with you.
Dr Sanja, you are an absolute genius! This could be the answer that I’m looking for. I have Paroxysmal AF, my echo results are normal and I’m active and fit. If this is the case, I might consider an ablation at some point in the not so distant future to protect my atria from any stretching in future years.
My sincere condolences for your loss! Your father raised a great son! Thank you so much for cutting edge information on Afib! I have derived significant comfort from the knowledge you so generously share with us! Thanks!
Thanks so much, this makes perfect sense. I had slightly enlarged atria prior to my first episode of AF. I wonder if anything can reduce the stretch of the atria other than keeping blood pressure low. Loved your explanation of the size in millimeters of the chambers of the heart wall thicknesses.
I am sorry about your dad. He must have been a wonderful father to have a son like you! ❤️
I’m sorry for you, your family and friends loss of your father! He had to be a very wonderful man to have such a magnificent son like you! Thanks for sharing this AF information! Great information that 99.9% of doctors don’t share with patients because they’re under contract’s that prohibit them from sharing what you do. Your Real Daddy analogy is wonderful to share so people can better understand! Much thanks and blessings to you!🙏❤️
(I’d appreciate knowing the studies you’re quoting, so I could study, further!)
Thank you for questioning the usual advise of your colleagues and for searching the cause behind the symptom, your dad was and always be very proud of you Sunjay and so are we.!!
So very sorry about the passing of your dear father. Praying for consolation and healing for your broken heart.
I watch many of your videos and I have been comforted by them. I have in the past had A-fib and tachycardia and recovered from them due in part to taking your advice . Now because I do extreme exercise the Afib and tachycardia came back (100 mile bike ride) I am 78 . My heart will go from 144 to 44 and back again but have very little symptoms and listening to you I realize that I shouldnt worry and I dont and I cant wait to get back on the bike. I am taking angstrom magnesium which helps a lot
Condolences on the loss of your father. ❤️
Dr Gupta I feel you are the most informed and informative source for me to get reliable and valuable information on managing my afib. I've been following you for a few years and I Am amazed at the theories you present which are something I have also come to realize in my own being. I totally agree about the studies that need to be done. I agree that afib can not be the daddy of strokes, I have personally experienced benefit from taking daily vitamin c. I choose not to take the blood thinners as they leave me weak. I will be 70 this year and just had my longest run of afib for almost 3 wks coming and going and no stroke even with enduring extreme stress factors during this time. Thank you so much for all the valuable information you share. It gives me hope and strength and faith. God bless you.
My heart goes out to you and your family, my father passed from this as well. This also happened to robust, capable, young friend who survived it, but it permanently diminished lung capacity and thus his abilities on all bases. To see such a strong, healthy man struggling on one lung is shocking.
Sending warm thoughts to you and your family, regarding the loss of your Father. Aside from being a curious and able clinician, you seem to possess a high level of intuitiveness. You will not be far from your Father at any time. But missing the hugs and visual exchanges, also the bits of spontaneous humor...there is no way to describe these losses. Thank you for thiis very rich presentation; my cardiologist knows that I study with you and frequently bring in many questions. Blessings, Margaret
I had a device called "THE WATCHMAN" installed into the LEFT ATRIUM to block blood from going there. This was performed at REX HOSPITAL, IN RALEIGH, NORTH CAROLINA, in 2019. I'm still in AFIB, but, for me, this lowers the risk of stroke as described here. Now taking 325mg aspirin and digoxin.
Great information about a complex subject...I am so sorry about your family's loss... I know you miss you father and my heart goes out to you.
Fantastic lecture!
I had terrible AF and Premature Ventricular Contracts. I was told I was at a very high risk of stroke or heart-attack. "Traditional" doctor's wanted to do ablation surgery. An Integrative and FUnctional Medicine MD wanted me to have a less acidic lifestyle (food, exercise, etc.) - good advice. However I started fasting and my C-Reactive PRotein went from 12 to 0.01 in an unknown period of time but less than the 8 months between the tests). I had a 15 year old frostbite sore/scab that healed in the first month.
I adore intermittent fasting!! How long do you usually fast? I try to aim for OMAD several days a week. A couple days a week I do a short eating window of about 4 hours. Congrats on your success!!😉
My condolences on the loss of your father. Thank you so much for your generosity in sharing these groundbreaking insights in this fantastic video. Your explanation that atrial myopathy and not atrial fibrillation is the root cause of strokes, is extremely convincing.
This is very helpful, thank you and I offer my condolences about your Father.
Very informative and eye-opening video. I think this is the best one you have done! It has revolutionized my thinking. Thank you.
This video actually made me feel better. The part about older folks with weakened atriums usually weren't aware of their Afib. Welllll, the few Afib episodes that I've experienced I was verrry aware of them!!!😎 Well, my Doc did say that my heart was structurally sound. But since I am 66 years old and have mild to moderate high blood pressure I will continue to take my blood thinner!!😉
I am so very sorry to know your father passed. My deepest sympathy.
Dr Sanjay, I really like how you explained this information 🫀
Sorry for your loss! 🙏❤️
My condolences. Best wishes and blessings for you and your family.
Heart felt sympathy to you and your family doctor ji,🙏may the universe give u the strength to bare this loss,and always give u this ability to help humans ,thank you and God bless 🌀🇿🇦
I agree you may be onto something and have identified a problem would like more information on how to reduce the risk????????
I am actually understanding this. Thank you for this video where I have learned a lot. So sorry about your Dad. I am sure he was so proud of you and your contributions to the medical community!
Grerat talk. The sound volume is a little low though but thank you for the closed captions.
I feel this is absolutely right. For such a long time before I ever experienced AF, I began feeling tired, and everything was beginning to be an effort to do. Atrial myopathy as the cause sounds really plausible!
Oh No!! I’m so very sorry for the loss of your dad. My heart is sad for you. I can relate. I lost my dad in 2018, I too miss him every day.
Mini heartfelt blessings to you and your family
Very well put I’m not on anticoagulants and I have AFIB , feel fine and bike sometimes over 2 - 3 hours and have had no problems
And sorry for loss of your father sanjay 😔🙏🏼💙
So sorry for your loss Dr. may his soul rest in peace , thanks for your contribution to us
First of all, my deepest condolences for the passing of your father. I’m 61 and have dealt with skipping beats AF for 30 years. I was never prescribed anticoagulants because my AF occurrences were infrequent however I frequently have PACs and PVCs. Last week as I had a bout with AF, my right arm and leg felt numb and heavy. I’ve never experienced this feeling so I went to the ER. By the time I reached the ER, within 15 minutes of the onset, the symptoms subsided including a slight droop on the right side of my face. The ER Dr. ordered a CT scan with contrast which showed no sign of a blockage or clot. However one of my cranial arteries was shown to be narrow. I was discharged after an overnight observation and a follow up CT scan. I was diagnosed with TIA and prescribed Eliquis as a preventative measure. This was certainly a wake up call for me.
How can atrial myopathy be fixed rather than anticoagulation?
I think this is a wealth of knowledge. Thank you Dr. Gupta. Please continue to educate us patients. God bless you.
Sending my Condolences to you and your family. Thank you for this enlightening information.
Thank you Dr Gupta very much appreciated. Sorry for your loss.
I am learning so much from you.Thank you,Dr.Gupta.Sorry to hear about your Father.I am sure he is soooo proud of you,and ur teaching everyone,about the heart..God Bless.
we all appreciate your channel Dr..... Thank you ...... you help so Many of us .....sending you love and light
Hello doctor, my condolences to you and your family, Thank you for your time and sharing your knowledge with all of us. May a God bless you.
Excellent. Rational. Thank you.
So sorry to hear about your father..Thanks for sharing
My deepest condolences. A very trying time. Good you are so involved in your work, doctor. God be with you. Excellent video.
So sorry to hear of the passing of your father
Rajat di ....condolences for your father....om shanti
Brilliant! Lightbulb moment.
Thanks for the latest insights.
My deepest condolences sir..
Dr sanjay gupta sir important subject but not audible at this end dono now the reason thanks 17/04/2021
Excellent information Dr, looks like the evidence is heading towards your hypothesis ,much appreciated, love your medical analysis, best of luck to you and yours
Very interesting, thankyou very much.
Wow! That was an amazing video. Thank you! I’m in my early 60’s and constantly fighting with my cardiologist over anti-coagulants. I will not take them. I’m very athletic, and worry about bleeding.
About a month ago, I had an armload of things, and slipped on the floor- falling chest first into the arm of a chair. I wasn’t able to brace my fall, and probably either bruised or broke a rib because I was in pain for six weeks. Had I been on anti-coagulants, I’m sure I would have had internal bleeding and would not be here today to tell the tale. I would rather risk a stroke than internal bleeding or a brain bleed.
I know I’m playing the odds, but hopefully I won’t have a stroke. I hope these studies are done because it would be great to know if I’m not at increased risk.
On another note, I”m saddened to hear of the passing of your father. How proud he must have been of you. You’re a one-in-a-million doctor with such compassion for others.
Look up the wolf mini maze. The close off the left atrial appendage during the procedure to eliminate the need for blood thinners and eliminate the risk of stroke. Best of both worlds!
@@sdr5757 That’s major surgery.
Mini maze is minimally invasive. Maze is major.
Look up the Wolf Mini Maze. You'll be glad you did.
@@sdr5757 no thanks
I find this extremely interesting. Yes, I agree on the atrial myopathy aspect. I also am interested in the BNP. During my A-fib episodes I have frequent urination, would the BNP rise only during the episode and cause the frequent urination?
its normal for increased urination during afib as when your heart rate increases your kidneys are perfused normally more which means you would make more urine
Thank you, always so informative and easily explained 👌
Extremely useful information. Thank you
Very interesting
Thanks a lot for all wonderful informations sir... Im from India actually tamilnadu hope u know that.. my 8 month old son have bicuspid aortic valve... His heart beat is extra 10 beats than other normal babies.. does it leads to early surgery or is there a possibility to get it settle down sir??? And it's Rcc and Ncc fusion type sir... Pls reply sir.. its really very new to us and for our culture its nearly killing me... All i want is to my son lead a simple normal life... Is that possible or does it affects its lifespan sir... i Hope get a reply from u sir.. thank u
Dr Gupta what are you thoughts on taking Cardiokinase in place of Apixaban for Afib.
Have there been any studies on the number of strokes resulting after the left atrial appendage has either been clipped or removed? Also, the effectiveness of the Watchman, although I don't believe it is good as the ligation or clipping of the LAA. My understanding is that is where the clots are primarily forming irregardless if it is afib, aflutter, or a poorly functioning left atrial chamber.
I have long covid,POTS and hypertension.I am just going to guess that I am at high risk.When I stand my rate goes thru the roof.I started taking omega 3.Going to start the C regime.We'll see what the future holds?
Thank you.
This is very good logic.
Do we know the cause of cardiomyopathy? If so, is it possible to resolve it?
I agree. For many years when I lie down I would feel a surge in my chest. It finally showed in an echo cardiogram as aortic regurgitation. I think this is a much bigger problem for me than my a-Fib because it can be gone long before I get to the emergency room but I think is a much bigger threat to my health.
Thank you for sharing insights and personal work experience for our benefit. It is like radiant beams of sunlight striking out a path in a shadowed landscape. The wind shifts and ushers mourning clouds to diffuse and let the light shine. We are here for you. And love to hear from you as you journey and journal.
QQ. is bnp released from other myopathy. Is it specific to heart 💌
Thanks for the info does exercise improve the risks of Atrial Myopathy
Please accept my sincerest condolences.
Thank you my husband has afib. You brink understanding
Great explenation, I heard no issues with the audio problems in this video , btw.
Thank you Doctor
I think that AF and stroke are manifestations of a minor/partial 'shut down' mode. The bodies attempt to repair pre-existing cerebral damage &/or cerebral circulatory systems might typically go un-noticed, but in these situations something that the patient is doing manifests as noticeable AF or clot formation (plug at the ready). eg When my brain is healing, I feel the need to relax, lie down and let my body work it's magic. When I can't do this because I'm on a nightshift, things go awry, I might feel that my heart is working harder or even get migraine.
Yesterday I 'felt' a head injury that I've endured for decades finally clear up. Tension finally gone. But what was new to me was the feeling that there was a layer of plaque coating the roots of my teeth (only, I think great oral hygiene helps). Weird & gone today.
Excellent logic.
Thank you. Very good information.
thanks for that info.
Very interesting this video.
At 74 with permanent af(detected 4 years ago),I have a chadvasc score of 1.
However,next year at 75 yo I will be advised to anti coagulate.
I have resisted anti coagulation since being diagnosed,and wil continue to do so.
The research then seems to point to a heart structural problem (weak walls?).
I have had two ecg over the last 2 years which show no abnormalities,so I am relieved at the hopeful change in guidance ref automatic anti coagulation.
I had a consultation with him and discussed anti coagulation He referred me to a study which researched Alzheimer’s in AF patients who did not take anticoagulants! I now take them as prescribed Cutting the risk of strokes by 60% is also a big plus.
@@anelson8130 But what is the percentage risk of stroke without af?
It is very low(providing no co- morbidities)
Therefore the increased (supposed!) risk of not taking anti coagulants is much smaller again .
Personal choice on the available evidence after rusk analysis.
When considering the risk of bleeding whilst on anti coagulants,a risk also,then the case for prescribing tgem is reduced considerably.
@@MrDunni12 I used to think like you and a conversation with Sanjay changed my mind. That’s all I’m saying For full data perhaps you could email him He’ll happily provide you with details. At the end of the day it’s your choice. I wish you well x
Thanks