Everything you need to know about pacemakers in Afib
ฝัง
- เผยแพร่เมื่อ 7 ก.พ. 2019
- In this video, I describe two indications by which patients with Afib may benefit from pacemakers. These include pacing for tachy-brady syndrome and in patients who require 'pace and ablate'. Id be so gratefull if you'd consider subscribing and sharing. I also have a whatsapp number 447951310008 and if you send me a message i can send you my broadcasts. If you'd like to speak with me please visit www.yorkcardiology.co.uk
I have had a pacemaker for 2yrs now. I,m so thankful to the Doctors for looking after me. My quality of life is much better now & I,m feeling a lot better.
Dr Gupta has made me realize that their are still doctors around who care about people keep yup the good work nuff respect sir
Thank you for this video. I am a 72 year old female and have had Paroxismal Atrial Fibrillation for 12 years. I have been through all the drugs to surpress the the symptoms including the worst and last one (for Me) called Amiodarone. The side effects of this drug was horrendous and caused problems with my thyroid, terrible sore eyes and could not go out in the sun as I would burn so quickly. After being admitted to hospital 33 times with fast PAF I know just about all the nurses and paramedics by name. I have had 3 catheter ablations and 4 cardioversions and now have a massivley enlarged left atrium. My life was becoming totally intolerable. At this stage I was having PAF episodes approx. every 2 weeks. There was no other path to go down, I was terrified at the suggestion of my Cardiologist to have a " Pace and Ablate" proceedure. I was also by this time experiencing periods of low blood pressure and faintness. I met this half way and just had a pacemaker fitted October 2016 just to control these symptoms of which it did. My episodes were now changing into periods of very fast heart rate (Tachycardia) that would last for weeks. This made me feel exhausted, frightened and every movement of my body seemed to make it worse. Still terrified at the thought of having this "Pace and Ablate" proceedure I decided as a last resort to try some more horrible drugs with their side effects to try and control my heart rate. I took them for a further 12 months and still had emergency A&E hospital admissions they just did not work anymore. I finally I saw the consultant again and it was agreed that this drug treatment was not working, and for the best I really needed to have the "Pace and Ablate " so as to have a better quality of life with NO more AF episodes. I had the proceedure done at Harefield Hospital nr London in Oct 2017 and have never looked back. I know I have this little metal object in my chest but I feel so much better now and can get on with my life. To all of you out there who may be going through this awful dilemma, when you have reached the end of all your options this really is the best thing that you can do for yourself. If the pacemaker you were born with is not working properley despite all the horrible drugs, ablations, emergency A&E hospital visits etc. and giving you hell, then get all the help that is offered. Try not to worry too much, then hopefully you too can get on with YOUR life too!
Thank you for telling your story. I’m pretty much in the situation that you were in. I too have tried every option, but to no avail. I go tomorrow to have the ablate pace procedure done. Your testimony gives hope that I to can get my life back. Because of my heart condition I’ve been housebound for 24 years.
I’m so glad that this procedure has worked so well for you.
Thank you this, you explained this extremely well for the layperson to understand.
Thank you so much, Dr. Gupta, for all your videos. I am 3 days post-pacemaker surgery and your videos are more relevant than ever. I'm like a new man and grateful for medical technology and medical professionals like yourself. Cheers!
I have watched so many of your videos on a fib and I watched you on TV (don’t remember the show). I love the way you make everything so easy to understand for the average person. I have had a fib on occasion for 5+ years and my cardiologist recommended a pacemaker after a 2 week Holter monitor showed my heart slowed drastically on a few occasions. This video has given me enough info. to ask some questions and feel comfortable getting a pacemaker if recommended. Thank you for sharing your wealth of knowledge in a way that we can all understand! Keep it up...
I have had uncontrollable afib and fast heart rate for over three years. Three ablations and multiple cardio version . Final my docs are talking about pacemakers. Found the most detail info on your videos. Straight forward and understandable. Thank you so much for the time and effort you invest in educating us.
Thank you again Doctor great explanation of the different uses of Pace Makers…I’m planning to have one after my 106th birthday.
I thank you for sharing this post. I have Afib and was diagnosed Jan. 2017. I had OHS June 2017, with both Aortic and Mitral valves were replaced. The MAZE procedure was done at that time, as well. I have remained in Afib. According to my Kardia, I have not had Afib since December 14th. It has been proposed to implant a Pacemaker with AV node ablation. I am still on the fence with that. Thank you for explaining all this, it is so helpful. I always look forward to your posts! Thanks again!
Thank you for this! I had lone afib once 9 months ago, ive changed diet, no caffeine, take a beta blocker and 500mg magnesium. I hope it doesn't happen again, but all your vids educate me. Bless you.
Thank you,for a very informative video.its great to see you again.
This video was very interesting and informative--that why I love all of your videos!
Thank you so much. I really appreciate these video's since I have afib.
Thank you for all this information it really puts me at ease. I have a pace n I'm a fib this video is talking to me.
Thank you so much, Doctor Gupta. I have been reassured many times by your clear and informative videos. What a valuable contribution you make to the you tube community.
As always, great information.
Fran in Canada here. Old Oncologu nurse. Having two children living in thte UK you give me hope re NHS. Appreciate whàt you do and your clear explanations. Thank you.
Hello Dr Gupta and greetings again from Halifax Nova Scotia. Just to let you know this was very informative. I have AF and my dad had a pacemaker. Fortunately my rate is well controlled by medication ...
Great presentation. Most understandable .l
Excellent !!
Thank you so much for this information. I am getting ready to wear a heart monitor for 5 days to see if I need a pacemaker. I have AFib and my heart rate goes into the low 50 to high 40 sometimes.
I recently had a second Cardioverison and put on Tikosyn 500mcg twice daily. Am in normal rythmn. But Dr worries about the low heart rate. So he wants to see how often I go low. I was in AFib all the time and so SOB but since Cardioverison and Tikosyn I am much better, able to do things I haven't been able to do for 2 years.
Your information really helps keep up the good videos.
Great explanation
thnks doc. well said
Thank you for all the information dr. I've been getting heart palpitations since last November they have done some tests including an ultrasound they tell me tha my heart seems normal but I still keep getting them its frustrating. Thanks again for everything you do, Blessings.
Thank you good 2 see you
Nice thanks dr gupta
Past 3mths implant biv pace maker good information about this divice
Dr gupta sir good stuff on implanting a pace maker in AFib abnormal heart beating a good guidance thanks and good wishes 26/11/2019
The drugs just did not work for me,except Amarodian,but the side effects got quite disturbing. So,in late Sept. I got an Ablation and pacemaker...I now feel like I did before this heart nonsense started. I get my pacemaker adjusted this month.
My husband was diagnosed with tachycardia was on metoprolol Er 50 mg for 6 years and now has a pacemaker at age 34 I believe it was from the meds that caused the slow heart rate.
Hi , thank you for your video. Your channel has helped me greatly . I started with AF in 1989 paroxysmal initially them permanent AF . I was a top class cyclist until my late twenties . AF became more and more troublesome over the years . I then had an ablation every year for 5 years. Thought it had cured it . Stayed in sinus rhythm for 2 years . Then dropped into AF again ... surgeon decided to go for AV node ablation and pacing .... day before the procedure I dropped back into sinus rhythm! .... ok for 6 months then dropped into AF ..... procedure booked again ..... day before procedure .... dropped back into sinus again !! .... now been in sinus for 6 months. . I really don’t know what’s happening ?
I do think that changing my diet has helped . After your video on inflammation .... I tried to take lots of olive oil etc and I genuinely feel better .... fat but better !
If it drops out into AF again I will have the AV node ablation and pacemaker fitted as I really feel ill when in AF . My surgeon says that my atria are so scarred now they are not contributing much to my output anyway ?
Any advice would be welcome . Thank you
@ chris bracknall -did it really take 5 ablations to stay in sinus rhythm for 2 years? I’m looking at getting an ablation done but I don’t want to do it if it’s going to take 5 procedures, that’s a lot. Thanks for sharing.
@@valman008 I am a competitive cyclist my first ablation lasted 6 years and just had a second one a small touch up...Trust me it will be the right thing to do...It is always a factor that you will need a second ablation most times....
Mannington Villavicencio Hi yes in my case it did . But remember I had been in permanent AF for 25 years! I was too stubborn to have a pacemaker fitted as suggested by papworth hospital . I found professor schilling at st Barts in London who gave me a 50% chance of success because I had been in AF for so long . If you haven’t been in Af for very Kung I am sure it will be much easier for you ?
chris bracknall
Ahh... I see. Thanks again.
@david mellor - second ablation?! I’m too scared to get through the first one. Thanks for the encouragement though. My doctor says I’m still paroxysmal but I’m getting to persistent. So, I should make a decision on the ablation. If you don’t mind me asking, how did you find the right place to get your ablation done?
Great video once again DR. Can you please do some videos on Chagas Cardiomyopathy, Brugada syndrome and Prinzmetal Angina. Would be greatly appreciated. Regards
Your videos are great. They answer so many questions. Could you please do a video on hyperthyroidism and afib. My wife had a thyroidectomy about 25 years ago and has always taken too much medication because she didn't want to get fat. Her T3 runs at 9. Now she has afib and I think that her overmedicating could be a lot of the cause??? Her doctors don't seem to see it for some reason.
As far as I can remember , as an adult, I have had a slow Heart beat. 40 per minute, while at rest, and about 60 after a fast walk. I was told that people with slow heart beats, were most prone to Afib. BUT--- the consultant said to me, we only get concerned when it falls below 30 bpm. I later had a Pacemaker fitted , because after two unsuccessful Ablations, a third was considered, but, as my A.V. Node was apparently too damaged, I was assured that a Pacemaker was best. A year later, it was replaced by a more updated one. At rest it beats at 60--per min.
My mother who is 88 years young with Afib, just had the little micra bullet pacemaker implanted, she is doing fantastic! They may end up doing an ablation. They are going to try medication first. She has an awesome surgeon where we live in Thousand Oaks ,Ca.
This is wonderful news. I have 88 yr old mother who thinks she is 58 and sometimes her heartbeat goes up and down on slight emotional upset. We thought that she may have AF or something else, but they found nothing. So this is useful just for informative purposes. I never heard of this procedure your mum had. Must look into it.
Angie Stones Ph.D. Angie , my mom as well thinks she is 55 😂👍🏼. My mom had dizzy spells and has taken way to many falls. Not one broken bone! God is watching over her! Make sure your mum is proactive on how she is feeling😊
@@krislane9074 haha...sounds so familiar.
Please make sure medications are not the cause of her dizziness, fatigue and responsible for the falls. Blood thinners and BP meds can do that.
@@peggymicsky8607 Hi Peggy! Yes she was on meds she shouldn’t have been on, all straightened out.she was then almost 89 … she is now 92 and happy to say she is still with us, healthy as she can be and all together there! still driving locally and still in her own home! I sure hope I have inherited some of her good genes!
I have a pacemaker, had one attack of afib 2 years ago tjat stopped after 50 min. So, don't know if it helped. Also had one NSVT over a year ago 12 beats. Did the dual lead pacemaker maje me have this or did it help pull me out of it? Been to 2 drs no one has answered this. I have the pacemaker for sick sinus syndrome. Had symptoms with the NSVT. Thank you for the great videos. Angie Calvo who you met here is a friend of mine!! Great lady! She works so hard.!
Thanks for the info. I have heard some horror stories re the pacemaker keeping going at time of death, and ethical issues re turning it off. Could you address that?
Hi !!! I have been watching your videos on youtube for a while now. Thank for sharing your medical experience. My mother who is now 87 years has been "Eliquis 2.5 mg twice since May of 2017. She was diagnosed with "Afib" in 2017. I am concern about the long term side effects of "Eliquis". Is there a better drug out there in market at this time. Thank you.. Hector Godinez
My mum had a pacemaker inatalled at age 88 andnit bought her 4 more years..
Dr. Can magnesium supplement help AF patients
Without pace maker there is life
Heart rate drops to low 46 and high of 161 while trying to sleep! Excessive tiredness, dizziness, blackout...yes, I've had it. The Doctors tried ablation and another procedure, unfortunately they did not work. Great information/video. My question is if the heart rate drops to say 46, does the pacemaker activate to increase the rate?
Thanku so much Dr.My hubby is an HCM patient for 15 yrs,has diaphragmatic venetration and Af.latest holter reports shows slow pulse rate.what is Ur suggestion about fixing CRT P or CRT D? please inform
Can you please be my Doctor? Thank you for sharing 😇🙏🏾🛐💯
This is the first of your videos where I could see your right hand. Are you a finger style guitarist?
I’m only 20 years old and had to get one installed yesterday.
Hi, what kind of pacemaker or procedure was your's?
Have you seen a difference in patients that have external pacemakers and the internally implanted pacemaker?
Very good information sir..... Loved the way explained...... Sir plzz do video on pulmonary hypertension
Hi, I think there is a video on this topic somewhere in his video library. Do a search.
Ya i have searched.. Did not find it.... Sir promised me he vl upload abt pulmonary hypertension
@@AngieStonesPhD ok mam
👍
I have atypical flutter and just had 2 lead ICD “installed”. Trying to get use to this
Hi, I am 29 with a pacemaker. I have tachycardia induced dilated cardiomypathy. Thank you for the video. I have found that whenever I am stressed my heart gets literally painful or some sort of a burning or tingling sensation... Should I go back to the cardiologist or do I need to learn how to manage stress?
After the ablation/pacemaker procedure,does the continuing afib in the atria continue to degrade(increased dilation)the atria? Do modern day pacemakers control heart-rate both ways(increasing or slowing)?
Thank you, I want to ask you, my husband has a biventricular device and in 100% AF for some time on a waiting list for an ablation. I'm a Physiotherapist and I am aware of his risks whilst he waits for this procedure but unfortunately the NHS Cornwall is struggling 😢.....why does this AF occur and if he has the ablation what is life exigency? He's 46yo.
Hey would you happen to know why my BP won’t go down even while taking 4 different bP medicines? Now it’s affecting my 1 left kidney
Dr Gupta can u please explain why we only pace ventricles in A fib since the atria arent working so why not pace the atria too?
Appreciated the video. While waiting for my 2-lead pacemaker I had a brain hemorrhage (6 years ago). The consultant thought it was a blood clot caused by afib. He wouldn't give me blood thinners without an MRI, which I couldn't have after the pm implant. He said I was at high risk of another. As most clots are caused by afib I wondered whether sealing the atrial appendage would have greatly reduced the risk. He didn't suggest this. Am I right?
Some doctor's don't care.. it's all about money ..I hope it will not happen to them
Hello, I was diagnosed with a condition called Brugada syndrome back in Jan of 2018 at the age of 32. After an episode of AFIB (and a heart rate of 240 Bpm) I was able to get enough strength to get to the hospital in which I was diagnosed. While there I got an Ablation as well as a Implanted Defibrillator to treat my condition. The unfortunate part of everything is I've developed really bad anxiety from everything that happened and am fearful to get my heart rate up and my quality of life has decreased drastically. Could you possibly do a video about Implanted Defibrillators as well as Brugada syndrome? I'm hoping the more I understand what's going on in my body and far I could push myself and not have to worry about the Defibrillator shocking me the less fearful I will be to workout and get my heart rate up like I used to. Thank you for your time.
I feel you brother... I'm too
Does vymada 50 mg tab helpful in my husband case?
What about a person that has a defibrillator, what the good in that.
If paroxysmal afib is caused by low heart rate during sleep then can treating the bradycardia with a single pace to the ventricle without ablating the AV node cure afib?
Is pacemaker useful for an HCM patient with AFB?
I have a slow heart rate .Can too many vitamins slow the heart rate?
rat ko 1 baje jab me sone hi wala tha mujhe thand me b pasina or chakkar aane laga or meri dhadkan 100 se jyada ho gai Aisa q hua sir Please explain
Sorry but this is not everything you need to know, I put off having catheter ablation for my afib cause I was scared of post ablation issues, my worst fear came true , my EP ablated to much of my sinus node and now I have sick sinus Syndrome, ..I was not informed of this particular post complication and this is EP's fault ..now I'm worse and completely miserable
That's my problem. These doctors do not tell you all of the complications you could face. They make it seem like these devices and drugs are no big deal. Then when you call them with problems you get crickets.