Minimally Invasive Treatment Options for Atrial Fibrillation (A-Fib)
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- เผยแพร่เมื่อ 20 ก.ย. 2017
- Get an inside look at the cardiac catherization lab at Barnes-Jewish Hospital where Washington University physicians perform minimally invasive procedures for treating atrial fibrillation (a-fib) and other heart disorders. Atrial fibrillation is an abnormal heart rhythm and the most common electrical heart problem in the United States. Watch as Mitchell Faddis, MD, PhD, discusses minimally invasive treatment options for atrial fibrillation including the use of rotor mapping. This approach allows physicians to identify and ablate the precise area of the abnormal heart rhythm.
Learn more about minimally invasive treatment options for atrial fibrillation: www.barnesjewish.org/Atrial-F....
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Thank you - wonderful information for a very frustrating (even scary) ordeal.
Same here. Angie asked a lot of questions with a lot of curiosity that a layperson would ask.
I thought the interviewer was fine and asked good general questions to guide the interview
Better than many national interviews
I had cardioversion in the beginning of December 2021. Everything is still great, no problems with afib since.
Thank you so much for this video. Having Cryoablation done.
Rest in peace Dr Faddis
Very,very interesting.....
What kind of testing does Dr. Faddis do to determine that, maybe with some certainty, that a catheter is the best non invasive procedure to have? Sounds great but what about the cost? I don't want to have a coronary if my Blue Cross/ Blue Shield don't pay the majority of the costs.
Good evening out of South Africa
I had no anesthesia with this procedure though
I had this procedure done on the 15-5-2023 the Dr had to stop as I couldn't take the pain he informed me that if it's that painful he has to stop he can't go on they end the procedure the next morning he came to see me and informed me that there is nothing more that can be done for me not even open heart surgery would help or work
Debilitating illness. Exhausting when it is day's or week's.
This disease completely destroyed my life. I have no energy, can't work well (or not at all), can't concentrate, I can hardly walk, I have permanent Afib, I am on bloodthinners, metoprolol, Dronedarone and Candesartan against high blood pressure. It just doesn't work, I feel like a wreck. I think I will die soon if this goes on.
Please look into the different procedures available. The maze procedure is better for permanent afib.
I've had A-fib for 13 years I've been like to know is there anything they can do to get rid of my AFib
Whats your success rate ?
I had cardoversion for my afib worked great. The shock the heart to get it into regular rhythm.
I’ve had 2 ablations and neither worked. Looking at a 3rd. Will a hybrid ablation be more beneficial?
@@paulmorley5843 stop burning your heart anymore, its not good next thing youll need a transplant
2 unsuccessful cardioversion. I had TEE AND CT 7 days ago under mild sedation no clots. Then on 10/28/ 22. Was in INTUBATED and attempted multiple times to pass scope for TEE, didn't attempt cryo ablation, went home on METOPROLOL, and resumed eliquis, and dofetilide, throats, sore, swollen, was given steroid for swelling, can't swallow, choke on saliva, I would only attempt an ablation at a different facility, and no students MD ever touching me!!
@@paulmorley5843
I would choose another Hospital with better technical Equipment and hundreds (!!) of ablations a year.
@@hummingbirdsohm6432
Hummingbirds
Did you delete my comment ? Are so so v e r y sure that after ablation patients will need a transplant ? Imagine you influence Paul to n o t try another alation at a better equipped/ better staffed ( as far as experience is concerned) hospital and this is n o t the right advice.....it could be harmful. What Life is that - with such a lousy lousy heart pump efficacy......
The woman interviewing needs to let him talk then ask questions.
In AFib 2009 many times put back in rthyme many times my life is not good I only have medicare
So would this be effective in patients having afib with rvr and that has a slight murmur?
Can you get off some meds, diltiazem, metropolol and eliquis eventually?
Cardio0version was bot successful in my case, a pace maker was fitted. After cardioversion was successful. Can this proceedure be carried out after a poace make is fitted?
Is this procedure applicable to random AF
I hv AFIB and mitral valve regurgitation. Slight stroke in 60s. Now78. Had symptoms when 32
No diagnosis bt meds. Now increase to250mg metoprolol 15mg xeralto bromazapam 30mg
pr day...nolife no hope Your procedures will help others bt l give up. No one understands WHY l can't do anything. Ppl make me feel sobad😭😥
🥲
It's probably the metropolis. I'm on Soto lol, and I sure can't do much. It forces the heart to beat slowly so it's a bad feeling.
Metropolol. Sotelol.
Is morning Coffee No Sugar Xcercise, Dumpbell advisable? ELIQUIS my blood thinner almost ayear now.
I felt terrible for a week. Them I still felt not great for about a year. It's a big deal! Believe me... glad I did it. Hope I never do it again I had it in 2013 it's 2021 now
I will have my First Ablation in a week .. Did you have Afib episodes in this 'not so great' year ? How are you today ? I h o p e very good.
If you had it in 2013, technology should be a lot better 10 years later in 2023
@C. BL1986 I can't remember if I went into A-fib that first yr but I did a few times throughout these 10 yrs. I was on xarelto and hadc2 bad internal bleeding. Had major surgery last yr to include another ablation. I remain on heart meds to keep mecfrom a-fib, it just doesn't work all the time but I feel grat and I pray you will have great success!! You will!!
Can you have this done if you had A-fib for like 13 years
How effective is a pacemaker for a irregular rapid heart rate?
Morning black Coffee Xcercise, dumpbell stationary bycicle, 5mg ELIQUIS daily almost a year now.
I had Cardioversion TWICE and within 48 hrs AFib was back again. BOTH times.
I’ve had 3 cardio versions that worked for a few days, but then I went out of rhythm. Was then prescribed Tikosyn, and it did partially control the A fib for a year and a half, however did not control it completely. I would be in rhythm for a few days, then go out and then go back in. Frustrating. Finally, and as of today, I have been out of rhythm for over 100 days so I was told to stop taking the Tikosyn. Need to determine what next steps are, probably an ablation, but only 70% success rate. Not sure what to do.
Good luck Mark. Stay positive!
My German doctors told me :" Do not wait too long with the ablation. The longer you wait the more "crazy firing spots " develop. I will have mine very soon , after in and off for days and now , today, for the 19th day nonstop.
There is a treatment called mini Maze in Houston, I'll see if works for me, i definitely don't want an ablation
@@juvega2877 Let us know if mini maze works! Good luck!
Mini-maze would be more appropriate for permanent Afib.
What about tikosyn?
I’ve failed to have a cardiologist suggest lifestyle changes but go straight to those blood thinners. What’s with that? I’ll keep figuring it out for myself. I’ve seen what blood thinners do to people. Metoprolol is bad enough. Anyway interesting video but I think I’ll keep working on improving health over the medical hell I have already experienced.
Agreed. Metropolo is close to poison
What do you mean about metoprolol? Please explain, as I do not know.
Blood thinners are given to prevent you from developing blood clots in the top of your heart. That pooling blood will form blood clots and send them off through your body, which can cause a stroke or death. It doesnt take long to form a clot. You couldnt change your lifestyle fast enough to prevent those. I have right sided cong heart failure with Afib and COPD. Im on Xarelto.
So if I have continuous Afib I should make sure the electrophysiologist Road maps for more success rate😅
How many times can ablations be performed?
I've had 8 now. It also depends on the type of ablation. If it's epicardio ablation, then only once.
She says put questions here and he will answer. I see no answers.
What is the success rate and longevity. I would expect a lifestyle change, which is what we should do anyway with afib.
Doing s p o r t s, riding the bike - 😂😂😂 haha.
The ablation of rotors with or without pulmonary vein isolation has been shown to have no superiority to pulmonary vein isolation. (2019). So the effectiveness of the new FIRM ablation has been disproven. This video should be removed.
Reference?
You are right on. He didn't need her either.💔💔
Can you explain? Are you a physician?
I take ribose but am on Metoprolol & Diltiazem. The Metoprolol has too many side effects.
Be careful with ribose. Check out studies about how it affects cognition and dementia. Sorry.
Do you need a pacemaker after the procedure?
No.
I have been in AF NOW for five weeks, does this make me a candidate for treatment and if so would ablation be best option?
Yeah...mine also not being treated except blood thinners & propranolol. I keep hearing bout all these things but apparently medicare docs don't offer them.
Do Not wait too Long, my cardiologist Said. Because the scars of racing Heart do harm
Has this ever failed ?
We think??
Left me with severe bruising in both inner thigh to ankde
Told I have a/fib since ecg done October 28th 2021. Totally drained of energy. Walking, even on a flat road, I need to take baby steps due to breathlessness. Was put on beta blocker and apixaban. Feeling very poorly.
Yes, during an A-Fib episode I felt and moved like the Tim Conway old-man character on Carol Burnett show. Everything is almost slow motion, but I m trying so hard to get going 🙃👵🏼🐞
@@meman6964
Feeling Like 40 and suddenly walking Like old age....🥺😝 Lousy shit. I do my best to reach BMI of 25( now 29 with more fat than muscles😉)
How ya doing now a year later?
@@lindalamb7512 Hello Linda, hope you are in good health. I had cardioversion Jan 2022, thought it would be a magic cure. I do have more energy but not as before. Even at rest I feel my heart going out of rhythm , not daily, but I know when it happens. Then it passes. I am hoping for a check up soon. I am taking bebivolol 5mg, plus apixaban. Need to push myself.
@@roisinwhite390 please take care. Wishing you good health. I have afib too and have been cardioverted twice this fall. This disease stinks!
This is Minimally Invasive??😂 How about diet, exercise, and a good night's sleep. I stopped drinking alcohol and immediately my heart palpitations went away.
Giving up stimulants like caffeine & nicotine is extremely helpful. Although I just found out I have an atrial clip. Guess they did that when I had my 3x bypass.
Goody gumdrops. Everyone is not the same.
U do realize that for some people with afib, exercise is out of the question! And not because of laziness
@@brusselsprout5851 …I did too, but it’s progressive…7 or 8 years later now this demon is back and reeking havoc
u
No comment
watchman tech?
FC. O o8
I was trying to get some info but couldn't focus the nurse is to pretty lol. Jokes aside I'm about to have AFA done ugh.
She should stop talking.
Do you have to be experiencing actual Afib At the time of the ablation procedure?
My question.too. 🤔 I am having my longest now:19 days with both medications. In a few days I go to the Hospital for ablation. .....
No, they'll put you into it if they have to. They can trigger it when they're inside the heart.