Just having been diagnosed with Afib, I found this incredibly enlightening. Answered many questions I have about Afib and treatment. Just another great video from Dr. Leslie.
What an excellent discussion and solid information. I am 85 and take two 5mg Apixaban per day. How fortunate to live in Australia where recently the Goverment increased the dosage allowable on one prescription to 120 tablets at a cost of $AUD 6.20, That is about 2 months supply. I also take daily aspirin to prevent my platelets from clumping because I also suffer from intermittent claudication. Recently my excellent skin specialist excised two basal cell carcinomas without the need to stop my blood thinners. Thank you again.
I am greatly thankful for your video; I watched it several times: I am over 80 years old and under treatment. The information in you video helps me understand my cardiologist chose for me. Now I know my options regarding the blood thinner. I know better asking my doctor questions. Dr. Fellegrini is the best in her field; between you and her, the utmost knowledge on AFib is given to anyone who has AFib. I will be watching all your videos. Thanks a million. Linda Tran
Yes, that's a rhythm control medication. For this episode, we didn't have time to go into any of the specific drugs that are used for rate control or rhythm control...the pharmacological management of rate and rhythm control is a very dense topic to cover. Dr. Pellegrini teaches it regularly to medical trainees, however it's beyond the scope of this video.
Very interesting. Excellent and common sensical. The last cardiologist I viisted was full of doom and gloom. These ladies are upbeat and reassuring which is more than Ican say for the cardiologists I went to. I have two questions. 1) Are there any clear differences in symptoms between atrial fibrillation and ventricular tachycardia? 2) My "flutters" seem to be always triggered by physical duress and/or sudden movement. The stress test itself is proof that doctors consoider physical duress as important, so isn't physical duress and sudden movement also a major factor in triggering this?
Very good conversation with fresh and useful information!❤ thank you ! ❤ also I liked the fact that conversation had diagram showing important facts! ❤ I wish both doctors speak about pacemakers in more detail in the future dialogue ❤ thank you again ❤
Wish more of this was taught in high school preparation for future and adjusting lifestyle. Food. Excersize. Education is the key. We are in 70 s. And was caught totally off guard.with a fid.
Great video. I have afib and have no symptoms. I was on Eliquis for about 5 years. Was waiting for the generic version to happen. I was having troubles paying for Eliquis (after my insurance). It was costing about $300.00 a month. How can someone who has no insurance pay for this. Last February Eliquis was to have generic version. They did not have it ready for release. The "powers to be" gave the drug company another 3 years of "Raping" our elderly. At that point my Dr. told me about "Watchman". It has been 1 year since I had it installed. No more Eliquis, yay. The worst part of the procedure are TEE's that you have to have. My last TEE is this Thursday. No problems.
Thanks for sharing your story. Yes, the blood thinner Eliquis (apixaban) is still very expensive. And yes, Watchman usually requires getting transesophageal echocardiograms (TEEs). Glad it has worked out well for you!
I know a few people who are older and younger than me that have afib. I was wondering from the info you just gave is it possible that just getting more exercise into a person's life who is a little over weight and not as active can strengthen the heart and possibly reverse it? They are otherwise in good condition. Thanks for the video and information.
Yes, as Dr. Pellegrini noted, recent research suggests that exercise and other healthy lifestyle measures can reduce atrial fibrillation. Here is an interesting recent scholarly article: Effects of different exercise methods and intensities on the incidence and prognosis of atrial fibrillation www.sciencedirect.com/science/article/pii/S1050173824000021 "Multiple studies underscore the efficacy of moderate-intensity continuous training (MICT) in reducing AF incidence and symptom burden, rendering it the currently favored exercise therapy for AF patients...Conversely, prolonged high-intensity endurance exercise exacerbates AF risk."
Is mitral valve prolapse / regurgitation also called or be a heart failure ?? And could it cause atrial fibrillation ?? 🤔 As I do get AF , sometimes really heavy fast thumping palpitations for lengthy periods ! Tia 🙌
A leaking mitral valve can cause the atrium to enlarge, and anything that enlarges the atria tends to increase the risk of afib. I would recommend asking your health provider to explain your echocardiogram findings and whether you have signs of heart failure; it can be related to mitral valve regurgitation but they don't always happen together.
@@BetterHealthWhileAging ty soo veryyy much 🙌 Truly appreciate your response 🫶 Yes I will ask him … as I’ve often thought it could be related & read that it might be also !? 💁♀️ It’s a mind field out there with varying info 🤔 Important & Excellent work well done 👏 ☺️ Bless 💜
I would recommend discussing your magnesium levels with the health provider managing your AFib. Magnesium levels can certainly affect heart function and arrhythmias, here is a recent scholarly review: www.mdpi.com/2227-9059/10/10/2356
I had low magnesium - below range. A couple of weeks after eating foods high in magnesium I was mid-range. pumpkin seeds (1/4 is 40% daily requirement), brown rice, black beans, almonds, cashews, and more yummy foods. No need for a supplement which gave me GI issues.
I ha A Fibrilation. I take blood thinners for mine. I haven’t had any trouble since. I myself don’t ever buy chocolate, don’t eat anything fatty, biscuits don’t buy. and have any real creamy cakes a very odd occasion I will. I have blood pressure but am in tablets for high blood pressure. I’ve never had any problem since. I’m on blood thinners pradaxa. There are others around. When taking warfarin take it the same time each day you’ll be fine.
This is no more than an advert for unnecessary Frankenstein medical procedures. What you have to understand is that Afib is a western lifestyle condition, it's not a genetic condition. Afib is either an extrinsic condition related to electrolytes a deficiency of either magnesium, potassium or sodium or it's intrinsic to the heart. So you don't need expensive medical procedures, either take magnesium or potassium for for paroxysmal afib or if you have persistent afib might indicating heart disease then change your diet and exercise to repair your heart. To address obesity and high blood pressure, lose weight. Change your diet back to what we had in the sixties when people were healthier. That means more meat, more protein, less carbs, zero refined sugar and no processed foods. If you have less than 100 grams of carbs you will stop feeling hungry all the time because it's high blood sugar and the crashes that make you constantly feel hungry I could go on at length about ablation and the Watchmen procedure and why you should avoid them but it would involve a lot of facts which might overwhelm you. But there are no double blind trials for ablation to prove they work. You're just as likely to suffer a stroke with an ablation as without. All it does is reduce the atrial kick by 10% so like a persistent afib sufferer you just get used to being in. afib because your atria has been permanently damaged. Watchman can cause stroke from poor fitting and or heart failure. The Left Atrial Appendage may control thirst so if you occlude it you might drink less and cause higher BP arrhythmia etc. Don't stick things in your heart that shouldn't be there
Just having been diagnosed with Afib, I found this incredibly enlightening. Answered many questions I have about Afib and treatment. Just another great video from Dr. Leslie.
What an excellent discussion and solid information. I am 85 and take two 5mg Apixaban per day. How fortunate to live in Australia where recently the Goverment increased the dosage allowable on one prescription to 120 tablets at a cost of $AUD 6.20, That is about 2 months supply. I also take daily aspirin to prevent my platelets from clumping because I also suffer from intermittent claudication. Recently my excellent skin specialist excised two basal cell carcinomas without the need to stop my blood thinners. Thank you again.
Nutrition is the key to whole body health.
Great video, compact, covering and clear. Thank you!
Thank you ladies,
I am greatly thankful for your video; I watched it several times:
I am over 80 years old and under treatment. The information in you video helps me understand my cardiologist chose for me. Now I know my options regarding the blood thinner. I know better asking my doctor questions.
Dr. Fellegrini is the best in her field; between you and her, the utmost knowledge on AFib is given to anyone who has AFib.
I will be watching all your videos.
Thanks a million.
Linda Tran
I'm so glad you found the video helpful! And I will be sure to pass on your appreciation to Dr. Pellegrini.
My afib was asymptomatic, you are fortunate indeed, good luck🎉
I'm surprised you didn't mention antiarrhythmic drugs such as Flecainide. It's been nothing short of a miracle for me.
Yes, that's a rhythm control medication. For this episode, we didn't have time to go into any of the specific drugs that are used for rate control or rhythm control...the pharmacological management of rate and rhythm control is a very dense topic to cover. Dr. Pellegrini teaches it regularly to medical trainees, however it's beyond the scope of this video.
Concor 2.5 for me
Very interesting. Excellent and common sensical. The last cardiologist I viisted was full of doom and gloom. These ladies are upbeat and reassuring which is more than Ican say for the cardiologists I went to.
I have two questions.
1) Are there any clear differences in symptoms between atrial fibrillation and ventricular tachycardia?
2) My "flutters" seem to be always triggered by physical duress and/or sudden movement. The stress test itself is proof that doctors consoider physical duress as important, so isn't physical duress and sudden movement also a major factor in triggering this?
Very good conversation with fresh and useful information!❤ thank you ! ❤ also I liked the fact that conversation had diagram showing important facts! ❤ I wish both doctors speak about pacemakers in more detail in the future dialogue ❤ thank you again ❤
Thanks for your feedback! I'm hoping to have Dr. Pellegrini return in the future to discuss pacemakers in more detail.
Would Dr pelligrini please suggest natural blood thinning treatments
Wish more of this was taught in high school preparation for future and adjusting lifestyle. Food. Excersize. Education is the key. We are in 70 s. And was caught totally off guard.with a fid.
Mahalo to you both for the Very helpful info!🤙🏽
Great video. I have afib and have no symptoms. I was on Eliquis for about 5 years. Was waiting for the generic version to happen. I was having troubles paying for Eliquis (after my insurance). It was costing about $300.00 a month. How can someone who has no insurance pay for this. Last February Eliquis was to have generic version. They did not have it ready for release. The "powers to be" gave the drug company another 3 years of "Raping" our elderly. At that point my Dr. told me about "Watchman". It has been 1 year since I had it installed. No more Eliquis, yay. The worst part of the procedure are TEE's that you have to have. My last TEE is this Thursday. No problems.
Thanks for sharing your story. Yes, the blood thinner Eliquis (apixaban) is still very expensive. And yes, Watchman usually requires getting transesophageal echocardiograms (TEEs). Glad it has worked out well for you!
@@BetterHealthWhileAging In Canada Apixaban has been generic for over a year.
I know a few people who are older and younger than me that have afib. I was wondering from the info you just gave is it possible that just getting more exercise into a person's life who is a little over weight and not as active can strengthen the heart and possibly reverse it? They are otherwise in good condition. Thanks for the video and information.
Yes, as Dr. Pellegrini noted, recent research suggests that exercise and other healthy lifestyle measures can reduce atrial fibrillation. Here is an interesting recent scholarly article: Effects of different exercise methods and intensities on the incidence and prognosis of atrial fibrillation www.sciencedirect.com/science/article/pii/S1050173824000021
"Multiple studies underscore the efficacy of moderate-intensity continuous training (MICT) in reducing AF incidence and symptom burden, rendering it the currently favored exercise therapy for AF patients...Conversely, prolonged high-intensity endurance exercise exacerbates AF risk."
🙂Very helpful. Thanks
Is mitral valve prolapse / regurgitation also called or be a heart failure ??
And could it cause atrial fibrillation ?? 🤔
As I do get AF , sometimes really heavy fast thumping palpitations for lengthy periods !
Tia
🙌
A leaking mitral valve can cause the atrium to enlarge, and anything that enlarges the atria tends to increase the risk of afib. I would recommend asking your health provider to explain your echocardiogram findings and whether you have signs of heart failure; it can be related to mitral valve regurgitation but they don't always happen together.
@@BetterHealthWhileAging ty soo veryyy much 🙌
Truly appreciate your response 🫶
Yes I will ask him …
as I’ve often thought it could be related & read that it might be also !? 💁♀️
It’s a mind field out there with varying info 🤔
Important & Excellent work well done 👏 ☺️
Bless
💜
I have a mitral valve issue that causes a fib. I had heart failure due to this . Meds are necessary to contain my problem.
Thank you so much for the information..expecally watchman
Ive just been diagnosed with non-valvular AF and prescribed Apixaban.
I am also taking same meds😢
What’s a “little bit of time” to wall off the atrial appendage with the watchman device?
What about skipping beats?
My daughter, Francesca Nicosia works at VA hospital in SF
Can taking a MAGNESIUM SUPPLEMENT counter AFib?
In my case it started off with PVCs, which then became full-blown panic attacks, and finally - AFib
I would recommend discussing your magnesium levels with the health provider managing your AFib. Magnesium levels can certainly affect heart function and arrhythmias, here is a recent scholarly review: www.mdpi.com/2227-9059/10/10/2356
I had low magnesium - below range. A couple of weeks after eating foods high in magnesium I was mid-range. pumpkin seeds (1/4 is 40% daily requirement), brown rice, black beans, almonds, cashews, and more yummy foods. No need for a supplement which gave me GI issues.
Why do people with a fib have trouble walking what is causing pain and weakness in legs???
If there was no mention of Heart Ablation then it failed to memtion cure as opposed to treating symptoms.
My a fib went undetected😢it caused me to have an acute strok😢I survived but life changing after effects, affects😢
Watchman procedure? Ive never heard of it.
I take Eliquis twice daily... no money left for food.
I’m 67 exercise daily (hot yoga) not over weight don’t drink and was diagnosed with paroxysmal Afib w/RVR just over a year ago 🤷♂️
WHAT ARE THE SIDE EFFECTS OF ALL THESE DRUGS?
I take Bisoprolol 2:5 which has helped a lot !
"This video is great. Thank you for sharing!"
I do not think NHS offers the patch
I ha A Fibrilation. I take blood thinners for mine. I haven’t had any trouble since. I myself don’t ever buy chocolate, don’t eat anything fatty, biscuits don’t buy. and have any real creamy cakes a very odd occasion I will. I have blood pressure but am in
tablets for high blood pressure. I’ve never had any problem since. I’m on blood thinners pradaxa. There are others around.
When taking warfarin take it the same time each day you’ll be fine.
What about Pulsed Ablation - a new better option
I'm sure Dr. Pellegrini knows about it. Unfortunately, getting into different types of ablation procedures was beyond the scope of this interview.
❤❤❤
The British nhs. Treat symptoms, " not" the cause😢
This is no more than an advert for unnecessary Frankenstein medical procedures.
What you have to understand is that Afib is a western lifestyle condition, it's not a genetic condition.
Afib is either an extrinsic condition related to electrolytes a deficiency of either magnesium, potassium or sodium or it's intrinsic to the heart.
So you don't need expensive medical procedures, either take magnesium or potassium for for paroxysmal afib or if you have persistent afib might indicating heart disease then change your diet and exercise to repair your heart.
To address obesity and high blood pressure, lose weight. Change your diet back to what we had in the sixties when people were healthier. That means more meat, more protein, less carbs, zero refined sugar and no processed foods. If you have less than 100 grams of carbs you will stop feeling hungry all the time because it's high blood sugar and the crashes that make you constantly feel
hungry
I could go on at length about ablation and the Watchmen procedure and why you should avoid them but it would involve a lot of facts which might overwhelm you. But there are no double blind trials for ablation to prove they work. You're just as likely to suffer a stroke with an ablation as without. All it does is reduce the atrial kick by 10% so like a persistent afib sufferer you just get used to being in. afib because your atria has been permanently damaged.
Watchman can cause stroke from poor fitting and or heart failure. The Left Atrial Appendage may control thirst so if you occlude it you might drink less and cause higher BP arrhythmia etc. Don't stick things in your heart that shouldn't be there
Total rubbish. It is not just a Western lifestyle condition. You must be a fan of that other idiot Kennedy.
The healthcare system doesn't treat older people well at all.
Wilson Linda Robinson Matthew Allen Frank
PUT THE WATCHMEN IN? WHAT IS A WATCHMEN?
Get a banana down you every day - most apeeling!
Extreme nutrition Lifestyle Medicine Health and Well-being can reverse AF