Atrial Fibrillation: Why some people tolerate it so badly

This video is about Atrial Fibrillation: Why some people tolerate it so badly. I talk about A wave dependance and why people paradoxically feel better in persistent Afib. If you'd like to speak to me please get in touch via www.yorkcardiology.co.uk or [e-mail] which is also my face book page

[@marshacurtis4814]

Dr Gupta is amazing , l have had appointment with him at York hospital, he has a great sense of humor and is so kind, he makes you feel so comfortable and explains everything to you, he also said that l have a beautiful heart bless him, my daughter works on switchboard and always passes his regards on to me, I have nothing but prise for Dr Sanjay Gupta, and for all his u tube videos, thanks so much Marsha Curtis xx

[@eldredhudson4125]

Thank you Doctor,you always explain what our Cardiologist never have the time to explain, I have learnt so much from your videos.I've had Afib for over 3 yrs now.Could never understand why people with permanent Afib don't notice it.

[@DrTucsonJim]

I have paroxysmal Afib with RVR and when I get an attack, I feel like I’m having a heart attack, complete with pain in the jaw and left arm, fainting, short of breath. My cardiologist of 5 years just asked me why I feel so bad and go to the ER every time. I think I will send him this video.

[@mep8083]

Well that answers a lot of questions. I’ve had vagal flutters and AF for over 10 years that did start prior with ectopic beats. Poo pooed by doctors you have explained this so very well. I thought I was a freak as I don’t know anyone with this. During chemo I had my heart checked out and told I haven’t got heart disease but still get these flutters and fast beats. Always at rest as you say. I used to think if someone could just tell me not to worry about them I can put up with them. So thank you. They are quite disconcerting and I have an app on my phone called Instant Heart Rate so I can see what’s happening at the time. Lots of crazy lines on it. I think you’re so right about magnesium too. I don’t take it but if don’t eat magnesium rich foods things get worse. Please please keep these fab videos coming. You’ve taken all the mystery and sometimes high handedness away that we get from our consultants in hospitals.

[@DraconaiMac]

Thanks very much for the rundown on how the blood flows through the left side. I'm a new AFib patient and it helps to be able to visualize what's happening when I'm talking with my Cardiologist.

[@resourcefulqueen]

I appreciate this informative description. Thank you for sharing your knowledge. Hopefully your channel has grown often the last 6 years. I am a subscriber. 🙋

[@mariannep8352]

Thanks. I am swedish and the cardiologists here have no time to explain about my permanent atrial fibrillation so I am very grateful to look at your videos. Feel better when I understand. I don´t feel any problems with my heart but get very tired when I try to walk fast. Now I understand why. I also have observed that when I take dioxigen and betablockers one and one over the day I feel better when I walk, When I was in the hospital I got two or three tablets together and have to stop walking and rest all the time.

[@sunshine9016]

I am in Canada and I had a pacemaker implanted June 22nd 2017 and have been in Afib since then. I am 76 and previously seemed healthy so this is new and very scary. Your videos have been very helpful during this adjustment period and I very much appreciate your taking the time to make them. Thank you!!

[@spudmurphy9264]

Thank you for explaing this in layman's terms. I now understand why I don't feel my AF.

[@tiki2926]

I would love to know why I feel a very, very, violent arrythmia when it kicks in. I can feel every bit of my heart in the most violent chaotic irregular heart rhythms. It is horribly frightening. I've had it entire life started as a teenager now 55 years old and never get used to it. Every one feels like it will kill me. Please one day explain this. And I seriously do mean I feel extreme violent chaos.

[@gloriamaryhaywood2217]

Do you go to the hospital when you have these Afib episodes? And are you on any medications to help control them???

[@dhiahassen9414]

Happned once to me so far , but my atrial flutter is caused by an SVT that i was born with and never noticed until 25 even tho flutter was noticed at 16 so maybe you are the same

[@jeanettespary2615]

This is my favourite turn to when concerned about this condition. Thank you so much for your generosity of time and effort.

[@leschumaker5395]

Thankfully to your teaching doctor. I shared this video to my children and I hope that they’re learning how the heart is doing for the body.❤😊

[@kelautz]

Thank you for your cogent explanations. You provide me with the highest level of information anywhere about my Afib. Sharing with my cardiologist.

[@fibifeo]

I wish you was my doctor. I feel awful with my afib . But you explained it very well . I used to envy people who couldn’t tell they was in afib . I feel completely exhausted can’t function. Fingers crossed I’m hoping to get it sorted

[@nobby314]

Thank you, Doctor Gupta, The information you are sending is very helpful. Through your services, my heart bypass surgeon identified the "widow maker" valve in 2015. I just hope there aren't any more like that. My best wishes to you, Anthony Clark

[@triciacollins8413]

Thank you for sharing your knowledge and make it easy to understand. ⭐️⭐️⭐️⭐️⭐️😊👍

[@yasirabbas3318]

thanks for this information doctor , GOD BLESS YOU

[@chazzaladd]

I have restrictive cardiomyopathy and heart failure, my next step that would tell the doc that my heart is getting worse would be atrial fibrillation. We're hoping that I tolerate it okay otherwise I'd need a heart transplant really fast because I'd get really ill. My doc has told me that I'd know I had it, he couldn't explain what I would feel like but he said I'd know that something was wrong. Thanks for your videos doctor, I really enjoy them!

[@christinemiller230]

Thank you for this wonderful explanation. I've had afib twice in 18mos, my brother and Dad are in it permanently. I feel badly with it. They dont.

[@michaelbermingham5461]

Excellent video Sanjay...many thanks.So well explained..

[@colinhorsfall1678]

Great description Sanjay NOW I understand. The greatest step to wellness.

[@YorkCardiology]

Thank you for your support- it would mean a tonne if you’d consider subscribing to the channel. Also I try and do some regular broadcasts via WhatsApp on [phone]

[@debbiegladden1700]

I love your videos. They are so informative and helpful.

[@ritawallin]

Thank you dear doctor for these videos! I listen to you when I have afib. You make me feel safer. I feel really bad when afib is on (now) 😓 Thank you and God bless you ♥️

[@adriansedillo3426]

Dr. Gupta I follow you're channel and it really helps me understand my AFIB condition and how to relate to my doctors next move.I am currently on Eliquis and amiodarone,Iwas at 200 mg but cut it down to 100 my heart rate is more normal now and I feel pretty good.Will see my Dr. soon and discuss options.Will continue to study you're comments.Many thanks for you're invaluable channel.

[@80snostalgiacritic60]

This explains why I feel so weak since having Afib. I used to be a very fit and active man. I was a weightlifter, always exercising and staying healthy with a clean diet. When I first developed Afib, it was as if my body was wasting away. I feel so weak now. Thankfully I am going to have my first ablation soon.

[@joancolletti1138]

I hope you see this my friend doctor. I did not get your name. Please text me you correct spelling of your name. I listen to your videos trying to learn about the heart function. This video was particularly imp. And very helpful to me because I have a fib and I am feeling quite awful. I am sending this video to my cardiologist because they are perplexed on how to treat me. And your video will hopefully shed light on why I feel the way I do. Please contact me and I would love to write to you on my continuing medical care. Thank you so, so much Doctor. This has truly helped me.

[@jeffturner8927]

Thank you Sanjay for yet another informative video.

[@lindabuff1]

I am so very thankful for the information that you share with us........thank you!

[@lylasingh7192]

Thank you Dr Gupta

[@peterlearner8594]

Hey Doc you've given me a thought why ablation appears to "cure" those with paroxysmal Afib. So ablation damages the atrium to the same point as someone in with persistent Afib. So the paroxysmal Afib subject like the persistent Afib sufferer becomes less dependent on the atrial kick as the body adjusts to the lack of kick because their atrium is now equally damaged

[@JLeeladee]

Forever grateful for your videos

[@mindofown]

Thankyou great explanation

[@Rene-uz3eb]

7:42 that’s a very cooky theory. Anything at all to back that up? For one, you seem to forget that the heart beats faster in atrial fibrillation, so it’s very unlikely that it pumps less blood. The increased heart rate increases blood pressure, which further makes the atrium less necessary, especially if the heart rate is regular as in atrial flutter. Apparently no MD has ever asked that question in a paper, ie how does paroxysmal afib bp change, or persistent afib before vs after successful cardio version. Bp is somewhat harder to measure consistently during afib. But it is stated that 50-90% of persistent afib patients are hypertensive, so from that you can conclude that the average blood flow in afib is higher, not lower. Also, for the atrium to contribute to ventricular filling, it first has to ‘steal’ that blood by filling itself. When it doesn’t contract during afib, it also doesn’t expand to pick up that blood, ie it is simply bypassed, and part of that amount of blood that would normally fill the atrium passes directly into the ventricle. EDIT: I did find some papers later confirming that afib and svt cardiac output is typically lower.

[@parryig]

Another very informative video, many thanks

[@mervatriad2962]

God bless u and your family.always give the best advice to us.

[@marjoruskela4037]

Thank you this video. It made a good clearence on things

[@geoffreymundy6960]

Excellent explanation! Thank You!

[@timorourke9072]

Thank you that was most enlightening and explained wonderfully.

[@YorkCardiology]

thanks tim

[@cnasaraha.2140]

wow!!! 😃very interesting and very well explaind 👌👌👍👍 I'll definitely share it, and I actually lik your YT channel I, think it will be very successful. best regards! and lots of luck!!!☺

[@janabailey1177]

You are so wonderful! Thank you for you.

[@MANRAYCOV]

could you please do a video on the benefits of magnesium taurate? For those people whom are getting lots of ectopic beats, that would be wonderful to get some detailed information about that particular type of magnesium.

[@sunnyvibes8528]

Hi Dr Gupta - I thoroughly enjoy your videos and explanations. I have Paroxysmal AFib, insufficient valve, and 4.8 mm thoracic aortic aneurysm. Most days I’m “fine”. Other days I get dizzy and weak when I stand up and have to pause, bend over until the feeling passes. Other days I get out of breath just standing up or other minimal effort and have to sit quickly. What makes it vary from day to day or week to week?

[@billblue1]

Good video 😊

[@jackiehazlett7805]

Thank you. This answered a question I had.

[@ruks1742]

Thank you so much. This really helped. :) Could you also mention if one is worse than the other or if being dependant on the kidney for lack of blood may have long term negative effects??

[@mkshffr4936]

Dr. I have constant Afib and feel awful all the time. Week, tired, fatigued... Is there any hope for reversing the damage already done to the heart?

[@matakankhoma6019]

Hello Dr. Gupta. Thank you so much for your videos. They are really helpful. I have recently been diagnosed with paroxysmal AFIB. Three of the four episodes I have had in the past two months have been while I was sleeping at night and the other while I was resting early evening. From your videos it sounds like it could be vagal AFIB. I am hypertensive as well and one of the drugs I take to manage my hypertension is metoprolol. From my basis research, this sounds like its a b blocker. If it is, would it adversely be affecting my AFIB?

[@peggymicsky8607]

I think I'm in AFIB off and on and don't even know it most of the time. I try to eat nutritionally, exercise and get proper sleep plus taking Metropolol and Warfarin daily. AFIB doesn't really bother me but it does concern me what damage it's doing to my heart. Should I be more concerned, Doctor, and do something differently?

[@janicepilobello1812]

thank you so much doc!! 🖒🖒🖒

[@mskitten1203]

Thank you!

[@davidnewman56]

great video thankyou, however can you tell me if being in permanent afib gives even higher risk of other problems like stroke or anything else. I was advised by ward doctor only last week if I go into afib again to go to a&e where as the video could be seen to advise to put up with it until you go into permanent afib and you will feel better. thankyou

[@helenfesshaye8501]

I am 30 years old 128 pound I had a baby 10 month ago my baby was breach c section about 3 month after the surgery I have been experiencing my heart skips beats 2 or 3 times a day the episode last less than a second I have no other symptoms I don't drink no alcohol or caffeine they check my thyroid it's great.so far my dr did EKG she said my EKG looks good but I am still experiencing those heart skips...it's affecting my daily life because I am very curious when the next episode will appear I need your help or any advice Thank you in advance

[@IrishBoson]

Helen Fesshaye They are not dangerous. Try supplementing with Magnesium Taurate. Does wonders for ectopic beats. Regards

[@nessjayjayjay3016]

Did you find out why and what?

[@joakimdam9723]

2 to 3 times a day. I had some days where it was every 5th heart beat that was skipped. I would be happy with just 1 an hour lol

[@cnasaraha.2140]

I have a question I hope you could answer for me, can sleep affect are heart health, or the other way around? I was also woundering if you could make a vidio about leaky valves, and can they heal on their own, I know a lot of people are born with it, but can a person get it over time even if he/or she was not born with it? and what are the symptoms it can cause? thank you!

[@gnash150433]

Hi can ask if early repolarization ST-T wave changes is life threatening or ist high risk for a heart disease

[@danishkhalid5185]

Sir how to recognise this through which test?

[@evelynsnead5324]

Dr Gupta, I went into persistent afib in 4/17 and at that time I had an enjection fraction of 60%. I saw my EP in 5/17 and was given extra beta blocker and stayed in afib. I went to the hospital in 10/17 with chest pains and the afib had changed my enjection fraction to 20/25% and now I have heart failure. Should I have been cardioverted to get me out of afib. I am 71 and I feel 81.

[@popitapopa]

Cardio version does not work always, but Flecainide does,\.

[@LindyLooo99]

That's me// its horrid

[@lizrose9981]

You said that one feels awful in atrial fibrillation. Would you explain that feeling in more detail. Thanking you from Canada!

[@lizrose9981]

Thank you for sharing! I have vassal Vagal syncope with orthostatic hypotension dropping 40 points. I have a management plan but I am looking for information on how to stimulate & or regenerate the vagus nerve.

[@echase416]

In the video, he explains Starling's Law. He explained that the ventricle filling is like an elastic band. When it stretches, it SNAPS back, like an elastic band. So we notice it. So it is basically the idea that when the Afib is intermittent, we notice it. If it's chronic, we don't.

[@suecondon1685]

Only just seen this, and it makes perfect sense. Mine is paroxysmal and I can't even stand upwhen I goes off, yet other people say they don't know they've got it. I hate it so much.