Restart Your Heart - A Holistic Approach to AFib

[@donross7820]

What a superb presentation! I love your pathophysiologic approach and emphasis on reduction of risk factors like dehydration, hypothermia (even drinking a smoothie!), obesity etc. I am a 79 year old retired ER doc and used to see tons of this. Now even I get Paroxysmal AF especially during extreme cycling. I ride my road bike to extreme levels and can still do a 4:15 in the USA Cycling 5 minute TT which has 4% grade and is at 6300 feet. I have zero other risk factors but I am starting to get this more often as I get older. I have always had an extremely slow pulse and thus high vagal tone and now I see this is a huge risk factor for AF. I am doing backflips to avoid ablation but I'd guess I will eventually need to suck it up and get one! But so far avoiding all risk factors and continuing extreme workouts seems to control things. Wine was sure hard to minimize! I take a potassium pill after each workout and I really vigorously try to have low inflammation. I am big on food as medicine and take 1 tsp each of tumeric powder and ginger powder in hot water with a little mango juice each am. I eat tons of fruits and vegetables and minimal grease and sugar. So far I have only rare recurrences. I did just start taking a baby aspiring per day just in case. I used to see my slow heart rate as a sign of extreme health but now, sadly, I have learned that it is a risk factor. Time will tell if despite all this effort I still end uup needing an ablation. Thanks again for your wonderful speaking manner and presentation!

[@draseemdesai]

Thank you for your feedback. All my best!

[@FlatWaterFilms]

Doc, what do you think about ice baths. Getting ablation number two in July after 10 years in sinus. I have athletes heart. Turning 71 this summer.

[@pjfreeman4789]

Hi. Atrium Health’s video on Triggers for AFIB says that extreme exercise can be a trigger for AFIB. This reminded me of Kareem Abdul Jabar who has AFIB and he certainly had an extreme sport life. Best to you.

[@richardlorenzo5469]

Awesome presentation! I had a cryo ablation 6 weeks ago, and I will go back to see my Cardio-Elec Dr. soon, and you answered some of my questions in the meantime and put my mind at ease on some issues. I have seen a lot of videos on KZbin about aFib, and your video is on the TOP of the high quality videos that are very informative. I am going to buy your book right now and get more insight on aFib. Lastly, I want to thank you for becoming a doctor in treating patients with aFIb and wish you and your family a blessed life.

[@draseemdesai]

Thank you so much for this heartfelt comment. Sending positive wishes for sinus rhythm.

[@bhut1571]

Excellent. I knew all of the info bar the fact that episodes of afib train the ticker to have more afib. Thanks as I have been rather nochalant about it. Cheers from Canada and sorry for the Smoke.

[@draseemdesai]

Glad it was helpful! The heart is a muscle so the muscle memory concept to represent afib begets afib is intuitive

[@lesbrown8099]

I’ve watched many, many You Tube presentations on afib and this one is the best… thanks…❤

[@draseemdesai]

Thank you very much

[@michellewelch6013]

Incredibly helpful, thank you so very much! Im headed to a cardiology appointment today. Im craving information about afib so I can discuss this rationally and intelligently with my doc. I am grateful.

[@draseemdesai]

You’re very welcome. Thank you for your feedback and good luck!

[@jameswheeler1955]

Awesome presentation. You have answered so many of the questions I've had. Thank you.

[@draseemdesai]

Thank you!

[@orlandogreen6743]

Best most descriptive video ever.. Very easy to understand and covers everything and more. Thxs❤

[@draseemdesai]

Glad it was helpful!

[@jbt6007]

Excellent and informative lecture. One of the best I've seen.

[@draseemdesai]

Glad it was helpful!

[@mimirose5909]

I had a supraventricular tachycardia on October 27th. Heart rate went to 277. Happened at my cardiologist appointment. Right place at right time. Was told never went into Afib. Went to ER for 8 hours. Heart rate was 77 when I was discharged. Also have LBBB. Given Metoprolol 200 mg in IV every 30 minutes, 50 mg at a time. Echocardiogram and 30 day event monitor came back good. That morning I took the herb Hawthorn. Now read that it can cause fast heart rate. Never took it again. Hope never have a SVT again. SCARY. Am 70. Great information. Thank you.

[@draseemdesai]

Glad to hear the arrhythmia resolved and that there may have been a trigger that you can modify. If it recurs you may want to see an electrophysiologist directly or via referral from your cardiologist.

[@mimirose5909]

@@draseemdesai Unfortunately had an episode on April 30th. Heart rate stayed at 129 for 15 hours. Went to ER and then admitted for one day. Now told I have A flutter. Put on Eliquis and Metoprolol. Am truly devastated. Thanks doc.

[@draseemdesai]

@@mimirose5909 that can be very frustrating. An electrophysiologist may be able to help.

[@mimirose5909]

@@draseemdesai thank you. Saw an electrophysiologist 2 weeks ago. He is such a positive, good man.

[@sclark7577]

@@mimirose5909 How’s that metoprolol is there any side effect bcuz I’ve read it is?

[@charleso0o0o]

“WHERE CAN I get charts you used at 15:30 & 25:50?” 😐

[@draseemdesai]

All are available in my book Restart Your Heart draseemdesai.com/living-with-afib/

[@draseemdesai]

www.amazon.com/Restart-Your-Heart-Playbook-Thriving/dp/1626347085/ref=nodl_?dplnkId=b8a27243-71a7-42bd-a6d2-451f7df8fe4c

[@charleso0o0o]

“THX. AM STAGE-1 after an early, ECG diagnosis of AFIB & thinking about insulin resistance & that my somewhat impaired, electrolyte absorption could be underlying cause. AM NOT diabetic but I was probably becoming diabetic until quitting sugar 19-months ago. MY TINNITUS is paroxysmal, intermittent. I DON’T take any medications. AM LOW risk, a 1. MY TG/HDL is 1.2 (71/59). DOC PUT me on aspirin while cardiologist recommends getting a calcium score & statin. AM 67, an ideal candidate for someone’s study. CHOLESTEROL IS 223, LDL 152 a month ago when AFIB was detected. NO ALCOHOL for 30-years. NEVER SMOKED.” 😐

[@pboivin212]

Excellent video. I am in health care for 52 yrs. Given that, I have been known to be a good instructor with my patients. Why though my cardiologist will not give me the time of day like you do as well as I do with my patients in the pulmonary field. Answer, because the the insurance co. and or the hospital if he is a hospitalist only allows 20 min for the visit. So unfair. Good job Doc.

[@draseemdesai]

Thank you. Health care definitely has its frustrations. Being your own advocate is a skill.

[@Blu-Man]

@@draseemdesai greetings if you the guy in the presentation would like to ask you a question

[@draseemdesai]

@@Blu-Man I am presenting in the video

[@Blu-Man]

@@draseemdesai are you taking new patients out of state went to your website yesterday if you are do i call the office to get set up

[@christopheclugston]

@@draseemdesai yeah USA the most expensive profit paradigm in the world. Not like that everywhere else

[@lrc87290]

I have always said if you look hard enough you can find anything on KZbin. This is a great explanation for me. I went for an annual physical and I had a bad EKG. I am 65 years old and I take HIIT classes at my gym. I went 4 days in a row including the morning of my physical. My appointment with a cardiologist is a month away at U of PENN. I am using a finger pulse monitor to see when I am abnormally high. I don't really have any symptoms except for feeling tired when I work out more than a few days in a row. I just thought I was getting old. LOL

[@margaretmusicalblack8294]

What can I do for torn shoulder cuff

[@draseemdesai]

Thank you for your feedback. All the best!

[@johnnykilo4967]

I don’t have any questions although I have had 2 A-fib episodes in the last 6 weeks. I just wanted to let you know how great it is that you reply and seem to genuinely care about people. Much love.

[@draseemdesai]

Thank you for sharing those kind words

[@cr3292]

How does it feel ? How does one know they have it

[@johnnykilo4967]

@@cr3292 Everyone’s different but for mine my heart was pounding and kept shopping beats, very noticeable For some people they can have it but not feel it.

[@cr3292]

Oh wow . I had ekg done in sep 30 heart was normal and recently I went to doctor he felt my pulse all over and said irs beating normal ., maybe I need to rule out afib .. he said it could be anxiety

[@johnnykilo4967]

@@cr3292 Yeah. If you got tested and the Dr cleared you I wouldn’t stress Scott out being Afib. Perhaps it is stress related or lack of sleep?! It could be a wide range of things.

[@bigbert2508]

This is outstanding….love the three pronged approach of risk mitigation, trigger modification, and treatment procedure….

[@draseemdesai]

Thank you BigBert!

[@draseemdesai]

For more information including blog and media, visit DrAseemDesai.com

[@donross7820]

This am I was back in a slow AF with rate of 58. I was still able to do a spin cycle workout and did 12 miles at 20 mph with average watts of 135. I felt great during and after despite persistence of the AF. So I will keep my fingers crossed that I convert naturally. And this am I began a daily Magnesium supplement and I will see if this makes any difference.

[@robmac9302]

Great info I’m going for a ablation in Jan for afib and afib flutter I’m just worried about risk while having it done I am on blood thinners

[@draseemdesai]

Sending positive prayers for a safe and effective procedure. Studies have shown that doing ablations on blood thinners lowers the stroke risk.

[@draseemdesai]

For more information including blog and media, visit DrAseemDesai.com

[@G.G.8GG]

I appreciate the comprehensive approach given here. So much better than "we're scheduling you for an ablation, " with no explanation. The first electrophysiologist said to me that I just needed to trust he knew what was doing. I didn't need to know anymore. Just had cardiothoracic "mini-maze" done. Didn't work. Afib is worse and heart rate is worse due to surgery. Allergic to rate/rhythm drugs. I don't have any idea who to trust now.

[@draseemdesai]

Thank you for your feedback and sharing your story. It must be very frustrating to feel like you are worse than where you were. In some cases seeking another evaluation by an academic medical center may be an option. In some cases, especially after surgical maze, atypical left atrial flutter can develop which causes an increase in heart rate and symptoms. It can be mapped and ablated in many cases. Sending you positive vibes for improvement 🙏

[@G.G.8GG]

@@draseemdesai How very kind of you to make that reply! Thank you for that bit of information and hope.

[@user-qx3vv3lw1p]

Doctor , but you didn’t say anything about the holistic ways of treating the Ef! Can you address that?

[@draseemdesai]

To strengthen the heart muscle, holistic ways include: 1. Heart-healthy low salt diet (to prevent edema/water retention). 2. Avoid smoking. 3. Avoid alcohol or reduce intake 4. Try to exercise according to your doctor’s recommendations. 5. Maintain a healthy weight/BMI 6. Consider screening for sleep apnea if there is a history of snoring

[@anniecarroll8010]

Thank you so much, you are a God send. I had an ablation some years ago and everything was great until April this year. My cardiologist wants to preform a surgery that wipes out all Afib. It is not the Watchman; but I will want a complete explanation of the whole procedure.. I am an a RN, Certified in another system of the body, but as with all Rn's I want to know everything.

[@draseemdesai]

Thank you for your comment. Wishing you the best.

[@fs3579]

Why does cardioversion clear out the bad signals or how does it reset it exactly that the heart can't do it itself? Secondly why are signals coming at all from the pulmonary veins?? Many thank you for the answers!

[@draseemdesai]

Great questions! Cardioversion delivers a controlled electrical shock to reset the heart’s rhythm by momentarily stopping all electrical activity, allowing the heart’s natural pacemaker to take over. As for the pulmonary veins, they contain specialized muscle fibers capable of generating electrical signals, which can trigger or sustain atrial fibrillation. These signals are often the targets during ablation procedures. Thanks for asking-hope this helps! Best, Aseem

[@Joe_Zajac]

Great presentation. Most thorough and up to date I’ve seen. Also, Francis (105) was born 3 months before WWI, not WWII.

[@draseemdesai]

Thank you for your feedback and the appropriate correction

[@ericac7870]

When does it make sense to get genetic testing for heart related gene mutations? I was just diagnosed with afib with rvr. My father frequently had palpitations, but I don't know the official diagnosis. My maternal grandfather died of "dilitation of the heart" or as I understand it, dilated cardiomyopathy, which can run in families. Will my cardiologist think I'm a nut if I ask to get this testing done?

[@sandragerlt4532]

Can we get a pdf of the 2 charts Drugs Used to Treat A-Fib?? I’m a new onset patient and would really love to see the details of each chart.

[@draseemdesai]

My book Restart Your Heart has those and a lot of useful infographics. On Amazon or at draseemdesai.com.

[@CelticSpirit7]

Thank you for so much information. I was diagnosed 3 weeks ago with AF and by then I was already in the red flag zone as actually had a small motor strip stroke and several TIA's in A&E. I feel better informed now and what to ask when I have my first consultation with my EP. 😊

[@draseemdesai]

Sending my best

[@CelticSpirit7]

@@draseemdesai Thank you, much appreciated 😊

[@cr3292]

How does someone know they have it ? Can it be found in an ekg ? My blood pressure is very good along with pulse but I get bouts of anxiety that makes me aware of my heartbeat .. being that I got anxiety I keep thinking I have afib when I know I don’t ..

[@draseemdesai]

Medical grade monitors like Ziopatch and telemetry help aid the diagnosis. Apple Watch and Kardia mobile have about an 80 percent accuracy.

[@mr-m340i2]

Apple Watch has been helpful and accurate enough to let me know when I’m on afib with its alerts and built in ecg

[@tonym6920]

Does aFib ablation work well with patients who have MVP with regurgitation? I’ve been told that mitral valve issues cause afib. Also there is a new ablation procedure called Pulse Field Ablation which is being used in the US but usually patients are part of a trial.

[@draseemdesai]

The success rate of afib ablation when there is valvular heart disease is dependent on the type, severity, chronicity, and most importantly the left atrial size and volume. PFA is a promising technology being used at some academic centers and will be available on a larger scale in the future.

[@Blu-Man]

@@draseemdesai hello this video is a tear old do you see this message ?

[@stephengarrett6043]

Great presentation - Dr D on what triggers afib slide you didn't speak directly about "time of day" listed and what that means regarding triggering afib. i ask because i seem to go into afib around 6pm as the last 4 times recorded with my ICD shows , Can you comment on time of day for afib ? Thanks!

[@draseemdesai]

Thank you. The vagus nerve is more active in the evenings and it lowers the heart rate which can facilitate premature atrial contractions which can trigger afib

[@KimWentworth-y8e]

I had the thing issue. I would have an AFIB attach around 5 - 6. I would have to take half a Metropyal and go to bed. After about 2 hours I would go out of AFIB and back into normal heartbeat. I just got the ablation 3 weeks ago. It would happen every 2 to 3.5 weeks a between 5 to 6 or pretty close to that.

[@eric4698]

This was awesome...... thank you so much. This has been very informative. I am preparing to have ablation for Afib & Flutter performed by Dr Satish Misra next week. At 60 I have never had symptoms and have been extremely healthy but had AF flare up since getting COVID a year ago. I am a super healthy Vegan retired endurance athlete and seems I was an accident waiting to happen.

[@draseemdesai]

Thank you for your feedback Eric. Sending you prayers for an excellent outcome.

[@QuantumOfSolace1]

Yes!! Me too - I am 64 on a pacemaker for Bradycardia- but am in shape. My cardi says I have AFIB - the pacemaker keeps a history - but I was not aware - because I had no symptoms. I got the 3rd Moderna vax and still nothing concerning. But my history showed an increase in frequency of Afib - no symptoms. I tested positive for Covid - mild case. But in the month and half since - my heart has been crazy - during the day - I don’t really notice anything - I am busy. But I spend all night listening for my heart and irregular beats and every little pain - anywhere - I think is this it?? But - no dizzy spells, no shortness of breath, not tired, no leg and feet swelling, no headaches - but I feel different. Ever since my Covid deal- So I am asking myself - is it all in my mind. I am taking all kinds of vits to ease my mind. Mag, Vit C, Potass, Arjuna, D-Ribose, Hawthorne Berry, Berberine, - sounds nuts - but - now I am silently shook up!!

[@crowdancer5]

@@QuantumOfSolace1 Im with you! I am a big believer in proper supplements rather that pharmaceuticals .....problem is finding any "doctor" who knows enough about them to help....they are just victims of the health care industry as we are. I recently had a pacemaker installed, now had a afib incident and am researching the many side effects of so many "pills they will likely want me to take ...quality of life is a big deal for me. Keep thinking as natural as possible and see if you can find a ND to help you out with what to take and if you are on meds you mat want to invest in a Mosbys Handbook of Herbs and natural supplements ...that can help.

[@mimirose5909]

@@QuantumOfSolace1 I hear ya. I am 70. Had a supraventricular tachycardia event in Oct. Heart rate was 277. In ER for 8 hours, heart rate was down to 77. Two weeks ago ended up in ER. Heart rate stayed at 127 for about 10 hours. Now told I have AFlutter. Put on Eliquis and Metoprolol. Really sucks but now every time my heart rate goes slightly up, I get a panic attack. Such a vicious cycle. Take care.

[@yvonnerahui8729]

@@mimirose5909 ..drink lots of good water & have cider vinegar daily. Good garlic supplement (GNLD one) , vit B & Dalmon oil to start with.

[@chuckpruitt1244]

Thank you, this was VERY informative❗👍🏼❗

[@draseemdesai]

Thank you Chuck. For more info, visit draseemdesai.com

[@draseemdesai]

For more information including blog and media, visit DrAseemDesai.com

[@MarketsofSunshine]

Thank you for this video. I have AFib. I'm only 60 and I got it December 2022. I'm going to get a sleep apnea test. I've had Lyme disease for 18 years. I have a dehydration problem and have to drink water all the time. But yet no doctor has ever tried to fix it. My electrolyte seem to be okay. But my primary care doctor won't let me take magnesium or potassium. My vitamins were very deficient. I'm hoping that I can get all of that balanced and get off the metoprolol. Do you do do telemedicine appointments? I'm don't have any of the risk factors that you mentioned. My Mom had AFib and has other heart issues. I'm praying it's not because of that.

[@draseemdesai]

Thank you for your feedback and for reaching out. Definitely address sleep apnea. Consider seeing a nephrologist or endocrinologist regarding unusual electrolyte/fluid regulation issues, consider a naturopathic evaluation, consider an RBC magnesium test or sublingual test which is more accurate to detect deficiency. Genetics are involved in afib and more research continues. The SCN5A cardiac sodium channel mutation is associated with afib, cardiomyopathy, and conduction system disease.

[@cr3292]

I had a panic attack in sep and they said the ekg was good but that I had sinus tachycardia is that from the panic ?

[@draseemdesai]

It’s a common question. When we experience anxiety we have physical symptoms of elevated heart rate, blood pressure, and increased sweating. That can mimic a cardiac arrhythmia. Similarly, a cardiac arrhythmia like afib or SVT can cause symptoms of anxiety.

[@nishusingh9129]

Doc...I have Dcm.since 2019.....a month back developed afib .diagnosed at routine ecg ..doc wanted to do ablation ...but waited for two weeks ....and after two weeks n holter for 48 hrs it was gone...how can I prevent it from not reoccurring again...pl guide

[@draseemdesai]

Avoid alcohol and caffeine. Stress management, meditation, and yoga. Stay well hydrated, maintain electrolytes, screen for sleep apnea if not already done, and good sleep hygiene. Good luck!

[@TimLat]

Thank you so much for this info. I live in San Diego so I am close to OC. I was diagnosed with afib at 40 years old, im about to turn 42 now. There was a combination of triggers, alcohol, weight gain, and caffeine. It was almost one year that went by before I had three more episodes. It seems eating a big meal triggers it. I am trying to investigate all triggers and modify my lifestyle. I do take diltiazem 125 daily and aspirin but no blood thinner. My only risk is HTN which is situational as I am an ER nurse and usually comes with stress. I found it interesting that you said ablation early on is found to be more helpful. I know you are not my provider but I was wondering your thoughts on anticoagulation for me? Also, do you think the benefit would outweigh the risk of an ablation at my age? Great webinar. I am very stressed and found myself isolating due to fear of an Afib attack. I would like to get back to regular life but it's hard when my heart can go wacky at any minute.

[@draseemdesai]

Thank you for your insight. There was a recent study that indicated in patients with a ChadVasc score of one that there was not a significant risk of stroke in the subgroups (age vs gender vs htn). Therefore, this is an area where patient and physician have a discussion about risk to benefit of anticoagulation. There is not a clear cut answer. The issue of ablation is coming into play more and more because of improvements and technology and reduction in risk with the procedure. If afib is impacting a person’s quality of life, which includes fear of day-to-day activities, then a more durable solution, such as ablation, may be worth considering. You have many treatment options out there and I would encourage you to talk to your doctor. The Heart Rhythm Society has a website called upbeat.org which is a great resource for patients.

[@tina8palmer]

I've been seeing more about chiropractic treatment for Afib.

[@draseemdesai]

There is some research that suggests a possible anti-inflammatory effect of chiropractic care on biomarkers. The link with afib has not been clearly defined.

[@mollycottrell2367]

I use calcium & Magnesium and electrolights. This calms my heart from going into Afib.

[@draseemdesai]

That's great!

[@betzib8021]

What electrolytes do you use?

[@mr-m340i2]

Just had a blood panel done and magnesium and calcium in healthy ranges and still went into afib

[@mollycottrell2367]

Any organic O sugar. Can Prev is good and Ener-C . Get all natural 0 sugar at health food stores.

[@betzib8021]

@@mr-m340i2 mg in blood is meaningless...mg in tissues is what counts. The kidneys control electrolytes. You have to take a highly absorbable mg to get it into tissues. If you take the kind that causes diarrhea you will lose mg.

[@HealthSeekerNot2Late]

Excellent! Thanks for all of the info.

[@draseemdesai]

Thank you for watching and for your feedback

[@SlickCat]

Can rare earth magnets affect the electricity in the heart?

[@draseemdesai]

Great question. Some science has suggested the heart produces an electromagnetic field so logic would argue that perhaps strong magnetic fields could have an impact. I am not aware of any studies that have shown a link

[@pipedownu]

What type of Magnesium is most beneficial for the heart?

[@draseemdesai]

Magnesium taurate, malate, orotate, glycinate. Magnesium taurate by Cardiovascular Research and Heart Calm are good ones.

[@braaitongs]

I was born with pulmonary atresia and had a blayloch shunt put in. When I was 20 I was diagnosed with AF. I had an implantable defibrillator put in. In Nov 2020, I had RF ablation done but only the left atrium was done as my right atrium is massive (9cm in diameter) and the needle couldn't reach and the wall was too thin. I was in sino rhythm for 12h then was kicked out. A few days later we attempted a cardio version. I was then in Sino rhythm for 4 days. Then i was kicked out again. My EP decided we must wait for the new technology to arrive in South Africa, pulse field ablation. I have been in AF for 16 years now. I really hope to get out of AF so I can stop taking medicine and do more sport. I do play sports though but obviously cannot keep up with my peers. I struggle with high altitude and I like snow skiing. So I can only go to ski slopes that are low altitude. I have just changed from warfarin to xeralto. But will change to eliquis. I had been to Cleveland clinic for a second opinion but it didn't work out because they wanted a test which was not done and the costs in the US are just insane. Regarding the question of weight, I changed to a banting lifestyle (keto) and I lost 25 KG in 2 years with minimal effort. Just discipline in eating. After a while it is easy as you don't crave sugar and sweets.

[@draseemdesai]

Thank you for sharing your story. Wishing you all the best!

[@braaitongs]

@@draseemdesai No worries :) Have you used pulse field ablation?

[@draseemdesai]

@@braaitongs I have not as of yet. I primarily use cryo- and contact force radiofrequency. For a ventricular arrhythmias I use stereotaxis remote magnetic navigation robotic ablation.

[@braaitongs]

@@draseemdesai Hi Dr, thanks for you reply. Stereotaxis remote magnetic navigation robotic ablation sounds less intrusive than RF and cryogenic ablation, is that the case? Would it work on thinnish atrium wall?

[@draseemdesai]

@@braaitongs yes, the key with ablation is adjusting the power settings and limiting time to avoid perforation of thin structures

[@daledurham8757]

I have afib and am on eliquis but wonder how I can get out of afib what doctor should I see Dale and nice info

[@draseemdesai]

Thanks for your comment. Consider seeing a cardiac electrophysiologist (EP). EP’s are afib specialists. Upbeat.org and myfastheartbeat.com are two good resources.

[@paulbirkbeck1790]

Buy a tub of magnesium powder and some potassium tablets and that will definatley help you.

[@cr3292]

Will it go away for good ? I know for some people it does

[@paulbirkbeck1790]

@@cr3292 if your one of the lucky ones it might go away for good. My afib dosent trouble me as much now that i take magnesium powder and potassium pills.

[@paulbirkbeck1790]

@@cr3292 buy the time people have reached Afib they are deficient in magnesium and potassium. I would recomend taking coQ10 100mg daily and a multivitamin then you have all bases covered goodluck

[@tiffanyharry4669]

Hi I’ve had afib a flutter for over 12 hours straight and I’m always fatigue. What can I do? I’m on metropol it doesn’t help.

[@draseemdesai]

The key is seeing a heart rhythm specialist like an electrophysiologist for guidance on what you can do with diet, lifestyle, medication, and non-pharmacological interventions such as catheter ablation.

[@LIBlurr]

Find a good natropathic Dr. for some advice...I had relief by taking Magnesium supps and moderating my diet. I’m a firm believer in “ life style” diagnosis as this Dr. highlights, before going the drug route or surgery...

[@pamelameltonhuff583]

I was on metoprolol to it did not work I took calcium channel blockers did not work for me the side effects for too bad so sad that you have to stay in afib that long I usually stay in mine 13 hours a day dizziness and chest pain hopefully you can find a electrophysiologist that will help you all my cardiologists could tell me was well if that continues you could get a blood clot so what are they waiting for good luck on finding some help I'm sure you will be diligent God bless you

[@SET12DSP]

Should definitely consider a "Watchman " as it can stop blood clots causing a stroke from happening.

[@Lukaso851]

What about BP with afib chceck function. Is it accurate? Or Kardia is better?

[@draseemdesai]

Apple Watch is probably the best option

[@farrukhjaffery1863]

Hi Doctor, Very informative presentation, thank you. My wife have Afib since last month had Cardioversion at Rwj and 2 days later went back to Afib, now electro physician planning to start new medication Tikosyn, she has to be hospitalized for 3 days to monitor, she also started water pill Lasix due to water buildup, I'm trying to give her electrolytes to balance possible dehydration

[@draseemdesai]

Thank you for your comments. I hope the presentation was helpful to you. Sending positive wishes for improved health for your wife.

[@chebolubapiraju2851]

Pppp

[@georgecovetskie6717]

how much does dental effect all these heart issues ? Question includes the murcury fillings and cavities.

[@draseemdesai]

The dental connection with valve infection and coronary artery disease/inflammation is well known in cases of poor dental hygiene. There is not a causal link between mercury fillings and afib.

[@medellinvisitor]

Thank You

[@draseemdesai]

You're welcome

[@rolandobunyi9703]

Im in permanent afib and undergoes cardioversion but not successful. Now im in Rivaroxaban can i still try the ablation. Thanks

[@draseemdesai]

Every case is different. The size and volume of the left atrium and the amount of scar on MRI are helpful in determining ablation candidacy in patients with long-standing persistent afib.

[@michelehyde3991]

Very informative

[@draseemdesai]

Glad you think so!

[@jameswatson5483]

Does a pacemaker keep the heart in sinus rhythm and appear to be in rhythm to one checking it? If so why is bold thinner meds needed?

[@draseemdesai]

A pacemaker is primarily designed to treat symptomatic low heart rate (bradycardia). Some patients with afib can go fast (tachycardia) and slow (bradycardia). Some pacers have algorithms to help suppress afib. They are not primarily designed for afib.

[@jameswatson5483]

Thanks my PM has only one lead active. Thanks for the great detailed presentation.

[@shadowman242]

I have episodes of PAF ,Question. Why do I urinate every 20 minutes like I’ve drank litre’s of water during PAF ? Also if there are triggers that causes it , what makes it go back to NSR after less than a day??

[@draseemdesai]

It may be related to activation of the autonomic nervous system, and because the cardiovascular and genitourinary systems both have autonomic nervous system input and output, urinary symptoms can accompany afib. Brain naturetic peptide and atrial naturetic factor are released with afib and have diuretic properties. The self-conversion to sinus is reflective of the fact that not enough negative atrial remodeling has yet taken place to cause afib to be persistent. However, as episodes continue, that can happen. It’s a progressive disease tied to frequency and duration of episodes.

[@bentrider]

No one actually gave a physiological reason why the electrical impulse to heart changes. All anyone will ever say is that there are risk factors. Basically, what they are saying, is that people with the risk factors are more likely to have an irregular heartbeat but they never ever say what is CAUSING the electrical impulses to change. There must be some physiological reason for the electrical impulse change. What I am driving at is that the irregular heartbeat is a SYMPTOM. They always talk about the risk factors for the SYMPTOM but they never get around to giving a CAUSE for the symptom. What causes the change in the electrical impulse???

[@draseemdesai]

Good question. The end result is scarring of the left atrium and development of reentrant circuits.

[@bentrider]

@@draseemdesai that doesn't answer my question.

[@KimWentworth-y8e]

@@draseemdesai How does the Left Atrium get scarred.

[@susanevans4951]

My heart Dr says I’m doing good with the drugs. I feel they are effecting my kidneys & bladder I am deteriorating and feel I am getting worse and worse I am on cpap Having swelling I am in Georgia do you have a recommendation of a Dr here?

[@draseemdesai]

That must be very frustrating for you. This is a good place to start: upbeat.org/find-a-specialist

[@billhancock2081]

How do I find a holistic heart doctor in New Jersey

[@draseemdesai]

www.ifm.org/find-a-practitioner/ Put in your location/zipcode Functional medicine

[@LIBlurr]

Very incisive broad based interview, but there are still so many factors to consider ... I like his emphasis on considering “life style” effects to AFIB, before going the Drug route that most Dr’s go with initially. Apparently Magnesium deficiency is rampant today and can contribute to afib, as well as bad diets, late night dnacking and poor sleep habits...

[@draseemdesai]

You are absolutely correct!

[@fs3579]

Why would too slow heart rate cause it not too fast???

[@draseemdesai]

The slower the heart rate the easier it is for premature beats to trigger afib.

[@fs3579]

@@draseemdesai They try to slow it down to get it back to sinus. It does not make sense!

[@deannaotene2181]

Hi Doctor, I've learnt so much. I'm from NZ. My husband was been seen by a cardiologist here checked him 3 years ago he ended up having a cardiac arrest in 22 he got hypoxy brain injury and here in NZ did not qualify for these types of things. He prescribed him with entresto last year after his first cardiac arrest he then had a second one this year hebis now on entresto and mexiletine 450mg we have also been told there's nothing they can do also. But he has also got hypothyroid. This is not quality of life. I think he had afib irregular heart beat. I've learnt alot. I suppose there's nothing can be done for my husband. I follow up all the time. HELP any help. Thank you

[@draseemdesai]

It sounds like you both have been through a lot. My prayers for you.

[@maggiarma950]

'water pf life' J W Armstrong..... or 'the golden fountain' Coen Van Der Kroon

[@traceystock7352]

I am stressed. My resting heart rate is the same as it has been always -- in the 49 to 58 range. But I am feeling stressed and my heart is skipping beats -- if I take my pulse it seems like every 9 to 10 beats will have a slightly longer gap between them. And maybe a couple shorter. But otherwise normal. Afib? I did have an incidental finding of 1st Degree AV Block a few months ago on EKG. I take 50 mg of precautionary Toprol for family long qt intervals. THe EP said maybe we can adjust the meds. Is it possible my heart rate is varying due to stress or 1st Degree AV Block? I do take magnesium glyciate (200 to 400 MG daily).

[@draseemdesai]

It is helpful to your doctor to make a diagnosis if you can record an ecg rhythm while experiencing the symptoms. Apple Watch and Kardia Mobile are the most commonly used OTC products. Ziopatch and other telemetry devices can be prescribed as well. Premature beats like pac’s and pvc’s can produce a compensatory pause which feels like the heart is not beating. Afib tends to have less of a pattern and more chaotic. You can’t rule out afib unless an ecg recording is done at the time of symptoms.

[@nusaman]

I developed afib 30 days after my PFO closure. Was treated with flecainide at ER and had 2 more episodes about a week apart after that (took flecainide and rhythm was restored at home). I didn’t have afib before my pfo closure. I’m concerned about how many times I can count on flecainide in the future. And ablation with the pfo device is tricky. I’m still hoping the afib will go away since I’m still within 90 days post pfo procedure.

[@draseemdesai]

Thank you for sharing. It’s important to identify and optimize any lifestyle or risk factors which are contributing to afib. Hydration, electrolytes, good sleep hygiene (rule out sleep apnea), good nutrition, stress management/mindfulness/yoga, and avoidance of alcohol.

[@nusaman]

@@draseemdesai thanks. I really don’t have much lifestyle risks excepts that i don’t exercise much. Healthy weight, non smoker or drinker, very little caffeine etc… My heart health was pretty much good before pfo closure. 2 questions. -is it possible/risky to do an ablation with pfo device? - how long can I wait for an episode to correct itself? At 160bpm I’m tempted to take flecainide early rather than hope it goes away. But that’s not sustainable if episodes are too frequent. Asking because I am new to this. 3 episodes, 3 flecainide.

[@birboguapo]

Thank you. First rate.

[@draseemdesai]

Thank you!

[@birboguapo]

Feel better just from having bought your book. Very helpful to have access to all that information. Thank you again.

[@blackwidowspider9852]

I am so frightened I have had this for a time an had no clue . Yesterday my heart ❤ racing as I awake.first time I felt it .I am unable to use medicine 💊.. I do not do well...

[@draseemdesai]

It can be very scary. Check out these resources for empowerment: www.amazon.com/Restart-Your-Heart-Playbook-Thriving/dp/1626347085/ref=nodl_?dplnkId=97c7aa48-458c-4be5-b413-67ff2abf1d0c www.amazon.com/Fib-Cure-Medications-Control-Health/dp/1950665429/ref=nodl_?dplnkId=81777208-2c7e-40fd-8c3c-397100116674

[@pamelameltonhuff583]

L

[@pamelameltonhuff583]

Hello I can understand what you were saying about your heart waking up with your heart racing I have been in flutters and AFib for 7 months on a daily basis I am 67 I live in Texas I have been told if I can't take the calcium channel blockers some have some terrible side effects there's nothing else for me I actually went to a old electrophysiologis but I knew from another place he wanted to put in a loop recorder I agreed haven't done that yet but my own team of doctors where I really go finally said you can sing electrophysiologist here we can do a loop recorder I can't continue on like this I'm going to beg them to stop these arrhythmias my heart rate is 150 all day long I'm going to die

[@KimWentworth-y8e]

Does the Covid Vaccinations cause AFIB. I am a healthy athlete and never ever had issues with my heart. I got all of the Covid Vaccinations and developed AFIB. A day after the shot my heart was racing. A few months later I was skiing and when I got back my heart went into AFIB. I had my Apple watch then. Went to the ER. I would then get AFIB attacks about every three weeks around 4 to 6 PM and in the mornings, I would sometimes get a fast heart rate of 110 for about 30 minutes. Did the shots mess my heart up. I am thin, active, eat properly, sleep properly, Cholesterol below 200, No Diabetes. I noticed I would feel fatique tired. Do the Covid shots cause AFIB or is it Covid that Causes AFIB?

[@draseemdesai]

Great questions and difficult to address on this platform. The Heart Rhythm Society has a great website for patients called upbeat.org. Good luck.

[@NaveenKumar-nm6hj]

Can paroximyal afib with healthy heart be cure by rfa?

[@draseemdesai]

Yes in many cases. Normal left atrial size and optimization of risk factors helps.

[@db-gi6ul]

This was a wonderful presentation. My initial question, which type of magnesium is best to take? I was recently diagnosed with AFib with palpitations following incorrect dental treatment (now tooth loss) some years ago, with the pals worsening. I also developed post treatment neuropathy and many other symptoms. The dental has only gotten worse and unsure who to see having seen a number of specialists. A dental friend overseas mentioned the treatment may have impacted the vagus nerve so it is interesting you mention this as a possible cause. I've seen two cardiologist here in NYC who know of the dental but they imply no connection though post treatment increased greatly my bp. The dentist also severed my sinus and I since have a breathing problem. I've also since had severe constipation, I assume due to nerve damage

[@draseemdesai]

I recommend Heart Calm which is a magnesium supplement that contains three types including taurate which is cardiac specific. Amazon.com.

[@crowdancer5]

@@draseemdesai please help....my limited research tells me that females have a problem with taurate raising their bp......what say you?

[@john543]

@@draseemdesai Heart Calm is no longer on Amazon. Also I am in Canada. Maybe list the 3 ingredients you mentioned.

[@mariettallenado949]

1:01:52

[@beckykueng3017]

@@draseemdesai How much of the Heart Calm should I take ? The dosage on the bottle only says 2 caps per day. Is that enough or should you take more. What about potassium..which brand and how much ?

[@TO-ps2qq]

I am an AFib patient. To set my heart into a normal sinus rhythm I eat jalapeño peppers.

[@draseemdesai]

I wonder if it’s activating the vagus nerve

[@TO-ps2qq]

@@draseemdesai I have no idea. I went to my chiropractor for vagus nerve work and that did not help. Acupuncture did not help either.

[@teaemiko7893]

good to know how you take peppers with food?

[@TO-ps2qq]

@@teaemiko7893 I can eat some jalapeño peppers without food. Whipping cream is great to calm the heat of peppers.

[@paulbirkbeck1790]

Magnesium powder and potassium pills and coq10 have helped my AFIB .

[@draseemdesai]

Thanks for sharing

[@G.G.8GG]

If only most heart doctors had Dr. Desai's knowledge, personality and attitude. My primary cardiologist is congenial and I love him but both the electrophysiologist and the cardio-thoracic afib surgeon who treated me were highly egotistical and didn't want to hear anything about my overall health conditions. They just wanted to do procedures. As a result both their procedures failed and left me with worse afib and fatigue than before. I don't have the energy to keep going through random procedures hoping something will help. I need someone who is willing to gear treatment to work with my health situation. When I asked one doctor about that he said, "You don't need to know that. You just need to know I know what I'm doing." Turns out he didn't, then used that as an excuse.

[@draseemdesai]

Thank you for your comment. Sending you prayers for good health.

[@G.G.8GG]

@@draseemdesai I see you are a kind human being as well as a kind doctor. Thank you. That is restorative. The best to you!

[@resourcefulqueen5109]

Remember we are responsible for our own health. i suggest you read the book "Afib Cure" by Dr. Day, and watch the KZbin channel "Talking With The Docs". This is an informative episode "kzbin.info/www/bejne/sF7bhKahebSKr5I" Onward to better health!

[@richardpoplis6777]

Do you see new patients doctor?? Would love to get off all the meds im on.. would love holistic medicine

[@draseemdesai]

I see patients with heart rhythm disorders including afib, etc.

[@richardpoplis6777]

@@draseemdesai i live in the east coast dr.... i had a stroke... and a heart bypass... have never smoked or drank in my life... but on many meds for last 2 years... im tired of all the side effects doctor... trying to eat healthy... been through hell.. for 2 years

[@draseemdesai]

@@richardpoplis6777 it does sounds like you have been through some really difficult times. You can find out more info via my office 949-347-2822 or website draseemdesai.com

[@sclark7577]

@@draseemdesai Hello. Are you an Dr that takes more of the holistic herbal approach if so I’m all ears?

[@draseemdesai]

@@sclark7577 I believe in an integrative approach to health which combines evidence based medical science and validated holistic therapies that do not pose risk to patients (acupuncture, yoga, meditation, properly research supplements such as ashwagandha)

[@margretherandall5689]

Afrib❤ Gerd , digestion, Hiatal Hernia big time cause. Get checked for Hiatal Hernia , very important.( I know, took 15 yrs) for a Dr to find this on me.

[@draseemdesai]

Great point. Thank you.

[@tina8palmer]

Who else has experienced more frequent Afib since getting the Covid vaccines? I certainly have.

[@draseemdesai]

Anecdotally we have seen patients get palpitations and sometimes a triggered afib event after vaccination

[@KimWentworth-y8e]

@@draseemdesai Does the Covid Vaccinations cause AFIB. I am a healthy athlete and never ever had issues with my heart. I got all of the Covid Vaccinations and developed AFIB. A day after the shot my heart was racing. A few months later I was skiing and when I got back my heart went into AFIB. I had my Apple watch then. Went to the ER. I would then get AFIB attacks about every three weeks around 4 to 6 PM and in the mornings, I would sometimes get a fast heart rate of 110 for about 30 minutes. Did the shots mess my heart up. I am thin, active, eat properly, sleep properly, Cholesterol below 200, No Diabetes. I noticed I would feel fatique tired. Do the Covid shots cause AFIB or is it Covid that Causes AFIB?

[@KimWentworth-y8e]

I am 5 feet 7 inches and weight 132 LBS. I lost more weight after my ablation. Trying to gain weight.

[@oldbiker9739]

control; your blood sugar is key, and no seed oils ,and supplement with potassium and magnesium bisglycinate

[@haidarbadran2634]

I have had covid, then long covid. A year later with multiple symptoms i had my first afib episode 2 days ago. All tests, scans, bloods are always normal. But something about long covid wrecked my body. Im scared afib will happen again cause last time i stayed the whole night in er to get back to nsr.

[@draseemdesai]

We have seen this virus cause long term effects on the cardiovascular system, in particular the autonomic nervous system’s interface between brain and heart. The longer one goes without recurrent afib the better the prognosis. Magnesium, avoidance of alcohol and caffeine, 64 ounces per day water, 7-8 hours sleep, screening and treatment of sleep apnea, and weight management are crucial

[@copleysq]

At 38 minutes...WW1.

[@BigPiePublishing]

Very informative. I think you got the wrong world war though. 😉

[@draseemdesai]

Thank you. Good catch!