i have atrial fibrillation
play

I have atrial fibrillation, What now? 2016 Michael S. Lloyd MD FACC FHRS Associate Professor Emory University Hospital mlloyd2@emory.edu What exactly is Afib? Sinoatrial node Atrial depolarization Compact AV node Ventricular Repolarization

0 downloads 3 Views 1,6 MB Size Report
  1. I have atrial fibrillation, What now? 2016 Michael S. Lloyd MD FACC FHRS Associate Professor Emory University Hospital mlloyd2@emory.edu

  2. What exactly is Afib? Sinoatrial node Atrial depolarization Compact AV node Ventricular Repolarization Ventricular Depolarization QRS T wave Pwave PR 2

  3. What exactly is Afib? http://www.blaufuss.org/SVT/index2.html

  4. Why Me? Risk factors for developing AF Age over 60 Alcohol Weight Family history Sleep apnea Diabetes High Blood Pressure Valve problems Lung Disease **Long distance running Childhood second hand smoke Circulation. 2006;114:119-125

  5. THERE ARE MANY TYPES OF ATRIAL FIBRILLATION! Lone atrial fibrillation, afib with no other known heart problems.

  6. 3- P’s OF ATRIAL FIBRILLATION! Paroxysmal, starting and stopping Persistent, requiring intervention Permanent, staying there

  7. What Does That Mean for My Life?

  8. A Stepwise Approach to Living With Atrial Fibrillation 1. What’s my risk for stroke? 2. Do I have symptoms? no 3. Do I feel better in normal rhythm? no yes Rate control (controlling Rhythm control (trying to the ventricle’s response to keep the atrium in regular the fibrillating atrium) rhythm

  9. What can your doctor do? ablation medications pacemakers other devices

  10. Make A Plan With Your MD Call your doctor if: You are usually in sinus rhythm, but have AF “attacks” for >12 hours You have an a very high heart rate at rest >140 bpm You are having symptoms of Afib after an ablation You are taking special rhythm medicines and are prescribed another prescription medicine.

  11. Make A Plan With Your MD Go to the ER if: You are having signs of stroke, especially if not on blood thinners You are having emergency symptoms: severe shortness of breath severe chest pain worst headache of your life profuse bleeding

  12. Make A Plan With Your MD Ask your doctor about: The pros and cons of other blood thinners Left atrial occlusion devices New ablation techniques pacemakers and AV node ablation

  13. Figure out your stroke risk >2, blood thinner probably needed

  14. What Can I Do To Live Healthy With Afib? 1. Weight 30 minutes at a time, five times a week 2. Diet/Exercise Reduce alcohol, reduce sodium 3. Sleep Exclude sleep apnea! 4. Education Know your heart rate and your BP!

  15. Weight and Afib, What’s the Big Deal? Increases chance of diabetes Increases chance of high blood pressure Increases chance of sleep apnea

  16. Weight and Afib, What’s the Big Deal?

  17. Losing Weight Helps Afib

  18. Diet and Afib

  19. Diet and Afib

  20. Diet and Afib

  21. Sleep, Snoring and Afib

  22. Sleep, Snoring and Afib People who didn’t have sleep apnea and got an Afib ablation People who DID have sleep apnea and got an Afib ablation, but DIDN’T use cpap

  23. Exercise and Atrial Fibrillation

  24. Exercise and Atrial Fibrillation People who were more active had a lower risk of atrial fibrillation! (Just don’t over -do it.)

  25. Educating Yourself After 2-3 minutes of quiet sitting: 50bpm-100bpm With exercise: <150bpm

  26. Educating Yourself https://www.hrsonline.org/ http://www.emoryhealthcare.org/arr hythmia/ask-experts-videos- arrhythmia.html

  27. Wrap-Up There is more than one type of atrial fibrillation You can help manage Afib by attention to weight, exercise, sleep, and diet Get a plan with your doctor You can have a good quality of life with Afib, but keeping tabs on the pulse and your symptoms is key

Recommend Documents


update on atrial fibrillation management disclosure
Update on atrial fibrillation

12/1/17 Update on atrial fibrillation management Disclosure Catheter

atrial fibrillation afib what you need to know
Atrial Fibrillation (AFib): What You

Atrial Fibrillation (AFib): What You Need to Know 2018 Acknowledgements

atrial fibrillation
Atrial Fibrillation Saeed Oraii MD,

Catheter Ablation for Persistent Atrial Fibrillation Saeed Oraii MD,

atrial fibrillation reducing the risk of stroke
Atrial fibrillation Reducing The Risk

Atrial fibrillation Reducing The Risk of Stroke Bjrn Fredriksson Arrhythmia

management and one year outcome of atrial fibrillation in
Management and one year outcome of

Management and one year outcome of atrial fibrillation in Middle Eastern

kpaf trial
KPAF trial The Kansai Plus Atrial

KPAF trial The Kansai Plus Atrial Fibrillation (KPAF) trial is a 2x2 factorial

defining sub clinical atrial fibrillation and its
Defining Sub-Clinical Atrial

Defining Sub-Clinical Atrial Fibrillation and its management Jeff Healey MD,

atrial appendage occlusion among
Atrial Appendage Occlusion Among

Comparative Effectiveness of Left Atrial Appendage Occlusion Among Patients

race 3
RACE 3 Risk Factor Driven Upstream

RACE 3 Risk Factor Driven Upstream Therapy in Early Persistent Atrial

race 3
RACE 3 Risk Factor Driven Upstream

RACE 3 Risk Factor Driven Upstream Therapy in Early Persistent Atrial

a signal processing approach to the detection of
A Signal Processing Approach to the

NRP: EEE24A A Signal Processing Approach to the Detection of Obstructive

presentation review
Presentation Review Presentation

Presentation Review Presentation Review Bioengineering 6061: Presentations

pulmonary hypertension and sleep apnea
Pulmonary Hypertension and Sleep Apnea

Recontres Genevoises de Pneumologie, HUG, Feb 17, 2010 Pulmonary Hypertension

sleep and airway
SLEEP AND AIRWAY Rashpal Deol BDS,

SLEEP AND AIRWAY Rashpal Deol BDS, MDS, DDS Member, AADSM Visiting

3 ish dentists
3 (ish) Dentists -18 Employees

3 (ish) Dentists -18 Employees -Bread and Butter Dentistry Emotional

sleep apnea therapy device
Sleep Apnea Therapy Device Taylor

Sleep Apnea Therapy Device Taylor Karns, Jen Rich, Ben Mihelich, Calvin

sleep apnea
Sleep Apnea Karoline Moon, MD, MSPH

The Role of Glucagon in Obstructive Sleep Apnea Karoline Moon, MD, MSPH

management of sleep apnea evidence based approach neil s
MANAGEMENT OF SLEEP APNEA: EVIDENCE

MANAGEMENT OF SLEEP APNEA: EVIDENCE BASED APPROACH NEIL S. FREEDMAN, MD N

presentation to the board
Presentation to the Board July 26,

2017 July Financial Plan 2018 - 2021 Presentation to the Board July 26, 2017

2015 full year results presentation
2015 Full Year Results Presentation

2015 Full Year Results Presentation Year ended 31 March 2015 1 Full Year

obstructive sleep apnea in view of
Obstructive Sleep Apnea in View of The

Obstructive Sleep Apnea in View of The Epidemic of Obesity in Children Sleep

steams mship mut utua ual
Steams mship Mut utua ual Cosc sco

Cosco Busan 15 th June, 2011 - MTC Presentation Steams mship Mut utua ual