Answer:In paroxysmal AF patients LAA seems to play a much bigger role in arrhythmogenesis. Ablating around the LAA from inside seems to be appealing - there are technical and anatomic difficulties in getting the job done. Complete electrical isolation of the LAA is very difficult and oftentimes they reconnect much faster. When it is isolated it looses its contractile function - despite rhythm control there will be significant stasis of blood resulting in the clots and higher risk of stroke. often times the area around the LAA osmium is paper thin and has pits that can lead to perforation and major complications. So removing it either by ligating or clipping it eliminates the arrhythmia source also reduces the effective LA volume and we believe also results in the alteration of the sympathetic systems to result in better AFib control. In most of the people the other parts of the heart and body compensate for the acute loss of atrial natriuretic peptide. So that is not something we should worry about.
Answer:Alcohol is frequent trigger for AFib. It alters the physiology of the heart muscle and is notoriously associated with occurrence of AFib. My advice to you is to stop drinking Alcohol and get yourselves periodically checked. Read this article for more information on the link between alcohol use and AFib http://www.ncbi.nlm.nih.gov/pubmed/25707748
Answer:Looks like stress seems to be a trigger in your case. I was not aware of any data on the winter preponderance of your AFib burden. May be your professional life gets more stressful during the winter months. Yoga seems to definitely improve the overall AF burden in patients with paroxysmal AF like yourself. In our YOGA MY HEART study we studied practice of yoga in paroxysmal AF patients with good results. You should definitely try. Please see the below link for more details of the study http://www.ncbi.nlm.nih.gov/pubmed/23375926
Answer:Again I cannot give you a consultation on EKG findings. Your clinical picture is equally important. Contact your doctor or cardiologist to discuss your EKG findings and their relevance to your situation.
Answer:It is hard to judge his EKG alone and give you a diagnosis. Based on the finding you describe on the EKG there seems to be no immediate concern. He has premature ventricular complexes if they are more frequent and symptomatic you should seek a consultation with a cardiologist.
Answer:Ablation for paroxysmal AFib is more successful than the non paroxysmal Afib. However, the 5 year recurrence rates are higher. So you should undergo periodic monitoring either using external or implantable monitor. Decisions regarding your oral anticoagulation should be made on your baseline stroke risk. If your stroke risk is high you should stay on the anticoagulation. Maintaining appropriate weight, regular exercise, minimizing alcohol, better control of your blood pressures and diabetes and sleep apnea can all be helpful to preventing recurrences.
Answer:It is not uncommon to have recurrences after tachycardia ablation. the rates of recurrences are different for different types of tachycardias. Especially after AF ablation it is relatively common to have a few episodes of AF or other atrial arrhythmias as the tissue heals. Most of the times these settle down over the next 8-12 weeks. In some it is a sign that there are areas that might reconnected and reinitiating the arrhythmias. Contact the physician who performed the ablation and ask about next plan - medications or repeat ablation? Sometimes it takes more than one ablation to get the problem fixed. Based on what you describe slow heart beat is not issue. Heart rates can be as low as 40-50 bpm with out being symptomatic. Good luck.
Answer:Sorry to hear about your uncle. People with weak heart otherwise known as cardiomyopathy have poor pumping function. By LCD you meant Left Ventricular Ejection Fraction, I assume. Low ejection fraction is one of the big predictors of sudden cardiac death. He could have been considered for implantable defibrillator therapy to prevent the complications he is currently facing. Cardiac arrest is a resultant of a sudden electrical storm inside the heart called ventricular tachycardia or fibrillation, where the heart ceases to pump sufficient amounts of blood to the rest of the organs. Of all the organs brain is the most sensitive to lack of blood supply. My suspicion is he suffered significant brain injury that is also affecting his respiratory center and higher brain functions. Tracheostomy is one way of managing his airway and ventilation for long term. Overall prognosis is guarded. You should talk to the attending physician regarding the prognosis and appropriate decisions regarding termination or continuation of care can be made based on your uncle\'s will.
Answer:Dear Annet In majority of people the AF is mostly disorganized and irregular with symptoms of irregular heart beat, fluttering etc. Sometimes AF can be more organized into a flutter where instead of irregular heart beat you may have a rapid regular racing heart beat or pulse. People who have AF may also have Atrial flutter, atrial tachycardia and sometimes simple atrial and ventricular premature beats that can also give you irregularity. The alteration in cardiac physiology when you are in arrhythmias is what gives you shortness of breath. You should seek your doctors opinion and make sure you are on appropriate treatment in terms of stroke prevention, rate and rhythm control Good Luck DL
Answer:It seems prudent to contact your cardiologist and tell him about these symptoms. They might be normal but also may represent some sort of residual ischemia.