"This book is incredibly complete and easy-to-understand for anybody. I certainly recommend it for patients who want to know more about atrial fibrillation than what they will learn from doctors...."

Pierre Jaïs, M.D. Professor of Cardiology, Haut-Lévêque Hospital, Bordeaux, France

"Dear Steve, I saw a patient this morning with your book [in hand] and highlights throughout. She loves it and finds it very useful to help her in dealing with atrial fibrillation."

Dr. Wilber Su Cavanaugh Heart Center, Phoenix, AZ

"Your book [Beat Your A-Fib] is the quintessential most important guide not only for the individual experiencing atrial fibrillation and his family, but also for primary physicians, and cardiologists."

Jane-Alexandra Krehbiel, nurse, blogger and author "Rational Preparedness: A Primer to Preparedness"


"Steve Ryan's summaries of the Boston A-Fib Symposium are terrific. Steve has the ability to synthesize and communicate accurately in clear and simple terms the essence of complex subjects. This is an exceptional skill and a great service to patients with atrial fibrillation."

Dr. Jeremy Ruskin of Mass. General Hospital and Harvard Medical School

"I love your [A-fib.com] website, Patti and Steve! An excellent resource for anybody seeking credible science on atrial fibrillation plus compelling real-life stories from others living with A-Fib. Congratulations…"

Carolyn Thomas, blogger and heart attack survivor; MyHeartSisters.org

"Steve, your website was so helpful. Thank you! After two ablations I am now A-fib free. You are a great help to a lot of people, keep up the good work."

Terry Traver, former A-Fib patient

"If you want to do some research on AF go to A-Fib.com by Steve Ryan, this site was a big help to me, and helped me be free of AF."

Roy Salmon Patient, A-Fib Free; pacemakerclub.com, Sept. 2013

Why Choose a Doctor Who Understands the Significance of Rotors?

After posting my article, Rotors! Rotors! Rotors! Good News for Patients with Persistent A-Fib (2016 AF Symposium), I was surprised when Patti said we didn’t have the term ‘rotors’ in our Glossary of A-Fib Terms. So we just added it:

Rotors: underlying drivers that sustain or propagate an A-Fib signal after it has been triggered (like an echo). Elimination of rotors by catheter ablation improves long-term freedom from A-Fib.

Why You Want a Doctor Who Understands the Significance of Rotors

The ability to diagnose rotors enables a more patient-specific treatment approach by focusing on just a few critical areas in each individual patient’s heart and results in fewer lesions (ablation scars).

Stay away from EPs who ablate only the pulmonary veins (PV).

This is important. You should stay away from EPs who ablate only the pulmonary veins (PV) and don’t check for non-PV triggers like rotors and focal points. That is a one-size-fits-all approach. (See my editorial: Huge Growth in Number of EPs Doing Catheter Ablations, But All EPs Are Not Equal)

A more reasonable approach tailors treatment to each individual’s specific physiology. This requires a more experienced EP and precise location identification using advanced mapping techniques (such as the FIRM Mapping and Ablation System by Topera/Abbott Laboratories or the ECGI/ECVUE system by CardioInsight Technologies/Medtronic).

What This Means to Patients

You want an experienced doctor (EP) who understands the significance of ‘rotors’; who will use advanced mapping techniques, when needed, to search for and isolate non-PV triggers.

You must do your due diligence to find the right EP. I know it’s a lot of effort. Don’t settle for an EP because their office is nearby. Be prepared to travel if that’s what it takes.

Remember: You must be your own best patient advocate.

How to Select Your Doctor

To learn more about how to select the right doctor for you and your treatment goals, see my article: Finding the Right Doctor for You and Your A-Fib.

Never see a doctor alone - at A-Fib.com

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