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Doctors & patients are saying about 'Beat Your A-Fib'...


"If I had [your book] 10 years ago, it would have saved me 8 years of hell.”

Roy Salmon, Patient, A-Fib Free,
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"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,
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"...masterful. You managed to combine an encyclopedic compilation of information with the simplicity of presentation that enhances the delivery of the information to the reader. This is not an easy thing to do, but you have been very, very successful at it."

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"Within the pages of Beat Your A-Fib, Dr. Steve Ryan, PhD, provides a comprehensive guide for persons seeking to find a cure for their Atrial Fibrillation."

Walter Kerwin, MD, Cedars-Sinai Medical Center, Los Angeles, CA


Atrial Fibrillation Hospitalizations: Urban-Rural Differences in Mortality Rates

A new study suggests U.S. patients hospitalized for atrial fibrillation in rural areas may be more likely to die than those hospitalized in urban areas. 

In-hospital mortality was defined as death due to any cause during hospitalization.

Researchers examined nationwide information on 248,731 adults hospitalized for atrial fibrillation between 2012 and 2014. Mean age was 69 years; 78% white; 48% women. Of these, 218,946 (88%) were from urban hospitals and 29,785 (12%) were from rural hospitals.

Study Results: Urban vs. Rural

Patients admitted to rural hospitals had a 17% increased risk of death as compared with those admitted to urban hospitals. (Around 1.3 percent of atrial fibrillation patients died in rural hospitals, compared and 1 percent in urban facilities.) The study accounted for differences in patient characteristics including high blood pressure, diabetes, heart failure and kidney damage.

“…appropriate anticoagulation and…advanced options such as ablation, are lower in rural than urban settings.” Dr. Thomas Deering

According to lead study author Dr. Wesley O’Neal of Emory University School of Medicine: “Presumably, a higher risk of death in patients from rural regions was related to differences in practice patterns and access to specialists.” 

From a related editorial: “There is also some limited data suggesting that several atrial fibrillation outcomes, for example appropriate anticoagulation usage and appropriate referral for advanced procedural options such as ablation, are lower in rural than urban settings,” wrote Dr. Thomas Deering of Piedmont Heart Institute in Atlanta.

This study examination wasn’t a controlled experiment. Further research is needed to understand these findings.

What This Means to A-Fib Patients

Atrial Fibrillation is not a one-size fits all type of disease. Don’t choose your Atrial Fibrillation healthcare provider just because their office is nearby with local hospital privileges.

When seeking treatment for your Atrial Fibrillation, your first step is to see a heart rhythm specialist (a cardiac electrophysiologist) who specializes in the electrical function of the heart (and the best you can afford). You may need to travel, but it may be worth it to you for your peace of mind.

For more see Finding the Right Doctor for You and Your A-Fib and the A-Fib.com Directory of Doctors Treating A-Fib: Medical Centers and Practices.

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