Doctors & patients are saying about 'A-Fib.com'...


"A-Fib.com is a great web site for patients, that is unequaled by anything else out there."

Dr. Douglas L. Packer, MD, FHRS, Mayo Clinic, Rochester, MN

"Jill and I put you and your work in our prayers every night. What you do to help people through this [A-Fib] process is really incredible."

Jill and Steve Douglas, East Troy, WI 

“I really appreciate all the information on your website as it allows me to be a better informed patient and to know what questions to ask my EP. 

Faye Spencer, Boise, ID, April 2017

“I think your site has helped a lot of patients.”

Dr. Hugh G. Calkins, MD  Johns Hopkins,
Baltimore, MD


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,
Adelaide, Australia

"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

"...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."

Ira David Levin, heart patient, 
Rome, Italy

"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


Video

The Zio® Patch (iRhythm): Single-Use Ambulatory Cardiac Monitor

The Zio® Patch cardiac monitor (iRhythm) looks similar to a 2-by-5-inch adhesive bandage and sticks to a patient’s chest. Electrophysiologists, Dr Parri Dominic and Dr Ryan Jones of LSU Health Sciences Center, talk about this single-use ambulatory, continuously cardiac monitor that records for up to 14 days. No need to removal during exercise, sleeping or bathing. (2:04 min.) 

Posted by University Health News Network, Sept 25, 2017.

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If you find any errors on this page, email us. Y Last updated: Wednesday, February 7, 2018

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VIDEO: A-Fib Best Treated by Changes to Diet and Lifestyle Says Dr. John Mandrola 

Atrial Fibrillation videos at A-Fib.com

Dr. John Mandrola, MD, cardiac electrophysiologist, Louisville, KY, on the impact of lifestyle factors on patients with atrial fibrillation; how A-Fib can be a sign of metabolic risk factors like obesity, poor diet, sleep apnea, alcohol intake, and lack of exercise; and how managing these risk factors can reduce the risk of stroke, and make a significant impact on the patient’s heart rhythm and overall health. (5:29)

Posted by Dr. John McDougall; Interview from McDougall Advanced Study Weekend in Santa Rosa CA, 2016.

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If you find any errors on this page, email us. Y Last updated: Wednesday, February 7, 2018
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The Maze Open-Heart Surgery

The Maze procedure open-heart surgery is typically performed in conjunction with surgery to correct another heart condition such as valve disease or coronary disease but can also be performed as a standalone treatment.

Cardiac surgeon Edward Soltesz, MD, discusses who is a good candidate for the surgical-based treatment of atrial fibrillation. Animation, illustrations and surgical footage. (3:19) Produced and posted by of the Cleveland Clinic.

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If you find any errors on this page, email us. Y Last updated: Sunday, February 4, 2018

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More FREE ‘Learn the Heart’ ECG Online Review Courses

Recently I posted about a FREE online course ‘ECG Basics‘ at Healio/LearnTheHeart.com designed to expand your understanding of Electrocardiograms (ECG or EKG) (see our description page).

More ‘Learn the Heart’ ECG Review Courses

This week I expanded the list of Healio ECG short courses that may be of interest to Atrial Fibrillation patients. Each includes examples of 12-lead ECGs and, where appropriate, specific criteria. Check out the following:

Illustration: Healio 'Atrial Fibrillation ECG Review‘

Illustration: Healio ‘Atrial Fibrillation ECG Review‘

Atrial Fibrillation ECG Review
Atrial Flutter ECG Review
Premature Atrial Contractions (PACs) ECG Review
Left Atrial Enlargement (LAE) ECG Review
Atrioventricular Nodal Reentrant Tachycardia (AVNRT) ECG Review

ECG Quizzes, Too

You can also challenge yourself with the Beginner ECG Quiz featuring detailed answers and links to pertinent explanation pages. Or test your overall knowledge of Atrial Fibrillation with a multiple choice Atrial Fibrillation Quiz.

Steve’s Brief Overview: The EKG Signal

If you want just a brief overview of the ECG waveform signal and how to “read” an ECG tracing, go to my report, Understanding the EKG Signal.

VIDEO: RF Catheter Ablation for Atrial Fibrillation—From Start to Finish With Dr. Robert Fishel

Join Dr. Robert S. Fishel in the EP lab for a full RF catheter ablation procedure for Atrial Fibrillation. In a conversational manner, he talks the viewers through each step during an in-progress catheter ablation.

He discusses use of x-ray, protection of the esophagus, anticoagulation, and various catheters including circular mapping catheter with force touch. He describes pulmonary view potentials and the various video screens of a beating heart displaying 3-D mapping information. (1 hour)  Dr. Robert S. Fishel is Director of Cardiac Electrophysiology at JFK Medical Center Atlantis, FL. (Link updated 1-15-2018) 

YouTube video playback controls: When watching this video, you have several playback options. The following controls are located in the lower right portion of the frame: Turn on closed captions, Settings (speed/quality), Watch on YouTube website, and Enlarge video to full frame. Click an icon to select.

NOTE: In Jan. 2014, Steve joined Dr. Fishel in the EP Lab while in Florida for the 2014 BAFS. See A-Fib Alerts: January issue for photos of Steve in scrubs!

If you find any errors on this page, email us. Y Last updated: Thursday, January 18, 2018

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My Top 5 Picks: Advanced-Level Atrial Fibrillation Videos

The A-Fib.com Video Library is for those readers who learn visually through motion graphics, audio, personal interviews and animations.

These are my top 5 picks of advanced-level videos. For the reader wanting a more in-depth look inside the EP lab and surgery, and at advanced topics relating to atrial fibrillation.

1. Step-by-Step: Cardioversion Demonstration by ER Staff

Step-by-Step: Cardioversion Demonstration by Alfred Sacchetti

Step-by-Step: Cardioversion

The goal of electrocardioversion is to convert the patient’s rhythm from atrial fibrillation back to normal sinus rhythm.

In this video, emergency room medical personnel demonstrate the equipment, pads placement and procedures of cardioversion. The video describes where pads are properly placed on the patient; how medication is chosen to produce deep sedation; and how after the shock is delivered, a successful cardioversion is confirmed by viewing a normal sinus rhythm on the cardiac monitor.

Close-up of the equipment is shown along with the monitor display. (2:10 min.) Uploaded by Alfred Sacchetti. Go to video->

2. Your Heart’s Ejection Fraction (EF): What You Need to Know

Ejection Fraction with Dr Robert Fishel

Ejection Fraction with Dr Robert Fishel

In the following three short videos, cardiac electrophysiologist, Dr. Robert Fishel, discusses the ejection fraction (EF) a measurement of the pumping efficiency of the heart and why cardiac patients should know their EF percentage.

Video 1: What is the ejection fraction? (:54 sec.) Cardiac Ejection Fraction (EF) is the percentage of blood pumped from the heart’s main chamber during each heartbeat, and why it’s important.

Video 2: Who should know their ejection fraction (EF)? (:34 sec.) Measurement of your Ejection Fraction (EF) is an important test and why A-Fib patients need to know their EF number.

Video 3: How is an ejection fraction measured? (:56 sec.) Ejection Fraction (EF) can be measured by various techniques including an echocardiogram.

Videos hosted by Share.com. Go to videos-> 

3. Mini-Maze Surgery In-Depth: Inside the O.R. with Dr. William Harris, Cardiovascular Surgeon 

Video still of Mini-Maze Surgery at A-Fib.com

In-Depth: Mini-Maze Surgery

Cardiovascular Surgeon, Dr. William Harris describes the Mini-Maze surgery for Atrial Fibrillation. In the Mini-Maze the heart is accessed through small incisions in the chest.

Of interest to A-Fib patients who can not tolerate blood thinners and thus do not qualify for a Catheter Ablation. The Mini-maze surgery is a highly effective with an 85%–95% success rate. (4:49 min.) Dr. Harris is with Baptist Medical Center, Jackson, Miss. Go to video->

4. Pulmonary Vein Isolation In-Depth: Step-by-Step Inside the EP Lab Using Mapping & CT Scan

PVI Step-by-Step Inside the EP Lab video at A-Fib.com

Pulmonary Vein Isolation Step-by-Step Inside the EP Lab

Cardiac Electrophysiologist Dr. James Ong begins with a brief tour of the EP lab and control room; Dr. Ong explains how pulmonary vein isolation is done with radiofrequency ablation to cure atrial fibrillation.

Included are: Mapping technology; the Virtual Geometrical shell of the heart displayed next to the CT scan; Placement of the catheter, real time tracking; the Complex Fractionated Electrogram (CFE) Map used to identify and eliminate the extra drivers (aside from the pulmonary veins). (6:01 min.) From a series of videos by Dr. Ong, Heart Rhythm Specialists of Southern California. Go to video->

5. Long-Standing Persistent A-Fib: A Live Case of Catheter Ablation Through 3D Mapping & ECG Images

Long-Standing Persistent A-Fib: Catheter Ablation Through 3D Mapping & ECG Images Video at A-Fib.com

Long-Standing Persistent A-Fib: Catheter Ablation Through 3D Mapping & ECG Images

Presented entirely through 3D mapping and ECG images, a live demo of ablation for long-standing, persistent A-Fib is followed from start to finish. Titles identify each step (no narration).

3D mapping and ECG images show the technique of transseptal access, 3D mapping, PV isolation, and ablating additional drivers of A-Fib. (8:03 min.) With Dr. James Ong, Heart Rhythm Specialist of Southern California. Go to video->

Note: These videos may require basic understanding of cardiac anatomy and A-Fib physiology.

Visit our A-Fib.com Video Library
for more Advanced-Level Videos

STEVE RYAN VIDEOS:
We’ve edited Steve’s most interesting radio and TV interviews to create several short (3-5 min.) videos. Check out Videos Featuring Steve S. Ryan, PhD, publisher of A-Fib.com.

Learn to Read Your ECG: My Brief Overview or a Healio.com Training Course

When I developed Atrial Fibrillation, one of my first courses of study was to learn how to read my own Electrocardiogram (ECG or EKG). If this interests you, too, consider my brief overview of the ECG waveform signal and how to “read” an ECG tracing. Go to my report, Understanding the EKG Signal.

FREE ECG Training Course

For the reader wanting a more extensive understanding of the Electrocardiogram and A-Fib, we offer you a link to LearnTheHeart.com – a FREE online cardiology resource for those seeking to increase their knowledge of ECG tracings.

Start with ECG Basics: I suggest you start with the ECG Basics to analyze each part of the ECG tracing; included are detailed explanations and ECG images of the heart in A-Fib. The tutorial is concise and focused on only what you need to know, yet very thorough — from waves to segments to complexes. Go to LearnTheHeart.com ECG Basics.

VIDEO: Graphic Display of Actual Heart in Atrial Fibrillation

Click to go to video

See an ECG waveform of an actual heart in Atrial Fibrillation–how it could look to your doctor. Your ECG may look different, but it will be fast and erratic. (You’ll see the changing heartbeat rate in the lower left.)

Go to video: ECG of Heart in Atrial Fibrillation on Monitor.

 

New Video: EKG of Actual Heart in Atrial Fibrillation

We’ve added a new video to our Library of Videos & Animations. A graphic display of actual heart in Atrial Fibrillation. How it could look to your doctor on an EKG/ECG monitor; (Your EKG may look different, but will be fast and erratic). Includes display of the changing heartbeat rate in the lower left.

For comparison, we’ve included a graphic comparing the tracing of a heart in normal sinus rhythm vs. a heart in A-Fib.

Share with you family and friends when you talk about your A-Fib. (:59 sec)  Go to video->

EKG tracing

How to Interpret an ECG Signal

A-Fib is fairly easy to diagnose using EKG. The ECG signal strip is a graphic tracing of the electrical activity of the heart.

An electrocardiogram, ECG (EKG), is a test used to measure the rate and regularity of heartbeats. To learn more, see our article, Understanding the EKG Signal.

Video: EKG of Heart in Atrial Fibrillation on Monitor

Graphic display of actual heart in Atrial Fibrillation. How it could look to your doctor on an EKG/ECG monitor; (Your EKG may look different, but will be fast and erratic). Notice the changing heartbeat rate in the lower left. Compare to normal ECG below.

Share with you family and friends when you talk about your A-Fib. (:59 sec) Posted by jason king, Published on Aug 24, 2017.

Graphic: ECG of Heart in Normal Heart Rhythm and in Atrial Fibrillation

In the case of Atrial Fibrillation, the consistent P waves are replaced by fibrillatory waves, which vary in amplitude, shape, and timing (compare the two illustrations below).

How to Interpret an ECG Signal

EKG signal components at A-Fib.com

EKG signal components

An electrocardiogram, ECG (EKG), is a test used to measure the rate and regularity of heartbeats, as well as the size and position of the chambers, the presence of any damage to the heart, and the effects of drugs or devices used to regulate the heart.

The ECG signal strip is a graphic tracing of the electrical activity of the heart. To learn more, see our article, Understanding the EKG Signal.

If you find any errors on this page, email us. Y Last updated: Friday, September 8, 2017

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In-Depth: Mini-Maze Surgery: Inside the O.R. with Dr. William Harris, Cardiovascular Surgeon

Cardiovascular Surgeon, Dr. William Harris describes the Mini-Maze surgery for Atrial Fibrillation. In the Mini-Maze the heart is accessed through small incisions in the chest.

Of interest to A-Fib patients who can not tolerate blood thinners and thus do not qualify for a Catheter Ablation. The Mini-maze surgery is a highly effective with an 85%–95% success rate. Dr. Harris is with Baptist Medical Center, Jackson, Miss. (4:49 min.)

YouTube video playback controls: When watching this video, you have several playback options. The following controls are located in the lower right portion of the frame: Turn on closed captions, Settings (speed/quality), Watch on YouTube website, and Enlarge video to full frame. Click an icon to select.

If you find any errors on this page, email us. Y Last updated: Friday, September 15, 2017

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VIDEO: Step-by-Step: Cardioversion Demonstration of by ER Staff

The goal of electrocardioversion is to convert the patient’s rhythm from atrial fibrillation back to normal sinus rhythm.

In this video, emergency room medical personnel demonstrate the equipment, pads placement and procedures of cardioversion. The video describes where pads are properly placed on the patient; how medication is chosen to produce deep sedation; and how after the shock is delivered, a successful cardioversion is confirmed by viewing a normal sinus rhythm on the cardiac monitor. Close-up of the equipment is shown along with the monitor display.

Uploaded on Jan 5, 2012 (2:10 min.) by Alfred Sacchetti.

YouTube video playback controls: When watching this video, you have several playback options. The following controls are located in the lower right portion of the frame: Turn on closed captions, Settings (speed/quality), Watch on YouTube website, and Enlarge video to full frame. Click an icon to select.

If you find any errors on this page, email us. Y Last updated: Monday, January 15, 2018

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VIDEO: Your Heart’s Ejection Fraction (EF): What You Need to Know

Three short videos about Ejection Fraction with Dr. Robert Fishel at A-Fib.com

Three short videos about Ejection Fraction with Dr. Robert Fishel

In the following three short videos, cardiac electrophysiologist, Dr. Robert Fishel, discusses the ejection fraction (EF) a measurement of the pumping efficiency of the heart and why cardiac patients should know their EF percentage. (Videos hosted on the Sharecare.com website.)

Video 1: What is the ejection fraction? (:54 sec.)

Dr. Robert Fishel explains that cardiac ejection fraction (EF) refers to the percentage of blood pumped from the heart’s main chamber during each heartbeat, and relays its importance to A-Fib patients.

Video 2: Who should know their ejection fraction (EF)? (:34 sec.)

Measurement of your Ejection Fraction (EF) is an important test for cardiac patients to know. Dr. Robert Fishel explains why A-Fib patients need to know their EF number.

Video 3: How is an ejection fraction measured? (:56 sec.)

Ejection fraction (EF) can be measured by various techniques including an echocardiogram, ventriculogram and other methods.

Dr. Fishel is Director of Cardiac Electrophysiology, JFK Medical Center Atlantis, FL. Dr. Fishel graduated from New York University School of Medicine in 1987 and has been in practice for 30 years. He is board certified in Electrophysiology and Clinical Cardiac Electrophysiology. 

If you find any errors on this page, email us. Y Last updated: Monday, January 15, 2018

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VIDEOS: Endoscopic Views of a Beating Heart in Atrial Fibrillation

The Left Atrium in Atrial Fibrillation

Endoscopic video of a beating heart; shows the Left Atrium during Atrial Fibrillation. Looped footage with voice-over narration. (:32 sec.) Posted by BillSchnee

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Amputation of the Left Atrial Appendage

Endoscopic video of a beating heart; shows placement of the Left Atrial Appendage into the jaws of the stapling device before amputation and removal (using a EZ45 linear stapler). With voice-over narration, (1:34 min.) Posted by BillSchnee.

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If you find any errors on this page, email us. Y Last updated: Thursday, August 31, 2017

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Your Heart’s Electrical System & How Clots Form: An Introduction 

Basic introduction to how the heart works. Identifies the parts of the heart and illustrates the role of each, and shows how clots form; Detail animation of the heart processes accompanied by narration. Transcript below. (3:50 min.)

Animation from the National Heart Lung and Blood Institute.

TO PLAY VIDEO: Click the PLAY  button to start video
(The controls inside the video frame don’t work.)

Transcript of this Article

If you find any errors on this page, email us. Y Last updated: Monday, September 11, 2017

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VIDEO: The Lariat Procedure for Left Atrial Appendage Closure

Dr. Eric Pena, cardiac electrophysiologist at Rogue Regional Medical Center, discusses the risk of clots and stroke in A-Fib patients not on anti-coagulation drug therapy. The Left Atrial Appendage (LAA) of the heart is known to be a major source of these clots.

He describes the LARIAT procedure, a lasso-shaped suture used to tie off  the LAA and why at-risk A-Fib patients may consider the LARIAT. EP lab footage and animation. 2:41 min. Published by Asante on Apr 11, 2013.

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If you find any errors on this page, email us. Y Last updated: Friday, September 1, 2017

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VIDEO: Watchman Left Atrial Appendage Closure—How it Works and Who is a Prime Candidate

Electrophysiologist, Dr Drew Pickett of Saint Thomas Health, discusses closure of the Left Atrial Appendage using the Watchman device to reduce the risk of clots and stroke. He explains how it works and who is a prime candidate, the installation process and length of procedure, and why a patient may consider the Watchman.

Includes EP lab footage and animation. 3:28 min. Published by Saint Thomas Health; July 13, 2015.

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If you find any errors on this page, email us. Y Last updated: Friday, September 1, 2017

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VIDEO: The Lariot Procedure: Closure of the Left Atrial Appendage Technique 2

How and why the LARIAT is inserted. For some high-risk patients, the LARIAT procedure is used to tie off the left atrial appendage thereby eliminating this source of clots. The heart’s left atrial appendage, is known to be a major source of blood clots that can lead to strokes. Features Dr. Eric Pena of the Asante Rogue Regional Medical Center. (1:24 min. excerpt.) Published by Asante on Apr 11, 2013.

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If you find any errors on this page, email us. Y Last updated: Wednesday, August 30, 2017

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VIDEO: The Watchman Device: Closure of the Left Atrial Appendage Technique 1

Animation of how the Watchman is inserted. For some high-risk A-Fib patients, the WATCHMAN Left Atrial Appendage Closure device is implanted at the opening of the left atrial appendage (LAA) to trap blood clots before they exit the LAA. (The heart’s left atrial appendage is known to be a major source of blood clots that can lead to strokes.) (1:04 min.) Published by jonathan penn on Feb 22, 2014.

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If you find any errors on this page, email us. Y Last updated: Wednesday, August 30, 2017

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Hybrid Surgery/Ablation Procedure: An Introduction with Dr. Robert Joy

Dr. Robert Joy gives a short overview of the hybrid procedure to treatment for Atrial Fibrillation in which a cardiothoracic surgeon and an electrophysiologist work together in a single procedure; How it opens up a new opportunity for A-Fib patients with difficult cases of Atrial Fibrillation (1:26 min.) Published by Ellis Medicine, 2012. Dr. Robert Joy is an an Interventional Cardiologist with Ellis Medicine.

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Note: The genius of the Hybrid approach seems to be its complementary nature: the surgeon works on the outside the heart and the EP on the inside of the heart to eliminate the Atrial Fibrillation signals.

If you find any errors on this page, email us. Y Last updated: Thursday, January 18, 2018

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VIDEO: Introduction to Anticoagulant Therapy—Living with Warfarin

Excellent introduction for A-Fib patients to anticoagulant therapy with warfarin (Coumadin). Practical issues associated with taking warfarin are discussed by patients and medical professionals (clinical nurse, doctors, a pharmacist  and clinical dietitian). (16:22 min.)

Produced by Johns Hopkins Medicine and posted Mar 7, 2011.

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If you find any errors on this page, email us. Y Last updated: Monday, January 15, 2018

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