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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,
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


Early Rhythm Control Prevents Dementia in A-Fib Patients

In a study from South Korea, researchers were able to identify patients with new-onset A-Fib and prior stroke who received antiarrhythmic meds or catheter ablation.

The researchers used the Korean nationwide claims database. 10,213 patients were in the Early Rhythm Control (ERC) group while 31,157 received usual care (anticoagulation, rate control).

Early Rhythm Control, ERC: a treatment that involves receiving rhythm control therapy within two years of an atrial fibrillation diagnosis.
Patients in the ERC group received therapy within 1 year after A-Fib onset. Most of the ERC group received medical therapy (antiarrhythmic drugs) while only 4.6% had a catheter ablation.

Study Findings: Early Rhythm Control Lowers Risk of Dementia

The Early Rhythm Control (ERC) group had significantly lower risk of dementia, Alzheimer’s dementia, and vascular dementia. ERC worked regardless of what kind of prior stroke the A-Fib patients had.

Editor's Comments
Editor’s Comments
Preventing Dementia Progression: A-Fib patients with a prior stroke are more susceptible to dementia. A stroke damages or kills brain cells when blood flow to the brain is interrupted. About 25% of stroke survivors develop dementia within three to six months.
The Korean researchers concluded that “to prevent the progression of cognitive dysfunction, ERC should be considered in this population.”
Catheter Ablation Reduces and Prevents Dementia: Though this study showed great results in A-Fib patients with a prior stroke, would it also work in A-Fib patients without a prior stroke? Yes!

Another study from South Korea found catheter ablation reduced dementia by 44%.This study shows that catheter ablation, probably by restoring or improving blood flow to the brain, can reduce and prevent dementia. (For more, see Catheter Ablation for A-Fib Lowers Dementia Risk)

Research
• Lee, S. et al. Early Rhythm Control and Incident Dementia in Patients with Atrial Fibrillation and Prior Stroke. JACC Clin Electrophysiol. 2024 Apr 18:S2405-500X(24)00188-9. https://www.jacc.org/doi/10.1016/j.jacep.2024.03.007 Epublished DOI: 10.1016/j.jacep.2024.03.007.

• Catheter ablation linked to lower incidence of dementia in AF patients. Cardiac Rhythm News. October 7, 2020. https://tinyurl.com/86mnkas2

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