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


Is There a Pulsed Field Ablation in Your Future? Groundbreaking Innovation in Atrial Fibrillation!

One of the most important, groundbreaking innovations in Atrial Fibrillation (A-Fib) treatment is Pulsed Field Ablation. PFA is widely approved and used in Europe beginning in 2021.

In the U.S., the FDA approved the first Pulsed Field Ablation system in January 2024. There are now five FDA-approved Pulsed Field Ablation systems: Boston Scientific’s Farapulse, Medtronic’s Affera, Medtronic’s Pulse Select, Johnson & Johnson’s Varipulse, and Abbott’s Volt.

I predict that Pulsed Field Ablation will supersede all other types of ablation for Atrial Fibrillation.

What Makes Pulsed Field Ablation Different

Preceding Pulsed Field Ablation, the two main energy systems for catheter ablation were thermal, i.e., radiofrequency (RF) (heat) and Cryo (freezing).

Pulsed Field Ablation instead uses a fundamentally different process called “Irreversible Electroporation”.

Illustration of damaged esophagus during catheter ablation: Left, RF ablation; Center, CryoBalloon ablation; Right, Normal Esophagus with Pulsed Field Ablation.

During Irreversible Electroporation, an instantaneous electrical field is applied to targeted cells which open up tiny doors (nanopores). Shortly thereafter, the contents of the cell exit through these doors, and the cell dies. The cell is rendered electrically inactive.

Unlike ablated tissue using RF and Cryo thermal energy, PFA retains the cell’s original structure even after cell death. Because it doesn’t rely on thermal effects, there is no charring or crust formation. ->Continue reading about Pulsed Field Ablation->

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