Living a Healthy, Active Life with a Diagnosis of …...2017/04/29 · Living a Healthy, Active...
Transcript of Living a Healthy, Active Life with a Diagnosis of …...2017/04/29 · Living a Healthy, Active...
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Living a Healthy, Active Life with a Diagnosis of Atrial
Fibrillation.
Michael S. Lloyd MD FACC FHRSAssociate Professor
Emory University Hospital [email protected]
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2
Sinoatrial node
Atrial depolarization
Compact AV node
Ventricular Depolarization
Ventricular Repolarization
PwavePR
QRS
T wave
What exactly is Afib?
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What exactly is Afib?
http://www.blaufuss.org/SVT/index2.html
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Why Me?
Risk factors for developing AF
Age over 60AlcoholWeightFamily historySleep apneaDiabetesHigh Blood PressureValve problemsLung Disease**Long distance running
Circulation. 2006;114:119-125
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THERE ARE MANY TYPES OF ATRIAL FIBRILLATION!
Lone atrial fibrillation, afib
with no other known heart
problems.
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THERE ARE MANY TYPES OF ATRIAL FIBRILLATION!
Paroxysmal, starting and stopping
Permanent, staying there
Persistent, requiring intervention
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What Does That Mean for My Life?
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A Stepwise Approach to Living With Atrial Fibrillation
1. What’s my risk for stroke?
Rhythm control (trying to
keep the atrium in regular
rhythm
3. Do I feel better in normal rhythm?
Rate control (controlling
the ventricle’s response to
the fibrillating atrium)
2. Do I have symptoms?
noyesno
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What can your doctor do?
ablation
medications
pacemakers
other devices
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What Can I Do To Live Healthy With Afib?
1. Weight
2. Diet/Exercise
3. Sleep
4. Education
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Weight and Afib, What’s the Big Deal?
Increases chance of diabetes
Increases chance of high blood pressure
Increases chance of sleep apnea
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Weight and Afib, What’s the Big Deal?
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Losing Weight Helps Afib
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Diet and Afib
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Diet and Afib
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Diet and Afib
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Sleep, Snoring and Afib
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Sleep, Snoring and Afib
People who didn’t have
sleep apnea and got an
Afib ablation
People who DID have
sleep apnea and got an
Afib ablation, but DIDN’T
use cpap
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Exercise and Atrial Fibrillation
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Exercise and Atrial Fibrillation
People who were more active had
a lower risk of atrial fibrillation!
(Just don’t over-do it.)
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Educating Yourself
After 2-3 minutes of quiet sitting: 50bpm-100bpm
With exercise: <150bpm
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Educating Yourself
https://www.hrsonline.org/
http://www.emoryhealthcare.org/arr
hythmia/ask-experts-videos-
arrhythmia.html
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Wrap-Up
There is more than one type of atrial fibrillation
You can help manage Afib by attention to weight, exercise, sleep, and diet
You can have a good quality of life with Afib, but keeping tabs on the pulse and
your symptoms is key