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Dr. Shariff Attaya
United States
Приєднався 18 тра 2020
Hi. I am Shariff Attaya, a Cardiac Electrophysiologist in Racine, WI. I wanted to make these videos to discuss various topic about heart rhythm disease or treatments. These are all background information and should not be taken as specific medical advice (only a one on one visit with your doctor can do that). Any heart condition or symptoms require you to discuss with your own health care professional who knows you to guide any diagnosis and treatment. I do hope that this does help with researching and giving background to these topics. This views are my own and do not reflect the opinion of my employer.
SVT - Supraventricular Tachycardia For Patients
Supraventricular tachycardia (SVT) described and treatment options explained.
Переглядів: 2 883
Відео
New Diagnosis of Atrial Fibrillation for Patients
Переглядів 7284 роки тому
What to expect on your first clinic visit for a new diagnosis of Atrial Fibrillation.
Atrial Flutter for Patients
Переглядів 14 тис.4 роки тому
Information about the arrhythmia Atrial Flutter and its treatments including ablation.
Atrial fibrillation Ablation for Patients
Переглядів 44 тис.4 роки тому
Overview of the ablation procedure for atrial fibrillation. See the prior video for further background.
Atrial Fibrillation Overview
Переглядів 1,9 тис.4 роки тому
A background video about the most common arrhythmia, atrial fibrillation. Atrial Fibrillation ablation will be discussed more in the next video.
ICD, Implantable Defibrillators
Переглядів 5984 роки тому
Information about ICD's , also known as implantable defibrillators.
Heart Rhythm Monitoring
Переглядів 7974 роки тому
Information on the different ways and lengths of time we can monitor your heart rhtyhm.
Telemedicine and Virtual Care
Переглядів 2164 роки тому
Reviewing different options in virtual care, telemedicine and the importance of not delaying care.
Is the 95% success rate long term or acute?
I m 41 yrs female on 12.11.24 my heart rate raised 177 ecg showed svt changes I was given adelison Now i m on calaptine sr 120 once a day
10% esocphageal injury but it will likely heal with out issues?
If you are young and medication works? It is still good to intervene with ablation?
How do they come out of it? Are they taking action or it goes out by itself?
Doctor have done my oppration last week but still hv palpitations not soo much but have is it normal or?
Thank you, this is an excellent presentation. So clear and well described.
Thank you Dr Attaya , my time has come. 🎉😊
I’m 77 years old and have had 3 cardioversion and two ablations but still can’t get my A-Flutter under control. My symptoms present themselves with fatigue and shortness of breath. I’m on blood thinners of course to minimize stroke but how much am I at risk for heart attack?
If you have a watchman device already, do you need blood thinners?
Thank you sir that was an excellent explanation on the condition and procedure.
Good presentation which answers most of my questions. It’s the first time that I heard ablation will prolong life while the information from other sources say it doesn’t make difference and it only reduces symptoms. I am 67 years old, and found Afib in recent months, and I have no symptoms, healthy in general with no high blood pressure, no high blood sugar, and my LDL is a little bit higher at 130. I am currently taking xarelto to reduce risk of stroke. I am wondering if ablation is needed, and this presentation says ablation will not reduce risk of stroke and blood thinners is still needed. I hope not to take blood thinners for long time which could be harmed to kidney.
Thank you for this video. It helped me understand what might be going on with my heart. I meet with my cardiac electrophysiologist in a couple of days.
Superb Summary as I am getting ready for my Ablation procedure 2 weeks from now. Thank you 🙏
Very helpful; thank you!
Thanks doc. Your presentation and less dramatic approach made this video the best among several others that are there.
Thanks for the great info. In May of 2023 I was diagnosed with PAC and A fib, but was never diagnosed with a flutter. Back I January apparently I started having A flutter, and it got so bad that I went into acute heart failure. Luckily I’ve been responding well to the medications I’m on, and I’m no longer in heart failure. I’m having an ablation done June to hopefully prevent the a fib and flutter from happening again, and allow me to get off a few of the rythem meds I’m on
Great info thank you .
Can you do a video on Sinoatrial Nodal Reentrant Tachycardia
I recently got my second ablation for SVT and I now get episodes of Atrial Flutter. Anyone else? I haven’t found anything online about one leading to another. I don’t have AFib.
awesome outstanding thank you !!
Doesn't have a good success rate ! 😢
Excellent …. Thank you
Super presentation, Thank you Doc.
I was diagnosed with Afib, Aflutter,pause and murmur, a cardiologist was pushing an ablation, the person that does the procedure disagreed with the cardiologist, but mysteriously changed his mind, I dropped them both, did some diet changes and the only effect so far is the pause on occasion 😎
Very clear audio and voice. Thanks for telling that svt...duration could be even for minutes and hours. I AM USING METOPROLOL 50 XL FOR LAST 3 YEARS. PALPITATIONS OCCURRED TO ME ONLY 3 TIMES FOR 40 TO 50 MINUTES DURATION EACH TIME...on 5th MAY 2020, 15th july 2020 and 20th August 2021. I am taking medicine even now. PLEASE SUGGEST IF ANY. I appreciate Doctor Attayya for this video. 🙏 🌱
After ablation does the person need to continue taking anticoagulants?
Thats a controversial question. Atrial Flutter is typically cured after ablation (5% recurrence rate).. The issue is that up to 40% of patients with flutter go on to develop the related arrhythmia, Atrial fibrillation. Some doctors anticoagulate for life with flutter, others (myself included) will stop anticoagulation, but the patient will require ekg screening to be on the lookout for fibrillation, because it is so common.
Excellent. I am convinced totally that I can get a visa, go to Dr Sheriff Attayya and rest is in his treatment...upon gifting me his appointment 🦩 THIS IS THE TRUST I GOT ON HIM AFTER WATCHING THIS WONDERFUL INFORMATION VIDEO ON AF AND PALPITATIONS. THANKS BIG DOCTOR. 🙏🌱👍
Excellent thankyou
My pleasure, thank you for watching.
Is there age limit?
Really depends on overall health, of which age plays a factor.. Need to discuss with the doctor and see if you are a good candidate.
Great explanation! I’ve had my second ablation for Focal Atrial Tachycardia and am hopeful they got everything this time. First one took care of flutter and AVNRT
Glad it was helpful! Hope everything stays settled.
Hi, doctor had my ablation for svt about a week ago but I still experience some hartbeat skipping and a somewhat burning chest pain sensation at times is this normal?
I am not a doctor, but I have read that it's somewhat normal to have some irregularities for a while post ablation. I would ask your doctor. Let me know if your doctor confirms what I said.
i have had cardioversion , ablation , c,a,b,g x 4 and still have symtoms not picked up by my implanted loop recorder . symtoms , 1 pounding heart 2 sob , 3 headache after onset of event. lasting for 20 minutes after each event , atrial flutter is present but very light . i am at wits end here . somthing is going on but not sure just what to do next
Thank you Dr. Very well done briefing. I have just been directed to have Atrial Flutter. Getting tested soon.
thanks so much... best of luck to you.. most people do very well.
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No bowel movement 4 days after. Help!
what an informative video! I learned so much…..thank you
Thank you so much.. glad it was helpful
Excellent! Thank you.
My pleasure.. thank you so much.
I am having this done next week. They are using neither freezing technic nor burning one ........ they are using a new procedure invented in Germany with scarring being formed by some sort of electrical field. Wish me luck please.
Good luck.. most patients do very well.. if your doctors are optimistic, you should be as well.
Thank you. @@Dr.Attaya
Thanks! Thats very reassuring!
Happy to hear.. thanks
Thank you for the informative video. Question: why does ablation not eliminate the need for blood thinners? Isn’t the fibrillation itself the reason why the blood stagnates in the atrium and potentially clots? If AFib is eliminated then how does a clot form?
Exactly what I was thinking. I don't see any answer!
Excellent question. If we could 100% say it was gone and not going to come back, then we could do just that. Unfortunately our understanding of all the mechanisms of afib for everyone is incomplete. A lot (most) do very well after ablation, but we still see recurrences, and they aren't always as symptomatic as they were upon presentation. Additionally, most people (unless they have a loop recorder or pacemaker) aren't monitored continuously. So people can recur with atrial fibrillation and not always feel it (such as during sleep). This may change. With wearables like apple watches or fit bits, that give daily monitoring, there might a change to the national guideline to continue anticoagulation based on ones stroke risk, not based on apparent success of the ablation.
@Dr.Attaya another question: why is afib incurable if the cause is known? Let's say sleep apnea . Logically, if you eliminate the cause, the afib should cease.
Usually they are contributors (among many) rather than sole causes. Untreated sleep apnea will absolutely limit success, but not everyone with apnea gets fib. The heart is still prone to having fib. If you treat the apnea (and you should if you have it) you are much less likely to recurrence, but one's genetics, age, htn, and even the activity of one's pulmonary veins will still be there. Usually its a combination of several factors. That being said, anything you can do to influence, is super helpful. For a lot of people, particularly post ablation, fib is eliminated, but typically without enough long term certainty to stop blood thinners based on latest studies and practice guidelines.
@Dr.Attaya Thank you, Dr. Attaya. I get it now, so the causes are triggers for afib predisposed people. Salam.
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At 65 last May had Cath ablation for afib. Heart dr said last Friday he wanted me to go back to siddique in Columbia sc to do another ablation but for atrial flutter this time and he’d stay in the right atria. After I remove prostate in probably a couple weeks. Feel pretty good but maybe I’m just used to feeling this way. Do get get tired easily after exerting and get light headed some especially bending over. On Eliquis still and flecanide. And just added metoprolol Friday. Other than this and a couple cancers I’m dealing with, I’m in pretty good shape. Lol
Thank you for your simple and thorough explanation. This happened to me last night and cardioversion helped reset my heart. Your video helped me better understand the physiology and treatment options.
What I don’t understand is why it happened in the first place? No underlying conditions and all lab work was clear. I’m healthy overall and want to make sure I’m doing the right things to avoid this again in the future. Any thoughts?
Sometimes these arrhythmias happen in sick hearts, some in normal hearts (where there is no cause).. Your cardiologist will look at the context and help figure out if there a cause or big contributor.
Thank you for the video very helpful!!
Thanks for the kinds words.. glad it was helpful
I had a CryoAblation about 8 years ago after having 2 Cardioversions and was put on a blood thinner Currently I am taking Eliquis and have since my Ablation. My question is how long should a person have to continue taking this blood thinner?
The national guidelines say for life, even if apparently successful. The reason is that you may not feel if you have fibrillation again (sometimes w/ ablation people become less symptomatic) or it may occur during sleep. Additionally, sometimes people may not feel their recurrence which may occur years later. Every situation is different so talk to your doctor, but generally it is for life. That may change as there are more methods to monitor heart rhythm (loop recorders, apple watch and other wearables), but right now the guidance is anticoagulation for life.
I can attest to all of this. I developed atrial flutter 6 months ago, went through cardioversion and a catheter ablation. About 10 days after the surgery I was fully recovered, stopped taking beta blockers and I have never felt better. Thankfully there was no fibrillation.
Flutter can be considered curable... I'm glad you did well and are feeling better.
Thanks doing this informative video. Could you please let me know if Atrial Fibrillation abalation is effective for patients with HOCM? Is the chance of recurrence of AFib more in that case?
Good question. I've seen mixed data. Some say success rates were low, other studies were more reassuring.. My view is that there is probably lower success rates in general, but its a highly individualized condition. I've had some patients do quite well (better than the studies would have predicted).
This is an excellent education video. So happy I found it.
Thanks so much for the kind words. Glad you liked it.
Thank You Dr. Attaya! Very helpful information! Does it matter Dr., If you happen to be in AFib right before the procedure?
Thanks so much.. We can do ablation in or out of fibrillation... Most people also do a tee (transephogeal echo) right before if in fib to make sure you haven't developed a blood clot.