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2015 Atrial Fibrillation Patient Conference: Treating Afib w/ Medications: Mintu Turakhia, MD, FHRS

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http://www.stopafib.org To be notified when new conference videos are posted, or for the latest afib news, sign up at http://www.stopafib.org 2015 Get in Rhythm. Stay in Rhythm.™ Atrial Fibrillation Patient Conference In his talk about Treating Atrial Fibrillation with Medications at the 2015 Get in Rhythm. Stay in Rhythm.™ Atrial Fibrillation Patient Conference, Dr. Mintu Turakhia of Stanford University covered: • How does the doctor decide what medications to recommend? •Rate control vs. rhythm control [1:15] • Consider restoring sinus rhythm when AF causes symptoms [2:43] • Whether rhythm control should be used without overt symptoms [4:45] • Rapid heart rate may not be obvious [4:55] • Heart failure from AF may not be obvious [5:50] • Mechanisms to see how fast heart rates lead to failure [8:05] • Cycle of AF and heart failure [8:27] • How does doctor decide what to recommend [8:47] • Severity of AF influences decisions [13:16] • Severity defined by behavior, then burden [14:40] • Natural time course of AF [16:00] • Classification of AF [16:30] • What drugs can be used [17:37] • Typical doses of antiarrhythmic drugs [18:33] o Sotalol and dofetilide [18:52] o Amiodarone [19:47] and dronedarone [20:29] o How doctors decide what rate control agents to use first-line [20:53] o Digoxin – TREAT-AF study [21:38] • How structural heart disease vs. no structural heart disease relates to drug choice [18:06] • AF and heart failure Video watching time is approximately 25 minutes. Dr. Turakhia is a cardiac electrophysiologist, outcomes researcher, and Assistant Professor of Medicine and of Health Research and Policy at Stanford University. He is Chief of Cardiac Electrophysiology at the Palo Alto VA Health Care System and is an Associate Investigator at the Center for Innovation to Implementation. In his clinical role, Dr. Turakhia performs complex catheter ablation (primarily for AF), device implantation, and left atrial appendage occlusion. Dr. Turakhia has an active clinical research program, with funding from AHA, VA, NIH, the medical device industry, and foundations. His research program aims to improve the treatment of heart rhythm disorders, with an emphasis on atrial fibrillation, by evaluating quality and variation of care, comparative and cost-effectiveness of therapies, and predicting outcomes such as stroke. Dr. Turakhia has extensive expertise in using large administrative and claims databases for this work. His other research interests include technology assessment of new device based therapies and the impact of changing health policy and reform on the delivery of arrhythmia care. Dr. Turakhia has over 70 publications and is a Fellow of the American Heart Association, American College of Cardiology, and Heart Rhythm Society. Transcript http://www.stopafib.org/newsitem.cfm/NEWSID/549/
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Text Comments (8)
J. Ward (2 years ago)
I'm so overwhelmed. I just want this a fib to stop.
Rob Mack (20 days ago)
Me too, Been thru 2 catheter ablation and they lasted like 6 months each. Not going to get into the cardioversions but was at least a dozen probably closer to 20. I’m about to be started on ticosyn (mandatory 3 days in telemetry unit). Once that’s done I’m going to be facing a hybrid ablation. I hate a-fib.
Rutanya Alda (5 months ago)
ive been through this journey. go to agreat afib doctor...i go to dr. reddy at mt sinai in nyc...or thre is the cleveland clinic in cleveland....there are other great clinics im sure in different major cities. start there and there is a lot of help like ablation etc. dont wait. stay on top of this. there is an answer for you. make this your priority
StopAfib (2 years ago)
+J. Ward After watching the entire AF Patient Conference (12 hours of video - go here to see them all: http://www.stopafib.org/newsitem.cfm/NEWSID/546), you'll have a much better idea of what you can do to manage or get rid of afib.
cheeselouise50 (3 years ago)
Would appreciate more info. on the relationship of AF, obesity, diastolic dysfunction and heart failure. I have read about recent studies that have found that a low glycemic/low carb diet and major weight loss can reverse fatty infiltration and fibrosis of the heart, in effect reversing AF & DD. None of my docs has ever volunteered even a mention of weight loss as a potential solution for AF. And I noted this speaker also did not address obesity per se as a causative factor. Why do all the EP's skirt lifestyle issues in dealing with AF? Pills for ills is still the orthodoxy.
StopAfib (3 years ago)
+cheeselouise50 You may find more of interest in the Managing AF Risk Factors Panel that we just posted. It's at https://youtu.be/G6YhRcIcPII. To get the transcript, go to http://www.stopafib.org/newsitem.cfm/NEWSID/565/
cheeselouise50 (3 years ago)
Thanks! I see that you have emphasized the lifestyle aspects via other speakers/panelists at this conference. Greatly appreciated. I am also very interested in the interaction of atrial fibrillation and diastolic dysfunction, both of which seem to be interrelated, at least in older women. Diastolic dysfunction is being recognized as a major cause of heart failure, and is becoming more and more common, as are AF, metabolic syndrome and obesity. Perhaps they are all interrelated, and can all be reversed in tandem by weight loss and exercise. Thanks for your efforts, and website.
StopAfib (3 years ago)
+cheeselouise50 The speaker did not cover that because I asked him only to focus on medications in this talk. Please go see our agenda for the whole conference to see which sessions are of interest (http://www.stopafib.org/newsitem.cfm/NEWSID/546). You'll see that on day 2 we had an entire panel on the topic of lifestyle - that video will be up as soon as it is processed. And there is already one up about lifestyle at http://www.stopafib.org/newsitem.cfm/NEWSID/548

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