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Afib And It's Causes And Effects From Dr Arfaat Kahn Get Smart About Afib · Arroe Collins Like It's Live

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  Speaker 1: Arrow.net. Have you been there yet? A-R-R-O-E.net. I know what
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  Speaker 2: Hey, Arrow, how are you?
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  Speaker 1: Doing very well, Doctor. How are you doing today?
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  Speaker 2: Doing excellent.
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  Speaker 1: Hey, I got to tell you something. Why is it
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  Speaker 1: as of late I'm hearing a lot more people talk
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  Speaker 1: about AFib? Is it because it's become a part of
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  Speaker 1: our normal everyday language and it's acceptable? Or are people
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  Speaker 1: having some serious problems now that's on the increase?
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  Speaker 2: You know, atrial fibrillation is a very common heart rhythm disorder.
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  Speaker 2: I think it was underdiagnosed previously. Now, as awareness is increasing,
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  Speaker 2: more and more patients are finding out that they actually
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  Speaker 2: have atrial fibrillation. So I think the awareness of it
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  Speaker 2: has improved. AFib is basically an abnormal heart rhythm disorder
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  Speaker 2: in which the top chambers of the heart start to
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  Speaker 2: beat erratically. And the current estimates show that over 55
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  Speaker 2: million people globally are affected by this condition. And if
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  Speaker 2: you don't treat it properly, it actually can lead to
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  Speaker 2: serious complications.
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  Speaker 1: Well, I'm a heart attack survivor, so I totally speak
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  Speaker 1: the street that you're on. I totally understand where you are,
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  Speaker 1: and every day I do fear. But when people do
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  Speaker 1: have these problems, should we all be in PTSD? I mean,
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  Speaker 1: is there an answer to those of us who have it?
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  Speaker 2: Yes, there are many therapies. There's many awareness options for
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  Speaker 2: patients that have it. The key is to, number one,
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  Speaker 2: identify what symptoms could be representative of atrial fibrillation. And
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  Speaker 2: these include palpitations, fatigue, having shorter breath, dizziness, difficulty exercising, anxiety,
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  Speaker 2: or having just chest discomfort. Because if you ignore these
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  Speaker 2: and leave it untreated, it could lead to heart failure
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  Speaker 2: or having a potential stroke. And the reason why it's
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  Speaker 2: so important to recognize the symptoms and seek treatment with
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  Speaker 2: your physician early is because atrial fibrillation is a progressive condition.
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  Speaker 2: As you wait and don't treat it, it becomes more
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  Speaker 2: and more difficult to get patients out of it. And
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  Speaker 2: actually studies show that early treatment of AFib actually leads
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  Speaker 2: to better patient outcomes and better patient results. So that's
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  Speaker 2: why once you are diagnosed with AFib, it's very important
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  Speaker 2: to seek a consultation with a cardiac electrophysiologist who is
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  Speaker 2: actually a specialized cardiologist that has advanced training in managing
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  Speaker 2: heart rhythm disorders, specifically atrial fibrillation, so that they can
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  Speaker 2: properly diagnose, treat, and help manage the condition.
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  Speaker 1: One of the things that I keep hearing these days
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  Speaker 1: is the fact that people go, oh, I don't need
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  Speaker 1: to go. I had my annual physical. The doctor didn't
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  Speaker 1: say anything. I think you got to reach beyond your
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  Speaker 1: annual physical. Do you not?
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  Speaker 2: Well, I think you should always follow what your doctor
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  Speaker 2: tells you to do, especially if you're having symptoms. If
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  Speaker 2: you are addressing symptoms, sometimes the patient is their own
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  Speaker 2: best advocate. So if you're having symptoms, again, maybe seek
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  Speaker 2: a re-opinion with your regular physician or get an opinion
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  Speaker 2: from a cardiologist or a cardiac electrophysiologist.
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  Speaker 1: It's such an important thing, but people are ignoring it.
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  Speaker 1: And I can't help but wonder, are people ignoring it
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  Speaker 1: because we live in this generation where there are so
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  Speaker 1: many power drinks and they're all going to make us dizzy.
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  Speaker 1: They're all going to make us sick. They're all going
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  Speaker 1: to make us do different things. And they go, I
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  Speaker 1: just because I just had one of those power drinks.
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  Speaker 1: And I just I'm so on your side. How can
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  Speaker 1: we break through that wall and let them understand you
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  Speaker 1: could be creating your own problem here?
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  Speaker 2: Yeah, I think, you know, we all have to advocate
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  Speaker 2: that lifestyle and risk factors play a very important role
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  Speaker 2: in our overall health. So actually lifestyle and risk factor
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  Speaker 2: modification is one of the pillars of management of atrial fibrillation.
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  Speaker 2: So we encourage everyone to, you know, eat healthy, exercise,
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  Speaker 2: lose weight, avoid the drinks that you're, you know, you
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  Speaker 2: just talked about, right, these power drinks. And I think
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  Speaker 2: doing those things leads to overall decrease in the burden
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  Speaker 2: of atrial fibrillation. But I just want to take a
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  Speaker 2: step back and talk to you about the patients that
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  Speaker 2: actually have atrial fibrillation, what their therapies, you know, are
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  Speaker 2: available for them. And one of them is a procedure
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  Speaker 2: actually called a catheter ablation procedure. It's a minimally invasive procedure.
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  Speaker 2: It's a safe and effective way to actually treat AFib.
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  Speaker 2: And what we do in that procedure is that we
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  Speaker 2: go in to the heart and actually target the faulty
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  Speaker 2: abnormal signals that are causing AFib and help restore normal rhythm. Mm-hmm.
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  Speaker 2: Most patients are able to go home that same day
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  Speaker 2: with little to no discomfort and are able to return
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  Speaker 2: back to their normal activities within a few days after
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  Speaker 2: the procedure. I personally use a system called the CARDO system,
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  Speaker 2: which has advanced mapping technologies, and I'm able to reconstruct
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  Speaker 2: the patient's anatomy, particularly of the heart, and also that
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  Speaker 2: helps me visualize and locate where these abnormal signals are
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  Speaker 2: coming from, allowing us to individualize and tailor therapies for
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  Speaker 2: each specific patient. And we found that by doing that,
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  Speaker 2: patients actually have better results and improved outcomes. You know,
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  Speaker 2: over 55 million people have AFib globally. Yes. But the
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  Speaker 2: problem is that only 5% of patients that are eligible
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  Speaker 2: for this procedure are actually getting it. So our job,
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  Speaker 2: you know, today with September being, you know, AFib Awareness Month,
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  Speaker 2: is just help improve awareness of the condition and prompt
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  Speaker 2: patients to get treatment early for it.
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  Speaker 1: Oh, we are just getting started. We will be right
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  Speaker 1: back with Dr. Arfat Khan. You know, they say that
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  Speaker 1: this is AFib Awareness Month. It should be every freaking day.
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  Speaker 1: We are back with Dr. Arfan Khan. Aren't you also
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  Speaker 1: bringing in into your studies cognitive risks that are also
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  Speaker 1: because of this AFib? Because, I mean, that's one of
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  Speaker 1: the things, when I read about this from you, I'm going,
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  Speaker 1: oh my God, I never even made that connection. Why
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  Speaker 1: has nobody ever said anything like this to me?
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  Speaker 2: Yeah, I mean cognitive risk, you know, decline, dementia has
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  Speaker 2: been linked to atrial fibrillation as a potential risk factor
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  Speaker 2: down the road. Again, that's why we really are advocating
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  Speaker 2: that and helping patients understand that it's a progressive disease, right?
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  Speaker 2: If you do have it, treatment of it early, early
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  Speaker 2: intervention leads to better outcomes and improved results.
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  Speaker 1: What are you learning from our habits? Because I know
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  Speaker 1: we're really doing some bad things, but therefore that's got
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  Speaker 1: to make you a little bit more inquisitive when it
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  Speaker 1: comes to locating better and easier answers.
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  Speaker 2: Yeah, I think the main thing is, again, awareness about AFib,
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  Speaker 2: getting to us early. You know, currently with different devices,
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  Speaker 2: you know, wearable devices, I think the awareness has gone up.
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  Speaker 2: More patients are being diagnosed with AFib. But the key is, again,
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  Speaker 2: to get in early to see a cardiac electrophysiologist so
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  Speaker 2: that they can employ the proper treatments. And, again, pay
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  Speaker 2: attention to your lifestyle and the risk factors. Modification of
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  Speaker 2: that actually helps reduce the episodes as well.
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  Speaker 1: I got to tell you, I'm loving this new technology.
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  Speaker 1: And my wife just recently had this. It's because she
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  Speaker 1: was suffering from exactly what we're talking about. And the
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  Speaker 1: little strip that they put right here above your heart.
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  Speaker 1: I remember when way back in the 80s, I had
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  Speaker 1: to wear a box with me. I didn't want to
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  Speaker 1: be seen with that thing. I was embarrassed to even
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  Speaker 1: have it. nowadays you have that little strip and it's
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  Speaker 1: and so so i want listeners to understand this is
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  Speaker 1: not going to be a tattoo nobody's going to judge
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  Speaker 1: you on having this on but you're going to be
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  Speaker 1: you know peace of mind is going to be in
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  Speaker 1: your heart because of people like you doctor.
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  Speaker 2: No absolutely i think like as you mentioned i mean
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  Speaker 2: anything that can help diagnose the condition and that can
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  Speaker 2: help refer early for the condition because it's a progressive
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  Speaker 2: disease really helps us in terms of managing it properly.
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  Speaker 1: Does this mean lifestyle change because nobody wants to give
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  Speaker 1: up their saltine crackers and their cookies and things like that?
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  Speaker 2: Absolutely. Lifestyle and risk factor management is actually one of
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  Speaker 2: the pillars of management of atrial fibrillation. So, again, eating healthy,
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  Speaker 2: exercising daily, avoiding smoking, avoiding alcohol, losing weight. These are
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  Speaker 2: all things that help prevent the progression of the conditions.
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  Speaker 1: It's so funny that you say that because my doctor
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  Speaker 1: has been on me since 2009. Lose that weight. Lose
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  Speaker 1: that weight. And then when I finally do, he goes,
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  Speaker 1: let's get you in here for more tests. What's wrong
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  Speaker 1: with your liver? And it's like, oh, my God. But
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  Speaker 1: that's the thing about it. We've got to understand that
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  Speaker 1: you guys, doctor, are really our biggest fan and that
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  Speaker 1: you're not the evil boogie monster. And I just want
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  Speaker 1: listeners to understand that, that we should be embracing you, doctor,
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  Speaker 1: more than what we do.
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  Speaker 2: No, I 100% agree. I mean, we're here for the
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  Speaker 2: best interest of the patient. We want them to get better.
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  Speaker 2: We want them to get healthy. So listen to your doctor.
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  Speaker 1: One of the big things that we're doing these days
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  Speaker 1: is we're really starting to grow toward plant-based foods. Is
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  Speaker 1: that an alternative? I mean, should we be going to
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  Speaker 1: that and get away from the preservatives?
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  Speaker 2: I mean, obviously, preservatives are bad. I'm not sure if
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  Speaker 2: you want to say to go to that specifically. But again,
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  Speaker 2: I think keeping it general, eating healthy, exercising, losing the weight,
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  Speaker 2: avoiding alcohol, these are all things that have been shown
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  Speaker 2: to help decrease the episodes of atrial fibrillation.
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  Speaker 1: Let me ask you this question because I was the guy.
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  Speaker 1: I work for a grocery store. That's just one of
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  Speaker 1: my things to do because I love people. And the
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  Speaker 1: thing is, I turned number nine, there was Rick on
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  Speaker 1: the floor, down. I struggled in that moment because I
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  Speaker 1: knew why Rick was down. I knew that he was
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  Speaker 1: struggling from AFib. My nitroglycerin means nothing to him, correct? Because,
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  Speaker 1: I mean, I just think that we have so many
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  Speaker 1: people are carrying nitro with them, but we cannot deliver
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  Speaker 1: it to anybody else, can we?
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  Speaker 2: No, I would be a little cautious about giving your
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  Speaker 2: own medicines to a different patient that you really know
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  Speaker 2: nothing about, right? the best in these situations just, you know,
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  Speaker 2: have 9-1 kind of, you know, assess the patient.
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  Speaker 1: They were there. Oh, my God, they were there in a... heartbeat,
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  Speaker 1: but see, and that's the thing about it. Why is
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  Speaker 1: it that I'm seeing people fall in public nowadays? And
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  Speaker 1: all of a sudden they're going, it was a fib.
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  Speaker 1: I'm going, Oh my God, where were you not paying attention?
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  Speaker 2: Yeah, again, AFib is a very common prevalent condition. You know,
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  Speaker 2: many people have it. But I think our focus should
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  Speaker 2: be that pay attention to the signs and symptoms that
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  Speaker 2: you see early in the disease that we mentioned about,
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  Speaker 2: you know, the tiredness, the shortness of breath, the dizziness.
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  Speaker 2: And get, you know, referred early. You know, see a
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  Speaker 2: consultation with your doctor and go and see a cardiac
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  Speaker 2: electrophysiologist who can actually properly treat the condition and get
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  Speaker 2: it under control. Wow.
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  Speaker 1: You have got to come back to this show anytime
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  Speaker 1: in the future. Where can people go to find out
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  Speaker 1: more info about what you're up to?
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  Speaker 2: So Johnson & Johnson has a great website called GetSmartAboutAFib.com.
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  Speaker 2: It's got great patient educational videos, testimonials, and even a
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  Speaker 2: questionnaire in there that if you have AFib, are you
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  Speaker 2: a candidate for cancer or ablation? So it's a great resource, GetSmartAboutAFib.com.
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  Speaker 1: Well, I can't thank you enough, doctor. Please come back anytime.
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  Speaker 1: That door's always open for you.
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  Speaker 2: Thank you so much for having me.
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  Speaker 1: You be brilliant today, okay?
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  Speaker 2: All right, take care.