How Can You Prevent Heart Failure in Patients on Rate Control?
How Can You Prevent Heart Failure in Patients on Rate Control?
The full transcript is available at https://www.stopafib.org/newsitem.cfm…
Content
10.55 -> When one picks a rate control philosophy or
strategy, what I discuss in the office
16.641 -> with my patients is the following: the most
important thing here is to prevent heart failure.
21.7 -> I must know that whatever therapy I'm giving
you is controlling your rate, not overdoing it,
27.46 -> but is controlling your rate, to the point
that your heart rates aren't running
31.52 -> rapid all day long because I want to avoid a situation
of decreased heart pumping and heart failure.
39.09 -> It's a condition called tachycardia-mediated
cardiomyopathy.
43.739 -> If caught early enough, in my experience,
it's almost always reversible.
48.01 -> I'm currently putting together a series.
50.149 -> We have almost 50 patients with this, and
they are absolutely the same kind of patients.
55.36 -> They come in not knowing they're in afib;
it's picked up on an exam at a doctor's office,
60.26 -> or they have shortness of breath.
And, you can usually turn this around.
64.22 -> So, the critical thing is to make
sure you're controlling it.
67.74 -> So, it's not good enough to send the patient home
with, here's your 50 milligrams of metoprolol a day.
73.66 -> Not good enough.
75.12 -> It is up to you, as a physician, to be sure
that you get a follow-up Holter monitor,
81.22 -> whatever you want to do, to see that
their rate's truly controlled.
85.25 -> That is a cardinal thing that must be done.
88.02 -> So, you can't just give a drug; you have to
give a drug and see if it's working.
Source: https://www.youtube.com/watch?v=OFrmssgqfiA