Heart Failure and Heart Rhythm Disorder What to Know
Heart Failure and Heart Rhythm Disorder What to Know
This video talks about how to manage heart failure and heart rhythm disorder
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Attribution: “AFib and Congestive Heart Failure.” by Doctor AFib. Shared via a Creative Commons CC-BY license. • AFib and Congestive Heart Failure
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Content
0.4 -> thank you for visiting Dr AFib i'm Dr Morales in
today's video segment we're going to be talking
7.2 -> about atrial fibrillation and congestive heart
failure together February is heart month and so
13.2 -> i wanted to make some videos where i discuss
not just atrial fibrillation but how atrial
18.88 -> fibrillation affects other heart conditions and
looking at your heart as a whole and so in this
24.96 -> segment we're going to be talking about atrial
fibrillation and congestive heart failure which is
28.88 -> commonly called CHF CHF can refer to a few things
most commonly it's referred to a weak heart but it
38.08 -> can also be referred to as a stiff heart in either
circumstance the heart just doesn't pump blood
44.72 -> efficiently to the rest of your body and leads to
back flow which can lead to fluid in your lungs
51.44 -> or swelling in your legs which are the most
common symptoms of congestive heart failure
55.84 -> so how does atrial fibrillation affect
congestive heart failure well there's
61.04 -> two ways that it can affect that one it can be
the primary cause of congestive heart failure
67.12 -> or two it can be secondary because of congestive
heart failure so let's talk about the first one
72.72 -> which is atrial fibrillation is the cause of
congestive heart failure sometimes when patients
78.64 -> are first diagnosed with atrial fibrillation they
don't necessarily feel the heart going fast or
84.72 -> skipping they just started feeling more short of
breath and so when they're finally diagnosed with
89.84 -> atrial fibrillation their heart may have gone fast
for several weeks or even months at a time and as
97.52 -> a consequence of the heartburn could consistently
fast all the time the heart function becomes
102.64 -> weak it becomes weaker than normal and that and
in those studies the atrial fibrillation is the
107.76 -> cause of the congestive heart failure now normally
when they're first diagnosed you have to do things
113.36 -> like looking at coronary heart disease making sure
that that's not a cause as well but if in the end
120.16 -> it points to only atrial fibrillation being the
cause of the congestive heart failure that's what
124.72 -> we call a tachycardia immediate cardiomyopathy
and in these patients where the a fitness is
130.4 -> sole cause of your congestive heart failure
there are a few ways to monitor to manage this
136.32 -> one is just making sure your heart rate
is better controlled and that over time
140.8 -> can make your heart function get stronger
again however rhythm control which would be
146.48 -> getting you out of atrial fibrillation whether
that be with a cardioversion or a procedure like
152.16 -> an ablation tends to work better to help improve
your heart function get it back closer to normal
158.72 -> and in some cases can actually bring your
heart all the way back to normal function again
163.76 -> in some cases atrial fibrillation is a secondary
culprit your weak heart or your stiff heart puts
170.24 -> a lot of pressure inside of your heart
uh increases the pressure inside of the
173.92 -> bottom chambers of your heart as well as the
top chambers of your heart which over time
178.32 -> makes them stretch and dilated then ends up giving
episodes of atrial fibrillation and these settings
186.4 -> treating the atrial fibrillation is unlikely to
make your heart function get stronger because
192.64 -> it was a secondary culprit of the congestive
heart failure however when people are in atrial
199.04 -> fibrillation and they have just a heart failure i
often tell people it's like you have a weak heart
204.64 -> and the AFib just made it even weaker and so
people get more symptoms they get more short
209.84 -> of breath more swelling in their legs and keeping
them in normal rhythm helps improve or maximize
216.96 -> that little bit of heart function that they still
have and so treating your AFib with medications
224.16 -> or with ablation procedures can also
help improve that little bit of heart
229.68 -> function that you have for people who have
pre-existing congestive heart failure now
235.44 -> in both of these settings doing a procedure can
help maximize how much of how much normal rhythm
241.44 -> you have and improve your symptoms of congestive
heart failure however doing an ablation procedure
248.16 -> on somebody who has congestive heart failure
can be an aggressive procedure and it takes much
254.56 -> longer for patients to recover an ablation
procedure when they have existing congestive heart
260.48 -> failure so in these settings not everybody who
has congestive heart failure is a candidate for
266.32 -> an ablation and i certainly when i have patients
who have both congestive heart failure and they're
271.76 -> being prepared for an ablation procedure you need
to make sure that that congestive heart failure is
277.44 -> tuned up as good as possible and that your
breathing is good as possible before you
281.2 -> do the procedure because it certainly is a harder
procedure for people to recover from who have
286.08 -> existing congestive heart failure but
in the end it can improve symptoms
291.28 -> and there was a recent article that i posted on
my facebook page that showed that people who have
296.96 -> congestive heart failure and improve the amount
of AFib they have with the catheter ablation
302.4 -> have less hospitalizations and they can
live longer so there's certainly a benefit
306.48 -> for patients who have pre-existing congestive
heart failure as well but it can be difficult
311.12 -> to manage and please discuss with your
doctor to see if you are a candidate for
315.52 -> ablation procedures especially if you have
consistent existing congestive heart failure
