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a patientaposs guide to heart rhythm problems

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a patientaposs guide to heart rhythm problemsOur payment security system encrypts your information during transmission. We don’t share your credit card details with third-party sellers, and we don’t sell your information to others. Please try again.Please try again.Please try again. Please try your request again later. In this easy-to-read guide, Dr. Todd Cohen provides comprehensive information to help people with heart rhythm problems (arrhythmias) get an accurate diagnosis and appropriate treatment. Dr. Cohen tells readers what they need to know about palpitations, rapid heart rhythms (tachycardias), slow heart rhythms (bradycardias), cardiac arrest, and other conditions related to irregular heartbeats. With the goal of informing and empowering heart patients, Dr. Cohen describes the heart's basic function, the various conditions associated with arrhythmia, and recommended courses of treatment. He discusses such procedures as tilt table testing, electrophysiology studies, catheter ablation, and device implantation (including cardiac monitors, pacemakers, defibrillators, and biventricular devices); explains the essentials of CPR and the use of Automatic External Defibrillators (AEDs); and presents the latest guidelines from the American College of Cardiology, the American Heart Association, and the Heart Rhythm Society.Then you can start reading Kindle books on your smartphone, tablet, or computer - no Kindle device required. Show details Arrhythmia Watch In this book, Dr. Cohen uses his considerable talents as a physician and writer to present a clear and comprehensive guide to understanding heart rhythm disorders. The book is especially valuable for patients (and family members) who need specialized cardiac procedures. -- Melvin Scheinman, M.D., University of California, San Francisco Dr. Cohen's book explains in simple terms an all-too-common medical problem that afflicts many people throughout the world. This easy-to-read book will help educate people with heart rhythm problems as well as their families.http://www.echipamentecuratenie.com/fckeditor/userfiles/eaton-viking-oven-manual.xml

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It is important reading for anyone who may be in need of a pacemaker, defibrillator, or catheter ablation procedure. -- Nelson DeMille, author of The General's Daughter This is the first comprehensive book I've seen intended to help patients and their families understand the important subject of heart rhythm disorders. Dr. Cohen's explanations of these problems, the tests used to diagnose them, and the devices and treatments used to manage them are straightforward and thorough. Anyone facing an invasive heart rhythm procedure must read this guide. -- Andrew Weil, M.D., New York Times bestselling author of Healthy Aging He is an associate professor of medicine at the State University of New York at Stony Brook, a Fellow of the American College of Cardiology, the author of Practical Electrophysiology, and the inventor of a number of medical devices.Full content visible, double tap to read brief content. Videos Help others learn more about this product by uploading a video. Upload video To calculate the overall star rating and percentage breakdown by star, we don’t use a simple average. Instead, our system considers things like how recent a review is and if the reviewer bought the item on Amazon. It also analyzes reviews to verify trustworthiness. Please try again later. jennifer 5.0 out of 5 stars It is easy to understand and if you have questions about your heart it will answer them, especially if they are about rhythm problems. I found it to be very helpful.It was written so that it is pretty easy for someone who is not a medical professional can understand. I was happy with the material included, but it did not include much on the type of arrhythmias where the heart skips a beat. It was very surprising to me that this was not included in the book. There was only a couple of very general references to this type of arrhythmia, which essentially was just saying this is one type of arrhythmia.Gives a good overview of the heart and its functions.http://fredgillen.com/userfiles/eaton-viking-refrigerator-manual.xml For A-Fib patients there are several good chapters on Atrial Flutter and Atrial Fibrillation. Good read for the non-medical reader just starting to learn about heart arrhythmias. Patti Ryan A-Fib, Inc. Publisher of 'Beat Your A-Fib: The Essential Guide to Finding Your Cure'It was written so that I could easily understand it and converse with my doctor in a knowledgable manner. Highly recommended for someone researching afib.It explains all the different remedies that can be used to help, so that if I am given a choice between different remedies, I can understand what that means. While I am not medically qualified, I do now know a bit more about how my body works. Please try again.Please try again.Please try again. Please try your request again later. Then you can start reading Kindle books on your smartphone, tablet, or computer - no Kindle device required. Full content visible, double tap to read brief content. Videos Help others learn more about this product by uploading a video. Upload video To calculate the overall star rating and percentage breakdown by star, we don’t use a simple average. Instead, our system considers things like how recent a review is and if the reviewer bought the item on Amazon. It also analyzes reviews to verify trustworthiness. Please try again later. jennifer 5.0 out of 5 stars It is easy to understand and if you have questions about your heart it will answer them, especially if they are about rhythm problems. I found it to be very helpful.It was written so that it is pretty easy for someone who is not a medical professional can understand. I was happy with the material included, but it did not include much on the type of arrhythmias where the heart skips a beat. It was very surprising to me that this was not included in the book. There was only a couple of very general references to this type of arrhythmia, which essentially was just saying this is one type of arrhythmia.Gives a good overview of the heart and its functions. For A-Fib patients there are several good chapters on Atrial Flutter and Atrial Fibrillation. Good read for the non-medical reader just starting to learn about heart arrhythmias. Patti Ryan A-Fib, Inc. Publisher of 'Beat Your A-Fib: The Essential Guide to Finding Your Cure'It was written so that I could easily understand it and converse with my doctor in a knowledgable manner. Highly recommended for someone researching afib.It explains all the different remedies that can be used to help, so that if I am given a choice between different remedies, I can understand what that means. While I am not medically qualified, I do now know a bit more about how my body works. In this easy-to-read guide, Dr. Todd Cohen provides comprehensive information to help people with heart rhythm problems (arrhythmias) get an accurate diagnosis and appropriate treatment. Dr. Cohen tells readers what they need to know about palpitations, rapid heart rhythms (tachycardias), slow heart rhythms (bradycardias), cardiac arrest, and other conditions related to irregular heartbeats. With the goal of informing and empowering heart patients, Dr. Cohen describes the heart's basic function, the various conditions associated with arrhythmia, and recommended courses of treatment. He discusses such procedures as tilt table testing, electrophysiology studies, catheter ablation, and device implantation (including cardiac monitors, pacemakers, defibrillators, and biventricular devices); explains the essentials of CPR and the use of Automatic External Defibrillators (AEDs); and presents the latest guidelines from the American College of Cardiology, the American Heart Association, and the Heart Rhythm Society. In this easy-to-read guide, Dr. Todd Cohen provides comprehensive information to help people with heart rhythm problems (arrhythmias) get an accurate diagnosis and appropriate treatment. Dr. Cohen tells readers what they need to know about palpitations, rapid heart rhythms (tachycardias), slow heart rhythms (bradycardias), cardiac arrest, and other conditions related to irregular heartbeats. With the goal of informing and empowering heart patients, Dr. Cohen describes the heart's basic function, the various conditions associated with arrhythmia, and recommended courses of treatment. He discusses such procedures as tilt table testing, electrophysiology studies, catheter ablation, and device implantation (including cardiac monitors, pacemakers, defibrillators, and biventricular devices); explains the essentials of CPR and the use of Automatic External Defibrillators (AEDs); and presents the latest guidelines from the American College of Cardiology, the American Heart Association, and the Heart Rhythm Society. A Patient's Guide to Heart Rhythm Problems will help readers understand how the heart works and what can go wrong the tests and other diagnostic procedures they may undergo how their doctor reaches a diagnosis what their diagnosis means how their doctor might treat the problem when medication alone is sufficient treatment when pacemaker, defibrillator, or biventricular therapy is appropriate how to get the best possible medical care—in and out of the hospital Endorsed by the Sudden Cardiac Arrest Association, this essential resource features tables highlighting key information, as well as patient narratives that provide personal insight into arrhythmia tests, treatments, and technologies. He is an associate professor of medicine at the State University of New York at Stony Brook, a Fellow of the American College of Cardiology, the author of Practical Electrophysiology, and the inventor of a number of medical devices. This easy-to-read book will help educate people with heart rhythm problems as well as their families. Dr. Cohen's explanations of these problems, the tests used to diagnose them, and the devices and treatments used to manage them are straightforward and thorough. Groups Discussions Quotes Ask the Author In this easy-to-read guide, Dr. Todd Cohen provides comprehensive information to help people with heart rhythm problems (arrhythmias) get an accurate diagnosis and appropriate treatment. Dr. Cohen tells readers what they need to know about palpitations, rapid heart rhythms (tachycardias), slow heart rhythms (bradycard In this easy-to-read guide, Dr. Todd Cohen provides comprehensive information to help people with heart rhythm problems (arrhythmias) get an accurate diagnosis and appropriate treatment. Dr. Cohen tells readers what they need to know about palpitations, rapid heart rhythms (tachycardias), slow heart rhythms (bradycardias), cardiac arrest, and other conditions related to irregular heartbeats. With the goal of informing and empowering heart patients, Dr. Cohen describes the heart’s basic function, the various conditions associated with arrhythmia, and recommended courses of treatment. He discusses such procedures as tilt table testing, electrophysiology studies, catheter ablation, and device implantation (including cardiac monitors, pacemakers, defibrillators, and biventricular devices); explains the essentials of CPR and the use of Automatic External Defibrillators (AEDs); and presents the latest guidelines from the American College of Cardiology, the American Heart Association, and the Heart Rhythm Society.To see what your friends thought of this book,Good overview of the heart and its functions. Several good chapters on Atrial Flutter and Atrial Fibrillation. Good read for the non-medical reader just starting to learn about heart arrhythmias. Good overview of the heart and its functions. Several good chapters on Atrial Flutter and Atrial Fibrillation. Good read for the non-medical reader just starting to learn about heart arrhythmias. And while it is a wonderful source of basic information on the heart and its functions and other more common issues (like afib, for example), only one small section and a few mentions dealt with the issue that I am experiencing. Still, it was a great alternative to “Dr. Google” and gave me a few questions to bring up with my doctor. By continuing to browse this site you are agreeing to our use of cookies. It is estimated that approximately 4 of the population over 65 years of age are affected. The incidence of AF increases with age, so that approximately 11 of individuals over 80 years of age are affected. AF is typically characterized by chaotic, disorganized electrical activity in the upper chambers of the heart. When AF occurs, the upper chambers of the heart (atria) quiver rapidly and irregularly (fibrillate). This chaotic beating can cause a range of symptoms. Although this heart rhythm disturbance is not life-threatening, there is an increased risk of stroke or heart failure for some patients who have AF. How Is Atrial Fibrillation Diagnosed. A healthcare professional can identify an irregular heartbeat by checking your pulse or listening to your heart with a stethoscope, but an electrocardiogram (ECG or EKG) is the most reliable method to detect and confirm the presence of AF. If the AF comes and goes intermittently (commonly called paroxysmal AF), it may be necessary for you to wear a Holter monitor (a portable ECG monitor) or an event recorder to detect it. Symptoms Associated With Atrial Fibrillation AF can cause a range of symptoms. Some people are unaware that their hearts are fibrillating, whereas others are immediately aware of the change in their heart’s rhythm. Symptoms can range from mild fatigue to difficultly breathing, shortness of breath, and palpitations. It is unclear why some people experience symptoms while in AF and others do not. In many patients, the symptoms are related to a rapid heart rate. If medications effectively slow the rate, the symptoms disappear. Other patients continue to have symptoms, even if the heart rate is not fast. Occasionally, symptoms are due to a heart rate that is too slow. Potential symptoms associated with AF are listed in the Table. The causes of AF are not always clear, and potential causes are still under investigation. In some patients, AF may be due to wandering, disorganized electrical waves that circulate throughout the atria. In others, it may be caused by a single rapidly firing electrical spot that is usually located in one of the pulmonary veins in the left atrium. A number of medical conditions can promote AF, including thyroid disease (typically an overactive thyroid), poorly treated hypertension (high blood pressure), valvular heart disease, coronary artery disease, and congestive heart failure. Some individuals develop AF for no identifiable reason and in the absence of any other heart disease; this is more commonly known as lone fibrillation. Anticoagulation AF increases the risk of development of blood clots in the atria, probably as a result of abnormal patterns of blood flow through the atria. When the atria are fibrillating and not pumping blood effectively, blood may pool in parts of the atria, like a stagnant pond of water. A blood clot that forms and breaks loose could travel to the brain or heart, causing a stroke or heart attack. Young patients with lone atrial fibrillation have a low risk of blood clots, but the risk increases in older patients and in those who have other heart abnormalities, such as heart failure, high blood pressure, and diabetes mellitus. One way to prevent blood clots from forming is by thinning the blood with a medication that reduces clotting. This is a process called anticoagulation. The medications used include aspirin or warfarin sodium (Coumadin, Bristol-Myers Squibb, Princeton, NJ). Several large-scale clinical trials have demonstrated that anticoagulation with warfarin reduces the risk of stroke in patients with atrial fibrillation. Warfarin is taken daily by mouth. Unlike most medications, the dose of warfarin is adjusted according to blood test results; therefore, the dose may change over time. The blood test used to monitor the thinness or thickness of the blood is referred to as the INR, or International Normalized Ratio. It is important to monitor the INR (at least once a month for most patients) to ensure that the level of warfarin is in the effective range. If the INR is too low, blood clots will not be prevented, and if the INR is too high, there is an increased risk of bleeding. Treatment of Atrial Fibrillation The management of AF can vary among individuals depending on factors such as underlying heart condition, age, stroke risk, and the severity of symptoms associated with AF. The Atrial Fibrillation Follow-up Investigation of Rhythm Management (AFFIRM) trial randomized AF patients into 2 treatment strategies: heart rate control without attempting to maintain normal rhythm versus heart-rhythm control that attempted to maintain normal rhythm through the use of medications. Both groups received warfarin. The study showed that there was no advantage of one approach over the other in terms of survival. Patients treated with heart rhythm medications were hospitalized more often for their treatment and were exposed to possible side effects of antiarrhythmic medications. 2 Therefore, the selection of treatment strategy is often guided by symptoms. Anticoagulation should be considered for all patients at increased risk for stroke. Heart Rate Control During AF, the atria are beating quickly and irregularly, often times in excess of 350 to 500 times per minute. The impulses are transmitted to the ventricles over an electrical bridge called the atrioventricular (AV) node. Fortunately, the AV node slows the transmission of many of these impulses; however, the ventricular rate can still be quite rapid (more than 100 beats per minutes) and, if left untreated, can result in the development of heart failure. Rate control is very important. Medications such as beta-blockers, calcium channel blockers, and digitalis can be used to help slow conduction of electrical impulses over the AV node to maintain a heart rate less than 80 beats per minute at rest. Heart Rhythm Control: Maintaining a Normal Rhythm Restoration of a normal heartbeat is often attempted for those individuals with symptomatic AF. Medications called antiarrhythmic drugs are used to stabilize the electrical activity in the atria in an attempt to prevent episodes of AF. If AF is persistent and does not stop by itself, electrical cardioversion can be performed to restore the normal rhythm. Although cardioversion works immediately, it does not prevent the AF from recurring; medications, ablation, and surgery are potential treatments to try to prevent AF from recurring. Electrical Cardioversion Cardioversion 3 is a procedure whereby a brief electrical current (shock) is delivered through the chest wall to the heart through special pads or paddles that are applied to the skin of the chest. The purpose of the cardioversion is to interrupt the abnormal electrical circuit(s) in the heart to restore the normal heart beat. The delivered shock activates all the heart cells simultaneously, thereby interrupting and terminating the abnormal electrical beat (typically fibrillation of the atria). This procedure allows the electrical system of the heart to take over, restoring a normal heartbeat. Catheter Ablation Catheter ablation 4,5 is an invasive procedure that uses special tubes (catheters) with small electrodes. After administration of a local anesthetic to numb the skin over blood vessels (usually in the groin), the catheters are inserted into the blood vessel and guided to the heart. There, they are used to cauterize (burn) or freeze heart cells to modify or destroy the abnormal electrical circuits and triggers causing AF, thereby preventing AF. Another type of catheter ablation can also be performed to control rapid ventricular rates by ablating the AV node (the bridge that allows electrical signals to travel from the atria to the ventricles). This type of ablation is usually reserved for patients who have a rapid heart rate that cannot be controlled with medications. It necessitates implantation of a permanent pacemaker 6 to maintain a normal heart rate. Lifestyle Adjustments in Atrial Fibrillation Treatment for AF must be individualized. Some people require a series of different treatments before the best management approach is found for them. There are a number of lifestyle considerations that can be helpful. Diet Diet is an important consideration in the management of AF, particularly if one is taking warfarin. There are many types of foods, such as green leafy vegetables and some vegetable oils, that are high in vitamin K. The liver uses vitamin K to make clotting factors that prevent excessive bleeding. Erratic consumption of foods with Vitamin K can cause the INR levels to fluctuate. This does not mean that these foods need to be avoided altogether, but care should be taken to maintain a balanced intake. There are specialized cookbooks for patients who take warfarin to assist them in preparing a variety of healthy foods while maintaining a steady daily intake of vitamin K. 7 Alcohol and caffeine are both known triggers of AF and therefore should be avoided in susceptible individuals. Blood pressure and cholesterol should be monitored. Follow a low-sodium and low-fat diet. Salt should be used sparingly particularly by those who have high blood pressure. The use of salt substitutes or fresh herbs is recommended. Stop smoking. Nicotine is a cardiac stimulant and can aggravate AF. Cigarette smoking is also a known risk factor for coronary artery disease. Medications Specific over-the-counter (OTC) medications, such as nasal sprays and cold remedies, contain substances that can aggravate AF and should therefore be used cautiously and only under the advice of your physician. Similarly some herbal remedies may contain stimulants that may aggravate heart rhythm problems. Managing Anticoagulation with Warfarin Various medications, including prescription, OTC, and herbal preparations, can interfere with the metabolism of warfarin, resulting in an INR that is either too high or too low. Patients should always consult their prescribing practitioner, pharmacist, or anticoagulation clinic before starting, changing, or stopping any medication. Most antibiotics will interfere with warfarin metabolism; therefore, the warfarin dosage should be adjusted along with careful monitoring of the INR. Multivitamins can also interfere with warfarin and may require an adjustment of the dosage of warfarin. The multivitamin should be taken on a consistent basis to avoid variations in the INR level. Herbal preparations do not undergo safety testing by the US Food and Drug Administration; therefore, the potency of preparations may vary. Some herbal preparations are purported to have anticoagulant activity, but most have little effect and are unlikely to provide the protection against stroke that is achieved with warfarin. Exercise and Physical Activity Regular physical activity is important. Before starting any exercise routine, you should consult your physician or nurse to establish what would be a safe and reasonable level of activity given your specific physical condition and capabilities. Physical activity is important for a number of reasons, including: It helps with maintenance of a positive, upbeat mood. It regulates daily biological rhythms, thus helping you get a good night’s sleep. It is an important component of weight control. Patients who need medications to slow their heart rate may find that their heart rate does not increase as much as they expect with exercise. This observation usually indicates that the medications are doing a good job of controlling the heart rate and the beneficial effects of exercise will still occur. Coping with Atrial Fibrillation The triggers of AF are still being investigated, but stress is likely to play a role for some people. Contemporary research suggests that approximately 54 of patients with intermittent AF cite psychological stress as the most common trigger. 8 Nonetheless, AF is known to be a complex medical problem. Stress likely works together with many medical factors to prompt AF. Because many different types of stress are common aspects of life, patients with AF benefit from being aware of stress and taking specific strategies to deal with it. Below we describe a set of strategies for AF patients to use to reduce the effects of stress. Know Your Condition Understanding your condition allows you to communicate your needs to family, friends, and healthcare providers. Being smart about your condition is empowering. If you don’t have the answer, ask your healthcare provider. Be Mindful of Your Emotional Health Many AF patients believe that they are the only ones who are experiencing worry or anticipatory fear. However, most AF patients experience at least some periods of fear and depression. Talking with a health professional about these concerns is another part of complete health care. Plan Some Relaxation Feelings of depressed mood or anxiety can lead to feelings of lack of control over one’s own life. To break the cycle, you will likely need a deliberate plan to schedule pleasant events. Make and follow a plan, even though you may not want to. It makes sense that when you start doing pleasant, fun or rewarding activities again, you might start feeling a bit more like your usual self. Additional Resources Heart Rhythm Society Web site. Available at: Accessed March 14, 2008. American Heart Association Web site. Available at: Accessed March 14, 2008. St Jude Medical Center. AF answers. Available at: Accessed March 14, 2008. Brigham and Women’s Hospital. Cardiac arrhythmia service: living with atrial fibrillation: 2009 update. Available at: Accessed March 14, 2008. Bristol-Myers Squibb. Coumadin Web site. Available at: Accessed March 14, 2008. The information contained in this Circulation Cardiology Patient Page is not a substitute for medical advice, and the American Heart Association recommends consultation with your doctor or healthcare professional. Disclosures None. Footnotes Correspondence to Julie B. Shea, Brigham and Women’s Hospital, Cardiovascular Division, 75 Francis St, Boston, MA 02115.Relationships between sinus rhythm, treatment, and survival in the Atrial Fibrillation Follow-up Investigation of Rhythm Management (AFFIRM) study. Link Google Scholar 3 Shea JB, Maisel WH. Link Google Scholar 4 Ames A, Stevenson WG. Catheter ablation of atrial fibrillation. Link Google Scholar 5 Miller JM, Zipes DP. Catheter ablation of arrhythmias. Link Google Scholar 6 Wood MA, Ellenbogen KA. Cardiac pacemakers from the patient’s perspective. Link Google Scholar 7 Desmarais R, Golden G, Beynon G. The Coumadin Cookbook: A Complete Guide to Healthy Meals When Taking Coumadin. Salisbury, MD: Marsh Publishing; 2003. Google Scholar 8 Hansson A, Madsen-Hardig B, Olsson SB. Arrhythmia-provoking factors and symptoms at the onset of paroxysmal atrial fibrillation: a study based on interviews with 100 patients seeking hospital assistance. BMC Cardiovasc Disord. 2004; 4: 13. Crossref Medline Google Scholar Dallas, TX 75231 Customer Service Unauthorized. A question and answer period will follow the lecture. Dr. Cohen is known for his expertise in treating the full range of arrhythmias and for his accomplishments as an inventor. Find out what's happening in Mineola with free, real-time updates from Patch. Let's go! Attendees are asked to arrive at 6:45 p.m. for registration. Parking and the entrance are available in the rear of the building. Seating is limited and pre-registration is required. To reserve a space, please call 516-663-8300. Perspectives in Health is a free community health education program, coordinated by the Nurse Specialist Group at Winthrop. Find out what's happening in Mineola with free, real-time updates from Patch. Let's go! For information on other programs at the Hospital, please call 1-866-WINTHROP. Thank Reply Share A Patient's Guide to Heart Rhythm Problems The rules of replying: Be respectful. This is a space for friendly local discussions. No racist, discriminatory, vulgar or threatening language will be tolerated. Be transparent. Use your real name, and back up your claims. Keep it local and relevant. Make sure your replies stay on topic. Review the Patch Community Guidelines. All Rights Reserved. Status Available More Details Format Book Physical Desc xi, 211 pages: illustrations; 22 cm. Language English ISBN 9780801897740, 9780801897757, 0801897742, 0801897750 Notes Bibliography Includes bibliographical references (pages 197-200) and index. Table of Contents The basics. Overview; Who is your cardiologist?; The pulse: heartbeat and rhythm; Heart rhythms; The pump Heart rhythm abnormalities. Slow rhythms: bradycardias; Fast rhythms: tachycardias; Ventricular tachycardia and ventricular fibrillation; Supraventricular tachycardia; Atrial fibrillation; Atrial flutter Sudden cardiac arrest. Sudden cardiac arrest; Syncope The tests. Heart failure; Cardiomyopathy; Hereditary conditions Prevention and resuscitation. Preventing heart disease; Cardiopulmonary resuscitation (CPR); Automatic external defibrillator (AED) Follow-up and patient care. Patient follow-up; Support groups; Defensive patienting 101: a primer on patient safety Appendixes.