Preventing Stroke: OBSTRUCTIVE SLEEP APNEA & FAILED ABLATION

Learn how to predict & prevent heart attack & stroke:

Learn how to reduce & reverse arterial plaque:
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ABOUT THIS VIDEO: We typically overtreat using surgery and medications when lifestyle changes are better. That's happening with ablation for atrial fibrillation as well. Ablation is a surgical procedure often recommended without investigation of common causes of procedure failure, like genetics & sleep apnea. This video covers the basic mechanics of atrial fib, ablation & failed ablation. Then we cover an early study showing the increased failure rate for OSA ( Obstructive Sleep Apnea). Here's the link:

ABOUT DR. BREWER
Dr. Brewer started as an Emergency Doctor. After seeing too many preventable heart attacks, he went to Johns Hopkins to learn Preventive Medicine. While there, he went on the run the post-graduate training program (residency) in Preventive Medicine. From there, he made a career of practicing and managing preventive medicine and primary care clinics. His later role in this area was Chief Medical Officer for Premise, which has close to 1,000 primary care/prevention clinics. He was also the Chief Medical Officer for MDLIVE, the second largest telemedicine company. More recently, he founded PrevMed, a heart attack, and stroke prevention clinic.

At PrevMed, we focus on heart attack, stroke, and cognitive decline. We serve patients who have already experienced an event as well as those who have not developed a diagnosis or event. Dr. Brewer provides services via telemedicine or in person if you're in the Lexington, KY area. We find a lot of undiagnosed Pre-Diabetes or Insulin Resistance. Treating unrecognized risk factors like Pre-Diabetes allows reduction of risk and prevention of disease.

[uiop]

Would love to see a vid on probiotic over-use.

[jeremyleonbarlow]

I had an ablation 20 years ago for WPW. It took the surgeon 7 hours to find the right nerve, but once he did, the problem went away and has never returned. I tell you what not having your heart beat 300 beats a minute after it used to do so randomly every few years is a good thing.

[kevindecker]

What are your recommendations for weight loss for someone with sleep apnea?

[goodtalker]

Hello sir. May I ask how long you have had AFIB? Thank you.

[MrSpt]

Your videos are excellent! Thanks for all the great information you share! I really appreciate all your research and good knowledge!

[matticussilverman]

Hi Dr Brewer, excellent video. I wish prevention, which is your speciality, was the major branch of medicine that all GP's subscribed to. Please keep up the brilliant work and educational videos.

[debbiesmith]

As a physical therapist who takes care of patients affected by stroke, I find most of them very resistant to lifestyle changes. I get so discouraged with friends who refuse to change their lifestyle despite the evidence to support the importance of lifestyle in the prevention of disease. Most people just rely on a pill or a procedure to fix the problem rather than change their lifestyle.

[tenminutetokyo]

I have severe OSA from bone spurs on my spine near my throat. I also learned OSA itself can cause heart and liver disease. OSA causes heart tissue death due to lack of O2. Over time (decades) this can scar the hear and cause heart failure eventually.

[kathybrady]

Hi there! I would love it if you could address the abysmal treatment stroke victims receive which COULD turn around the disability rates... specifically TPA being given in only 2-5% of eligible patients. I can send you the references if you like. Learned about that while doing my CMEs.

[Radnally]

I've had AFib most of my life, but was diagnosed about 7 years ago. The procedures sounded so unreliable that I decided to go for a lifestyle change instead. It has worked out very well for me. HIIT workouts, no caffeine, and magnesium supplements. But, I think the work outs have had the greatest positive impact.

[Gigi-zz]

Dr. Brewer, I know a man that has had so many ablations for his heart (by the Clinic) that they told him that they cannot do anymore of them.

[ldean]

Hi Dr Brewer, I'm sorry I don't have the link, but there are several papers that link insulin resistance with A-Fib as well as OSA (which causes insulin resistance directly via cortisol elevation). I had an ST segment depression on my ekg when I was overweight and insulin resistant. It is gone now (lost 55 lbs, keto/paleo diet). I know that ST segment depression is not an A-fib symptom, but it does show heart abnormality and it was likely related to my insulin resistance. I also have some left ventricular hypertrophy, but that could be due to a decade of olympic distance triathlons and the associated Endurance sport is a known risk factor for A-fib (and ventricular hypertrophy), so my ST segment depression could be related to that instead of insulin resistance. Ironically enough I was insulin resistant during most of my triathlon years. It would be interesting to see if a keto diet could help prevent A-fib and ventricular hypertrophy in

[ImplyDods]

Dr Brewer I have suffered with Afib for around thirty years but couldn't get it diagnosed till it became chronic around 10 years ago. I had a couple of cardioversions which both lasted around 8 weeks then an ablation which lasted for eight years till Jan 18. My Afib makes me extremely breathless even with walking on the flat so quite bad. I had another cardioversion 4 weeks ago after 14 months chronic afib which has worked again at least for the moment. I started following a ketogenic diet a month before the procedure in part because I read the heart seems to prefer ketone as fuel over glucose so I'm kind of hoping this may help me stay out of afib. Do you think its possible it may help?

[T-Slider]

My wife’s 2 ablations failed. Is snoring sleep apnea?