Atrial Fibrillation and Catheter Ablation | NEJM

In this instructional video, Drs. Jane Leopold, Elliott Antman, William Sauer,
and Paul Zei provide an overview of the classification and diagnosis of
atrial fibrillation, management strategies, and mitigation of stroke risk with
anticoagulation therapy.

The video also focuses on the new rhythm-control strategy of catheter
ablation therapy, with attention to the success rate, potential complications,
postprocedural monitoring for recurrence of atrial fibrillation, and consideration
of ongoing anticoagulation therapy in these patients.

0:00 Pathophysiology and Symptoms
3:11 Stroke Risk, Anticoagulants, and Arrhythmia Control
6:32 Catheter Ablation
10:11 Post-Procedural Monitoring and Care

[dgdynasty]

I had Catherter Ablation Surgery today January 24th 2024. If you find your way to this comment, I wanted to say it was well worth it. It was a pain-free experience for me. I was very nervous, but when I was wheeled into the o.r. and saw the number of people in there for me it made me feel at rest. When I woke up, I was no longer in Afib. My doctor and all the nurses and the whole team were amazing.

[wmlemorande]

I am about to have an ablation procedure. This was an excellent video explanation of what it is all about. Special thanks to the Doctors and specially, the the video writers, producers. animators, cameramen, etc, etc.

[dannylaw]

Thanks to all the doctors and nurses working on making this a disorder that can be easily controlled or healed.

[FunsongsCoUkaction_songs]

I'm 69, an English musician and language trainer at the local university. I underwent an ablation procedure at Ospedale Maggiore in Bologna two days ago. This excellently produced video confirmed everything the Italian physicians had patiently explained to me. After having suffered intermittent bouts of AF for the last 2-3 years with increased fatigue and lack of energy, I awoke from the surgery AF-free - already beginning to feel a new man. It's 48 hours since the surgery and I feel so much better!
My sincere heartfelt thanks to all physicians (and makers of this video) who with passion dedicate themselves to helping people thwart the unpleasant side-effects of AF.

[hidechikamatsui]

I'm Japanese and I've been wondering for nine months if I should have catheter ablation. Because of this video, I got to get a basic knowledge of atrial fibrillation and its treatment. Thank you very much.

[johnbird]

My cardiologist has carried out Cardio version shock treatment twice over 4 years. Before that I had Angiogram and 3 stents, Yesterday I had the ablation procedure at Victorian Heart Hospital, Melbourne, Australia. Arriving at 10.00am, I had to wait until 2.00pm, then under anesthetic they induced Atrial Fibulation and 90 minutes later I was in the recovery room. No pain at all. I was allowed to go home 4 hours after the procedure. Today, still no pain and I feel great. The staff were very professional and friendly. This new specialty hospital has all of the latest technology, I love their work.

[bethb]

I've been sick with worry about having to have an ablation since I was diagnosed 2.5 months ago. This video has confirmed all the positive things I've been learning about ablation, and the comments of patients have been incredibly helpful. Thank you, everyone. I get my ablation on Oct. 2, I wouldn't turn down any good thoughts anyone has to offer up for me that day. 😊

[penninator]

I'm scheduled to have an ablation in 3 weeks. This video was super helpful!

[DanielElwell]

Good overview, I've been an a-fib patient since 1989, and have had 5 ablations since 2002. This video is consistent with my experience...

[Lexi-Anegl]

I just had my ablation yesterday…this is my own experience coz before i go for it i have watch alot of youtube channel and read comments..some are positive some are negative😂but actually its a straight forward procedure…i was admitted at 5:30am and its started around 8am…they have taken me to operation theater fix all the wayers…an talking to me…thats all i remember only when they wake me up said all done…so far i dunt feel any pain or discomfort its just my groins have very less pain..so dunt be scared just go for the treatment the importance is the hospital and doctor get some one experience❤

[StephenBlacktampa]

I am waiting for my procedure tomorrow and really didn't feel confident I fully understood everything involved. This video was outstanding and provided so much info I had not previously been privy to. Thanks to all involved.

[rick-wgin]

Getting a second Cardiversion tomorrow. First one only lasted a week. I have persistent A-Fib. Originally, it was thought I had it for about 8 days, but looking back, I believe I may have been experiencing on and off episodes of A-Fib for years. I'm a life long athlete, so other than a severely enlarged left atrium, the rest of my heart is very good, especially at my age, 74. This experience has turned my life upside down, as my sports routine is what I live for.

[mikeenfinger]

This is amazing! Having had an ablation 2 years ago and doing a lot better, I feel better knowing that this procedure is advancing and getting better. Don’t want to go through the procedure again but, I would if I need to.

[dharghamalturaihi]

This is a life saving procedure on the long run.

[lrc]

I have Paroxysmal Afib. Waiting for FDA approval of Pulsed Field Ablation. Should be by the 2 or 3rd quarter of 2023. RF or Cryo Ablation seems like a blunt instrument compared to Pulsed Field Ablation has been described. 65 yo. fit and active.

[sonyanicole]

This is a very informative video, and I appreciate you all sharing your experiences as I have my ablation next week. I feel so much more at ease, having read the comments here and watching this great video.

[Nicker]

Wonderful presentation of information which affects a huge subset of the population.

[Streetdoc]

I’m having it done in 2 days. Wish me luck!

[SSturges]

Fantastic overview, thank you! I presently have a irregular heartbeat, which has caused some concern for myself, as I am a extremely fit and active older guy. My cardiologist has been trying to keep things in check with channel blockers and BP medicine, and doesn't want to utilise ablation quite yet.. I appreciate his conservative approach but feel I would like him to take that next step and do the surgery, any improvement right now is more than appreciated.
This fine video put me that much more at ease listening to the surgeons and their approaches to the treatment and risk assessments..

[familyhunter]

Very informative. I've had afib since a PE-induced heart attack in 2011. I have idiopathic multifactor thrombophilia for which I'm currently taking Eliquis. I took Coumadin for 11 years. My cardiologist recommends I do nothing unless the afib becomes more frequent. I hope he's right!