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Cardiothoracic Surgery

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•  Specializes in the diagnosis and treatment of atrial fibrillation (AFib), a common irregular heartbeat.

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•  AFib significantly increases the risk of stroke due to potential blood clots.

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•  Symptoms can include palpitations, fatigue, dizziness, and shortness of breath.

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•  Treatment focuses on controlling heart rhythm or rate, reducing stroke risk through medications, lifestyle changes, and advanced procedures.

Overview

What is Atrial Fibrillation  (AFib)?

What is Atrial Fibrillation  (AFib)?

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•  A condition where the heart's upper chambers beat irregularly and too fast.

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•  A major risk factor for stroke due to blood clot formation.

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•  Blood clots can block brain blood vessels, leading to stroke.

• Age, especially in older adults over 60.

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• Heart conditions: hypertension, coronary artery disease, heart failure.

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• Medical conditions: thyroid disorders, lung diseases, diabetes, obesity, sleep apnea.

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• Excessive alcohol, stimulants, certain medications.

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• Unhealthy lifestyle habits: smoking, sedentary lifestyle, poor diet, stress.

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• Genetics and family history.

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• Electrolyte imbalances.

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• Previous heart surgeries or procedures.

Causes of AFib

Treatment Options for AFib

  • Medications: Antiarrhythmics to control heart rhythm, anticoagulants to reduce stroke risk.

  • Cardioversion: Electric shock to restore normal heart rhythm.

  • Ablation: Catheter-based (PVI targets pulmonary veins) or surgical (Maze procedure) to eliminate AFib triggers.

  • Lifestyle Changes: Manage conditions, avoid triggers, adopt a healthy lifestyle.

  • Device Therapy: Pacemakers or ICDs.

  • Patient Education and Monitoring: Regular follow-ups and education.

Ablation Techniques

  • Endocardial Ablation: Catheter-based approach targeting abnormal heart tissue.

  • Epicardial Ablation: Minimally invasive surgery targeting the heart's outer surface.

  • Hybrid Convergent Ablation: Combination of both endocardial and epicardial ablation techniques.

    • Single 2cm chest incision.

    • Staged or performed simultaneously.

    • Proven efficacy and safety.

    • Performed by experienced healthcare professionals.

Additional Procedures

  • Left Atrial Appendage Clipping (LAA)

    • Reduces the risk of stroke further by sealing off or removing the left atrial appendage.

    • Beneficial for patients intolerant to long-term blood-thinning medications.

    • May require additional 2cm incision or percutaneous route.

  • Intraoperative Stroke Protection

    • Specialized tools to reduce the risk of stroke during surgical procedures.

    • Introduces dedicated filters to minimize the risk of stroke through a single needle incision, no additional surgery required.

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