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Atrial fibrillation, commonly known as AFib, is the most common arrhythmia. Those living with AFib are at increased risk for strokes, heart failure and other health concerns. Both the Centers for Disease Control and Prevention (CDC) and the American Heart Association predict that more than 12 million Americans will have AFib in 2030.
If you know someone diagnosed with AFib or suspect that you or a loved one may have it, keep reading. Dr. Jose Osorio, a board-certified clinical cardiac electrophysiologist and medical director of HCA Florida Miami Electrophysiology, explains what AFib is and shares his hopes for future treatment. As the principal investigator in several clinical trials, Dr. Osorio is researching novel treatment options for AFib.
Dr. Osorio: AFib is a type of arrhythmia that causes the upper chambers of the heart, the atria, to lose their regular electrical activity and start quivering. As a result, the heart may beat very fast and become unable to pump blood effectively, leading to a variety of symptoms. Blood can also pool in a small pouch called the appendage, where clots may form, increasing the risk of stroke fivefold. Additionally, strokes caused by AFib tend to be more severe than those resulting from other causes.
The most common symptoms of AFib are fatigue and heart fluttering. Other symptoms include:
Some people with AFib have no symptoms, which is why it’s important to have your heart checked regularly, even if you think nothing is wrong.
Dr. Osorio: When I evaluate patients who possibly have AFib, I start with their medical history, physical examination and an electrocardiogram (ECG). Some patients have episodes that come and go (paroxysmal AFib) and may be more difficult to diagnose. Others will be in AFib all the time and the diagnosis is easier (Persistent AFib).
If AFib is not detected during the office visit, we commonly send patients home with a heart monitor that will record all heartbeats for a week or more. In some cases, we use implantable heart monitors to make a diagnosis.
These tests will help us diagnose and choose the best treatment options, which may include medications or procedures.
Visit the American Heart Association’s website for a downloadable, “Partnering in Your Treatment” guide that can help you discuss your heart health and options with your physician.
Dr. Osorio: Anyone can have AFib, but it is more common in individuals with the following conditions:
Lifestyle changes will help reduce your risk of developing AFib and improve control if you already have it:
Dr. Osorio: AFib typically does not resolve on its own. Most patients begin with sporadic episodes that become progressively more frequent and last longer. However, living a healthy lifestyle can slow the
progression of AFib and improve the effectiveness of treatments.
Dr. Osorio: Today, we have a wide range of treatment options for our patients.
The primary goals of treatment are to prevent stroke and other complications and to improve quality of life. For patients at risk of stroke, we use anticoagulants, and for those who cannot take them, we offer left atrial appendage closure devices.
We also perform procedures that can treat and, in some cases, eliminate the arrhythmia. Atrial Fibrillation ablation is a procedure where we attempt to eliminate the signals that trigger and maintain AFib. A new technology called Pulsed Field Ablation (PFA) has revolutionized AFib ablation. PFA uses novel non-thermal energy to treat AFib without damaging surrounding tissue. It is safer, more efficient and allows us to perform the procedure under sedation instead of general anesthesia.
We also encourage patients to explore the American Heart Association’s My AFib Experience website. In this online community, individuals with AFib and their loved ones can share stories and find support.
Dr. Osorio: In addition to traditional treatment options, ongoing innovation in the field of ablation continues to bring forward new technologies. At HCA Healthcare, we are proud to be part of several clinical trials exploring new treatments for AFib.
Currently, we are involved in nearly a dozen AFib clinical trials across the organization, with many of these studies led by me as the principal investigator. Clinical trials play a critical role in developing safe and effective treatments for various conditions, including AFib. We are committed to advancing AFib treatment and improving outcomes for patients worldwide.
There are two main types. Type I (Juvenile) and Type II Type 2 diabetes is much more common and is typically caused by lifestyle choices. Unlike type I, the pancreas can make insulin, but not enough. This leads to the sugar being left in the blood stream instead of being pushed into the cell for an energy source.Some risk factors for developing type 2 diabetes:weightinactivityfamily historyhigh LDL cholesterol levelsAge over 45prediabetesComplications of type 2 diabetes:blood vessel disease nerve damage impaired healing heart disease stroke kidney disease eye damage dementiaPeople with type 2 diabetes, on average, have a shortened life expectancy by about 10 years.You can prevent type 2 diabetes by: eating properly exercise losing weightBalancing your nutrition with the proper amounts of proteins, carbs and fat not only helps you look better, have more energy and confidence but it also prevents chronic disease. Over 80% of chronic disease is preventable through lifestyle modification!
Hypertension or high blood pressure is a common condition medical professionals call the silent killer. Silent because having elevated blood pressure often goes undetected for years or decades as it slowly causes fatal changes throughout the body, leading to death. Common comorbidities of prolonged hypertension include: kidney failure, heart attack, stroke, angina, dementia, vision loss, blindness, sexual dysfunction, cardiomyopathy, heart failure, fatigue, artery damage, blood clots, and much more. Unfortunately, many individuals do not know or treat hypertension until the damage has already taken place. But it's not too late. There are many methods and options available to treat and eliminate this life threatening condition. The traditional method of treating hypertension consists of a doctor's visit, finding of hypertension, a series of cardiac studies, and then being prescribed medication.Often this is accompanied by a diagnosis of genetic hypertension, familial hypertension, secondary hypertension or idiopathic hypertension (unknown cause). Regardless of the diagnosis, the underlying cause can go unnoticed and untreated. Frankly, because there is not enough time and individuality to this approach. The band aid approach. So what's a normal blood pressure? Ideally 120/60.When does blood pressure become dangerous? When your systolic pressure (the first number) rises above and sustains above 150 you should be concerned.Long term effects of elevated blood pressure leads to interior vessel damage and therefore creates even more of a risk to you such as narrowing of the blood vessel, clotting and arteriosclerosis. So what generally leads to hypertension?Some causes for hypertension include obesity, hypernatremia or high sodium, lack of exercise, elevated homocysteine, sleep deprivation, substance use, smoking, stress, hypercholesterol or high fats in the blood, diabetes, kidney dysfunction, lung disease, diet and age.Getting to the core issue and addressing the primary cause or causes of hypertension is the ideal treatment. Unfortunately this is often challenging and time consuming for individuals to navigate themselves. They find there is no direct guidance from medical professionals. Instead the medication seems to be the end all be all approach. Most providers are unfortunately taught this method in school and are not programmed to use a holistic approach.Depending on the cause of hypertension, there are methods and scientifically proven lifestyle changes that can eliminate the silent killer in your life, without having to take medication with harmful side effects. Here are some general non-specific ways to treat hypertension:1. Sodium. Water follows salt. The more salt you digest, the more water that attaches to it. This fills up the veins and arteries, and the pressure makes the heart have to work harder to pump. By reducing sodium intake, we reduce the amount of fluid in our vascular space and lessen the workload of the heart. 2. Quit smoking. Smoking causes damage to the inside of our vessels, contributes to blood clotting, and damages your lungs. The damage in your lungs causes a backup of blood flow.3. Exercise. Your heart is its own muscle and requires exercise. When we exercise, we require the heart to improve endurance. Therefore when we are at rest, it has an easier time pumping blood.4. Diet. Eating a well balanced diet can reduce excess cholesterol. Bad cholesterol component that accumulates inside your vessels. When this happens, the opening becomes smaller making the heart have to pump harder to push through.5. Weight loss. Losing excess weight means the body needs less blood to feed extra tissue. When we lose weight, we reduce the need for the heart to pump harder to feed the excess mass. The extra pumping causes the heart muscle to become large then sets into other diseases, such as heart failure.6. Stress reduction. Stress induces a response in our body, causing inflammation, increasing our heart rate and narrowing our vessels. This again causes the heart to have to pump harder and thus increases our blood pressure.Utilizing an experienced certified nurse and wellness coach can bridge the gap between lifestyle modification and optimal health. By utilizing this approach, you can obtain a personal and individualized plan and treatment for hypertension and other ailments concurrently. To learn more about a specific plan designed for you or to schedule a free consultation, click below. I would be happy to see if we are a good fit to work together and begin living the life you were designed for and the care you deserve.
Moodys recently upgraded Collier Countys Series 2018 Tourist Development Tax Revenue Bonds by two notchesfrom Aa3 to Aa1an uncommon and impressive achievement. This upgrade reflects the countys financial strength, fueled by growing tourism revenues and strategic fiscal management.Why This MattersThis upgrade allows Collier County to borrow at lower interest rates, potentially saving taxpayers millions. For senior citizens, this means: Improved Services: Savings can possibly fund critical projects such as better transportation, healthcare facilities, and senior centers. Tax Stability: Lower borrowing costs help keep property taxes steady, a relief for those on fixed incomes. Enhanced Quality of Life: A strong tourism economy supports parks, cultural activities, and infrastructure which many seniors can enjoy.This achievement highlights the countys commitment to financial responsibility and delivering lasting benefits for Collier County residents of all ages.For more details, contact Derek M. Johnssen at (239) 252-7863 or visit emma.msrb.org.#CollierCounty #FinancialStrength #SeniorLiving
At HCA Healthcare, we are driven by a single mission: Above all else, we are committed to the care and improvement of human life.HCA Healthcare is dedicated to giving people a healthier tomorrow. As one of the nation's leading providers of healthcare services, HCA Healthcare is comprised of 186 hospitals and approximately 2,400 sites of care in 20 states and the United Kingdom.In addition to hospitals, sites of care include surgery centers, freestanding emergency rooms, urgent care clinics, diagnostic and imaging centers, walk-in clinics and physician clinics.Many things set HCA Healthcare apart from other healthcare organizations; however, at our core, our greatest strength is our people. Every day, more than 309,000 colleagues go to work with a collective focus: our patients. Our focus positively impacts the care experience at the bedside and beyond.As a learning health system, HCA Healthcare analyzes data from more than 43 million patient encounters each year. This data helps develop technologies and best practices that improve patient care. We also share our learnings with the larger healthcare community and government agencies to improve care everywhere.We are proud of the impact we have in our communities through employment, investment and charitable giving.In 2023, we spent $4.7 billion on capital investment in land, buildings and equipment. In addition, HCA Healthcare pays significant taxes that help revitalize communities.We also provided charity care, uninsured discounts and other uncompensated care at an estimated cost of $3.7 billion in 2023.At HCA Healthcare, we are excited about the future of medicine. We believe we are uniquely positioned to play a leading role in the transformation of care.
At HCA Healthcare, we are driven by a single mission: Above all else, we are committed to the care and improvement of human life.HCA Healthcare is dedicated to giving people a healthier tomorrow. As one of the nation's leading providers of healthcare services, HCA Healthcare is comprised of 186 hospitals and approximately 2,400 sites of care in 20 states and the United Kingdom.In addition to hospitals, sites of care include surgery centers, freestanding emergency rooms, urgent care clinics, diagnostic and imaging centers, walk-in clinics and physician clinics.Many things set HCA Healthcare apart from other healthcare organizations; however, at our core, our greatest strength is our people. Every day, more than 309,000 colleagues go to work with a collective focus: our patients. Our focus positively impacts the care experience at the bedside and beyond.As a learning health system, HCA Healthcare analyzes data from more than 43 million patient encounters each year. This data helps develop technologies and best practices that improve patient care. We also share our learnings with the larger healthcare community and government agencies to improve care everywhere.We are proud of the impact we have in our communities through employment, investment and charitable giving.In 2023, we spent $4.7 billion on capital investment in land, buildings and equipment. In addition, HCA Healthcare pays significant taxes that help revitalize communities.We also provided charity care, uninsured discounts and other uncompensated care at an estimated cost of $3.7 billion in 2023.At HCA Healthcare, we are excited about the future of medicine. We believe we are uniquely positioned to play a leading role in the transformation of care.
At HCA Healthcare, we are driven by a single mission: Above all else, we are committed to the care and improvement of human life.HCA Healthcare is dedicated to giving people a healthier tomorrow. As one of the nation's leading providers of healthcare services, HCA Healthcare is comprised of 186 hospitals and approximately 2,400 sites of care in 20 states and the United Kingdom.In addition to hospitals, sites of care include surgery centers, freestanding emergency rooms, urgent care clinics, diagnostic and imaging centers, walk-in clinics and physician clinics.Many things set HCA Healthcare apart from other healthcare organizations; however, at our core, our greatest strength is our people. Every day, more than 309,000 colleagues go to work with a collective focus: our patients. Our focus positively impacts the care experience at the bedside and beyond.As a learning health system, HCA Healthcare analyzes data from more than 43 million patient encounters each year. This data helps develop technologies and best practices that improve patient care. We also share our learnings with the larger healthcare community and government agencies to improve care everywhere.We are proud of the impact we have in our communities through employment, investment and charitable giving.In 2023, we spent $4.7 billion on capital investment in land, buildings and equipment. In addition, HCA Healthcare pays significant taxes that help revitalize communities.We also provided charity care, uninsured discounts and other uncompensated care at an estimated cost of $3.7 billion in 2023.At HCA Healthcare, we are excited about the future of medicine. We believe we are uniquely positioned to play a leading role in the transformation of care.