Can Sleep Apnea Cause Afib

Sleep Apnea Natural Ayurvedic Home Remedies

Natural Ayurvedic Home Remedies for Sleep Apnea. Chew 23 garlic cloves on an empty stomach followed by a glass of water. Do this every day. Add some gooseberry pieces into water and boil it for few minutes and then strain it. Have this liquid every night. Mix 1tsp each of honey and black pepper powder in a glass of warm water. Have this liquid before going to bed. Add 1tsp of turmeric powder to a cup of milk. Boil it for few minutes.

Drink it daily 30 minutes before going to sleep Mix 1tbsp of ginger paste and a mediumsize cinnamon stick to 1 cup of hot water. Boil it for a few minutes and strain it. Drink this liquid before going to bed. Eat a handful of dry roasted or soaked almonds. Eat some basil leaves every day. Mix 3tsp cinnamon powder and add 1tsp water and make a paste. Apply on the forehead and chest. Sleep Apnea – Natural Ayurvedic Home Remedies

What is nonvalvular atrial fibrillation NVAF

Curtis, there is a word called NVAF. It also means nonvalvular atrial fibrillation. How do you explain that to your patientsé There are lots of reasons why a patient can get atrial fibrillation. One important one is valvular heart disease. The heart has four valves altogether, and if you have diseases or irregularities of some of those heart valves, they can either leak or get tight and

be associated with causing the patient to get atrial fibrillation. So that is valvular AF, or valvular atrial fibrillation. Actually what's most common is NVAF which is nonvalvular atrial fibrillation and that is when the patient's heart valves are normal or nearly normal but they have other reasons why they developed atrial fibrillation. It can be hypertension,

it can be heart failure where the heart muscle is weak but not for valve reasons, it can be sleep apnea There are a host of other reasons why a patient can get it Sometimes we have no explanation at all But all of those become lumped into the category of nonvalvular atrial fibrillation, or NVAF. So there are two types, majorly, of atrial fibrillation. One related to valve problems that results in atrial fibrillation,

versus there are various types of atrial fibrillation that are not related to valvular disease.

2015 Atrial Fibrillation Patient Conference Managing AF Risk Factors Panel

Wilber: Well thank you. This is really,I think, a topic that I look forward to talking to people about and I think more and moreit's assuming increasing importance in how we take care of patients. We're going to tryto do a broad overview. We're going to focus specifically on diabetes, sleep apnea andexercise as 00:00:30 potential risk factors and how they can be modified in our care ofpatients with atrial fibrillation, but we'll try to give your broad overview of some ofthe other topics as well. So although I'm going to mostly talk about obesity today andatrial fibrillation, we'll talk about a couple of other things as well.

There are a variety of risk factors for atrialfibrillation and this was initially, I think, mostly of interest to epidemiologists, peoplewho study how disease, what the prevalence of it is, and how it comes to pass. I thinknow we've really begun to understand that central role, not only in sort of understandingthe disease but really in treating it, and if we don't consider these as we treat patientsthen I think our outcomes are not nearly as good as they might be otherwise. This is the traditional list and I think thereare probably even a few more. I've starred a few of them where I think that the evidencenow is becoming very clear that these are

potentially modifiable and that's really whatI want you to take home today. These aren't static risk factors that cause something andthen there's nothing you can do about it but treat the consequences, but in fact by intervening,both early and late, you have a chance to modify the disease and improve outcomes. What that means for you as patients is thatyou have to participate in your care and that's really something I want to emphasize; andif you're not invited to do so, then you must insist on doing it. Because I think your outcomesfor atrial fibrillation really depend on how you address each of these risk factors asthey apply to you individually.

Just to briefly talk about hypertension; wewon't spend a lot of time. It's certainly important; it's one of the most common riskfactors associated with atrial fibrillation. Somewhere between 60% and 80% of patientswho have atrial fibrillation in large populations studies have at least hypertension as a riskfactor, and by itself may account for the 20% to 25% of the overall risk of new onsetatrial fibrillation. There's some evidence that systolic bloodpressure probably plays a more important role than diastolic blood pressure, but there'sno clear threshold value. When you look in large population studies, each increment insystolic blood pressure is associated with

the increasing risk of atrial fibrillation.There's no sort of magic number necessarily that if you get below, your risk of atrialfibrillation goes away. It's probably reasonable and what I like to use as a therapeutic targetis somewhere around below 13080. What that means is that that's even below the sort oftraditional guidelines for treatment of hypertension, but it's very clear that even mild elevationsof blood pressure within the range of what we would call normal can still confer afibrisk. There's no clear superiority of one drug overanother although the control of atrial fibrillation certainly can improve the symptoms and thefrequency with which you have atrial fibrillation.

It's not clear that any single drug is absolutelybetter. There's some evidence that ACE inhibitors and ARBs, which are drugs that many of youmay be on to treat your hypertension, may be particularly beneficial, particularly whenyou have relatively advanced hypertension with end organ involvement like thickeningof the heart muscle, the left ventricular hypertrophy, as we call it. But there's also evidence that uncontrolledhypertension as you start antiarrhythmic drug treatment and after catheter ablation, ifyou enter into that with poorly controlled blood pressure, in fact, you have much pooreroutcomes than if your blood pressure is controlled.

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