Posts Tagged ‘Atrial Fibrillation’

What Is Atrial Flutter?

Atrial FlutterAtrial flutter, also called “heart flutter,” is a type of arrhythmia that occurs when the upper two chambers of the heart (the atria) contract too rapidly. The first contraction in a normal heartbeat occurs in the atria. This contraction pumps the blood into the lower chambers of the heart, called the ventricles. The second contraction occurs in the ventricles and serves to pump blood out of the heart.

In atrial flutter, the atria contract at an abnormally fast rate, but only about half of these contractions are followed by the second ventricular contraction. This causes the heart to work inefficiently and may result in poor blood supply to the body, including the brain and the heart muscle itself. If the heart and brain do not receive enough blood, organ failure can occur in the form of congestive heart disease, heart attack or stroke.

Atrial flutter can occur on its own, but often occurs in people with other conditions, including atrial fibrillation , heart failure, congenital heart defects, high blood pressure, diabetes, thyroid conditions, heart valve conditions and chronic lung disease. The risk of atrial flutter also increases following serious illness, an episode of heavy drinking, surgery or a heart attack. Symptoms may include heart palpitations (rapid, noticeable heartbeats), dizziness, shortness of breath, lightheadedness and chest pain (angina).

A simple, non-invasive test called an electrocardiogram (ECG) that measures the electrical impulses in the heart can be used to diagnose atrial flutter and other arrhythmias. Upon diagnosis, the doctor will determine the best way to control the rapid heartbeat. If there are serious symptoms, this might be accomplished with IV medications or cardioversion (electrical shock to interrupt the arrhythmia and restore a normal heartbeat). Oral medication is more common if there are not serious symptoms. Because atrial flutter can increase the risk of stroke, many people are also prescribed a blood thinner.

If you believe you are experiencing atrial flutter, it is important to seek emergency care. In addition, follow-up care with a physician that specializes in arrhythmias is also important. Emory’s arrhythmia treatment program is one of the most comprehensive and innovative clinics for heart rhythm disorders in the country. Our physicians have been pioneers in shaping treatment options for patients with arrhythmias. Our Arrhythmia Center offers screening, treatment and heart rhythm management services at locations across Atlanta .

About Dr. Merchant

Faisal Merchant, MDFaisal Merchant, MD , is an assistant professor of medicine who practices primarily at Emory University Hospital Midtown. He received his medical degree from Duke University, completed internal medicine and general cardiology training at Massachusetts General Hospital in Boston and a cardiac electrophysiology fellowship at Emory. He specializes in cardiac electrophysiology and treats all forms of arrhythmias, including pacemaker and defibrillator implantation and catheter ablation.

About Emory’s Arrhythmia Center

Emory’s Arrhythmia Center is one of the most comprehensive and innovative clinics for heart rhythm disorders in the country. Our electrophysiologists have been pioneers in shaping treatment options for patients with arrhythmias such as atrial fibrillation, as well as for those with congestive heart disease. Our specialized electrophysiology (EP) labs host state-of-the-art equipment, including computerized three-dimensional mapping systems to assist with the ablation of complex arrhythmias, and an excimer laser system to perform pacemaker and defibrillator lead extractions.

Patients with devices, whether implanted at Emory or elsewhere, have access to Emory’s comprehensive follow-up care. Patients benefit from remote monitoring, quarterly atrial fibrillation support groups and 24-hour implantable cardiac device (ICD) and pacemaker monitoring services. Inpatient telemetry and coronary care units, as well as outpatient care and educational support of patients with pacemakers and ICDs, complete Emory’s comprehensive range of arrhythmia treatments and services.

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What Is Arrhythmia?

arrhythmiaAn arrhythmia refers to an abnormal pattern or rate of the heartbeat. Arrhythmias can include heartbeats that are too fast, too slow or irregular, as is the case with atrial fibrillation , the most common arrhythmia in the United States that requires medical attention.

The normal rhythm of the heart is a tightly regulated but dynamic electrical phenomenon that changes according to the needs of the body. The heart has built-in pacemakers and “wiring” that coordinate contractions in the organ’s upper chambers (the atria) and lower chambers (the ventricles). Glitches in this complicated electrical system can cause the heart to “misfire.”

Everyone has felt their heart “skip” a beat or two or speed up in times of fear or excitement or during exercise. Too much caffeine and certain medications can also cause heart palpitations (rapid thumping in the chest) in some people. These types of arrhythmias are generally harmless.

If irregular heartbeats are frequent or chronic, they can be serious. The consequences of having an arrhythmia usually depend not only on symptoms they can cause (such as faintness), but also on the presence of heart disease or structural abnormalities. In serious cases, the heart may not be able to pump enough blood to the body. Lack of blood flow can damage the brain, heart and other organs.

Common symptoms of arrhythmia include:

  • Shortness of breath
  • Chest pain
  • Palpitations
  • Feeling tired or light-headed
  • Passing out

Call your doctor if you have any of these symptoms of arrhythmia, especially if you have heart disease or have had a heart attack.

If you have experienced an irregular heartbeat, palpitations, a racing heartbeat or other heart irregularities, we recommend that you schedule an appointment with a specialty-trained Emory Healthcare Nurse Practitioner who will begin a comprehensive screening evaluation to determine whether you need follow-up care with an Emory Electrophysiologist. Call 404-778-7777 to schedule your screening appointment. You can also learn more about the Emory Arrhythmia Center online .

About Dr. Lloyd

Michael Lloyd, MDMichael Lloyd, MD , began practicing medicine at Emory in 2007. He specializes in cardiology and cardiac electrophysiology. His areas of clinical interest and research include arrhythmias in athletes, arrhythmias in young adults with congenital heart disease, atrial fibrillation and implantable devices for the treatment of heart failure. Dr. Lloyd is the program director for the Cardiac Electrophysiology Fellowship Program at Emory and holds organizational leadership positions with the American College of Cardiology, the American Heart Association and the Heart Rhythm Society.

About Emory’s Arrhythmia Center

Emory’s Arrhythmia Center is one of the most comprehensive and innovative clinics for heart rhythm disorders in the country. Our electrophysiologists have been pioneers in shaping treatment options for patients with arrhythmias such as atrial fibrillation, as well as for those with congestive heart disease. Our specialized electrophysiology (EP) labs host state-of-the-art equipment, including computerized three-dimensional mapping systems to assist with the ablation of complex arrhythmias, and an excimer laser system to perform pacemaker and defibrillator lead extractions.

Patients with devices, whether implanted at Emory or elsewhere, have access to Emory’s comprehensive follow-up care. Patients benefit from remote monitoring, quarterly atrial fibrillation support groups and 24-hour implantable cardiac device (ICD) and pacemaker monitoring services. Inpatient telemetry and coronary care units, as well as outpatient care and educational support of patients with pacemakers and ICDs, complete Emory’s comprehensive range of arrhythmia treatments and services.

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Emory Opens Heart Rhythm Clinics to Treat Growing Problem

arrhythmia screening centerEmory Healthcare is launching new screening centers across the Atlanta area to help diagnosis abnormal heart rhythms, or arrhythmias. An arrhythmia is a disorder of the heart that occurs when the body’s electrical impulses, which direct and regulate heartbeats, do not function properly and cause the heart to beat slowly (bradyarrhythmias), rapidly (tachyarrhythmias) or in an uncoordinated manner.

The new clinics will offer screening and, if needed, state-of-the-art care by some of the country’s leading arrhythmia experts. Clinics in Villa Rica, Conyers and Johns Creek are already operating, and a fourth location in Decatur will open later this summer.

Emory has been a pioneer in shaping arrhythmia treatment options, serving as primary and principal investigators for many national clinical trials. We rank among the world’s leaders in cardiac resynchronization therapy and have performed more cardiac ablation procedures than anyone in the Southeast.

According to the American Heart Association, atrial fibrillation (A-fib) is the most common chronic cardiac dysrhythmia and affects nearly 2.3 million people in the United States. The prevalence of arrhythmias is age-related and is expected to rise substantially as the baby boomer population continues to age.

Emory has one of the most wide-ranging and innovative treatment programs for heart rhythm disorders in the United States. Anyone who is experiencing palpitations, heart racing or other rhythm symptoms can visit one of our new screening locations to determine if their condition is serious and requires treatment by a specialist.

To learn more about arrhythmia screening, treatment and heart rhythm management services at Emory, please visit emoryhealthcare.org/arrhythmia.

About Dr. Hoskins

Michael Hoskins, MDMichael Hoskins, MD , is an assistant professor of medicine and electrophysiologist who practices primarily at Emory University Hospital. Dr. Hoskins received his medical degree from the Medical College of Wisconsin in Milwaukee, after which he completed his residency in internal medicine at Emory. He was chief resident in Internal Medicine from 2005 to 2006. He then completed fellowships in cardiology and electrophysiology, also at Emory, and has been practicing here since 2010.

About Emory’s Arrhythmia Center

Emory’s Arrhythmia Center is one of the most comprehensive and innovative clinics for heart rhythm disorders in the country. Our electrophysiologists have been pioneers in shaping treatment options for patients with arrhythmias such as atrial fibrillation, as well as for those with congestive heart disease. Our specialized electrophysiology (EP) labs host state-of-the-art equipment, including computerized three-dimensional mapping systems to assist with the ablation of complex arrhythmias, and an excimer laser system to perform pacemaker and defibrillator lead extractions.

Patients with devices, whether implanted at Emory or elsewhere, have access to Emory’s comprehensive follow-up care. Patients benefit from remote monitoring, quarterly atrial fibrillation support groups and 24-hour implantable cardiac device (ICD) and pacemaker monitoring services. Inpatient telemetry and coronary care units, as well as outpatient care and educational support of patients with pacemakers and ICDs, complete Emory’s comprehensive range of arrhythmia treatments and services.

Related Links

What Is Atrial Fibrillation (A-Fib)?

Atrial FibrillationAtrial fibrillation is the most common irregular heart rhythm in the United States. According to the American Heart Association, about two million Americans suffer from atrial fibrillation. This irregular heart rhythm occurs when multiple circuits of disorganized electrical activity in the top chambers of the heart (the atria) replace the organized electrical activity that is normally generated by the heart. The result is “quivering” (or “fibrillation”) of the atria instead of regular heartbeats.

Although not directly life threatening, atrial fibrillation often produces a fast, irregular and ineffective heart rhythm that can cause a variety of symptoms, including chest pain, decreased blood pressure, weakness, lightheadedness and shortness of breath.

There are many conditions that can cause atrial fibrillation. The most common include:

  • Hypertension (high blood pressure)
  • Coronary artery disease (CAD)
  • Heart valve disease
  • Heart surgery
  • Chronic lung disease
  • Heart failure
  • Cardiomyopathy
  • Congenital heart disease
  • Pulmonary embolism
  • Alcohol use

Recently, it has been discovered that high-level athletes competing in endurance sports are at higher risk of developing this condition. Of note, the risk of atrial fibrillation increases with age, particularly after age 60. However, in at least 10% of cases, atrial fibrillation occurs without any identifiable cause or risk factor. This is called “lone atrial fibrillation” and can be successfully treated in many cases.

Atrial fibrillation was once thought to be a harmless condition, but we now know that it can contribute to additional heart problems over time, including stroke and heart failure. Only a few years ago, people suffering from this common heart arrhythmia were told they would probably have to live with the problem. Today, however, an increasing number of people with atrial fibrillation can be treated and cured, thanks to innovative therapies and procedures such as cardiac ablation, available through the Emory Heart & Vascular Center’s Atrial Fibrillation Program.

With sites at Emory University Hospital, Emory University Hospital Midtown and Emory Saint Joseph’s Hospital, Emory’s Heart & Vascular Center has one of the few truly comprehensive atrial fibrillation treatment programs of its kind in the Southeast.

For more information about the Emory Atrial Fibrillation Program or to schedule an appointment, please call Emory HealthConnection℠ at 404-778-7777 or 1-800-75-EMORY.

About Dr. Lloyd

Michael Lloyd, MDMichael Lloyd, MD , began practicing medicine at Emory in 2007. He specializes in cardiology and cardiac electrophysiology. His areas of clinical interest and research include arrhythmias in athletes, arrhythmias in young adults with congenital heart disease, atrial fibrillation and implantable devices for the treatment of heart failure. Dr. Lloyd is the program director for the Cardiac Electrophysiology Fellowship Program at Emory and holds organizational leadership positions with the American College of Cardiology, the American Heart Association and the Heart Rhythm Society.

About Emory’s Arrhythmia Center

Emory’s Arrhythmia Center is one of the most comprehensive and innovative clinics for heart rhythm disorders in the country. Our electrophysiologists have been pioneers in shaping treatment options for patients with arrhythmias such as atrial fibrillation, as well as for those with congestive heart disease. Our specialized electrophysiology (EP) labs host state-of-the-art equipment, including computerized three-dimensional mapping systems to assist with the ablation of complex arrhythmias, and an excimer laser system to perform pacemaker and defibrillator lead extractions.

Patients with devices, whether implanted at Emory or elsewhere, have access to Emory’s comprehensive follow-up care. Patients benefit from remote monitoring, quarterly atrial fibrillation support groups and 24-hour implantable cardiac device (ICD) and pacemaker monitoring services. Inpatient telemetry and coronary care units, as well as outpatient care and educational support of patients with pacemakers and ICDs, complete Emory’s comprehensive range of arrhythmia treatments and services.

Related Links

Emory University Hospital Celebrates Pacemaker Clinic 20th Anniversary

Emory University Hospital Atlanta, GAThe Emory University Hospital Pacemaker/ICD Services Program was established in 1991 by Paul Walter, MD, and Nancy Romeiko, RN. Dr. Walter was the medical director and overseeing physician and Ms. Romeiko served as head nurse. In 20 short years, the Pacemaker Program at Emory has grown to employ nine nurses, a technician and full-time administrative staff.

The Pacemaker/ICD Services Program serves over 3,500 patients who are actively receiving device monitoring services, and it has cared for more than 12,000 patients in the last 20 years! Emory’s Pacemaker Program averages approximately 400 to 430 procedures per week, including monitoring services by phone or remote system, and office visits in The Emory Clinic or one of the Program’s five outlying sites (Snellville, Decatur, Conyers, Hiawassee and Toccoa) in addition to Emory University Hospital Clifton Road campus location.

The Pacemaker Program provides device evaluation and monitoring services for all types of pacemakers and implanted defibrillators, including the latest devices used for pacing in congestive heart failure patients.

Many thanks go to the physicians, nurses and staff who have dedicated their careers to providing the highest quality of patient- and family-centered care to our patients in this program.

Related Resources:

 

Lone Atrial Fibrillation (A-Fib) – Takeaways from our Heart to Heart

Lone Atrial FibrillationThank you for those who were able to participate in the Emory Heart & Vascular Center Live Chat on Arrhythmias last week! You all had great questions and highly engaged. If you could not join me, you can view the Arrhythmia chat transcript here. We covered a lot of different topics. Please feel free to use the comments below to let us know if you have other heart and vascular topics you would like to cover in future live chats, and we will see if we can organize!

During the chat, there were questions I did not have time to answer. Specifically, I told attendees that I’d be posting a follow up blog on Lone Atrial Fibrillation, a less discussed type of arrhythmia that I got some good questions around.

What is Lone Atrial Fibrillation (A-Fib)?

Lone Atrial Fibrillation (A-Fib) is atrial fibrillation seen in patients younger than 60 years with no underlying structural heart disease.  It may be caused by a specific trigger or could occur without any trigger.

What are the possible triggers for Lone Atrial Fibrillation?

Lone A-Fib can be triggered by:

  • Emotional or work related stress
  • Physical Overexertion
  • Alcohol use or overuse
  • Caffeine consumption
  • Infection
  • Dehydration
  • Electrolyte imbalances
  • Drugs (cocaine, amphetamines, etc)
  • Hypoglycemia

Unfortunately, in the majority of cases of Lone Atrial Fibrillation occur without any triggers. It is probably difficult to avoid all the potential triggers for Lone A-Fib.  But when a trigger exists, it is  typically specific to each individual.  There is no consistent way to safely and effectively manage Lone A-Fib episodes, so I recommend you consult your cardiologist to ensure you are taking the most appropriate steps for your particular case.

You can visit our website to learn more about Emory’s Arrhythmia Program.

Dr. Mikhael El-ChamiAbout Mikhael El-Chami, MD
Dr. El-Chami completed his residency at Emory in 2003 and he was nominated for a chief residency year at Emory in 2004. His training in cardiology and electrophysiology also was completed at Emory. His areas of clinical interest include: cardiac arrhythmia ablation, cardiac resynchronization therapy and prevention of sudden cardiac death. Dr. El-Chami holds organizational leadership memberships with the American College of Cardiology and the Heart Rhythm Society. He speaks Arabic and French fluently.

Has Your Heart Ever Skipped a Beat?

Arrhythmia Web Chat with Dr. El-ChamiHave you ever experienced a skipped heart beat or a change in the regular beat of your heart? If so, you may have a rhythm disorder called an Arrhythmia. Arrhythmias are common in middle-aged adults. Some arrhythmias are relatively harmless, but others can be fatal if not treated. Nearly 1,000,000 people are hospitalized for an arrhythmia each year, and some arrhythmias, such as Atrial Fibrillation, are extremely common and affect over 2,500,000 million Americans.

Join me on Wednesday, August 24, at 12:30 p.m. for an interactive web chat on the topic of Diagnosing, Managing and Living with Arrhythmias. I will be available to answer questions and discuss various topics about arrhythmias, including symptoms, diagnosis, prevention and treatment, as well as innovative new cardiovascular research on the horizon.

You can register online for the live chat! UPDATE CHAT TRANSCRIPT

Dr. El-Chami

About Mikhael El-Chami, MD

Dr. El-Chami completed his residency at Emory in 2003, and he was nominated for a chief residency year at Emory in 2004. His training in cardiology and electrophysiology also was completed at Emory. His areas of clinical interest include: cardiac arrhythmia ablation, cardiac resynchronization therapy and prevention of sudden cardiac death. Dr. El-Chami holds organizational leadership memberships with the American College of Cardiology and the Heart Rhythm Society. He speaks Arabic and French fluently.

Learn About Atrial Fibrillation (A–Fib) in new Physician “Ask the Expert” Video Series

Atrial Fibrillation Ask the ExpertsAs we have discussed in previous blogs on the topic of arrhythmias, atrial fibrillation, also referred to as A – Fib, is the most common irregular heart rhythm in the United States.  It is so prevalent that over 2 million Americans suffer from it. Even though it is not directly life threatening, it can lead to other heart problems such as congestive heart failure and stroke, as well as shortness of breath, dizziness, chest discomfort and palpitations.

The physicians in Emory’s Arrhythmia Program talk about various arrhythmia topics and how to best manage your condition in our new “Ask the Expert” video series.

You can also view past blogs about arrhythmia including:

If you have further questions or think you may have A- Fib after viewing our atrial fibrillation videos, please call Emory HealthConnection℠ 404-778-7777 to speak with a nurse.

Do you have questions about this procedure or about A-Fib in general? If so, please let me know in the comments section.

About Angel Leon, MD:

Dr. Leon is a Professor of Medicine and the Chief of Cardiology at Emory University Midtown. His specialties include electrophysiology, cardiology, and internal medicine, and his areas of clinical interest include arrhythmia ablation, electrophysiology lab, and pacemaker. Dr. Leon holds organizational leadership memberships with the American College of Cardiology and the American Heart Association. He has been practicing with Emory since 1991.

Case Study: A Catheter Ablation Approach to Atrial Fibrillation

In recent posts, we’ve presented various case studies and examples of patients suffering from atrial fibrillation (A-fib). We’ve seen how debilitating this condition can be, and how severely it can affect a patient’s quality of life.

In this post, we’ll take a glimpse into the life of a Georgia 55-year-old school administrator who developed A-fib over a two-year period, causing him to suffer from fatigue, shortness of breath, and a decreased ability to exercise.

His local physicians made every effort to restore the rhythm of his heart through the use of anti-arrhythmic drugs—unfortunately; the medication generated side effects that necessitated the placement of a pacemaker implant.

When the patients’ A-fib continued to reoccur, the physicians realized that the drug therapy was failing and decided to pursue a course of rate control and anticoagulation therapy. This attempt failed to alleviate the symptoms as well, which prompted his local cardiologist to refer him to Emory University Hospital Midtown to be evaluated for catheter ablation.

Catheter ablation is a minimally invasive procedure that doesn’t involve open-heart surgery, making it a viable option for patients suffering from A-fib. In our patient’s case, it was the ideal solution for his condition—which is why in February of 2010 he underwent the procedure for treatment of his arrhythmia.

Catheter ablation involves threading catheters through the blood vessels towards the heart, which destroys (or ablates) the abnormal heart tissue that causes the condition. We performed the ablation on our patient using conscious sedation, and achieved femoral vein access with catheterization into the patient’s left atrium. Electro-anatomic mapping guided the irrigated-catheter ablation system.

The procedure was completed in less than three hours, and our patient was discharged the following morning. He was able to return to normal activity two days later. After the ablation, we continued to keep him on anti-arrhythmic medication for a month.

At his 3-month and 6-month follow-up visits, he showed no signs of A-fib, and we were able to discontinue the use of the anti-arrhythmic drugs. Today, our patient says that he feels “great”, and he continues to be completely free of atrial arrhythmia and its symptoms.

When anti-arrhythmic drugs fail to alleviate the symptoms of A-fib, catheter ablation is an advantageous alternative. While the procedure works best for patients with recurring A-fib, it can also make sense for A-fib cases without the presence of significant heart disease. Further, recent pilot studies have revealed that catheter ablation is superior to medication as the primary form of therapy for A-fib.

Do you have questions about this procedure, or about A-fib in general? If so, please let me know in the comments section.

About Angel Leon, MD:

Dr. Leon is a Professor of Medicine and the Chief of Cardiology at Emory University Midtown. His specialties include electrophysiology, cardiology, and internal medicine, and his areas of clinical interest include arrhythmia ablation, electrophysiology lab, and pacemaker. Dr. Leon holds organizational leadership memberships with the American College of Cardiology and the American Heart Association, and he’s been practicing with Emory since 1991.

Overcoming A-Fib at Emory


My name is Bill Hughes. I’m 73 years of age, and I’ve lived in West Point, Georgia for 25 years. For 35 years, I was employed by Neptune Technology Group, a company that manufactures and distributes water meters and automatic meter reading systems. When I retired in 2000, I was the national sales manager for water distribution. Now, I work as a consultant. I’m married, and I have two children and two grandchildren.

I first came to Emory Heart and Vascular in January of this year. Prior to this, I’d been seeing a cardiologist for about two and a half years for what they call “a-fib”, or atrial fibrillation. My heart was beating out of rhythm, and the situation was worsening. Despite all of my heart regulation medications, my heart just couldn’t stay in rhythm.

At one point, I was hospitalized for about three days while the doctors administered a very strong heart-regulating drug. Unfortunately, my body just wouldn’t accept it, and I had several unpleasant side effects from it. And still, the medication wasn’t keeping me in rhythm.

When you suffer from A-fib, you basically feel horrible the majority of the time. You lose all of your energy and strength, and feel as though you can hardly do anything—it’s as though you just exist. Sufficed to say, it was incredibly depressing for me. After dealing with A-fib for two and a half years, I had forgotten what it felt like to feel normal.

At that point, my cardiologist recommended Dr. DeLurgio at Emory, and suggested that he examine my case in order to pinpoint what type of procedure would improve my condition. I was concerned that it would be difficult to schedule an appointment with a heart doctor, but the folks at Emory were able to see me right away.

After he performed a thorough examination, Dr. DeLurgio informed me that my A-fib condition was a fairly severe case, and decided that I needed to have radiofrequency ablation. I had three procedures between January and March. During the first procedure I had some bleeding, so we had to stop the surgery. A few weeks later, they performed the second ablation, this time with much better results. Although I was feeling better than I had in a long time, I went back into the hospital a third time because I was experiencing what they call a “flutter”. The doctors determined that they needed to go back in one more time and fix whatever circuitry wasn’t working properly. This was completed in March, and was a total success.

I really appreciated how Dr. DeLurgio explained the ablation procedure beforehand and set the right expectations with me. In the beginning, he let me know that I may require more than one ablation procedure due to the severity and complexity of my case. From the start, I never doubted him or had any concerns.

Everyone at Emory treated me as though my case was very special. The nurses and physician’s assistants did a wonderful job of preparing me for the surgery. At the hospital, from the time I checked in to the time I left, everything went incredibly smoothly. I feel very fortunate to have been at Emory and to have had Dr. DeLurgio as my doctor.

Now, I’m feeling better every day, and I no longer have to take nearly as much medication, which is a huge advantage. I’m 73 years young and back in the gym, back on the golf course, and life is good again.

From Dr. DeLurgio:

Mr. Hughes represents a case of a patient with “permanent” atrial fibrillation. This is a more severe and far-progressed variety. Typically, treatment options are limited. Using advanced techniques, however, we were able to achieve excellent results while avoiding major surgical intervention. It is very gratifying to see how much improvement in his quality life Mr. Hughes has gained.

About David DeLurgio, MD:

Dr. DeLurgio has been practicing medicine at Emory since 1996. His specialties include Internal Medicine, Cardiology, Electrophysiology, and Cardiac Electrophysiology. Additionally, his areas of clinical interest include arrhythmias, atrial fibrillation and ablation therapy, prevention of sudden cardiac death, and treatment of heart failure with medical devices. Dr. DeLurgio holds organizational leadership memberships with the American College of Cardiology, the American College of Physicians, the Heart Failure Society, and the Heart Rhythm Society.