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Treating an Abnormal Heartbeat

16 February 2010

This is the VOA Special English Health Report.

A condition called atrial fibrillation produces an abnormal heartbeat. People feel their heart race and they lose their breath. It may last a few seconds, but it can get worse and worse with age, leading to a heart attack or stroke.

Doctors generally treat atrial fibrillation with drugs. But a new study shows that another treatment may have better results for patients who were not helped by drug therapy.    

Doctor David Wilber performs a catheter ablation at Loyola University Medical Center in Illinois
Doctor David Wilber performs a catheter ablation
The treatment is called catheter ablation. Doctors place a long, thin tube called a catheter into the heart. Then they use radio frequency energy to heat the tissue around the catheter. The heat burns off a small amount of heart muscle. The goal is to block abnormal electrical activity in the heart.

Researchers studied more than one hundred fifty patients who had failed to respond to at least one drug in the past. In the study, about one hundred of them had catheter ablation. The others were treated with more drugs. There was a nine-month follow-up period to compare the effectiveness.

Doctor David Wilber at Loyola University Medical Center in Illinois was the lead author of the study. He says catheter ablation worked in sixty to seventy percent of the patients. By comparison, abnormal heartbeats returned in eighty to ninety percent of those treated with drugs.

But Doctor Wilber says catheter ablation is not meant to be the first treatment choice for atrial fibrillation. He suggests it only when drug therapy fails to work. The study appeared in the Journal of the American Medical Association.

Bill Clinton arrives Tuesday at funeral services for John Murtha, longtime congressman from Pennsylvania
Bill Clinton arrives Tuesday at funeral services for John Murtha, longtime congressman from Pennsylvania
Doctors can also use catheters to open blocked arteries that supply blood to the heart. That happened last week with Bill Clinton. The former president had a procedure called an angioplasty. Doctors used a catheter and placed two mesh tubes, called stents, into a blocked artery to help keep it open.

Bill Clinton was taken to a New York hospital last Thursday and released the next day.            

His heart doctor, Alan Schwartz, said the former president had been feeling pressure in his chest for several days.

ALAN SCHWARTZ: "He had been having episodes of chest discomfort that were brief in nature. But because they were repetitive, he contacted me and came in."

The American College of Cardiology says one in five patients who receive angioplasty has already had heart bypass surgery. That includes Bill Clinton. He had a major operation because of blockages in two thousand four. Doctors say it is common for heart patients to need new stents over time.

And that's the VOA Special English Health Report. I'm Bob Doughty.



Comments:

1. That`s Great!

I think atrial fibrillation is arrhythmia very common. it is very dangerous and a lot of complication as : stroke, thrombosis.... There are a lot of causes of atrial fibrillation.In treatment, drug is still the choice.Thank you very much because the newspaper provied a lot of new knowledge about atrial fibrillation.
Submitted by: pham cong doanh (vietnam)
02-19-2010 - 15:04:50

2. More information.

Rheumatic fever is common in poor countries. It causes Mitral Stenosis obstructed the blood flow from R.A to R.V,. Then R.A is enlarged and sending irregular rapid impulses (atrial fibrillation). In poor counties, drugs is still the only choice. The researcher didn't mention that whether this technic can apply to atrial fibrillation caused by rheumatic heart diseases or not.
Submitted by: L H (The U.S.A)
02-18-2010 - 14:23:50

3.

it is a new way to atrial fibrillation.I know this kind of disease is hard to treat becaust the recurrence of drug therapy is a little high.sometimes drug therapy has no effect.but new way always needs time to be perfected.heating the tissue may cause some side-effects.once the normal tissue gets burnt, the function of heart can not avoid to be influenced.
Submitted by: john (CANADA)
02-17-2010 - 15:19:38

4. I'm glad the former president got discharged from a hospital.

Like in the U.S., we have had a news report about Bill Clinton's disease as a whole. But I learned to know about his detail in this article for the first time. And also the news about Clinton reminds that even a young man, who is just around sixty, was attacked by a serious disease. I feel sorry and also I should care of myself from now on. But I feel glad that the president could be discharged after an successful operation.
Submitted by: Maki (Japan)
02-17-2010 - 14:11:49

5.

I learned a little about treatment for a heart disease. The most interesting treatment is catheter ablation. It is a wonder that burning a small amount of heart muscle works for many patients. I want to know how a doctor thought of this treatment.
Submitted by: Mt.New (Japan)
02-17-2010 - 09:21:25

6. Thanks

Thanks
Submitted by: Mohamed (Jordan)
02-17-2010 - 08:41:54

7. engalish

thanks oll ineed to learn english
Submitted by: abdillahi mahamed (somalia)
02-17-2010 - 06:00:30

8.

Thank you
Submitted by: shin seon jae (South Korea)
02-17-2010 - 01:16:31

 
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