Category Archives: Arrhythmia

My Youtube channel 2020

I have a Youtube channel and post videos from time to time.

The name of my channel is janco vorster and here is a link to it.

Some of my videos include my Cape Town Cycle Tour experience.

Then my heart rhythm problems of this year started.

I had my 4th cardioversion of this year by the end of August.

Visit to my electrophysiologist in Pretoria to find out if a 2nd ablation is possible.

My ablation experience.

Hope this can help you in your heart journey.

Please comment and share!

Coronavirus, AFIB, and Cardio-version…What I learned!

This should have been a “routine” ER visit!

Photo by Noah Buscher on Unsplash

This was not the first time I went to the ER for my AFIB. I expected it to go as smooth as……., yes my ER visits usually go smooth. Doesn’t yours?

Ok let’s say my previous 2 ER visits went so smooth it almost felt like a drive-thru take away. You drive-in, you order and you drive off satisfied.

But…. Here in South Africa our drive-thru takeaways have been closed for the past 7 weeks. That should have given me a clue. I ignored the clue. I went for the drive-thru option at the ER. That was what I was hoping for!

Continue reading Coronavirus, AFIB, and Cardio-version…What I learned!


Apple Watch Series 4 (GPS+Cellular,40mm) Gold AluminiumCase

I was watching the launch of the new Apple watch series 5 and with amazement wondered if this watch could really detect AFIB? The short answer is YES. The long answer will include which Apple series watch can do this. How accurate. What about the ECG?. Palpitations and other irregular heartbeats? Can it take your blood pressure?




The short answer will be yes. The longer explanation will be about what type of coffee you are drinking, how regularly, and what your specific susceptibility is to the effects of caffeine on the factors that trigger arrhythmias. Studies suggest that caffeine intake of up to 300 mg/day may be safe for arrhythmia patients. So here’s the deal…


Heart Arrhythmia Stroke Prevention, AF harmless?

Is AFIB Harmless?
Heart Arrhythmia Stroke Prevention is AFIB Harmless?


The first time I experienced an AFIB attack, I thought that I was going to die of AFIB, but I knew nothing about heart arrhythmia stroke prevention or any of the side effects of Afib.

Afib has attacked me in different ways during the years. I must say that these episodes have become less violent/severe for me and for the past three years nearly absent. Everyone could experience an afib attack differently, the reasons why my episodes have changed during the past 20 years include:

1. Change in medicine that I have used

2. My level of fitness

3. My level of stress during the attack, or during that preceding week and month.

4. Food or alcohol that I consumed that day or the previous day.

5. The activity (sometimes sport) I was taking part in.

Mostly the attacks have been less severe because I have had an ablation and because of the drugs that I use now.

The main thing is that in the beginning the doctors did not really know how to treat me and the attacks were bad! I mean stuff like passing out and a heart rate going over 200 beats per minute.


I remember one episode where I was at work and suddenly my heart just went crazy. I did not know very much about Afib then and I thought “this could be the end”. A co-worker rushed me to hospital in her car because they did not want to wait for the ambulance and (the scary thing for them) they could see my heart beating in my chest.

When experiencing this for the first time I can understand that you may think “how will I survive this thing”. It was here that I started my heart arrhythmia stroke prevention journey.

Fortunately, you can find courage in the fact that I have had AFIB for more than 20 years, and have lead a normal life , like many other afib sufferers.There have been good times and bad times, but the very good news is that AFIB itself will not kill you, but you must equip yourself with heart arrhythmia stroke prevention knowledge .

The bad news is that AFIB is not good for you and that it must not be left untreated. It is important to know more about heart arrhythmia stroke prevention. If AFIB is left untreated it can be very bad for your health and yes then it’s side effects can kill you.

The most serious risks from Afib are:






But the main and most serious problem is the risk of stroke.

In short a stroke is a brain attack, and happens when the blood supply to a part of your brain is cut off, according to STROKE.ORG .

This can happen if you have afib, because the upper chambers of your heart (atria) do not contract properly, they only quiver. Without proper contractions of the atria (two upper chambers of your heart) some blood may remain in them and pool.

If your blood gets the opportunity to pool it can clot.

If a blood clot formed in your atria (upper heart chambers) is pumped out of the heart into the brain it can block the blood supply to a part of the brain and cause a stroke according to  HEART.ORG.

Knowing this is one of the fundamentals of heart arrhythmia stroke prevention and management.

Atrial fibrillation can increase the risk of stroke by 5(five).

If you have afib, how can u prevent a stroke?

1. The best option is to try and cure the afib first.

2. Know what your CHADS-VAS score is:

C- Congestive Heart Failure

H- Hypertension

A- Age 75 and older

D- Diabetes Mellitus

S- Stroke, Tia or Te

V- Vascular Disease

A- Age 65 to74

S- Sex Category

Check your own score at: YOUR CHADSVASC SCORE, but do consult your own doctor or cardiologist because there may be some patient-specific considerations that must be taken into account.

3. Use anticoagulants, like warfarin, or new/novel oral anticoagulants (NOAC’s), like dabigatran(Pradaxa), apixaban and rivaroxaban as prescribed by your doctor to keep your INR at the right level.

The use of anticoagulants is one of the main pillars of heart arrhythmia stroke prevention.

There is an interesting study  that suggests that warfarin may not be the best choice for Asian  patients, and that they would rather benefit from using NOAC’s

The main difference between “old” anticoagulants like warfarin and the new oral anticoagulants (NOAC’s) is that you do not have to test your INR that regularly. Another difference is that the NOAC’s do not interact with other medicines and food that much.

Do remember that warfarin has been used for decades, and therefore, it is known what it can do and also what it’s side effects are. The NOAC’s are new kids on the block and all the side effects are not known yet.

Old and new anticoagulants are mentioned above, but for many reasons like:

  • The risk of bleeding
  • Trouble maintaining a normal INR
  • Certain foods that contain vitamin K that must be limited
  • Concerns about the cost of medication, and some other reasons

Anticoagulants may not be the best option for some people.

The good news is that anticoagulants do not have to be your alpha and omega because there are other procedures available to stop a stroke.

There is a small ear-shaped sac, in the muscle wall of the left atrium and it is called the left atrial appendage (LAA). If a patient is in atrial fibrillation the impulses are fast and chaotic, and that means that the atria (top chambers of the heart) cannot effectively squeeze the blood into the ventricles.

Blood that collects in this LAA can form clots. If these clots in the LAA is then pumped out of the heart they can cause a stroke, usually in the brain where it can be called a brain attack or, better known as a stroke.

With enough heart arrhythmia stroke prevention knowledge, a clot can be stopped from forming.

To stop this clot from forming your doctor may recommend a procedure to seal off your left atrial appendage (LAA). For more information go to Appendage Closure, or see list below:

A. The WATCHMAN Device. It is a parachute-shaped device and is self-expanding that closes off the LAA. It is implanted percutaneously (through the skin) in an electrophysiology (EP) lab. The procedure does not require surgery but general anesthesia may be used to do the procedure. A catheter sheath into a vein near the groin is used to get to the opening of the LAA. It the seals off the LAA. Usually used in patients with nonvalvular atrial fibrillation, and the patient must use warfarin for at least 45 days after implantation.

Watchman for AF
Watchman device for AFIB

Watchman device
Watchman device

B. The LARIAT procedure. With this procedure a device is used to lasso, or place a stitch loop around the left atrial appendage (LAA) so that it is closed off. Unlike the WATCHMAN you do not have to take warfarin after the LARIAT procedure. Watch a short video: LARIAT PROCEDURE

C. Surgical removal. This is usually done when other cardiac procedures are done like the maze procedure or mital valve surgery.

D. Amplatzer CardiacPlug. This device is inserted into the opening of the LAA. It seals off the left atrial appendage (LAA).

4. Stay fit by doing regular physical activities.

5. Enjoy a heart-healthy diet low in saturated and trans fats.

6. Keep high blood pressure under control. If you have high blood pressure, examine your lifestyle, speak to your doctor and do your best to control it.

7. Avoid excessive use of alcohol and caffeine. The term “holiday heart” reveres to your heart rhythm going out due to the excessive use of alcohol and binge drinking.

Drinking coffee is not the only way that you take in caffeine, although some research suggests that drinking coffee may not have such a big influence on triggering afib. Every person will differ in this case because I believe that types of coffee, frequency of drinking, and how you drink your coffee will differ very much.

For me the problem was using an energy drink with caffeine in it. I usually take very good care of what I drink, but in this case, I failed the test and was admitted to hospital two days later, with afib. I was on a 60km mountain bike training ride and drank an energy drink of someone else, because I did not have my own that day. So please read the labels on energy drinks or supplements.

Be very aware of any stimulants that you take because they usually increase your heart rate and have many other side effects. Nearly all asthma medications have stimulants in them, and some, pain killers, cough medicines and other medicines also. Nicotine is also a stimulant.

8. Do not smoke, it is bad for everyone – enough said.

9. Control your cholesterol.

10. Control your weight.

11. Control your blood sugar.

Heart arrhythmia stroke prevention knowledge can save your life.

Many if not most of the above-mentioned factors can be controlled. Because many of these factors and actions are easy to control we tend not to do them. In The Slight Edge, Jeff Olson talks about the effectiveness of mastering the mundane. This may mean using only one sugar and not two, exercising every day and not just once a week, choosing broccoli over chips, water over alcohol/coffee, and many other daily choices and then keeping yourself accountable.

Read more about this at MY RESOURCE PAGE

One of the best ways that I control most of these factors is by keeping, enjoying and controlling my mornings, and to put myself on the right track every day, I go thru the following routine every (or nearly) every morning in the following order.

My Morning Start-Up for Health:

1. Drink a glass of water

2. Pray

3. Exercise, nearly always a few sit-ups and maybe pushups, usually not longer than 15 minutes. Sometimes when I’m not motivated I only do a few stretches.

4. Eat breakfast, at the moment, it is muesli, yoghurt, honey and cinnamon.

5. Read my bible, first good news, then nr 6 the bad/newspaper.

6. Read newspaper


8. Shower, and then off to work.

Many successful people use a morning routine to start the day right, and Hal Elrod wrote a wonderful book about how to master it.

You can read more about how to create a Miracle Morning, by Hal Elrod at my Afib Resource page.

But to get back to the main point, of surviving afib, and that is that stroke is the biggest problem. It is not the only possible complication that can develop out of afib but it is the main risk. The big concern is that stroke is an attack!, an attack of the brain. It is sudden and can be deadly.

Take note of heart arrhythmia stroke prevention, as well as the warning signs and symptoms of stroke. The easiest way to remember the signs is by using the F.A.S.T method as demonstrated on the website at: STROKE WARNING SIGNS


F – Face drooping: Is one side of the face drooping or numb. Is the person’s smile uneven?

A – Arm weakness: Weakness or numbness in one arm. Ask the person to raise his/her arms. Is one arm drifting forward?

S – Speech difficulty: Is the person’s speech slurred? Is it hard to understand the person or is he/she unable to speak? Can the person repeat a simple sentence like “The sky is blue”

T– Time to call an emergency number, in the USA 9-1-1, Europe 112, UK and other countries 999: Call an emergency number if someone shows any of these symptoms even if the symptoms go away. Get the person to the hospital immediately, and check the time the first symptoms appeared, because it can help the doctors in the treatment procedure.

So afib may not kill you but what you don’t know about afib (blood clots and stroke) can kill you. Get enough heart arrhythmia stroke prevention facts so that you can protect yourself.

Heart Arrhythmia Problem

Heart Arrhythmia Problems



It’s all in your head this heart arrhythmia problem.

Maybe you have heard this before. This heart arrhythmia problem thing is just in your head, get over it. Well, the thing is you cannot just get over it because it’s not in your head it is in your heart, because that is where a heart arrhythmia problem is.I read an interesting blog from Danielle Urquhart who has Inappropriate Sinus Tachycardia (IST) and her “8 Important things every IST sufferer wants you to know.” And it got me thinking about how other people saw my Afib, and seemingly normal life (OK I feel that I do have a normal life, even better than normal – I’m blessed).

For me, one of the big problems is that nobody can see your “problem” and this caused me to think that I am overreacting. I have had different types of Afib attacks during the years. This included episodes where it felt as if I am going to die, because my heart was beating so fast, it felt that it would run off for good, never to return to a normal sinus rhythm. Continue reading Heart Arrhythmia Problem