Page 10 - Abacoa Community News - September '22
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      Palm Beach Gardens Medical Center



      Focus On Atrial Fibrillation



         September is National Atrial                       The heart has groups of specialized cells that generate      Patients with suspected or proven AFib need a full
      Fibrillation (AFib) awareness                      electrical impulses which travel through natural pathways   history and physical exam. An electrocardiogram should
      month, which is an important                       from the top chambers to the bottom chambers of the   be done to confirm the diagnosis. There are devices like
      time to emphasize the importance                   heart (from the atria to the ventricles). These impulses   Holter monitors and event recorders that are worn by the
      of detecting and treating AFib.                    make the heart contract and pump blood efficiently. In   patient and monitor the heart during days or weeks. All
      AFib, is a type of arrhythmia                      AFib there are changes in the structure of the atria that   patients with AFib should have an echocardiogram done
      (irregular heartbeat) which                        result in abnormal electrical firing creating uncoordinated   by a cardiologist to detect any underlying heart disease.
      causes numerous debilitating                       and ineffective atrial contractions. Blood can pool in the   Blood thinners are indicated if the risk for stroke is
      symptoms. Symptoms of AFib range from fatigue, chest   atria forming clots that if dislodged can travel to the brain   significant.
      palpitations or pounding, chest pain or pressure, difficulty   causing a stroke. The heartbeat in AFib becomes irregular      Treatment options depend on how long, often, and
      breathing, dizziness, or fainting. Unfortunately, some   and can result in very fast or slow heart rates due to this   severe the AFib episodes occur. Treatments range from the
      patients are found to have AFib only after having a   abnormal electrical activation.                use of medications, noninvasive procedures (cardioversion
      stroke. Some people with AFib feel no symptoms at all.      As an electrophysiologist on the medical staff of   and catheter ablation), to hybrid procedures where cardiac
      Palm Beach Gardens Medical Center offers a variety of   Palm Beach Gardens Medical Center, Dr. Matthew   surgeons and electrophysiologists work together to get
      minimally invasive treatment options for AFib, and is on   Klein encourages patients to seek medical attention   the patient back into a normal heart rhythm.
      the forefront of procedure options for this potentially life-  immediately if they are experiencing AFib symptoms,      AFib treatment options offered at Palm Beach Gardens
      threatening condition. Leaving persistent AFib untreated   and says, “Knowing if a person has AFib is important.   Medical Center include:
      can lead to blood clots, stroke and heart failure, as well   It is associated with a fivefold increased risk of having   • Atrial fibrillation ablation
      as other heart-related complications.              a stroke, a threefold risk of developing heart failure and   • Convergent procedure
                                                         a  twofold  risk  of  both  dementia  and  mortality. AFib   • Laproscopic atrial fibrillation surgery
                                                         strokes are likely to be more severe than non-AFib related
                                                                                                           • Watchman
        Why Some                                         strokes.”                                           opportunity to treat patients that have AFib. Treating AFib
                                                                                                             Dr. Klein concludes, “We have a unique and great
                                                           Conditions that predispose patients to develop AFib

        People Cannot                                    include: Age over 60, coronary artery disease, heart   successfully improves quality of life, reduces mortality,
                                                                                                           and decreases the potential for developing strokes and
                                                         failure, high blood pressure, heart valve disease, prior
                                                                                                           other cardiac conditions.”
                                                         heart surgery, sleep apnea, hyperthyroidism, diabetes,
        See The Good In                                  and alcohol abuse.

        Their Lives




           The 19th century Rabbi,
        Yehudah Aryeh Leib Alter,
        offers an astonishing
        insight into the mysteries
        of the human psyche in his
        commentary on the prelude to
        the romantic meeting between
        Jacob  and Rachel.  On  his
        escape from his brother, Esau,
        Jacob stopped by the local
        well, and to his dismay he sees
        the local shepherds standing
        idly instead of watering their flock. When he asked the
        reason for their bizarre behavior, they pointed at a big
        stone covering the well. They couldn’t move the stone
        until more shepherds arrived, they told him. Despite their
        claim, Jacob tried and ultimately succeeded in removing
        the huge rock all by himself.
           Rabbi Alter reads the story metaphorically. The
        concept of a well, a source of life in the midst of
        a barren field, exists in all aspects of the universe.
        Everything and everyone contains a life-giving
        element that sustains it. Even that which appears to be   BUILDING LIFE’S CHAMPIONS
        as deserted as a field has such a hidden place, a well,
        within it.
           As for humans, the well represents the source of    imagine collaborative personalized insightful creative learning
        what enables life and makes it worth living. The boulder
        symbolizes what obscures our vision and obstructs our
        access to the spring of life. Life is God’s most cherished
        gift to which we must show eternal gratitude, but too often
        the stone muddles our reality and instead of life, we feel
        despair. While the shepherds succumbed to the boulder,
        Jacob used his mental and physical strength to overcome
        the obstacle.
           So often we are like the shepherds. We stand at the
        mouth of the well, knowing what’s inside and how much
        we can benefit from it, but we perceive the stone to be
        too heavy for us to lift and keep waiting for the right time
        (that may never arrive).
           The stone is the negative emotions we harbor. It is our
        anger at life that didn’t unfold the way we envisioned it in
        our youth; it is our disappointment with our children who
        failed to provide us the future we always dreamed of; it is
        our fury at friends who didn’t live up to our lofty standards
        of loyalty and support or our envy of their success, and the
        rock is blaming God for allowing the world to be so far   LEARN MORE
        removed from perfection.
           The High Holy Days give us the opportunity to identify
        the forces that pull the stone down and make it unmovable,
        and when we muster the strength to begin to move the    Scan to view
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        stone, God, just like He did for Jacob, will push it with
        us, until the lifegiving water of the well is fully exposed                  A Catholic College Preparatory High School
        and we are able to quench our spiritual thirst.                                          cardinalnewman.com
                                   Rabbi Alon Levkovitz,                                         West Palm Beach, FL
                                       Temple Beth Am                                               561-683-6266
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