AICD (Automated Internal Cardio Defibrilators) Shocking Normal Heart Rhytms

Interesting case at CCC (Canadian Cardiology Congress). Sometimes these AICDs cannot distinguish a fatal arrythmia and therefore shocks a normal rhythm. Interesting case is the first response in the ER (Emergency room) was to of course see the rythm and seeing the shocks go from the AICD. If it is a normal rhythm or wide complex arrythmia then placing a magnet over the AICD will stop the AICD from shocking the patient. Yes you must confirm this rhythm. But if the patient is asymptomatic, normal rhythm (not VT or Vfib) then yes this would be the course of action. If it is a fast arrythmia or WCT (Wide complex tachycardia) then a beta blocker, amioderone can be used. the possible next course of action could then be ablation therapy.


Adenosine can be also used for WCT especially in the absence for poor R wave progression.

For more information, you can see case studies on “your worst arrythmia nightmare” form CCC 2012.

Diamond Fernandes

Stress and Heart Disease

Stress and Heart Disease

Stress and heart disease, well we know there is a link. This year at CACR we talked about the lack of strong support for stress management. Heart disease can be managed with a good combination of a heart healthy diet, exercise and stress management. But in a study presented it does talk about how stress management can show marked improvements in heart health vs exercise. Now imagine combining all three.

Some quick stats:
1. Unmarried, or no life partner shows is worse for your heart health vs no partner.
2. Pet ownership (showing love towards your pet) have a reduced risk of heart disease.
3. If depressed, three times more likely to die of heart disease.
4. A study with heart patients, show when patients are performing difficult mental tasks this increases ischemia (lack of oxygen going to heart).

Keep your heart health in check by focusing on good stress management techniques. It is not just focusing on one aspect of health. I have seen many people thinking that exercise allows them to eat poorly or people who meditate regularly does not allow them to neglect exercise. To truly reverse this disease process it is combining all three and this is where you will see the success as we see it all the time.

To your heart health success,

Diamond Fernandes

Dr. Clyde Yancy at Canadian Cardiovascular Congress in Vancouver

Dr. Clyde Yancy at Canadian Cardiovascular Congress in Vancouver

Reversing the tide and Preventing Heart disease by 2020. This was the name of Dr. Yancy’s keynote presentation at the opening ceremony of the Canadian Cardiovascular Congress in Vancouver 2011.

Heart disease is the number one disease but it is preventable. I thought it was interesting today that as Canadian’s we are not better off when it comes to heart disease prevention.

Did you know our top 4 comfort foods as Canadians are according to huffingtonpost.
1. Mac and Cheese….
2. Poutine
3. Maple Syrup and Pancakes
4. Pho

In saying that these foods are high in calories and high in sodium and definitely, not comforting to your heart health.

Dr. Clancy’s presentation did not cover anything we did not know in terms of living longer. It is now been well researched as to if you follow all seven steps you have a 90& chance of living another 40 plus years after age 50.

Here are the “Life’s Simple Seven Steps”:

The seven steps are:
1. People need to get active
2. Know and control their cholesterol with the guidelines.
3. Follow a healthy diet
4. Know and control their blood pressure
5. Achieve and maintain healthy weight
6. Manage your blood sugars
7. Stop smoking

Dr. Yancy has worked hard to develop risk assessments that are free on the Heart and Stroke Foundation and American Heart Association websites. He talks about how govenments have to get involved so we can reverse heart disease trends. Yes there are lots governments can do. Cut down on smoking, start health initiatives in schools, and help people get active. Ultimately, it will lie in the hands of you. You are 100% responsible for your heart health.

To your heart health success,

Diamond Fernandes

How to prepare for your Doctors Visit

Doctor Visit Preperation and Check List

I really enjoyed Doctor Oz’s interview in success magazine. Dr. Oz is one of my mentors and one day I hope our paths can connect.
Heart disease is the number one cause of death, yet it is preventable. There are some essential things to prepare for before you go see your doctors regarding your concern. You are 100% responsible for your heart health. Not your doctors, not your spouse, not even your family. It is all you. I have seen it many times where patients leave their health in others hands and the result = poor health. You have to change your mindset and take charge of your health. Be proactive.

Doctor dictionary meaning comes from the latin word meaning teacher. So use your doctor to teach you.

#1 Doctors are there to teach you about your condition. So it would be a good idea to learn. Listen to what he/she has to say and take this information to learn about your condition. Bring a note pad, your phone or whatever device and take notes, tape the conversation so you can go back and listen. IF your doctor is uncomfortable with this then find another doctor. Interesting stat: when doctors tell their patients something they forget 50% of the conversation before they even leave the office.

#2 Don’t be arrogant but do ask lots of questions, be a little pushy (Its your health). Have a clear agenda, with your questions written out. Now of course you cannot go in with a novel but use your doctor wisely and have a mutual respect. Get to the bottom of what it is you are there for. Ensure all is done or being done in the form of tests or interventions. If you have symptoms of heart disease (or any disease it just happens to be a heart health blog) then get them addressed ensuring proper tests and follow up intereventions.

#3 Understand your symptoms or cause of the problem. So if you are going in with past chest pain, describe what you were doing, what you ate, can you reproduce the pain. Be in tune with your body so that your doctor can help you. The more you understand what is going on with your body the better your doctor can help you.

#4 If you are having some type of procedure done to you. It does not hurt to get a second opinion. I think because not so many of us ask for a second opinion the stats are a little scewed. However, with that said a second opinion will change your diagnosis or therapy 1 in 3 times. Yes you may hurt this precious covenent with your doctors, but it is your body and every patient afterwards will benefit from this.

Cardiac Yoga for Atrial Fibrillation

Cardiac Yoga for Atrial Fibrillation


We are starting to see the benefits of cardiac yoga.

“Yoga helps Irregular Heart beats” posted in an article in the newspaper: 

cardiac yoga already is proven to decrease blood pressure, reduce inflammation and cholesterol levels.

It can cut in half the risk of a common and potentially dangerous irregular heartbeat, according to a U.S. study released on the weekend.

The small study was the first to examine the benefits of yoga on atrial fibrillation -a problem that is a leading cause of stroke and is most common in the elderly.

In addition to halving the episodes of atrial fibrillation, the study found that yoga also reduced symptoms of anxiety and depression related to the condition.

“These findings are important because many of the current conventional treatment strategies for atrial fibrillation include invasive procedures or medications with undesirable side-effects,” said Dr. Dhanunjaya Lakkireddy, an associate professor with the University of Kansas Hospital in Kansas City, Kansas, who led the study.

He presented his findings at the annual meeting of the American College of Cardiology being held in New Orleans.

The study involved 49 patients with the heart rhythm disorder who had no physical limitations and no prior experience with yoga.

Their episodes of irregular heartbeat were measured for a six-month period by researchers at the hospital.

On average, yoga cut episodes of the irregular heartbeat in half, while also significantly reducing depression and anxiety scores and improving scores in physical functioning, general health, vitality, social functioning and mental health, the researchers found.

Get more information:

Read more: http://www.calgaryherald.com/health/Yoga+helps+irregular+heartbeats/4559525/story.html#ixzz1JQ8GeihQ

to your success,

Top 10 reasons for health

Top 10 Reasons why people choose the Heart Fit Clinic

(from our patients)

#1 Peace of Mind: You could have peace of mind that you are going to be around for your family and loved ones. If you have heart disease you can reverse it and if you have not had a heart attack you can prevent one.

#2 Choice: You can choose the best clinic and services for your appropriate requirements.

#3 Convenience: You can plan to visit or follow our program on your timetable not someone else’s.

#4 High Quality Care: You are assured high quality cardiac rehabilitation and heart attack and stroke prevention services.

#5 Speed: You don’t have to wait weeks for a heart health specialists appointment. You are seeing one of our specialists within days and receive prompt attention.

#6 Excellent Facilities: High quality facilities and services are made available to you.

#7 Quality Advice: You can rest assured that you will receive quality advice from our passionate heart health specialists.

#8 Privacy: Our programs are at home or in our clinics one-on-one. And your privacy is assured.

#9 Achieve your goals and dreams: In most cases there are no restrictions as we can get you back to activities you love to do providing you sound advice and confidence to pursue your dreams.

#10 It’s all about you: We want the best for you and our patients know it is all about them. Questions are answered, dreams are achieved, and outcomes are delivered.

We absolutely love this quote from Doctor Oz about getting your heart screened:
“ It’s about the people we love in our lives, the people who care about us, the people who depend on us at home and work and elsewhere. So, if you look at it in that context and go ahead with those screening tests, its worth the investment even if it disrupts the fantasy that you control your own destiny.”

We look forward to being a part of your heart health.

To your success,


Best Cardiac rehabilitation program

Best Cardiac Rehabilitation Program

The Heart Fit Clinic has been doing cardiac rehabilitation for a long time.People ask us why we are the best. We are the leaders in heart health. This is not an arrogant comment, but something we are all very proud of, because this is what we value, and this value is with everyone. But why? It takes me to a recent interview I heard with Mr. John Maxwell.
Heart disease is the number one cause of death and the number one preventable disease. If we are making a difference in peoples lives, touching them so that they can pursue a life of happiness and longevity after a heart attack… this is priceless. Why we are the best cardiac rehabilitation program is 4 things:

#1 We are making a difference in peoples lives. We instill confidence, knowledge and the tools to reverse heart disease.

#2 There is another level. We are making a difference with people who want to make a difference (the desire). We can lead the horse to water but we cannot force them to drink. People have to find a reason why. Their why power. We can help you with this but it has to come from within.

#3 We are making a difference with people who want to make a difference, doing something that makes a difference. We walk the talk and have people who want to walk the talk actually walk the talk. We help people literally change their lives. We are the leaders in heart health because we provide all the knowledge to people with or at risk of heart disease, who want the knowledge then help them take that knowledge and make a change.

#4 There is the fourth level. We make a difference with people who want to make a difference, doing something that makes a difference (reversing and preventing heart disease) at a TIME when it makes a difference. This time is different for everybody. Lets take one risk factor weight loss. All people overweight want to lose weight. However going deeper down the levels, there are not doing the weight loss (exercise, nutrition and getting healthy). This doing may come at a time when it becomes essential. This could be a heart attack, a close friend or sibling having a heart attack, or just realizing that you want to be here for loved ones and this is now the time to do.

We look forward to helping you through your heart health. We are the best cardiac rehabilitation program because we are the leaders in heart health.

To your success,
Diamond Fernandes