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 Home | Publications | HealthViews Magazine | Archives & Downloads | Sept/Oct 2008 | Taking Charge of His Heart Health

Taking Charge of His Heart Health
Being conscientious about
your heart health can save your life.

Fred Armstrong is a doctor's dream: He eats well, exercises regularly, and knows he is his own first line of defense against health problems.

"My attitude is that my health is my personal responsibility," he says. "Doctors are people you call for help, but you have to be in charge."

He also knows when to seek help. "I used to go to the gym about three times a week," Fred says. But one day while he was there, something didn't feel right. Though he wasn't in pain, he had it checked out right away. His doctor referred him to a cardiologist.

Edward Choi, M.D., a specialist at Jersey Shore University Medical Center, ordered a stress test, or electrocardiogram, to evaluate his condition. "Fred immediately went into a condition called atrial flutter, which is where the upper chambers of the heart beat very fast," Dr. Choi says.

Sometimes medication alone can solve the problem, and for Fred it seemed to help — for a while. But then his condition changed — and Fred again knew just what to do. "I was at home and felt funny. I checked my blood pressure and the machine wouldn't stop beeping. I told my wife we needed to get to Jersey Shore."

Fred was admitted to the hospital and stayed for 10 days. But his heart rate could not be controlled, so he was referred to Charles Koo, M.D., an electrophysiologist. Electrophysiologists specialize in the electrical activity of the heart.

"We identified an issue around the heart valve in the right atrium. But our imaging study also showed a tremendous amount of activity in the left atrium, as Fred was also in atrial fibrillation, where the electrical signals in the upper chambers of the heart are fired in an uncontrolled manner," Dr. Koo explains. "Mr. Armstrong had two separate abnormal heart rhythms occurring simultaneously — typical atrial flutter and paroxysmal atrial fibrillation."

Though his condition was dangerous, Fred was at the right place: Jersey Shore's electrophysiologists and cardiac surgeons are known nationally for their skill in treating atrial fibrillation.

To stop the abnormal heart rhythm, Dr. Koo performed two ablations — procedures in which a radio-frequency technique is used to block the activity that is causing the arrhythmia to start.

Combined with beta-blocker medications and a monitoring device, the condition can be controlled.

Fred is now feeling better, and gaining his energy back each day. "All the guys at the gym know Jersey Shore is the heart hospital," he says. "Everyone there is very dedicated to their patients and true experts in the field."

– Ryan Younger

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About The Doctor
Picture Available Choi, Edward J., M.D.
Board certified in Internal Medicine
Neptune, NJ  07753
(732) 775-5300
Picture Available Koo, Charles, M.D.
Board certified in Internal Medicine
Ocean, NJ  07712
(732) 663-0300

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