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  • Wellstar Treats Atrial Fibrillation with Comprehensive, Tailored Care
Article Category: Highlights

Wellstar Treats Atrial Fibrillation with Comprehensive, Tailored Care

Published on January 05, 2024

Last updated 11:40 AM February 21, 2025

Person looking at watch and checking pulse

Atrial fibrillation, also called AFib, occurs when the upper chambers of the heart—known as atria—beat irregularly and fail to pump blood efficiently to the rest of the body. It’s the most common heart arrhythmia, and at Wellstar, you’ll find comprehensive care and multiple treatment options for this condition.

What is AFib?

The heart in AFib often responds by beating too fast, with potentially dangerous results. A normal heart rate is between 60 and 100 beats per minute, but a heart in AFib beats 100 to 175 times per minute. Though the heart is working hard, it is inefficiently pumping blood through the body and may restrict oxygen delivery. 

The poor pumping function may also leave blood to collect in the atria, where clots can form. If a clot is pumped through the heart and into the body, it could reach the brain and cause a stroke. The risk of experiencing a stroke is about four to five times higher if someone has AFib, according to the American Heart Association.

Symptoms of AFib include:

  • Rapid or irregular heartbeat or pulse
  • Skipped heartbeats
  • Chest palpitations
  • Lightheadedness or fainting
  • Confusion
  • Extreme fatigue
  • Shortness of breath
  • Chest pain

If you experience any of these symptoms, seek medical care right away.

How is AFib treated?

“If you are diagnosed with AFib, your Wellstar cardiologist will tailor your treatment plan, considering the condition of your heart and any other medical conditions you may have,” said Wellstar Cardiac Electrophysiologist Dr. Mohammad Kooshkabadi. “Their goals will be to reset your heart rhythm, prevent blood clots and reduce the risk of your AFib returning.”

Treatment options for AFib include:

  • Lifestyle changes
  • Medications, including blood thinners
  • Nonsurgical or catheter ablations
  • Implantable heart devices, such as a pacemaker
  • Surgical ablations (open heart surgery or minimally invasive surgery)
 
 

If you are diagnosed with AFib, your Wellstar cardiologist will tailor your treatment plan, considering the condition of your heart and any other medical conditions you may have.

- Wellstar Cardiac Electrophysiologist Dr. Mohammad Kooshkabadi

Wellstar electrophysiologists specialize in treating heart arrhythmias. To accurately find the origin of the arrhythmia, our specialized electrophysiology labs have advanced capabilities that include three-dimensional mapping systems. This helps our specialists decide what medicines might work best for you and if we should do a catheter ablation.

During a catheter ablation, a small tube is inserted into a blood vessel, then guided to the heart to scar areas of tissue that are causing the abnormal heart rhythm. The scars block the electrical impulses that cause the abnormal rhythm.

Other surgical treatments for AFib include:

  • Maze procedure. This is performed during open heart surgery by making lines using either incision, heat or cold therapy to form scar tissue. This maze of scar tissue blocks the abnormal electrical impulses that cause AFib.
  • Convergent procedure. This is a minimally invasive hybrid procedure performed by a cardiac surgeon and electrophysiologist. The cardiac surgeon will make a small incision in the abdomen and deliver extreme heat radiofrequency currents through a scope to destroy abnormal tissue on the outside of the heart. The electrophysiologist will insert a catheter through your groin and use radiofrequency ablation of extreme heat or cold to target the heart tissue and eliminate abnormal electrical impulses.
  • AtriClip. This is a permanent clip-like implant used to close off the left atrial appendage, where blood tends to collect in people with AFib. Closing this off can decrease the risk of blood clot formation and lower your risk of stroke.

Some AFib patients also benefit from cardiac resynchronization therapy using a defibrillator. Our cardiac electrophysiologists place the pacemaker under the skin in a minor surgical procedure. The device’s wires connect to the ventricles on each side of the heart, sending electrical signals that cause the ventricles to pump together as they should.

Your care team will partner with you to make some lifestyle adjustments to reduce your risk of experiencing AFib again. The same lifestyle choices that help prevent AFib can also help prevent a recurrence:

  • Control blood pressure.
  • Manage blood sugar levels.
  • Eat a low-fat, low-sodium diet.
  • Maintain healthy cholesterol levels.
  • Don’t smoke.
  • Limit alcohol consumption (no more than two drinks daily for men and one drink daily for women).
  • Limit caffeine consumption.
  • Exercise as recommended by your Wellstar provider.

To partner with a Wellstar cardiologist to treat AFib, schedule an appointment at one of our electrophysiology locations by calling (770) 424-6893. 

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Mohammad Kooshkabadi Heart Care
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Pat Gelisse has been dancing for 30 years. She even taught the Carolina shag for a while. It’s a partner dance, sometimes compared to Swing dancing to beach music.

But severe heart failure downgraded Pat’s dancing queen status for close to 10 years.

“I went from feeling happy to feeling like a nothing,” she remembered of that time in her life.

With a team of Wellstar heart specialists working together for her, Pat found hope and new life on the dance floor.

Heart failure masquerades as acid reflux

It started more than a decade ago when Pat lived in central Georgia. She scheduled a doctor’s appointment for what she thought was acid reflux. She popped in on a quick break from her marketing job, assuming it wouldn’t take long.

Blood work and an EKG got Pat a ticket straight to the hospital and a quadruple bypass. 

“My heart got worse; it wasn’t pumping blood,” Pat said.

She was in acute heart failure, a life-threatening condition where the heart doesn’t pump well enough to deliver the necessary amount of oxygen to her body. Pat’s ejection fraction (EF)—the percentage measurement of the blood that leaves the heart each time it pumps—was only 10%. The normal range is 50 to 70%.

It was a scary time, and with a family history of heart problems, Pat was worried. She’d lost both parents to heart failure, as well as other family members.

“I just knew for sure I was going to be next,” said Pat.

Doctors from various academic institutions discussed serious treatments ranging from LVAD to transplant, but because the pumping performance of her heart improved, she was no longer a candidate for those procedures. Instead, Pat spent close to nine years managing her heart failure with a pacemaker and various medications—treatments that failed to get her back on the dance floor.

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There aren’t many people out there who can say they survived cardiac arrest at 30. Kevin Miskewicz can.

According to the American Heart Association, more than 90% of people who experience an out-of-hospital cardiac arrest die. Those who survive often have permanent neurological disabilities. But Kevin’s story has an incredibly fortunate ending, thanks to the highly coordinated work of his medical experts at Wellstar.

Recovering from cardiac arrest is something Kevin will never forget. It lives forever as a piece of his health history—one that includes a dedicated healthcare team—and his wife, who was the first to save his life.

There aren’t many people out there who can say they survived cardiac arrest at 30. Kevin can.

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Kevin woke up on Labor Day 2017 at 5:30 AM to take the dog out. Pausing to adjust the thermostat as he came in, he fell, knocking over a lamp.

He was in cardiac arrest.

With no symptoms and no known pre-existing condition, this was unexpected, but that didn’t stop his wife, Andrea, from jumping into action.

“If it weren’t for me knocking over a lamp when I passed out,” said Kevin, “she would have never woken up and saved my life.”

In addition to calling 911 and unlocking the door for the paramedics, Andrea performed CPR for 10 minutes.

“Kevin’s wife doing good CPR was critical,” said Dr. Arthur Reitman, the interventional cardiologist who was a vital part of Kevin’s treatment team at Wellstar Kennestone Regional Medical Center. “More than five minutes of poor blood flow to the brain can result in permanent irreparable injury from which a patient is unable to recover.”

Coordinating multidisciplinary care to save a life

When paramedics arrived at Kevin’s home, he had no pulse and was not breathing. As the paramedics performed their lifesaving work, he technically died two times.

The ambulance took him to Wellstar North Fulton Medical Center, where he was initially assessed and treated by Dr. David Jacoboff. The interventional cardiologist implanted an intra-aortic balloon pump to stabilize him. Then, he transferred Kevin to Wellstar Kennestone for highly specialized heart care.

When Kevin arrived at Wellstar Kennestone by helicopter, his heart function wasn’t strong enough to support his body. Dr. Reitman and a team of doctors including a cardiologist, a pulmonologist and critical care doctors worked in tandem to put Kevin on an advanced life support system called veno-arterial extracorporeal membrane oxygenation. Better known as VA-ECMO, it took the heart “offline” so it could heal. The technology removed unoxygenated blood from his body, oxygenated it and pumped it back in for the next three days.

“Very few places in the state—only four or five hospitals—have the technology and specialized training to put a patient on ECMO,” Dr. Reitman explained.

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Live to the Beat Powered by Wellstar: Celebrating a Year of Impact

What began as a bold idea—bringing cardiovascular health education into the heart of our communities—has now culminated in a joyful, music-filled celebration that honored the success of a powerful one-year pilot program of Live to the Beat at First Baptist Church East Point and Mount Olive Seventh Day Adventist Church. From inception to execution, this journey has been a testament to what can happen when community, clinical partners and courageous participants come together with one mission: to live longer, stronger, healthier lives—one beat at a time.

Final Class Check-In & Celebration

We opened our final sessions with a check-in, inviting participants to reflect on how they’ve been incorporating their support networks into daily life since our “A Family Affair” class. Their stories affirmed the power of connection and the importance of surrounding yourself with people who help you thrive.

After the check-in, we transitioned into a formal celebration that included: 

  • A brief agenda to thank everyone—from stakeholders and service line leaders to our participants and guest speakers 
  • A powerful recap of success metrics from each church
  • A joyful closing moment that quite literally had everyone “living to the beat” with music, dancing and smiles all around!

Mount Olive: Setting the Bar High

With 18 dedicated members, Mount Olive consistently exceeded expectations:

  • 90% average attendance
  • 100% 5-star rating in both knowledge gained and overall satisfaction
  • 82% reported positive behavior change in daily life
  • 61% saw improvements in their average blood pressure readings
  • Three participants shared that their clinicians reduced the dosage or number of their medications
  • Two reported more regular visits to their doctors since joining the program

From their energy in the classroom to their commitment at home, Mount Olive’s cohort has become a model of what’s possible when knowledge meets action.

First Baptist: Stepping Boldly into Wellness

With 14 committed participants, First Baptist brought steady engagement and deep personal growth:

  • 74% average attendance
  • 80% reported positive behavior change
  • 43% saw improvements in their average blood pressure readings
  • Two participants reported a reduction in medication dosage or number
  • Three reported more regular visits to their doctors since joining the program
  • 4.69 rating in knowledge gained and overall rating of 4.77 out of 5

Their thoughtful conversations, openness to growth and willingness to step outside their comfort zones truly made this cohort shine. And yes—we danced our way into what’s next.

Looking Ahead: The Beat Continues with Art Pharmacy

While the classroom sessions have come to a close, our participants’ journey is far from over. As a next step, all graduates will now enter the next phase of Live to the Beat through our new partnership with Art Pharmacy—a social prescribing organization that connects individuals to arts and culture-based experiences to support long-term health and well-being.

Graduates will receive one “social prescription” per month for the next six months, focusing on connection, creativity and continued wellness. This phase was designed with intention—to ensure the momentum continues beyond the classroom and into real life.

We’ll also be conducting a 6-month follow-up to evaluate how behavior changes have been sustained over time, using lessons learned to inform the next cohort launching in September.

National Impact: CDC Foundation & LTTB Ambassadors

We were honored to have representatives from the CDC Foundation join our final celebrations to share how graduates can become Live to the Beat Ambassadors for the national campaign. Many participants expressed excitement about using their voice to inspire others to begin their heart health journeys too—a beautiful full-circle moment of community-led change.

One Chapter Ends, A Movement Continues

As we officially close out this year-long pilot, we stand in awe of what was accomplished—and energized for what’s ahead. To our participants: thank you for your courage and commitment. To our partners, service line leaders and supporters: thank you for believing in the vision.

Together, we proved that heart health isn’t just clinical—it’s cultural, communal and deeply personal. And as we prepare for the next chapter, one thing is certain:  The beat goes on… and it’s only getting stronger.

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