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In this week’s episode of “Age Better with Barbara Hannah Grufferman,” we tackle a topic crucial to millions yet often overlooked: Atrial Fibrillation, or AFib. With us is Dr. Nisha Parikh, a top expert in women’s heart health from the Katz Institute for Women’s Health and Northwell Cardiovascular Institute.
The Growing Concern of AFib in Women
AFib is the most common type of treated heart arrhythmia. Alarmingly, projections indicate that by 2030, approximately 12.1 million Americans will suffer from this condition, with a significant number being postmenopausal women. AFib involves a quivering or irregular heartbeat that can lead to severe complications like blood clots, stroke, and heart failure.
Why AFib Often Goes Unnoticed in Women
During our insightful discussion, Dr. Parikh highlighted that AFib often remains undiagnosed in women due to subtler and nonspecific symptoms compared to men. Symptoms such as weakness, fatigue, or palpitations might be mistakenly attributed to menopause or aging, leading to underdiagnosis and lack of treatment.
Psychological and Social Stressors
One of the startling insights from Dr. Parikh relates to the impact of psychological and social stressors on developing AFib, especially in postmenopausal women. Factors like sleep deprivation, stress, and depression significantly increase the risk, underscoring the need for a holistic health approach that includes mental well-being.
Advancements in AFib Treatment
Dr. Parikh discussed the evolution in treatment options, which include traditional methods like cardioversion and ablation and emerging research into potentially effective medications like metformin. She also talked through the role of magnesium and emphasized lifestyle changes, such as diet and exercise, in managing AFib.

The Role of Technology in AFib Detection
Perhaps the most exciting development is the role of technology in detecting and managing AFib. Wearable devices like smartwatches, now FDA-approved for AFib monitoring, offer new possibilities for early detection and intervention, potentially saving lives.
Why This Episode is a Must-Listen
Dr. Parikh makes a compelling case for why midlife women need to be proactive about their heart health. Understanding AFib’s signs, implications, and treatments empowers women to seek necessary medical attention before severe complications arise.
I encourage every woman, particularly those in midlife, to listen to this enlightening discussion. Whether concerned for yourself or loved ones, this episode is packed with essential information that could significantly impact how we approach and manage women’s heart health.
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watch the episode on YouTube here.
