The Middle Ground

Understanding A-Fib: What You Need to Know to Protect Your Heart

Tom Letizia

On this episode of the Middle Ground Radio Show, Tom Letizia sits down with Dr. Erik Sirulnick, a leading cardiac electrophysiologist with Nevada Cardiology Associates, for an important and timely conversation about atrial fibrillation (A-fib) and overall heart health.

Dr. Sirulnick breaks down what A-fib is in plain language, why more people are hearing about it today, and the serious risks associated with untreated or poorly managed heart rhythm disorders — including stroke and heart failure. Drawing on years of experience, he explains the critical role medications play, how symptoms can range from obvious to virtually silent, and why early diagnosis matters.

The conversation also explores what patients can do beyond medication, including lifestyle changes related to sleep, stress, weight, exercise, and alcohol consumption, and how those choices can dramatically impact heart rhythm health. Dr. Sirulnick shares insight into how treatment options have evolved over time and why advancements in technology are improving outcomes for patients right here in Southern Nevada.

This episode delivers practical, reassuring guidance for anyone living with A-fib — or anyone who wants to take a proactive role in protecting their heart.