this post was submitted on 28 Jul 2025
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[–] skulblaka@sh.itjust.works 94 points 2 weeks ago (4 children)

Can someone translate this into English for the ones who aren't doctors or biologists?

This sounds like someone was having a heart attack and they started playing with his butthole. I'd appreciate if someone could tell me that's not the case.

[–] TomMasz@piefed.social 61 points 2 weeks ago (4 children)

You're pretty much correct. AF is a heart rhythm abnormality, and if it persists, like it seems to here, it renders the heart unable to pump blood. It appears he might have been undergoing a prostate exam when this happened, since that's the usual reason for a digital rectal exam. You'd have to assume the doctor knew they had this condition to begin with.

[–] Klear@lemmy.world 51 points 2 weeks ago (2 children)

Digital here means "using fingers" rather than "not analog", right?

[–] TomMasz@piefed.social 27 points 2 weeks ago
[–] Valmond@lemmy.world 21 points 2 weeks ago (1 children)

Would the reverse be to use the anal-log?

[–] socsa@piefed.social 10 points 2 weeks ago

Most people can't handle that without a digital warmup first

[–] skulblaka@sh.itjust.works 25 points 2 weeks ago (1 children)

And "sinus rhythm" in this case would be... normal sinusoidal heart function, right?

Incredible. Thanks for the translation.

[–] Swedneck@discuss.tchncs.de 1 points 1 week ago

i choose to believe it means rhythmic sneezes

[–] Nurse_Robot@lemmy.world 6 points 2 weeks ago* (last edited 2 weeks ago) (2 children)

~~Nope. If I recall correctly all other interventions failed, so this was a hail Mary that happened to work~~

See other commenter below

[–] chuckleslord@lemmy.world 24 points 2 weeks ago

You recall incorrectly. It was a check for GI bleed prior to anticoagulant administration prior to cardioversion. They were literally running through pre-procedure tests in order to do the standard treatment for AF.

Source: The paper itself

[–] TomMasz@piefed.social 5 points 2 weeks ago (1 children)

Interesting. That area of the body is pretty sensitive, I can see how it might generate enough sensation to affect other areas of the body.

[–] TommySalami@lemmy.world 8 points 2 weeks ago

Specifically it's very possible to stimulate the vagus nerve, which helps regulate heart rhythm, with an exam like this. This is a known effect, but typically in the context of a possible adverse effect of some procedures (e.g. enema).

[–] Venator@lemmy.nz 1 points 2 weeks ago (1 children)

Why is heart rhythm abbreviated to AF and not HR or something?

[–] medgremlin@midwest.social 3 points 2 weeks ago

HR is "Heart Rate" and AF is "Atrial Fibrillation". "Heart Rate" is just how many times the heart beats in a minute. "Atrial Fibrillation" is an abnormal rhythm of the heart beat and the rate at which the heart beats in AFib can be normal or fast.

[–] moobythegoldensock 48 points 2 weeks ago

The heart was going “kethumpathumpadump,” the doctor put a finger up the guy’s butt, and then his heart reset to a normal “lub dub, lub dub.”

[–] lonefighter@sh.itjust.works 15 points 2 weeks ago* (last edited 2 weeks ago) (2 children)

Not familiar with the paper this is from, but Atrial Fibrilation isn't a heart attack (it can cause one, or a stroke). The human heart has 4 chambers, the left and right atria are on top and the left and right ventricles are on the bottom. In super layman's terms, blood enters the heart from the lungs into the left atria and from the body into the right atria, passes through valves into the ventricles, and then is passed into the body (from the left ventricle) or the lungs (right ventricle). Normally the atria squeeze, there's a slight pause to allow blood to enter the ventricles, then the ventricles squeeze. In A-fib, the atria just quiver, they don't squeeze. It can be fairly benign and people can walk around for months without knowing they're in A-fib because the blood will just drop into the ventricles and the ventricles do the work of pumping blood out into the lungs and the body. But the problem is that in A-fib some blood tends to hang out in the atria and it doesn't completely empty, so eventually it can clot and now you have a huge clot hanging out inside your heart. If that clot decides to move it can go out into your body and end up in one of the coronary arteries (the arteries on the outside of your heart that supply your heart muscle itself with blood) and cause a heart attack, it can go to your brain and cause a stroke, or it can go into the lungs and cause a pulmonary embolism (PE). So usually people with A-fib are put on blood thinners to keep the clotting from occurring, or if the A-fib is too high of a rate (rapid A-fib) they're sometimes given medication or cardioverted (shocked) out of it.

Like another commenter stated, in guessing they stimulated the vagus nerve which converted his heart rhythm into sinus rhythm, which is the normal heart rhythm.

[–] ryannathans@aussie.zone 3 points 2 weeks ago

Can confirm taking a shit fixed rapid af

[–] pyre@lemmy.world 2 points 2 weeks ago

thanks, i didn't want to sleep anymore anyway

[–] Wallaby@lemmy.world 7 points 2 weeks ago (1 children)

I've been told in the past that if you feel yourself going into a fib, you should push like your trying to shit to bring you out of it.

[–] ryannathans@aussie.zone 10 points 2 weeks ago* (last edited 2 weeks ago)

I was in a fib for about 30 hours. They were gonna defib shock me in the next hour via my oesophagus to correct it. I needed to take a shit, and did so while my portable ECG started alarming

A minute later I was in a rapid but normal sinus rhythm

Works

Also don't recommend a heart rate of 260, exhausting