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.

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