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We provide our users the most up-to-date and accurate information on the treatment and prevention of cardio pathologies in accordance with current American and European clinical guidelines.
The information provided on this website is for educational purposes only and should not be considered medical advice. Always consult a licensed physician for diagnosis and treatment.
Atrial Fibrillation (AFib) – Definition and Overview
Introduction
Atrial Fibrillation (AFib) is a common type of cardiac arrhythmia (irregular heartbeat) that affects the upper chambers of the heart (atria). Instead of beating normally, the atria quiver (fibrillate) rapidly and chaotically, which can impair the heart’s ability to pump blood effectively.
How Does AFib Affect the Heart?
In a normal heart, electrical signals travel in an organized manner, causing the atria and ventricles to contract in a coordinated way. In AFib, these electrical signals become erratic, leading to disorganized atrial contractions. This can cause:
- Fast and irregular heartbeat
- Poor blood circulation
- Increased risk of blood clot formation
Symptoms of AFib
AFib symptoms can vary and include:
- Palpitations (rapid or irregular heartbeat)
- Fatigue
- Shortness of breath
- Dizziness or lightheadedness
- Chest discomfort
- Some people may have no symptoms and AFib is only detected during a medical examination
Complications of AFib
If untreated, AFib can lead to severe complications, including:
- Stroke – Due to blood pooling in the atria and forming clots that may travel to the brain
- Heart Failure – The heart may weaken over time due to inefficient pumping
- Blood Clots – Can form inside the heart and cause life-threatening embolisms
Causes and Risk Factors
Several factors can contribute to AFib, such as:
- High blood pressure (hypertension)
- Coronary artery disease (blockage in heart arteries)
- Heart valve problems
- Thyroid disorders
- Excessive alcohol or caffeine intake
- Obesity and sleep apnea
- Genetic predisposition (family history of AFib)
Diagnosis of AFib
Doctors diagnose AFib using:
- Electrocardiogram (ECG or EKG) – Detects abnormal electrical activity
- Holter Monitor – A portable ECG worn for 24-48 hours
- Echocardiogram – Uses ultrasound to check heart structure and function
- Blood Tests – To rule out potential triggers such as thyroid disease
Treatment Options for AFib
Treatment aims to control heart rhythm and prevent complications. Options include:
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Medications:
- Blood thinners to prevent stroke (e.g., warfarin, NOACs)
- Rate control drugs (e.g., beta-blockers, calcium channel blockers)
- Rhythm control drugs (antiarrhythmics)
- Cardioversion: Electrical shock therapy to restore normal rhythm
- Catheter Ablation: Procedure to destroy abnormal heart tissue causing AFib
- Lifestyle Changes: Healthy diet, exercise, smoking cessation, and reducing alcohol/caffeine
Conclusion
AFib is a serious heart condition that requires medical attention. Proper management can reduce risks and improve quality of life. If you suspect AFib, consult a doctor for evaluation and monitoring.
Source recommendations
1. American Heart Association Guidelines on Atrial Fibrillation
- https://www.ahajournals.org/doi/10.1161/CIR.0000000000001193
- https://www.heart.org/en/health-topics/atrial-fibrillation
- https://professional.heart.org/en/science-news/2023-acc-aha-accp-hrs-guideline-for-the-diagnosis-and-management-of-atrial-fibrillation
- https://www.heart.org/en/health-topics/atrial-fibrillation/treatment-and-prevention-of-atrial-fibrillation/treatment-options-of-atrial-fibrillation-afib-or-af
- https://pubmed.ncbi.nlm.nih.gov/38033089/
2. European Society of Cardiology Guidelines on Atrial Fibrillation
- https://www.escardio.org/Guidelines/Clinical-Practice-Guidelines/Atrial-Fibrillation
- https://academic.oup.com/eurheartj/article/42/5/373/5899003
- https://www.escardio.org/static-file/Escardio/Guidelines/Documents/ehaa612.pdf
- https://academic.oup.com/eurheartj/article/45/36/3314/7738779
- https://pubmed.ncbi.nlm.nih.gov/32860505/
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If you or your loved ones experience any of these symptoms, you should consult a doctor in time. Remember that self-medication can be dangerous, and timely diagnosis will preserve the quality and life expectancy.
The heart is an organ that does not know how to "keep silent" if something goes wrong. Chest pain, shortness of breath, swelling, dizziness, and rhythm disturbances are the symptoms that require our attention. The best prevention of heart disease is careful attention to your health, regular checkups with a doctor, and a healthy lifestyle. Take care of your heart, and it will serve you for many years!
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