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:

  • 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

  1. https://www.ahajournals.org/doi/10.1161/CIR.0000000000001193
  2. https://www.heart.org/en/health-topics/atrial-fibrillation
  3. https://professional.heart.org/en/science-news/2023-acc-aha-accp-hrs-guideline-for-the-diagnosis-and-management-of-atrial-fibrillation
  4. https://www.heart.org/en/health-topics/atrial-fibrillation/treatment-and-prevention-of-atrial-fibrillation/treatment-options-of-atrial-fibrillation-afib-or-af
  5. https://pubmed.ncbi.nlm.nih.gov/38033089/

2. European Society of Cardiology Guidelines on Atrial Fibrillation

  1. https://www.escardio.org/Guidelines/Clinical-Practice-Guidelines/Atrial-Fibrillation
  2. https://academic.oup.com/eurheartj/article/42/5/373/5899003
  3. https://www.escardio.org/static-file/Escardio/Guidelines/Documents/ehaa612.pdf
  4. https://academic.oup.com/eurheartj/article/45/36/3314/7738779
  5. https://pubmed.ncbi.nlm.nih.gov/32860505/

Our advantages:

patient2376100
Best practices from USA, EU and Japan
Our answers to your questions are based on the clinical recommendations of countries with the most developed healthcare systems in the field of cardiology in the USA, the EU and Japan.
prescription18648039
Always up-to-date information
On a daily basis, we monitor for you all new scientific research publications in leading scientific journals on medical issues of interest to you.
We monitor all innovations and changes in the field of cardiac disease treatment on a daily basis.
fvfflf7q
Get second opinion
Here you can learn everything that even your doctor may not know about cardiology (if he does not speak English and he does not read 117 leading medical journals on cardiology every month).
1xr4duup
The most comprehensive and up-to-date collection of free cardiology materials
Our website contains the most comprehensive and up-to-date collection of free cardiology materials in your country.
Every 3-5 years, half of the scientific approaches to treatment in the field of cardiology are reviewed as a result of specialized scientific discoveries. With us, you don't have to wait these years to learn about the best ways to treat you and your loved ones.
arrow
Please register in order to receive information regarding possible complications and new approaches to treatment of cardiovascular diseases via email in our Newsletters.
arrow