ATRIAL FIBRILLATION

What is Atrial Fibrillation?

Atrial Fibrillation (AF) is an irregular and rapid heartbeat, arising from the hearts upper chamber (atrium), and conducted downwards to the hearts main chambers (ventricles). Other symptoms of AF typically include palpitations, discomfort and dizziness. During AF, the regular pumping action of the atria is replaced by irregular and quivering spasms of atrial tissue. These spasms may lead to reduced blood flow, blood clots, stroke and even death. This malfunction results in the failure of the atria to fill the ventricles completely and, consequently, the failure of the heart to pump adequate amounts of blood to the body. Often, the greatest concern is that the reduced cardiac output can lead to blood pooling in the atria and the formation of blood clots. Blood clots in the left atrium can dislodge and travel through the bloodstream to the brain, resulting in stroke and even death.

Causes

• Atherosclerosis of coronary arteries, with or without a previous heart attack
• Hyperthyroidism
  
• Congestive heart failure
  
• Rheumatic heart disease caused by rheumatic fever
  
• Stress
  
• Chronic lung disease

Signs & Symptoms

• Continuously irregular heartbeat, in which no 2 beats are of equal strength or duration
  
• Weak, dizziness or faintness
  
• Occasionally, no symptoms

  Associated Factors

• Stress
  
• Recent surgery
  
• Pulmonary embolism
  
• Electrolyte disturbances, especially low potassium
  
• Excessive use of thryroid hormones, caffeine and or alcohol
  
• Smoking
  
• Excessive weight

How is atrial fibrillation treated?

Aspirin and warfarin are two medications currently used. They interfere with blood clotting, thus helping to reduce stroke risk in people with atrial fibrillation. Anticoagulants are also given to people who have atrial fibrillation.

Recommendations

Treating atrial fibrillation is an important way to help prevent stroke. For this reason, aggressive treatment of this heart arrhythmia is recommended.

• A patient who has atrial fibrillation should be treated by his or her physician with some form of preventive medication.
  
• Aspirin and warfarin, the currently used medications, can have a major beneficial effect on public health.

Prevention

• Maintain a low-fat diet
  
• Stop smoking
  
• Reduce caffeine and alcohol intake
  
• Lose weight
  
• Some symptoms require medication
  
• Reduce stress

Precautions

• Diagnostic tests include electrocardiogram and blood studies to measure levels of drugs used in treatments
  
• Be sure family and friends are familiar with CPR in case of cardiac arrest
  
• Electric shock may restore normal rhythm
  
• Learn to check your own pulse for rate & rhythm
  
• Avoid non-prescription decongestants

Physical Activities

• As symptoms improve, resume your normal physical activities
  
• A regular exercise program is recommended

Diet

• Lose weight if you are overweight
  
• Do not use appetite suppressants
  
• Maintain a low-fat, low-sodium diet

Possible Complications

• Arterial thrombosis or embolus
  
• Acute pulmonary edema
  
• Congestive heart failure
  
• Other heart beat irregularities that could trigger cardiac arrest