Thursday, 3 April 2014

Atrial Fibrillation - Get The Facts

One of the most common cardiac arrhythmia (abnormal heart rhythm) case is called Atrial Fibrillation (A-fib or AF). It is a condition which manifests the quivering of the atria (two upper chambers of the heart) instead of them contracting in a coordinated rhythm. The simplest way to check this is to take a pulse and observe. A normal heartbeat should have regular intervals, but those with AF, it is otherwise. Read more Treatment for Atrial Fibrillation

Signs And Symptoms:-

Atrial Fibrillation's symptom is most often associated with a rapid heart rate. Irregular heart rates may be apprehended as congestive manifestations of shortness of breath, exercise intolerance and palpitations, which is also called as edema. In most cases, AF can also be detected with symptoms such as symptoms of hyperthyroidism such as diarrhea and weight loss, chest pain or angina, and other symptoms that are common manifestations of lung disease. A patient is also at a higher risk of complications when he or she has a history of stroke, rheumatic fever, heart failure and diabetes.

Causes:-

Even without an evidence of an underlying cardiac disease, it is still very possible for an Atrial Fibrillation to occur. Some causes which are not directly involved with the heart are the following:
  •     Hyperthyroidism (overactive thyroid)
  •     Hypertension (High blood pressure)
  •     Pulmonary embolism (a blood clot in the lungs)
  •     Pneumonia
  •     Carbon monoxide poisoning
  •     Excessive alcohol and caffeine intake
  •     A family history of AF may increase the risk of AF

Diagnosis:-

A Patient who develops Atrial Fibrillation is evaluated by a medical history and physical examination. Furthermore, an echocardiogram (cardiac echo) and electrocardiogram (ECG) are also done. It is the doctor's normal procedure to gather information on heart problems or chest pains and check if the known symptoms are being experienced by the patient.

Management:-

Treating Atrial Fibrillation has a main goal of preventing temporary circulatory instability and stroke. Preventing the former requires a rate or rhythm control while the risk of stroke can be decreased by anticoagulation.

Rate control aims to decrease the rapid heart rate to what is closer to normal - which is 60-100 BPM (beats per minute), with no attempt to revert to a regular rhythm. The main purpose of the rhythm control is to restore the normal heart rhythm through cardioversion alongside drugs as maintenance. Meanwhile, anticoagulation can be done through aspirin warfarin, dabigatran and heparin. Choosing a method involves consideration of the cost, risk of stroke, risk of falls, compliance, and speed of desired onset of anticoagulation.

No comments:

Post a Comment