Atrial Fibrillation

Atrial fibrillation is an irregular or too-rapid beating (contraction) of the heart's upper chambers (atria) that affects the movement of blood into the heart's lower chambers (ventricles). It can lead to stroke or heart failure. When the movement of blood is irregular, blood may pool and form a clot; if a clot breaks off and travels to an artery leading to the brain, stroke can result. When the heart is incapable of pumping the amount of blood required to meet the body's needs, heart failure can result. Atrial fibrillation affects more than 2.7 million people in the United States, and often requires medical intervention.

Causes of Atrial Fibrillation

Damage to, or an abnormality of the heart, is the usual cause of atrial fibrillation. Damage usually results from the following:

  • High blood pressure
  • Heart attack
  • Coronary artery disease
  • Viral infection
  • Sleep apnea
  • Metabolic imbalance
  • Prior heart surgery

Heart abnormalities that can lead to atrial fibrillation include various congenital heart defects and abnormal heart valves.

Symptoms of Atrial Fibrillation

It is possible that atrial fibrillation is asymptomatic. However, in many cases, atrial fibrillation results in the following symptoms:

  • Palpitations
  • Chest pain
  • Fatigue
  • Dizziness
  • Lightheadedness
  • Shortness of breath
  • Confusion

A reduced ability to exercise is also a symptom of atrial fibrillation.

Diagnosis of Atrial Fibrillation

To diagnose atrial fibrillation, a physical examination of the patient is performed, and a medical history is taken. Various tests, including electrocardiogram, echocardiogram, blood tests and chest X-rays, are typically performed.

Types of Atrial Fibrillation

Types of atrial fibrillation are based on how long the atrial fibrillation lasts. With paroxysmal fibrillation, the heart regains normal rhythm without treatment within 7 days of when the arrhythmia began. With persistent atrial fibrillation, the irregular rhythm lasts longer than 7 days and does not correct itself. Treatment, however, can restore the normal rhythm. With permanent atrial fibrillation, the irregular rhythm lasts indefinitely, even with treatment.

Treatment for Atrial Fibrillation

Treatment for atrial fibrillation focuses on restoring a normal heart rate or controlling the heart rate to keep it from beating too fast. Stroke prevention is also a major goal of treatment. The type of treatment depends on the severity of the condition, but can include the following:

  • Electrical cardioversion to reset heart rate
  • Blood-thinning medications
  • Anti-arrhythmic drugs
  • Atrioventricular node ablation
  • Catheter ablation
  • Atrial pacemaker

If atrial fibrillation is caused by an underlying condition, treating that condition may be sufficient to restore normal heart rhythm.

Additional Resources