Glossary
Atrial Fibrillation, commonly referred to as AFib, is a cardiovascular condition that involves an irregular and often rapid heart rate. This condition significantly increases the risk of stroke, heart failure, and other heart-related complications. It is the most common type of heart arrhythmia, a condition where the heart beats irregularly, either too fast or too slow. The human heart is divided into four chambers, two atria on top and two ventricles at the bottom. The heart's rhythm is controlled by a natural pacemaker known as the sinoatrial (SA) node located in the right atrium. The SA node produces electrical impulses that initiate each heartbeat. Under normal circumstances, these impulses are generated at a steady, regular rate. However, in AFib, these electrical signals are chaotic, causing the atria to fibrillate, or contract rapidly and irregularly.
The irregular contraction of the atria leads to inefficient pumping of blood into the ventricles. This can result in pooling and clotting of blood in the atria. If a blood clot forms in the atria, it can be pumped out of the heart to the brain, blocking off the blood supply to an area of the brain, which results in a stroke. This is why AFib significantly increases the risk of stroke. Symptoms of AFib can vary widely. Some people with AFib have no symptoms at all and are unaware of their condition until it's discovered during a physical examination. Those who do have AFib symptoms may experience palpitations, which are sensations of a racing, uncomfortable, irregular heartbeat or a flip-flopping in their chest. Other common symptoms include weakness, fatigue, lightheadedness, dizziness, confusion, shortness of breath, and chest pain.
The causes of AFib can be numerous. Some people may have no identifiable cause for their AFib, a condition known as lone atrial fibrillation. In others, certain factors may contribute to the development of AFib. These may include high blood pressure, heart attacks, coronary artery disease, abnormal heart valves, heart defects you're born with (congenital), an overactive thyroid gland or other metabolic imbalances, exposure to stimulants such as medications, caffeine, tobacco or alcohol, sick sinus syndrome — improper functioning of the heart's natural pacemaker, lung diseases, previous heart surgery, viral infections, stress due to surgery, pneumonia or other illnesses, sleep apnea, and other conditions.AFib is typically diagnosed through a series of tests. These may include an electrocardiogram (ECG), which records the electrical signals in your heart, a Holter monitor, a portable ECG device that monitors your heart rhythms for a day or more, an event recorder, a portable ECG device intended to monitor your heart activity over a few weeks to a few months, an echocardiogram, a noninvasive test that uses sound waves to create a moving picture of your heart, blood tests, and a chest X-ray.
Treatment for AFib can involve medication, medical procedures, and lifestyle changes. Medications may include blood thinners to reduce the risk of blood clots and stroke, rate control drugs to control the heart rate, and rhythm control drugs to restore and maintain the heart's normal rhythm. Medical procedures may include cardioversion, catheter, and surgical procedures. Lifestyle changes can involve avoiding caffeine and alcohol, quitting smoking, losing weight, and eating a heart-healthy diet.
In conclusion, Atrial Fibrillation is a serious medical condition that requires prompt medical attention. It can lead to significant complications such as stroke and heart failure. However, with proper treatment and lifestyle changes, people with AFib can live a healthy and active life.