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Atrial Fibrillation

Also known as A-Fib, Atrial Fib, or AF

What is it?

Atrial fibrillation (A-Fib, Atrial Fib, or AF) is a heart rhythm problem. It is a problem with the speed and pattern of your heartbeats.

Who gets it?

Many people of all ages can develop this heart problem; yet, atrial fibrillation itself is rarely life threatening.

There are many causes of this condition. It may arise without any identifiable cause or it may be the result of underlying heart disease.

What are the symptoms?

Many people do not even realize that they are experiencing AF.  For those who do experience symptoms, this may include heart palpitations.  Palpitations are a sensation of a sudden pounding, fluttering, or racing of the heartbeat.  Many people describe it as a feeling of "butterflies in their chest".  Some people also experience dizziness and/or chest pain.

Diagnosis

A 12-lead electrocardiogram (EKG) or Holter monitoring (24-hour EKG) confirms the diagnosis.

Treatment

Medical treatment is generally two fold involving "chemical cardioversion" and clot prevention. Antiarrhythmic medications are given to chemically convert AF and restore a normal heart rhythm. In addition, anticoagulant medications are given to prevent blood clots from forming. If medications do not work electrical cardioversion may be indicated.

Surgical treatment is very rarely necessary. However, your primary care provider can discuss the need for further testing with an electrophysiologist, a cardiologist who specializes in heart rhythm disturbances, to explore other options for treatment.


This information has been designed as a comprehensive and quick reference guide written by our health care reviewers.  The health information written by our authors is intended to be a supplement to the care provided by your physician.  It is not intended nor implied to be a substitute for professional medical advice.

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This page was last updated on October 31, 2006
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