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ATRIAL FIBRILLATION THE MOST COMMON CARDIAC ARRHYTHMIA. Atrial fibrillation (also called AF or A-fib) is an irregular heart rhythm that you might or might not feel but means your heart is not beating properly. It is a condition that can occur in episodes, lasting only a few minutes to days, or is constant. Living with Atrial Fibrillation If left untreated, atrial fibrillation will likely lead to heart failure and/or a stroke – a third of all strokes are caused by AF. Doctors of USF Health ATRIAL FIBRILLATION: Atrial fibrillation is the most common cardiac arrhythmia. In AF, disorganized electrical signals cause the heart’s two upper chambers to contract very fast and irregularly, or fibrillate. During an episode, blood pools in the atria and isn’t pumped completely into the heart’s two lower chambers. As a result, the heart’s upper and lower chambers don’t work together as they should and the body may not get an adequate supply of blood. AF is most often caused by other heart conditions, such as high blood pressure and coronary heart disease. Millions of people have AF and the number is rising. The prevalence increases with age and is more common in people who already have certain heart diseases and defects. Men are more likely than women to have the condition. Other risk doctors.usf.edu Turning Science Into Health™ factors include hyperthyroidism (too much thyroid hormone), obesity, diabetes, and lung disease. Drinking large amounts of alcohol can raise your risk for AF, especially binge drinking. Even modest amounts of alcohol can trigger AF in some people. Caffeine or stress may also trigger AF in some people. Research suggests that people who have sleep apnea are at greater risk for AF, and genetics may also play a role in causing AF. SYMPTOMS: Atrial fibrillation may cause no noticeable symptoms, but most often causes palpitations (like your heart is skipping a beat, fluttering, or beating too hard or fast), fainting, chest pain, shortness of breath, weakness, fatigue, confusion or congestive heart failure. continued on back... Doctors of USF Health The Doctors in the Department of Cardiovascular Sciences help people who have atrial fibrillation live normal, active lives. Call to make an appointment: (813) 974-2201 Living with Atrial Fibrillation Symptoms may happen rarely, or every now and then, or they may become ongoing and long term. Because there is a significant risk for stroke and heart failure in people with AF, you should seek medical help as soon as even the vaguest symptom occurs. DIAGNOSIS: The Doctors of USF Health are leading this region’s top heart-care programs and specialize in diagnosing and treating every ailment of the heart, from the most common conditions to the rarest disorders. USF physicians provide the level of expertise and innovation found only at an academic medical center. In fact, the USF Cardiology team includes internationally renowned cardiac electrophysiologists (specialists in arrhythmias like AF) and cardiologists who are playing major roles in developing drugs that prevent stroke, as well as nationally recognized experts in heart failure, interventional cardiology, cardiac imaging and diagnostic testing. And, USF’s new Heart Institute focuses on regenerative medicine for cardiovascular disease, using gene and stem cell therapy and personalized medicine based on an individual patient’s DNA. It’s the future of cardiovascular care and it places USF at the center of some of the most advanced research in the world. . doctors.usf.edu Turning Science Into Health™ The most effective test for diagnosing AF is an electrocardiogram (EKG or ECG), a simple, non-invasive, painless test that records your heart’s electrical activity, how fast it is beating and its rhythm. Your physician will also likely prescribe the following tests: Stress Test: To make your heart work hard and beat fast while heart tests are done. Echocardiography (and Transesophageal Echocardiography): To create a moving picture of your heart. Chest X-Ray: To show your heart and lungs, fluid buildup in the lungs, and signs of other AF complications. Blood Tests: To check your level of thyroid hormone and electrolyte balance. TREATMENT: Treatment for AF depends on how often you have symptoms, how severe they are, and whether you already have heart disease. Treatment options include: Medications: To control your heart rhythm and heart rate (corrects rhythm 50 percent of the time). Synchronized electrical cardioversion: To convert AF to a normal heart rhythm. Ablation: One of the most successful procedures for correcting heart rhythm when medicines and cardioversion are ineffective (corrects rhythm up to 90 percent of the time). Surgery: To implant a pacemaker to help maintain a normal heart rhythm, a mechanical heart pump, or heart transplant. Blood-thinning medications: To protect you from stroke. Medications for underlying disorders: To treat other disorders causing or raising your risk of AF, such as hyperthyroidism, high blood pressure, high blood cholesterol. Your doctor also may recommend lifestyle changes, such as following a healthy diet, reducing salt intake (to help lower blood pressure), quitting smoking, and reducing stress. Limiting or avoiding alcohol, caffeine, and other stimulants that may increase your heart rate can also help reduce your risk for AF. Published by Doctors of USF Health. This information is intended to inform and educate and is not meant to replace medical evaluation, advice, diagnosis or treatment by a healthcare professional. 01/2013