What You Should Know About Atrial Fibrilation

By Neil P. Hines


Since our heart is the organ that literally keeps us alive, it's no wonder that heart problems are among the most dreaded of health issues. The condition known as atrial fibrilation causes the heart to beat irregularly, and often abnormally fast. This is marked contrast to a normal, healthily functioning heart which will beat at around sixty to one hundred beats per minute when resting, and will have a regular rhythm.

This irregularity is the main symptom of the condition and can lead to a number of problems including tiredness, shortness of breath and dizziness. These symptoms can be exacerbated by an abnormally fast heartbeat (palpitations), which can reach upwards of one-hundred and forty beats per minute. Some people however have no symptoms and remain unaware that they have the condition.

The muscular walls of a normally operating heart contract and relax in an even, rhythmic process (known as systole and diastole). Blood is forced from the heart and out into the body, then drawn in again to repeat the process. In AF, the atria of the heart (its upper chambers) contract too suddenly and rapidly, interfering with the heart's operation and its capacity to provide the body with blood efficiently.

Although the exact cause of the problem is not properly understood, it stems from a disruption in the heart's electrical signals. When these signals fire in a sudden, random manner, they interfere with the heart's inbuilt pacemaker. This causes the organ to beat too quickly, too slowly, irregularly or a combination of these.

In some patients, AF is very short-term and can come and go within a day or two. Other cases can last a week or more, while others can extend to over a year. Still other cases are more or less permanent and call for more significant intervention.

All varieties of the condition are more common in men than women, and are more common the older people get (although it can occur at any age). It is also more common in people with other conditions such as high blood pressure, arterial disease or a separate heart condition. Certain lifestyle factors are also thought to be triggers for the condition, heavy drinking and smoking being chief among them.

Although the condition is not usually life-threatening, it can be distressing and usually benefits from treatment. The main interventions consist of medication, controlled electric shocks or the fitting of a pacemaker. These interventions can often be successful and give patients a much-needed improvement in their quality of life.




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