Health
Diagnosis and treatment of atrial fibrillation
AFib, which currently affects more than 5 million Americans, is a serious heart disease in which the upper ventricles of the heart, also known as the atrium, beat too fast with arrhythmias.
Q. How do you describe atrial fibrillation?
A. Atrial fibrillation is the most common arrhythmia or irregular heartbeat treated in cardiology. The upper tufts of the heart are beating irregularly, resulting in a faster pulse.
Q. Does that mean your heart is trying to work faster than it should be?
A. Your heart isn’t necessarily working faster or harder, it’s just beating harder. As a result, you may feel palpitations and malaise. In atrial fibrillation, the upper and lower ventricles of the heart do not beat in sequence.
Q. Is AFib a common problem?
A. This is a very common problem, and as the population ages, more and more people are using AFib. This is the most common disorder we treat in terms of heart rhythm.
Q. What are the treatments for atrial fibrillation?
A. There are many medical options for atrial fibrillation. One of the common treatments is for patients to take beta-blockers. This does not stop AFib, but it controls your heart rate and slows your pulse rate. If this strategy doesn’t work, there are other medications available to suppress AFib. If the drug does not work, cardioversion or ablation can be done. AFib also increases the risk of stroke, so it is recommended that patients with AFib also take anticoagulants.
Q. What are the common AFib symptoms?
A. The most common symptoms of AFib are fatigue and palpitations. Some patients may also complain of lightheadedness and chest pain due to AFib.
Q. How is AFib diagnosed?
A. Most commonly, AFib is diagnosed after performing an EKG. From time to time, patients may be required to wear a halter monitor. AFib can also make such a diagnosis. Today, there are even certain smartwatches that can pick up AFib.
Q. What is a Watchman implant?
A. Watchman implants close an area of the heart called the left atrial appendage to prevent harmful blood clots from the left atrial appendage from entering the bloodstream and causing a stroke. This procedure can be a good alternative for patients at high risk of stroke who cannot tolerate anticoagulants.
William Michael Mellana Jr. MD is an electrophysiologist at Mid Michigan Health.
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