Presentation
In this review, we first present findings that have yielded a robust and detailed biophysical representation of fibrotic substrate electrophysiological properties. [ncbi.nlm.nih.gov]
Congenital Heart Disease: Adult Presentation Number: 1240-479 2019 American College of Cardiology Foundation [onlinejacc.org]
Entire Body System
- Fatigue
But you may feel Palpitations -- an abnormal rapid heartbeat Shortness of breath Weakness or difficulty exercising Chest pain Dizziness or fainting Fatigue Confusion AF can lead to an increased risk of stroke. [medlineplus.gov]
Cardiac arrhythmias also may cause light-headedness, fainting, chest pain, shortness of breath, fatigue or no symptoms at all. [hopkinsmedicine.org]
But over time, the irregular heartbeat is likely to become more frequent. 30% of people with Afib experience no symptoms at all, but some people report feeling heart palpitations, dizziness, fatigue, shortness of breath, and chest discomfort. [lifelinescreening.com]
While some people can't tell they even have AFib, most describe the following heart-related symptoms: •Skipping beats •Flip-flopping •Beating fast and/or hard Other common symptoms include: •Weakness •Fatigue •Shortness of breath •Light-headedness •Chest [pnj.com]
- Falling
Electronic address: [email protected]. 2 Division of Cardiovascular Surgery, Department of Surgery, Mayo Clinic, Rochester, Minnesota. 3 Inova Fairfax Hospital, Cardiac Surgery Inova Heart and Vascular Institute, Falls Church, Virginia [ncbi.nlm.nih.gov]
The doctor will weigh the risk of developing a clot against the risk of falling and causing a bleed in the brain. [medicalnewstoday.com]
[…] uncomfortable, irregular heartbeat or a flip-flopping sensation in the chest) Weakness Reduced ability to exercise Fatigue Lightheadedness Dizziness Confusion Shortness of breath Chest pain The occurrence and duration of atrial fibrillation usually falls [diversalertnetwork.org]
Patients considered for surgical ablation fall into two groups: Patients with isolated atrial fibrillation - may be candidates for minimally invasive treatment approaches. [my.clevelandclinic.org]
- Weight Loss
Weight loss appears especially beneficial. [pritikin.com]
loss Chronic obstructive pulmonary disease, sleep apnoea, and other respiratory diseases Chronic kidney disease Integrated management of patients with atrial fibrillation Evidence supporting integrated atrial fibrillation care Components of integrated [escardio.org]
It is important to recognize that some weight-loss products and some over-the-counter herbal compounds contain an herb known as ma huang. This herb has ephedrine in it. [uihc.org]
The key to how it works specifically for afib is twofold: First, exercise that leads to even a modest amount of weight loss can help you lower blood pressure and reduce your risk for sleep apnea, two conditions that are major triggers for afib, says Rashba [everydayhealth.com]
Cardiovascular
- Heart Disease
METHODS: Discussion of the history of anti-arrhythmic treatments in congenital heart disease. [ncbi.nlm.nih.gov]
Session Title: Congenital Heart Disease: Adult 3 Abstract Category: 09. Congenital Heart Disease: Adult Presentation Number: 1240-479 2019 American College of Cardiology Foundation [onlinejacc.org]
The goal of treatment is to control the rate and rhythm of the heart and to prevent the formation of blood clots. If the arrhythmia is caused by heart disease, the heart disease will also be treated. [medical-dictionary.thefreedictionary.com]
- Tachycardia
The mechanism of atrial tachycardia was scar related intra-atrial reentry (n = 27), cavotricuspid-related atrial flutter (n = 21), atrial fibrillation (n = 2), or focal atrial tachycardia (n = 10). [ncbi.nlm.nih.gov]
Supraventricular tachycardias From the atria or sinoatrial node Sinus tachycardia Atrial fibrillation Atrial flutter Atrial tachycardia From the atrioventricular node Atrioventricular re-entrant tachycardia Atrioventricular nodal re-entrant tachycardia [bmj.com]
- Skipped Beats
Here’s how patients have described their experience: “My heart flip-flops, skips beats, and feels like it’s banging against my chest wall, especially if I’m carrying stuff up my stairs or bending down.” “I was nauseated, light-headed, and weak. [heart.org]
While some people can't tell they even have AFib, most describe the following heart-related symptoms: •Skipping beats •Flip-flopping •Beating fast and/or hard Other common symptoms include: •Weakness •Fatigue •Shortness of breath •Light-headedness •Chest [pnj.com]
Since the new signal does not move through your heart muscle along the regular route, the heart muscle does not beat normally. Your heartbeat quickens, and you feel as if your heart is “skipping beats.” [texasheart.org]
- Ventricular Bigeminy
[…] arrhythmia[edit] Premature ventricular contractions (PVCs), sometimes called ventricular extra beats (VEBs) Premature ventricular beats occurring after every normal beat are termed ventricular bigeminy PVCs that occur at intervals of 2 normal beats to [en.wikipedia.org]
Musculoskeletal
- Myopathy
The degree of atrial myopathy, scar burden and comorbidities may also influence outcomes. Weight loss strategies for patients with obesity and treatment of sleep apnea are recognized as increasingly important in clinical outcomes. [clevelandclinicmeded.com]
Fetus
- Quickening
In cases of atrial flutter, the pulse is likely to be quickened but regular; a person with atrial fibrillation, on the other hand, will have an irregular, quickened pulse. It is possible for one of these conditions to develop into the other. [sharecare.com]
Your heartbeat quickens, and you feel as if your heart is “skipping beats.” This rhythm may cause severe shortness of breath, dizziness, or fainting (syncope). [texasheart.org]
Psychiatrical
- Fear
| How to Know It's Atrial Fibrillation Atrial fibrillation can be scary and cause fear and anxiety. It's important that it be diagnosed and treated promptly. Failure to treat your afib can be life-threatening. [stopafib.org]
Heart rate is not constant, changing in response to many factors, such as activity, fever and fear. In atrial tachycardia, the heart rate may be as fast as 200 to 300 beats per minute. [ucsfbenioffchildrens.org]
There’s the constant threat, fear and anxiety of an ever-possible A-Fib attack, the sense of sickness, the feelings of depression and impending doom. A-Fib can deeply affect your state of mind and emotional well-being. [a-fib.com]
Federal Reserve cuts interest rate amid coronavirus fears Update 10:30 a.m. [wsbradio.com]
Be Mindful of Your Emotional Health Many AF patients believe that they are the only ones who are experiencing worry or anticipatory fear. However, most AF patients experience at least some periods of fear and depression. [circ.ahajournals.org]
Urogenital
- Renal Insufficiency
Other mortality risk factors were male sex (HR = 2.0, 95% CI = 1.5-2.6), congestive heart failure (HR = 2.1, 95% CI = 1.7-2.8), chronic renal insufficiency (HR = 2.0, 95% CI = 1.5-2.8), dementia (HR = 2.9, 95% CI = 2.2-3.7), and American Society of Anesthesiologists [ncbi.nlm.nih.gov]
Renal insufficiency. Sotalol and dofetilide should be avoided in renal insufficiency. If no safe alternative is available or possible, the patient needs to be carefully monitored and the dose adjusted according to the creatinine clearance. [thecardiologyadvisor.com]
insufficiency RATE CONTROL Decreasing the ventricular response rate, known as rate control, improves diastolic filling and coronary perfusion, decreases myocardial energy demand, and prevents tachycardia-mediated cardiomyopathy. [aafp.org]
In patients with renal insufficiency who cannot undergo administration of iodinated contrast material or gadolinium, unenhanced CT or MR imaging may be used (30,33,34). [pubs.rsna.org]
- Polyuria
Further, frequent urination (Polyuria) may be associated with the release of atrial natriuretic peptide, particularly as episodes of AF begin or terminate. [3] An irregular pulse should raise the suspicion of AF. [physio-pedia.com]
23 (82%) >0.999 Nausea 19 9 (13%) 10 (36%) 0.012 Vomiting 2 1 (1%) 1 (4%) 0.484 Abdominal pain 5 2 (3%) 3 (11%) 0.312 Loss of appetite 31 20 (28%) 11 (39%) 0.336 Anxiety 59 37 (51%) 22 (79%) 0.014 Reduced physical capacity 87 62 (86%) 25 (89%) >0.999 Polyuria [bmccardiovascdisord.biomedcentral.com]
- Kidney Failure
][13] Risk factors for acute decompensation include high dietary salt intake, medication noncompliance, cardiac ischemia, abnormal heart rhythms, kidney failure, pulmonary emboli, hypertension, and infections.[13] Treatment efforts are directed towards [en.wikipedia.org]
Neurologic
- Stroke
Stroke physicians and cardiologists differ in their diagnosis and management of these patients. [ncbi.nlm.nih.gov]
However between 6 and 28% of cryptogenic strokes have been found to be secondary to PAF [8] and PAF conveys an equivalent risk of stroke to sustained forms of AF [9]. [hindawi.com]
Blood-thinning (anticoagulants) medications may be prescribed to reduce stroke risk following atrial fibrillation. [dukemedicine.org]
If a clot breaks off, enters the bloodstream and lodges in an artery leading to the brain, a stroke results. About 15–20 percent of people who have strokes have this heart arrhythmia. [heart.org]
- Confusion
Tired of professors who don't seem to care, confusing lectures, and taking endless NCLEX® review questions?. .. Welcome to NURSING.com | Where Nurses Learn. .. Prepare to DEMOLISH the NCLEX. [youtube.com]
But you may feel Palpitations -- an abnormal rapid heartbeat Shortness of breath Weakness or difficulty exercising Chest pain Dizziness or fainting Fatigue Confusion AF can lead to an increased risk of stroke. [medlineplus.gov]
It is also of note that the neurological effects of an embolic stroke associated with AF can sometimes be confused with the symptoms of decompression sickness. [diversalertnetwork.org]
Workup
[…] disease, sleep apnoea, and other respiratory diseases Chronic kidney disease Integrated management of patients with atrial fibrillation Evidence supporting integrated atrial fibrillation care Components of integrated atrial fibrillation care Diagnostic workup [escardio.org]
(See Workup .) The morphology of the P wave may provide valuable clues to the origin of the tachycardia, and this is the reason why a 12-lead ECG is of special value. [emedicine.medscape.com]
[…] dehydration, while low blood oxygen levels may be seen following the event in those with pulmonary embolism.[1] Routine broad panel laboratory testing detects abnormalities in <2-3% of results and is therefore not recommended.[14] Based on this initial workup [en.wikipedia.org]
Rhythm
- Premature Atrial Contractions
Premature Atrial Contraction (PAC or premature atrial impulses) - A common and benign arrhythmia, a PAC is a heartbeat that originates away from the sinus node, which sends electrical signals through the upper chamber. [virginiaheart.com]
Types of Supraventricular Arrhythmias Supraventricular arrhythmias begin in the atria Types of supraventricular arrhythmias include: Premature atrial contractions (PACs) Early, extra heartbeats that originate in the atria. [my.clevelandclinic.org]
atrial contractions, premature ventricular contractions and premature junctional contractions.[3] Supraventricular tachycardias include atrial fibrillation, atrial flutter and paroxysmal supraventricular tachycardia.[3] Ventricular arrhythmias include [en.wikipedia.org]
Premature Supraventricular Contractions Also called “premature atrial contractions” (PACs), they happen when the atria contract too soon, causing the heart to beat out of sequence. [texasheart.org]
- Ventricular Bigeminy
[…] arrhythmia[edit] Premature ventricular contractions (PVCs), sometimes called ventricular extra beats (VEBs) Premature ventricular beats occurring after every normal beat are termed ventricular bigeminy PVCs that occur at intervals of 2 normal beats to [en.wikipedia.org]
P Wave
- Inverted P Wave
Each P wave is followed by a QRS complex. P wave morphology and axis are normal, although the height of the P wave may increase with the heart rate and the PR interval will shorten. [ncbi.nlm.nih.gov]
Other ECG Findings
- Electrocardiogram Change
Other side effects of clozapine such as orthostatic hypotension, sinus tachycardia, heart failure, and electrocardiogram changes are well known ( 60 ). [onlinejacc.org]
Treatment
Types | Causes | Diagnosis | Treatment An arrhythmia is an abnormal heart rhythm. [columbiasurgery.org]
Ask your doctor how you can effectively incorporate natural treatments into your current AFib treatment plan. [healthline.com]
What is the treatment for atrial fibrillation? The treatment for atrial fibrillation (AF) either controls the heart rate or changes the rhythm back to normal. [patient.info]
While arriving at the right treatment decision can be a challenge, and though administering your treatment might take some time and effort, you should be able to get back to living your regular life once this is in place. [verywellhealth.com]
Prognosis
Atrial septal defects (ASD) subsequently received more attention, i.e., in terms of atrial arrhythmia in the natural prognosis and the surgically modified course and in terms of surgical versus transcatheter approaches. [ncbi.nlm.nih.gov]
Nieuwlaat R, Prins MH, Le Heuzey JY, Vardas PE, Aliot E et al. (2008) Prognosis, disease progression, and treatment of atrial fibrillation patients during 1 year: follow-up of the Euro Heart Survey on atrial fibrillation. [getsmartaboutafib.net]
In this Review, Ko et al. discuss sex-specific differences in the incidence, prevalence, risk factors, and pathophysiology of atrial fibrillation, and the clinical presentation and prognosis of patients with this prevalent arrhythmia. [nature.com]
Prognosis Patients with atrial fibrillation and flutter can live a normal life for many years as long as the arrhythmia is controlled and serious blood clots are prevented. [medical-dictionary.thefreedictionary.com]
Etiology
Bryan Au discuss the presentation, etiology, precipitants, management and disposition of Atrial Fibrillation in the Emergency Department. [emergencymedicinecases.com]
Atrial fibrillation has also been classified as valvular vs. nonvalvular in etiology. Atrial fibrillation is termed “recurrent” when there have been two or more episodes. [healio.com]
But first, a word about the etiology, classification, and diagnosis of AF. [mdedge.com]
Etiology and mechanisms of AF Atrial fibrillation is associated with morphologic changes in the atrial myocardium. [onlinejacc.org]
Epidemiology
SETTING: The Rochester Epidemiology Project (REP). PARTICIPANTS: Elderly adults consecutive undergoing hip fracture repair from 1988 to 2002 in Olmsted County, Minnesota (N = 1,088, mean age 84.0 ± 7.4, 80.2% female). [ncbi.nlm.nih.gov]
Download the PDA Version Published in 2003 Reference SVA Table of contents: Full Text (ESC Clinical Practice Guidelines) Introduction Organization of Committee and Evidence Review, Contents of These Guidelines—Scope Public Health Considerations and Epidemiology [escardio.org]
In this Review, Ling and colleagues present the current understanding of the epidemiology and pathophysiology of AF–HF, and the roles of pharmacological and interventional therapies in the management of patients with this comorbidity. [nature.com]
"Epidemiology of atrial fibrillation: European perspective". Clinical Epidemiology. 6: 213–20. doi:10.2147/CLEP.S47385. PMC 4064952. PMID 24966695. ^ GBD 2013 Mortality and Causes of Death, Collaborators (17 December 2014). [en.wikipedia.org]
Pathophysiology
In this Review, Ko et al. discuss sex-specific differences in the incidence, prevalence, risk factors, and pathophysiology of atrial fibrillation, and the clinical presentation and prognosis of patients with this prevalent arrhythmia. [nature.com]
In this video series Michael Linares, RN from Simple Nursing helps explain the nursing pathophysiology, signs and symptoms, causes, pathology, treatment options for various diagnosis, which are expected to know for the NCLEX, HESI, ATI, and Kaplan proctor [youtube.com]
Permanent AF is not an inherent pathophysiologic attribute of AF, but rather an acceptance of AF where the patient and physician abandon further efforts to restore and/or maintain sinus rhythm. [mdedge.com]
Acceptance of permanent AF represents a therapeutic attitude on the part of the patient and clinician rather than an inherent pathophysiological attribute of AF. [physio-pedia.com]
Introduction Epidemiology and impact for patients Incidence and prevalence of atrial fibrillation Morbidity, mortality, and healthcare burden of atrial fibrillation Impact of evidence-based management on outcomes in atrial fibrillation patients Gender Pathophysiological [escardio.org]
Prevention
A 3-month randomized crossover trial of atrial preventative pacing features did not result in adverse effects, but there was no clinical efficacy for prevention of AT/AF. [ncbi.nlm.nih.gov]
Controlling the factors that increase the risk of A-fib may help prevent it. Manage the diet: A heart-healthy diet can help prevent A-fib and other heart diseases. [medicalnewstoday.com]
Heart Rate Control When you live with atrial fibrillation, control of your heart rate provides critical help in preventing heart failure. [uncmedicalcenter.org]