Presentation
Evidence for a focal atrial arrhythmia was present in 20 of the total group of 50 patients (40%). [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]
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]
Signs include dizziness, weakness, and fatigue. Treatment involves medication and lifestyle changes, and sometimes procedures such as cardioversion, ablation, pacemakers, or surgery. [webmd.com]
Cardiac arrhythmias also may cause light-headedness, fainting, chest pain, shortness of breath, fatigue or no symptoms at all. [hopkinsmedicine.org]
Gastrointestinal
- Loss of Appetite
[…] 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* 40/75 25/52 (48%) 15/23 (65%) 0.213 Discussion Although PAF is one of the most common heart-disturbances causing [bmccardiovascdisord.biomedcentral.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]
A common ca ... use is coronary artery disease, the most common type of heart disease that affects adults. An injury from a heart attack and changes in your heart muscle can also cause an arrhythmia. [sharecare.com]
Heart Health What to Do If You Have a Family History of Heart Disease December 27, 2019 If you have a family history of heart disease, you likely know that your risk for heart disease is higher. But how much higher? The answer ... [webmd.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]
With AFib, your heart quivers, beats too quickly, or skips beats. It can't pump blood through its chambers and out to your body as well as it should. Sometimes blood can pool in the heart and form clots, which could lead to a stroke. [webmd.com]
- 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]
Urogenital
- 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]
Neurologic
- Stroke
METHODS: An online survey was sent to cardiologists and stroke physicians in the UK, via their national societies. RESULTS: A total of 205 clinicians responded to the survey (130 stroke physicians, 64 cardiologists, 11 other). [ncbi.nlm.nih.gov]
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]
The first is stroke, which results because blood can pool in the atria, forming clots, Phillips said. If one of these clots makes its way to the brain, it can cut off blood flow, causing stroke. The second is heart failure. [livescience.com]
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]
If you think you may have atrial fibrillation, here are your most important steps: Know the symptoms Get the right treatment Reduce risks for stroke and heart failure We’re here to help you live your healthiest life! [heart.org]
Fibrillation Services and Procedures Patients who seek treatment for A-Fib at Emory have access to physicians and nurses who are experienced in a wide variety of tests and treatments, including: Coumadin Clinic (AMS) blood-thinner management Arrhythmia [emoryhealthcare.org]
Several treatment options are available for atrial fibrillation, but choosing the best treatment plan is not always straightforward. [heartdisease.about.com]
The authors report the case of a patient with uncontrolled atrial arrhythmia who cardioverted to normal sinus rhythm after treatment of major depressive disorder (MDD) and posttraumatic stress disorder (PTSD) with venlafaxine. [ncbi.nlm.nih.gov]
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]
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]
Those who respond poorly to treatments will have a poorer prognosis. VFib needs immediate treatment (CPR and defibrillation) or the person will likely die within a few minutes. [medicinenet.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]
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]
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]
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]
Heart Rate Control When you live with atrial fibrillation, control of your heart rate provides critical help in preventing heart failure. [uncmedicalcenter.org]
Exercise-induced AF may be better prevented with a beta-blocker. [merckmanuals.com]
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]