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Atrial Arrhythmia
Arrhythmia Atrial

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]

  • Asymptomatic

    The patient was asymptomatic and declined the cardiologist's recommendation of antepartum and postpartum anticoagulation. She remained asymptomatic and had delivery by Caesarean section at term. [ncbi.nlm.nih.gov]

    Nonparoxysmal Junctional Tachycardia Atrioventricular Reciprocating Tachycardia (Extra Nodal Accessory Pathways): Sudden Death in WPW Syndrome and Risk Stratification Acute Treatment Long-Term Pharmacologic Therapy Catheter Ablation Management of Patients With Asymptomatic [escardio.org]

  • Chest Discomfort

    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]

    If you have symptoms, they may include: Heart palpitations - Sudden pounding, fluttering or racing sensation in the chest Lack of energy or feeling over-tired Dizziness - Feeling light-headed or faint Chest discomfort - Pain, pressure or discomfort in [my.clevelandclinic.org]

    If you are experiencing chest discomfort or other signs of a heart attack, call 9-1-1 or your local emergency number immediately. Ask your doctor to check your pulse on a regular basis. [heartandstroke.ca]

  • Pallor

    Other findings in the physical exam could explain physiologic sinus tachycardia, including hypotension, hypoxia, signs of inflammation/infection, pallor, abdominal distention, or tenderness, etc. 1. [thecardiologyadvisor.com]

    Other symptoms experienced can be inadequate blood flow which can cause feelings of dizziness, chest pain, fainting, dyspnea, pallor, fatigue, nervousness, and cyanosis. [physio-pedia.com]

    These consist of light-headedness, confusion, pallor, nausea, salivation, sweating, tachycardia, blurred vision, and sudden urge to defecate among other symptoms.[7] Vasovagal syncope can be considered in two forms: Isolated episodes of loss of consciousness [en.wikipedia.org]

Gastrointestinal

  • Nausea

    Dizziness Nausea Shortness of breath Chest pain and/or tachycardia How do the EKG patterns differ for AFib and VFib? The EKG patterns in most cases are diagnostic for AFib and/or VFib because of the characteristic wave forms each produce. [medicinenet.com]

    While taking anticoagulants, make sure the doctor knows about any planned or existing pregnancy or any signs of bleeding, such as: very large bruises nausea and light-headedness vomiting blood coughing up blood unusually heavy menstrual flow gums that [medicalnewstoday.com]

    Significant differences between sexes were noted regarding swollen legs (women 21%, men 6%, p = 0.027), nausea (women 36%, men 13%, p = 0.012) and anxiety (females 79%, males 51%, p = 0.014). [bmccardiovascdisord.biomedcentral.com]

    […] duration, and spontaneous recovery.[1] It is caused by a decrease in blood flow to the brain, typically from low blood pressure.[1] There are sometimes symptoms before the loss of consciousness such as lightheadedness, sweating, pale skin, blurred vision, nausea [en.wikipedia.org]

  • Vomiting

    While taking anticoagulants, make sure the doctor knows about any planned or existing pregnancy or any signs of bleeding, such as: very large bruises nausea and light-headedness vomiting blood coughing up blood unusually heavy menstrual flow gums that [medicalnewstoday.com]

    The symptoms commonly reported include palpitations, giddiness, dyspnoea, tachycardia, perspiring, chest pains, coldness, anxiety [ 23 – 25 ], tiredness, weakness, indisposition, vomiting and epigastrical discomfort [ 26 ]. [bmccardiovascdisord.biomedcentral.com]

    […] spontaneous recovery.[1] It is caused by a decrease in blood flow to the brain, typically from low blood pressure.[1] There are sometimes symptoms before the loss of consciousness such as lightheadedness, sweating, pale skin, blurred vision, nausea, vomiting [en.wikipedia.org]

    […] there is a specific trigger such as coronary artery bypass surgery, hyperthyroidism, pericarditis, alcohol intoxication (or other stimulants such as some of the over-the-counter supplements and even caffeine), other acute illnesses that cause extreme vomiting [uihc.org]

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]

  • Vascular Disease

    No risk factors for cerebro-vascular disease or significant valvular heart disease were present. Return to sinus rhythm was achieved in 143 (91%) procedures. [ncbi.nlm.nih.gov]

    Prior stroke, TIA or thromboembolism = 2 points V Vascular disease. Including PAD, MI and aortic plaque = 1 point A Age. Patient is aged 65–74 years = 1 point Sc Sex category (female). [thrombosisadviser.com]

    Anticoagulation is especially important if you have atrial fibrillation and you are a woman, are aged 65 years or older, or have a history of congestive heart failure, high blood pressure, stroke or transient ischemic attack, vascular disease, or diabetes [jamanetwork.com]

    This study assesses an online program for people 65 and older who have some combination of diabetes, high blood pressure, high blood cholesterol, COPD, obesity, congestive heart failure, chronic kidney disease, arrhythmia, pulmonary heart or vascular [nhlbi.nih.gov]

    Learn more » Vascular Surgery Offering comprehensive care of vascular disease through preventive services, diagnostic expertise, minimally invasive therapies and traditional surgical techniques. [cts.usc.edu]

  • 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

  • Fracture

    CONCLUSION: Elderly adults undergoing hip fracture surgery who develop PAA within 7 days have significantly higher 1-year mortality than those who do not. [ncbi.nlm.nih.gov]

    Lead Extraction for Implanted Cardiac Devices Leads from implanted devices that malfunction, fracture, or are linked to infection are removed by electrophysiologists and surgeons who work together in our hybrid operating rooms. [dukemedicine.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

    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]

  • Dizziness

    Symptoms of arrhythmia often include dizziness, breathlessness, and palpitations. The causes of arrhythmia are varied and include diabetes, mental stress, and smoking. A slow heartbeat is not always a sign of illness. [medicalnewstoday.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]

    Others have: heart palpitations or ‘fluttering’ heartbeat an irregular pulse dizziness or fainting spells weakness or tiredness If you have chest pain that lasts for more than a few minutes, or any other heart attack warning signs, call triple zero (000 [healthdirect.gov.au]

    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]

  • 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]

  • Giddiness

    In an earlier report, the most pronounced symptoms were palpitations and anxiety as well as giddiness [ 24 ]. [bmccardiovascdisord.biomedcentral.com]

  • Guillain-Barré Syndrome

    […] hyperventilation, sweating, and numbness.[5] They are however a diagnosis of exclusion.[11] Around 2/3 of women experience shortness of breath as a part of a normal pregnancy.[8] Neurological conditions such as spinal cord injury, phrenic nerve injuries, Guillain–Barré [en.wikipedia.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]

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