Atrial fibrillation: symptoms, causes, risks and treatment.

Dr. Constantine
Dr. Constantine
151 بار بازدید - ماه قبل - Atrial Fibrillation (AFib): The most
Atrial Fibrillation (AFib): The most common heart rhythm disorder causing an abnormal, rapid heartbeat.

Stroke Risk: AFib increases the risk of stroke by about five times, making effective treatment crucial to prevent strokes.

Common Symptoms: Palpitations, fatigue, unusual tiredness, difficulty breathing, and sometimes feeling faint are common symptoms of AFib.

Irregular Pulse: The pulse during AFib is irregular, with no consistent pattern, and can include strong, weak, or absent beats.

Pulse Deficit: In AFib, the heart may beat faster, but fewer pulses are felt due to weak heart contractions, known as pulse deficiency.

Development of AFib: Caused by chaotic and irregular electrical impulses in the atria, leading to fluttering rather than rhythmic contractions.

Causes: Common causes include hypertension (30%), coronary artery disease, heart failure (20%), valvular heart disease, hyperthyroidism, diabetes, and obesity.

Reentry Phenomenon: A fundamental mechanism where an electrical impulse circulates in a loop, causing continuous heart muscle stimulation and arrhythmias.

Endurance Exercise: Extreme endurance exercises, such as marathon running and long-distance cycling, can increase the risk of AFib.

ECG Findings: Irregular QRS complexes, absence of P waves, presence of erratic fibrillatory waves (f waves), and highly variable RR intervals.

Ultrasound Findings: Enlarged left atrium and possible mitral valve stenosis or regurgitation, which are associated with AFib.

TEE: Transesophageal echocardiography is effective in detecting thrombi in the atria.

Stroke Risk Assessment: Factors include hypertension, age over 65, diabetes, previous strokes, and being female.

Anticoagulant Therapy: Includes warfarin or DOACs (apixaban, rivaroxaban, dabigatran) and is usually lifelong to prevent stroke.

Rhythm Control: Medications such as beta-blockers, calcium channel blockers, digoxin, and antiarrhythmic drugs (propafenone, sotalol, amiodarone) are used to control heart rhythm. If ineffective, electrical cardioversion or catheter ablation may be necessary.

Disclaimer:

This information is provided for general knowledge and educational purposes only. It is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always consult with your doctor for any questions or concerns you may have about your health.

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ماه قبل در تاریخ 1403/04/24 منتشر شده است.
151 بـار بازدید شده
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