FAQ - atrial fibrillation
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I have had Atrial fibrillation in the past. It is safe to consume sodas such as Coke or Pepsi with caffiene?


Just wanted to mention I am 31.
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well, I think to play it safe stick with water and natural juices. Colas with caffeine stimulate the heart, so that might create anxiety as well as maybe another problem. There was a test performed on rats....(animal testing) AND the rats that had orange juice (verses water) lives longer. Take many vitamins and have a healthy proper diet... avoid the cola for now. You can have a morning coffee or soda to wake up, BUT that is it.
You have to have lots of fruits and dark green vegetables (of course)
Do not drink things that may or may not stimulate any heart functions. I am a doctor, and this is my advice..... take care of yourself.......  (+ info)

What percent of atrial fibrillation patients die in 3 years ?


The annual all cause mortality for paroxysmal atrial fibillation is about 1.6% annually.  (+ info)

What are the long term side affects of Atrial Fibrillation?


my partner is a 45 year old male who has recently been diagnosed with AF. His is intermittent. I am very concerned about his health but he keeps telling me there is nothing to worry about, that's it's a minor inconveience.

I think it's more serious than that. Does anyone know anything about AF and it's long term affects?
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Be careful there is no such thing as long term every thing is sudden in AF, however this topic will help you out:

What're the complications of atrial fibrillation?
The most devastating complication of atrial fibrillation occurs when a blood clot forms in the left atrium, travels to the left ventricle, and is pumped to the brain. When a blood clot lodges in one of the arteries supplying the brain with blood, it can block blood flow to that part of the brain and cause a stroke. Stroke can be severe and can cause permanent paralysis of part of the body, speech impairment, and even death. Unfortunately, stroke can occur at any time, usually without warning.

If the heart is unable to pump an adequate amount of blood to the body, as in some people with AF, the body begins to compensate by retaining fluid. This can lead to a condition called heart failure. Heart failure results in the accumulation of fluid in the lower legs (edema) and the lungs (pulmonary edema). Pulmonary edema makes breathing more difficult and reduces the ability of the lung to add oxygen to and remove carbon dioxide from the blood. The levels of oxygen in the blood can drop, and the levels of carbon dioxide in the blood can rise, a complication called respiratory failure. This is a life-threatening complication.  (+ info)

What is atrial fibrillation with rapid vent. response?


Does it just simply mean a heart rate greater than a 100 with atrial fibrillation?
If a pt is in afib and the heart rate is 67 than it wouldn't be a rapid vent response....because the ventricles aren't responding rapidly right?
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Atrial fibrillation means the atria are just quivering and not really contracting & relaxing and squirting blood into the ventricles (atrial kick). This is due to defective conduction through the sinoatrial node (SA). Instead of organized conduction; there is a disorganized, chaotic electrical discharge through out the atria. Because the electrical charge is not conducted normally, ventricular response can be slow or fast depending on the contraction rate of the ventricles/minute. In atrial fibrillation and flutter, the atria are stimulated to contract very quickly and differently from the normal activity originating from the sinoatrial node. This results in ineffective and uncoordinated contraction of the atria in atrial fibrillation, and in a peculiarly organized contraction pattern in atrial flutter.

The condition can be caused by impulses which are transmitted to the ventricles in an irregular fashion or by some impulses failing to be transmitted. This makes the ventricles beat irregularly, which leads to an irregular (and usually fast) pulse in atrial fibrillation.The organization of the atria to ventricle contraction is also disorganized  (+ info)

What are the odds that a 55 yr old man's atrial fibrillation can be corrected?


He is otherwise very healthy.
But he has been having the palpitations and what turned out to be, A-Fib, for about a week before going to the hospital.
His resting heart rate was reaching 160 when he first went to the hospital.

What would be the odds of him having the rhythm restored with just medication?

What would the odds that he might even need a pace maker or difibrillator?
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Atrial fibrillation is a rapid, irregularly irregular atrial rhythm. Symptoms include palpitations and sometimes weakness, dyspnea, and presyncope. Atrial thrombi often form, causing a significant risk of embolic stroke. Diagnosis is by ECG. Treatment involves rate control with drugs, prevention of thromboembolism with anticoagulation, and sometimes conversion to sinus rhythm by drugs or cardioversion.
Causes of atrial fibrillation include:
* Alcohol use (especially binge drinking)
* Congestive heart failure
* Coronary artery disease (especially after a heart attack or coronary artery bypass surgery)
* High blood pressure (hypertension)
* Hypertrophic cardiomyopathy
* Medications
* Overactive thyroid gland (hyperthyroidism)
* Pericarditis
* Valvular heart disease (especially mitral stenosis and mitral regurgitation)
The disorder is usually controllable with treatment. Many people with atrial fibrillation do very well.

Atrial fibrillation tends to become a chronic condition, however. It may come back even wtih treatment.
Possible Complications:
* Fainting (syncope), if atrial fibrillation and atrial flutter cause the pulse to be too quick or slow
* Heart failure
* Stroke, if clots break off and travel to the brain (drugs that thin the blood such as heparin and warfarin can reduce the risk)
Radio-frequency ablation is the permanent solution for this problem.  (+ info)

How long does it take for a blood clot to form during paroxysmal atrial fibrillation?


I suspect you are wondering about anticoagulation therapy (taking Coumadin aka Warfarin). Although I am not sure anyone knows for certain, it is probably a fair guess to assume that a clot could form as quickly as blood would clot under other circumstances - 10 to 13 seconds. The primary mechanism is due to blood pooling, so the actual time is probably somewhat more than a simple prothrobin time.

With anticoagulation the amount of time before clotting is significantly extended. Study after study has demonstrated that the risk for stroke is about seven percent per year for those with AFib over age 65. With anticoagulation the risk is less than two percent per year. The clear indication is less pronounced for those under age 65, but PAF is more of a concern than straight Afib for potential stroke risk and for needing anticoagulation treatment.

I hope this helped. Good luck  (+ info)

What do you implant as treatment to control atrial fibrillation?


Usually medication is used first. Pacemakers have been used in the past.

This is the newer approach.
"Patients whose heart rates cannot be controlled with drugs (or patients who simply don't want to take drugs) have to take other measures, such as targeted radiofrequency catheter ablation, a non-surgical procedure with a menacing name.

This procedure involves:

Making an electrical "road map" of the heart.
Pinpointing the abnormal electrical signals.
Abnormal heart tissue is then destroyed with heat from radiofrequency energy, disconnecting the tissue from the current.
This ends the atria's electrical storm and consequent fluttering.
Radiofrequency energy is also used to destroy an overactive AV node in AV node ablation. "This procedure requires implantation of a permanent pacemaker and does not affect the fibrillating atria," says Dr. Russo. "It only affects the electricity going into the ventricles. Because the ventricles no longer receive rapid signals from the atria, they don't have to work as hard and the symptoms of breathlessness and fatigue go away. Even after undergoing this procedure, patients must continue anticoagulant therapies since the atria continue to fibrillate and clots can still form."

A Third and Newer Type of Ablation is Called Pulmonary Vein Ablation

The goal is to remove the arrhythmia "triggers," which are in the pulmonary veins in some patients, and thus maintain normal heart rhythm.
This lengthy procedure is an option for patients who have very frequent symptoms despite medications.
"The ideal candidates," says Dr. Russo, "are younger patients who do not have a lot of other underlying heart disease.""  (+ info)

Can Atrial Fibrillation with Rapid Ventricular Respose cause Ventricular Fibrillation?


Atrial Fibrillation with Rapid Ventricular Respose cause Ventricular Fibrillation when it is associated with accessory pathway (WPW Syndrome). In this situation, the ventricular rate is very high, of the order of 300 because the impulse conducts down the normal pathway as well as the accessory pathway. When the number of impulses are very high the ventricle cannot keep track for a long period and goes into ventricular fibrillation, unless the atrial fibrillation is treated promptly.  (+ info)

How many people on here suffer from Atrial Fibrillation?


I have looked around the net for a good forum for sufferers but can't find one. If you know one please give me the link or I may well start a new forum myself as I feel this is needed
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AF is actually the most common cardiac arrhythmia. I don't know of any forum for sufferers, might be a good idea to start one though. A Fib is more common in older people. 1 in 200 people aged 50-60 have AF. It only really occurs in younger people who have certain heart problems.

Edit
Yes Mel is right, I've just come across that forum when I Googled it. http://groups.yahoo.com/term/a-fib  (+ info)

The only medicine that works for my persistent atrial fibrillation is Flecainide but I do not have health?


Insurance and it cost to much. Should I just see if I could have an ablation so I wouldn't have to take meds for it
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Ablation for atrial fibrillation is also a costly procedure and the success rate is not 100% for persistent atrial fibrillation. If your symptoms are not well controlled, then there is a definite role for ablation. Please check up with your doctor regarding ablation in your case, as he is the best person to tell you the prospects in your case.  (+ info)

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