A member asked:

What are the causes of atrial fibrillation and can it be transient. i am a 60 yr old male with treated hypertension and elevated cholesterol.?

3 doctors weighed in across 2 answers

Yes and no: Atrial fibrillation (af) can be transient. If you use alcohol or caffeine in quantity, stop. [seek help if withdrawal occurs]. Be sure your BP is well-treated. Seek an ideal weight and prudent diet. Most af in older individuals is a result of cumulative injury to the conduction system in the heart from thickening/high bp/cholesterol.

Answered 1/2/2015

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Dr. Ryan Cooley answered

Specializes in Cardiology

We don't really know: Af can be due to normal wear and tear as occurs in HTN and the aging process. Aging causes insertion of non-conducting tissue (scar) between normal heart cells which is bad. All old people get this but not all old people get af. Why? We know that nests of cells fire crazily at times triggering af. These nests are frequently located in pulmonary veins. But why, and what triggers them?

Answered 11/24/2016

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