Doctor insights on:
Acute Management Of Atrial Fibrillation
In the right patient: An invasive procedure called an atrial fibrillation ablation using either radio frequency or a freezing technology called cryoablation actually has a relatively high rate of cure in carefully selected patients. I would recommend that you speak with a cardiologist who then can recommend the best electrophysiologist (a type of cardiologist) in your area for this procedure. ...Read moreSee 1 more doctor answer
Atrial fibrillation is an irregular and often rapid heart rate that commonly causes poor blood flow to the body. During atrial fibrillation, the heart's two upper chambers (the atria) beat chaotically and irregularly — out of coordination with the two lower chambers (the ventricles) of the heart. Atrial fibrillation symptoms include heart palpitations, shortness ...Read more
Possibly: Atrial fibrillation is one of many causes of an "irregular heart beat" but there are many other much more benign causes as well. Talk with your doctor and if they do not find it on ECG then talk to them about longer monitoring with a zio patch or event monitor. ...Read moreSee 1 more doctor answer
What to do if I have a history of atrial fibrillation but this did not show up on the holter monitor. Any suggestions on an actual cause?
Paroxysmal: Timing is critical. If a Holter monitor did not show any atrial fibrillation it's most likely because there was no such activity during the time you carried the monitor, considering the limits of such a test. That does not mean you did not have atrial fibrillation prior to the test or a chance to develop another self limited episode anytime in the future. ...Read more
What do you recommend if I have a history of atrial fibrillation but this did not show up on the holter monitor. Any suggestions on an actual cause?
Event monitor: If you are continuing to have symptoms that you feel are possible atrial fibrillation, but you were unlucky enough to not have symptoms during a 24 hour ecg, you physician can order an event monitor. This is an ECG monitor that you can wear for 30 days, which will increase the likelihood of detecting an arrhythmia. ...Read more
Medications: There are a variety of medications which can either control the heart rate or convert the rhythm back to normal. Sometimes cardioversion is used to correct the heart rhythm. Also in some cases ablation can be done which will correct the abnormal rhythm. ...Read moreSee 2 more doctor answers
Irregular: Atrial fibrillation occurs when the atria, which deliver blood to the ventricles, receive an abnormal electrical signal and then beat erratically instead of in a coordinated, strong beat. The danger of atrial fibrillation is that the blood in the atria tends to stay there instead of getting pumped fully into the ventricles. This slow moving blood in the atria can then form blood clots. ...Read moreSee 2 more doctor answers
Many options: Electrical activity during afib needs to be recorded for official diagnosis. Standard ecg, or longer tests such as holter monitor (24-48 hrs), zio patch (14 days), event recorder/mcat (up to 30days) or even an implantable loop recorded (3+ years). There needs to be a poorly defined, irregular rhythm from the top of the heart. For more information check out www.Heart.Org. ...Read moreSee 2 more doctor answers
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