Doctor insights on:
Atrial Fibrillation And Shortness Of Breath
Having atrial fibrillation, I do not feel fast heart beat or shortness of breath, due to medication. Would air travel for 6 hours be a problem?
C Below: You have asymptomatic Afib. Depending on your CHADS2 Score or CHADSVASC you should be at least on Aspirin. My guess is that you likely should be on Warfarin also. - Air travel is as safe as staying at home watching a TV Show. What is important is your antiplatelt therapy or anticoagulation as needed.
Been to two heart doctors and all test are normal, but still have chest pain, lightheaded, and shortness of breath! Is this atrial fibrillation?
Maybe. ..: Chronic Atrial fibrillation is not likely to be missed on even a routine ECG. A comprehensive history is not likely to miss it either. However, if your symptoms are episodic and you weren't having the symptoms while you were being tested, it is POSSIBLE that episodic atrial fibrillation or other Paroxysmal Supraventricular Tachycardias (PSVT) could cause those symptoms.
The patient I'm caring for has rapid atrial fibrillation and dyspnea-- why is she being prescribed heparin?
Afib and Heparin: Afib is a dis-coordinated, chaotic heart rhythm where the heart can not effectively move blood the way it should. When blood sits stagnant it can clot. The Heparin helps prevent the stagnant blood from clotting to avoid a clot, or "thrombus", being sent to the brain or lungs where it may cause a stroke or pe.See 2 more doctor answers
Possibly.: Possibly. You can check your pulse during these episodes and see if it is irregular, which may be a clue the shortness of breath is coming from some heart arrhythmia. To make the diagnosis officially, some recording of the heart rhythm needs to be made. This can be via 12-lead ekg, 24-hr holter monitor, or 30-day loop monitor.See 1 more doctor answer
I have been diagnosed with Atrial Fibulation. I am experiencing rapid heart beat, slight shortness of breath and dizziness. Should I go to E.R.?
Yes.: You need to be evaluated for anticoagulation and therapy to control your heart rates.
It can be: If afib is difficult to treat ie unable to convert patient to normal rythm or unable to slow rate down with medicines, or perhapse the patient can't tolerate the medications to treat the problem, a person can be disabled. Pts with pre existing heart problems may not tolerate afib as well. Ablation therapy is not always effective and some patients may need a pacemaker. Just depends on ptSee 2 more doctor answers
Only if…: Only if the atrial rate is conducted in a very rapid fashion to the lower chamber. Your heart has built-in protection to keep this from happening. However, patients with a condition known as wolff parkinson white sometimes lack this protection and under the right circumstances can die as a result of atrial fibrillation.See 1 more doctor answer
EKG /Physical exam: Different ways. Listening to the heart there is obvious irregular rhythm with irregular rate. The electrocardiogram is diagnostic. Some times atrial fibrillation may appeared transiently or paroxystically. A holter monitor or cardiac monitor could show the characteristic features of the EKG changes.See 1 more doctor answer
It depends: Atrial fibrillation is an irregular rhythm in which the atria beat at nearly 400 beats/min. It is common in older patients as a reflection of aging of the conduction system. In younger patients it can be caused by alcohol and drug abuse. It can also occur when the heart dilates as in congestive heart failure. The abnormal contractions put patients at risk for blood clots which may cause strokes.See 1 more doctor answer
Heart rate / stroke: Two issues with afib. The first is stroke. Afib is a risk for stroke, and thus all patients with afib need some sort of blood thinner. Whether that is an Aspirin or full anticoagulants such as Coumadin (warfarin) depends on your risks and your doctor will let you know that. The second is heart rate. If the afib is too fast or too slow, the rate will need to be treated also.See 1 more doctor answer
Slow down the heart: Beta blockers and digoxin are often used first to slow down the heart when there is rapid heart rate of af. In some patients, electric shocks can be utilized to convert the irregular rate of af to normal. In most all cases, blood thinners such as Coumadin (warfarin) and new drugs like Pradaxa are utilized to reduce the risk of blood clots forming inside the heart and causing complications such as strokes.See 1 more doctor answer
Electrocardiogram: If the atrial fibrillation is ongoing then an electrocardiogram will show it. If it only occurs from time to time, then there are different types of monitors that a patient can use at home to record the heart rhythm; this is another type of electrocardiogram sometimes referred to as an event recorder.See 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.See 2 more doctor answers
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