Doctor insights on:
Atrial Fibrillation Nursing Diagnosis
Watch and Report: If acute, recognize irregular irregularity if rhythm and rapid rate and report. If chronic report rapid rates or signs oe symptoms of chf. ...Read more
Electrical chaos: The electrical impulses in the upper chambers of your heart (mostly originating from the left side) are completely chaotic leading to a quivering motion of these chambers instead of their typical, coordinated pumping function. The lower chambers beat erratically, as the electrical impulses bombard them in a haphazard way. See a cardiologist or an elelctrophysiologist. ...Read more
Atrial fibrillation and psvt as well as blood sugar problems are possible diagnosis' for me but I am only 22 and am very active and healthy? How?
Can my diagnosis of major depression be tied with or have lead to me having atrial fibrillation at a younger age of 34 years old when diagnosed-af?
Psychoimmunology: Per webmd : "known as the "broken heart syndrome" or stress-induced heart failure is a medical condition, a perfect example of the heart's power & vulnerability, writes mimi guarneri, md, a practicing cardiologist, author of the book, the heart speaks. "the condition seems 2 be caused by high levels of hormones that the body produces during severe stress, which can be temporarily toxic 2 heart ". ...Read more
Can lvh, distended atrium and atrial fibrillation be related to mitochondrial disfunction? (also diagnosis with mitochondrial myopathy re motor issues).
Yes: But as part of patho- mechanism or disease process -- and not the cause. ...Read more
Would atrial fibrillation show up on an EKG or is a holter monitor needed to diagnosis? I am convinced I have af but my EKG was normal.
It depends....: Atrial fibrillation is an abnormal heart rhythm which occurs mostly in the elderly. It can be persistent or paroxysmal (intermittent). An ECG shows the heart rhythm at the time it is being done. An abnormal rhythm would be seen only if the heart was in that rhythm at that time. A holter monitor would follow the rhythm over a period of time >24hrs and could show if it happens intermittently. ...Read more
(1) Is bisoprolol used to treat atrial fibrillation? (2) If a person becomes hypotensive e.g.102/55, 102/68, & 106/63 should he stop using bisoprolol?
Yes: This beta blocker is used to treat or control the ventricular response to atrial fibrillation. It can lower blood pressure and, of course, slow the ventricular rate too much (below 60). If you're experiencing side effects, discuss this with your physician or cardiologist who may lower the dose of prescribe another beta blocker or even switch to digoxin although this medication is less popular now. ...Read more
Atrial fibrillation: Atrial fibrillation, or afib, is a very common rhythm disturbance, the most common in this country. It is most often associated with hypertension, but can also be associated with valvular disease specifically mitral valve disease. It can be treated with either rate control or converting back to the normal sinus rhythm. Patient are often placed on blood thinners to prevent complications. ...Read more
Read...: As per epocrates: CAD (coronary disease) hypertension, heart failure, valvular disease, pericardial and pleural diseases, diabetes, thyroid disorders, disorders of the lung, and advanced age are known risk factors for the development of acute af. However, af may occur in the absence of any underlying cardiac or noncardiac diseases, for example, as a result of heavy alcohol intake. ...Read more
Depends: New onset atrial fibrillation is often self limited, going away by itself. But the cause dictates the subsequent course. Thus treating things like high blood pressure, heart valve disease, heart failure, over active thyroid hormones, coronary disease, and avoiding alcohol may be important. Some drugs are useful to maintain rate and rhythm. If needed, electric shock (cardioversion) is effective. ...Read more
Depends: Atrial fibrillation is a very common arrhythmia, often unclear in origin, but usually due to enlarged upper heart chambers (atria). High blood pressure, heart valve problems, heart failure, hyperthyroidism, coronary disease, alcohol, or even spontaneous in normal people. Some drop in energy may be noted, but one can live normally with it. Blood thinners to minimize strokes important if persists. ...Read more
Atrial fibrillation: Flying in a commercial aircraft pressurizes to about 8000ft, this level doesn't cause hypoxia so unlikely to be a trigger unless something else like anxiety or other stress supervenes. If something goes on stressful in the aircraft, one could imagine a trigger possibility. I have seen patients get a gas bubble in their GI tract at altitude and be anxious for instance. ...Read more
Atrial fibrillation: We have a variety of medications we use for afib. First we need to diagnose that its there and why before we choose medications. We have anticoagulants, rate control medications and rhythm modulating medications. There are multiple choices for each with advantages and disadvantages to each. There is no one 'best', we choose depending on the patient's status and individualize for each. ...Read more
Rate or rhythm?: Some meds are good to control the heart rate in af, others are to try to control the rhythm and maintain normal sinus rhythm. In addition, blood thinners (anticoagulant meds) need to be considered for some people. So, there is not an easy answer. If this applies to you and you are only 40, you should also consider a curative ablation procedure. ...Read more
Define cured: Atrial fibrillation is a degenerative disease of the upper chamber which results in deposition of microscopic amounts of scar tissue, a generally irreversible process. However, certain procedures such as a surgical maze or catheter ablation can prevent patients from developing the rhythm of atrial fibrillation, or, barring that, the symptoms from the arrhythmia with up to ~70% success. ...Read more
Cardiologist: You should really see a cardiologist who can go over all of the options with you and well as work out any possible underlying causes such as elevated thyroid. You need to carefully discuss whether it is best to try and keep you out of afib with a procedure or medications or not. This is a long discussion that needs to be tailored to the individual. ...Read more
Lots of choices: If the goal is just to control the heart rate, the common choices are drugs that slow the heart rate like a beta blocker or calcium channel blocker and a blood thinner to lower the risk of stroke. Classically coumadin, (warfarin) but there are newer ones (xarelto, for example). Sometimes there are drugs given after the heart has been restored to a normal rhythm that help maintain this, such as amiodarone. ...Read more
Sometimes: Af tends to progress over time in the majority of patients, but this progression is slow, often over years or even decades. Uncontrolled hypertension, other heart diseases, obstructive sleep apnea etc. Can accelerate this process. Treatment of af with medications (antiarrhythmic drugs), and treatment of the predisposing conditions, often slows or prevents progression. ...Read more
Irregular heart beat: 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 of breath and weakness. ...Read more
No: Atrial fibrillation is a specific rhythm abnormality caused by certain specific electrical changes in the upper chamber of the heart. This cannot be faked. However, the stress from certain psychological conditions can increase the likelihood that a patient goes into or experiences the symptoms of atrial fibrillation. ...Read more
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