Doctor insights on:
Atrial Fibrillation With Fast Ventricular Response
Only in a Very Few: Generally, the answer to this is a very solid "no." this is a rare complication of people with another condition (on top of their afib) called wolff-parkinson-white syndrome (or wpw). In certain patients having both conditions, the top chamber is too-well connected to the bottom and can trigger ventricular fibrillation. ...Read more
Usually < 60-70: Most people, left untreated, have rates between 70 and 150. It's a bit unusual to fall below that without drugs or other treatment. ...Read more
Ventricular fib: Vf is worse; it usually causes cardiac arrest which is often fatal. Atrial fibrillation, while not as severe, also has significant health risks. It increases the risk of stroke, which can be disabling or fatal. Additionally, if the af causes a fast pulse for a prolonged period of time, this may lead to weakening of the heart and cause heart failure. ...Read more
Fibrillation: atrial fibrillation has normal left ventricular contractions put poor atrial function. Ventricular fibrillation has no real ventricular contractions so blood pumping essentially stops. Atrial fibrillation is a rhythm you can live with. Ventricular fibrillation is a rhythm you die with unless it is corrected quickly. ...Read more
Any chances to "recover" from vfib one need to be in an intensive care an hooked to an ekg. And a slim chance to live. If someone collapses on the street, help has to come in minutes to jump heart back to normal rhythm. People who go in vfib have an underlying and severe heart disease.
Conclusion vfib kills a afib can be controlled, even normal rhythm may be restored. Big difference! ...Read more
It depends: Ventricular fibrillation is from the bottom chamber; vf is worse; it usually causes cardiac arrest which is often fatal. Atrial fibrillation - from the top chamber- while not as severe, also has significant health risks. It increases the risk of stroke, which can be disabling or fatal. ...Read more
Not typically; however, if you also have an accessory pathway (wolff-parkinson-white syndrome), this is a unique situation where af is known to cause very rapid ventricular activation during af, which can lead to vf.
Rapid ventricular response may cause cardiac weakening over time, which in turn may increase the risk of vf. ...Read more
AF vs vf: Good question, they could look alike on ECG. Both would also result in cardiac arrest. As no perfusion would result, one would expect AF waves to be less visible than VF very quickly. If arrest had been present for say more than 30sec., VF would be more likely as the AF waves should likely not be visible. ...Read more
Can you tell me if atrial fibrillation with ventricular standstill is recognized from fine v-fib?
Ventricular standstill and fine v-fib are functionally the same the ventricle is not contracting - vfib is a slight quivering which may or may not be identifiable on ECG;
if the ventricle is not contracting then it is not possible to non-invasively identify atrial fibrillation from simply sinus/atrial arrest. ...Read more
What makes atrial fibrillation not immediately life threatening while ventricular fibrillation is?
A circuit breaker: The rhythms in the top chamber during atrial fibrillation can reach and exceed 600 bpm. If this were conducted directly to the lower chamber, it would be as fatal as ventricular fibrillation. However, nature built in a circuit breaker called the av node between the two such that only some of the top chamber heartbeats in fibrillation make it to the bottom chamber. ...Read more
Does left ventricular atrial fibrillation in te past wid medication hav a say on sex life. Does impotency n premature ejaculation result from it.
Would echo, ekg, stress test, xray, bloodwork rule out any arrhythmia problem such as premature ventricular contraction and paroxysmal atrial fibrillation?
No: Occasional PVCs are normal. Paroxysmal atrial fibrillation by definition is only present some of the time and the tests you list could easily miss this if done while the heart is in normal rhythm. Diagnosis of intermittent arrhythmias can be difficult and frequently requires consultation with a cardiologist subspecialized in electrophysiology, Holter monitor test is frequently used. ...Read more
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?
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. ...Read more
Food can affect meds: Afib is a rythm that can be very fast and can cause a stroke from blod clots going to the brain. Many patients are on Coumadin (warfarin) a blood thinner that works through vitamin k. So if the patient eats green leafy veges and other foods high in vitamin k, it can reverse the Coumadin (warfarin) and make pt suseptable to stroke. Foods and items high in caffiene like coffee chocolate etc can stimulate the heart rate. ...Read more
Yes: As long as the heart rate is not to fast and the risk of strike is appropriately dealt with, people work with af. Some people might feel better if they are in normal rhythm. Specific questions regarding rhythm vs. Rate control should be directed to your doctor. ...Read more
Yes: It is possible however rare.Get a more detailed answer ›
Sometimes none: Highly variable: some people are entirely unaware. Others feel their heart beating irregularly or "fluttering" & may notice rapid heart rate. Commonly people notice fatigue and their exercise capacity is mildly reduced. Sedentary people usually don't notice any change. Younger people & folks with their 1st bout tend to be more aware. Frequent bouts and older people are less likely to notice. ...Read more
Unclear: I am sorry, but I do not understand what you are asking. Atrial fibrillation is never normal. The rate can be controlled with medicine if it is present all the time. Some people have atrial fib at times but not at others, and sometimes the atrial fib. Can be converted to a normal rhythm with treatment. Please ask your question again, with a clearer question that we may be able to answer better. ...Read more
Atrial fibrillation: Afib is a rapid irregular heart rhythm which can decrease heart efficiency as much as 20% in some patients. It can also be associated with clotting and clots travelling around the body to cause stroke or other problems. Some people have atrial fibrillation as their normal rhythm. Talk to your dr. About it if you have it. ...Read more
Not usually: Atrial fibrillation may be a consequence of structural abnormalities of the heart, which can indeed be serious. However, if the rhythm disturbance is the only abnormality then it can usually be controlled sufficiently that the patient can be free of symptoms. In older patients with af there is significant risk of stroke, but this too can be mitigated by treatment to reduce blood clots. ...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
Afib: Afib is the most common heart rhythm disturbance that we treat as cardiologists and can occur in a number of clinical settings and in association with other diseases both cardiac and non-cardiac. Non-valvular atrial fibrillation refers to atrial fibrillation that does not occur in the setting of mitral valve disease such as mitral stenosis or mitral regurgitation. ...Read more
Generally, not: If there is no underlying cardiac problems that may predispose one to atrial fibrillation, it would be unusual for stress to be actual cause; however stress can be the underlying to so many maladies, that one never says never. If one develops atrial fib, must look for underlying heart disease, and--even it none is found-be treated for it by cardiologist specializing in cardiac rhythm disorders. ...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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