Top
30
Doctor insights on: Atrial Tachycardia Vs Atrial Fibrillation

Share
1

1
If I have a history of atrial fibrillation and tachycardia is it bad that my heart rate has been 144 all day?

If I have a history of atrial fibrillation and tachycardia is it bad that my heart rate has been 144 all day?

Yes.: If the heart rate is elevated for prolonged periods of time, there is a risk for tachycardia-induced cardiomyopathy - or weakening of the heart from rapid heart rates. This is usually reversible once the heart rate is corrected. You should see your cardiologist for evaluation. ...Read more

Dr. Warren Foster
160 Doctors shared insights

Atrial Tachycardia (Definition)

Atrial tachycardia is a symptom in which a person's heart rate is faster than normal for his age or for the activity he is doing, and the electrical impulse for his heartbeats starts in the upper part of the heart (the atria). An electrocardiogram (EKG or ECG) ...Read more


3

3
Grandmother has atrial fibrillation am I at increased risk? I have sinus tachycardia and high blood pressure

Grandmother has atrial fibrillation am I at increased risk? I have sinus tachycardia and high blood pressure

Tough call: You're asking a good question that's hard to answer. 3 million people in the us have atrial fibrillation, and of those, ~30% have at least 1 family member with afib. But because there's so much afib out there, and because the prevalence is so high in advanced age (8% at 80yrs, 16%+ at 90) it's hard to decide what the specific risk due to any given family member is. ...Read more

4

4
I have been to the ER for a rapid heartbeat. Sometimes it's diagnosed as sinus tachycardia and sometimes atrial fibrillation. I have tried cardyzeme and metopral without much success. What happens if I don't seek treatment next time?

I: I agree with dr. Guyton's excellent and thorough answer and would like to emphasize that with atrial fibrillation there are two main issues:
1) heart rate - a fast heart rate is typically what most people present with, and typically can be managed with medications to control heart rate such as the two you described, although there are others. Sustained high heart rates are not good for the heart, but as long as you are not having chest pain, shortness of breath, dizziness, or loss of consciousness then you can call your physician before rushing to the er.
2) stroke - afib presents a very real increase risk of stroke if not properly treated. For this reason, an accurate diagnosis is a must, and if it is indeed afib the you should discuss with your physician whether you are high enough risk to require blood thinners such as Coumadin (warfarin) or pradaxa. This is a long term risk so can be discussed in the outpatient setting with your docotor or a cardiologist. ...Read more

5

5
Can innapropriate sinus tachycardia lead to atrial fibrillation got to go to hospital monday for ECG my heart rhythm gone from normal to abnormal?

Can innapropriate sinus tachycardia lead to atrial fibrillation got to go to hospital monday for ECG my heart rhythm gone from normal to abnormal?

Not usually: This would be a bit odd. Usually fibrillation is the result of age, drinking, and diseases which exhaust or stretch out the atria. Inappropriate sinus tach usually doesn't directly result in afib. When it went to "abnormal" are you sure that was to fib? Did they get an ekg? Could well be flutter too, which can occasionally be mistaken for fib. ...Read more

6

6
Why do you take betapace, xocor, digoxin, and Coumadin (warfarin) with atrial fibrillation and sinus tachycardia?

Why do you take betapace, xocor, digoxin, and Coumadin (warfarin) with atrial fibrillation and sinus tachycardia?

Prevent stroke: Actually atrial fibrillation and sinus tachycardia are two completely different heart rhythms. None of these drugs would be of any use for sinus tachycardia. In atrial fibrillation, Betapace may restore a normal rhythm. Digoxin can help keep the heart rate down. Coumadin (warfarin) reduces the risk of stroke. Zocor also reduces stroke risk in some patients, but this is unrelated to the atrial fib. ...Read more

7

7
Is atrial fibrillation hereditary?

Is atrial fibrillation hereditary?

No: Congenital heart problems can be inherited and this can lead to afib. But afib itself is not. ...Read more

8

8
Is atrial fibrillation a disability?

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 pt ...Read more

9

9
Why is atrial fibrillation dangerous?

Why is atrial fibrillation dangerous?

Causes strokes: Atrial fibrillation causes stagnation of blood in the atrium contributing to the formation of clots there which may travel to the brain causing a stroke or cva or sudden death. ...Read more

10

10
Can an atrial fibrillation be lethal?

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. ...Read more

11

11
How is atrial fibrillation diagnosed?

How is atrial fibrillation diagnosed?

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. ...Read more

12

12
What does atrial fibrillation feel like?

It depends on: A number of factors. Most people will feel an irregular and skipping or racing sensation in their chest. If the heart rate is too fast or the heart is very weak, you may feel short of breath, weak or even chest pressure. Many people have atrial fibrillation with no obvious symptoms. ...Read more

13

13
Is atrial fibrillation dangerous to have?

It can be: Increased stroke risk is the major consideration here. Talk to your cardiologist about what yours is & whether you should be on blood thinners or just Aspirin (for lower risk patients). ...Read more

14

14
What is atrial fibrillation a symptom of?

What is atrial fibrillation a symptom of?

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. ...Read more

15

15
What is the effect of atrial fibrillation?

What is the effect of atrial fibrillation?

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. ...Read more

16

16
How is atrial fibrillation usually treated?

How is atrial fibrillation usually treated?

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. ...Read more

17

17
What are the tests for atrial fibrillation?

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. ...Read more

18

18
What sort of problem is atrial fibrillation?

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 more

19

19
What are the symptoms of atrial fibrillation?

What are the symptoms of atrial fibrillation?

Maybe: Atrial fib presents differently in everybody. Sometimes it can be completely asymptomatic. Other times it can be flutters in the chest, shortness of breath, dizziness, to name a few. ...Read more

20

20
What could lead to atrial fibrillation in me?

Man: You are a man, too young for the disease. So manufactoring problem with your heart, heart valve, electrical system. High thyroid is very common cause. Some chemo agents are cardiotoxic also some pschych meds also. See pmd for more focused approach. ...Read more

21

21
What does atrial fibrillation feel like in a person?

Various symptoms: Symptoms vary from patient to patient. Some patients have no symptoms at all. Possible symptoms include chest pain, shortness of breath, palpitations, and sweating. ...Read more

22

22
I think I have atrial fibrillation. What should I do?

I think I have atrial fibrillation. What should I do?

Atrial fibrillation: You need to see a doc and verify if you have/had afib. Then some basic workup to see if the why can be elucidated. You may or may not need treatment but should be sure the decision is made from the proper information. ...Read more

23

23
What medications are prescribed for atrial fibrillation?

What medications are prescribed for atrial fibrillation?

It Varies: The most important treatment is stroke prevention, which is usually done by medications (aspirin or warfarin). Sometimes rate control medications are used, like metoprolol. If the af is severe enough, stronger anti-arrhythmic medications are used, like propafenone. If these do not work, catheter ablation may be recommended. Pacemaker and av-node ablation may be used as a last resort. ...Read more

24

24
I have atrial fibrillation but had no success controlling it. Any suggestions?

See a specialist: It sounds like you need some help from a cardiac electrophysiologist. There are several world leading cardiac electrophysiologists in the neighborhood of palo alto, and I suggest you consult one of them. ...Read more

25

25
What are the risks of atrial fibrillation?

What are the risks of atrial fibrillation?

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

26

26
Causes of non valvular atrial fibrillation?

Causes of non valvular atrial fibrillation?

HTN, CAD, Hyperthyroi: High blood pressure
heart attacks
alcohol
heart defects you're born with (congenital)
an overactive thyroid gland or other metabolic imbalance
exposure to stimulants, such as medications, caffeine or tobacco, or to alcohol
sick sinus syndrome — functioning of the heart's natural pacemaker
emphysema or other lung diseases
previous heart surgery
viral infections
stress due to pneumonia. ...Read more

27

27
What is the intervention for atrial fibrillation of paramedics?

Meds, Cardioversion: Treatment depends on the patient's presentation. For someone with rapid atrial fibrillation who has a stable blood pressure the treatment is often IV medications used to slow the heart rate. The first drug is usually IV diltiazem/cardizem or a beta blocker. For patients with rapid a-fib and low blood pressure, immediate cardioversion may be needed. ...Read more

28

28
What is Paroxysmal atrial fibrillation?

What is Paroxysmal atrial fibrillation?

Irregular pulse: Paroxysmal atrial fibrillation is an abnormal heart rhythm that is intermittent (or paroxysmal), arising from the upper chambers of the heart (or atria), and is very chaotic, or irregular (fibrillating). It can cause problems because it usually drives the heart rate up too fast (giving symptoms and eventually weakening the heart) and can increase the risk of stroke. Causes of PAF are multiple. ...Read more

29

29
Can hypertension cause atrial fibrillation?

Can hypertension cause atrial fibrillation?

Yes: Atrial fibrillation is an irregularly irregular heart rhythm, it can happen when the atrium (upper chamber of the heart) is enlarged. Hypertension causes the heart to work harder, develops hypertrophy to have enough force to push the blood forward from the ventricle (lower chamber of the heart); the atrium in turn enlarges to push blood to ventricle and eventually dilates then a-fib develops. ...Read more

30

30
Would a pacemaker repair atrial fibrillation?

Would a pacemaker repair atrial fibrillation?

Not directly.: Pacemakers might be implanted as part of a care plan for af - but this only prevents slow pulses that might come as a result of medications for the af or after av-node ablation. Pacemakers themselves can not prevent or control af. ...Read more

Dr. John Garner
1,834 Doctors shared insights

Atrial Fibrillation (Definition)

A heart condition, in which the electrical activity of the heart is abnormal. This abnormal electrical signal causes the heart muscle to contract when it is not supposed to and thus blood is ...Read more


Fibrillation (Definition)

Fibrillation is the rapid, irregular, and unsynchronized contraction of muscle fibers. An important occurrence is with ...Read more