ATRIAL FIBRILLATION: Causes, Signs and Treatment
WHAT IS ATRIAL FIBRILLATION?
Atrial Fibrillation Definition: Atrial Fibrillation is a common form of cardiac arrhythmia and is especially prevalent among the elderly. Instead of contracting at regular intervals, the heart auricles tremble uncoordinated and no longer effectively pump blood into the heart chambers. Heart stumbling, heart racing, performance impairment and even serious complications such as strokes can be the result. Fibrillation is one of the most common manifestations of cardiac arrhythmia. According to health experts, nearly 1.8 million people suffer from pressure slips – the equivalent of the population of Hamburg. Most of them are elderly people because with increasing age, the risk of pre-fibrillation increases.
Atrial fibrillation is the most widely recognized genuine irregular heart rhythm. In Europe and North America, starting at 2014, it influences around 2% to 3% of the population. This is an expansion from 0.4 to 1% of the populace around 2005.In the creating scene, around 0.6% of guys and 0.4% of females are influenced. The level of individuals with AF increments with age with 0.14% under 50 years of age, 4% in the vicinity of 60 and 70 years of age, and 14% more than 80 years of age being affected. A-line and atrial shudder brought about 193,300 passing in 2015, up from 29,000 of every 1990.
WHAT CAUSES ATRIAL FIBRILLATION?
- high blood pressure
- coronary heart disease (CHD)
- Heart failure (heart failure)
- Valvular heart disease
- Heart disease (cardiomyopathies)
- Heart attack
In younger patients, there are malfunctions of the mitral valve, one of the four heart valves, the most common cause of a pre-fibrillation. Older sufferers, on the other hand, are more frequently exposed to hypertension and/or coronary heart disease as a primary disease.
WHAT ARE THE SYMPTOMS OF ATRIAL FIBRILLATION?
- difficulty in breathing
- Circulatory collapse
Cardiac dripping and a slight malaise are felt by most affected persons, especially when transitioning from normal heart activity (sinus rhythm) into the atrial fibrillation. Some do not notice their cardiac arrhythmia or feel the symptoms as disturbing if they already know them. All other signs are dependent on whether and to what extent the heart is already impaired. Patients with an existing heart weakness quickly get out of breath in the case of forensic patients and are partially impaired in their performance. This is mainly due to the fact that the pumping power of the atria is not working; in humans with a left heart weakness, this leads to the heart being able to pump up to 40% less.WHAT IS THE TREATMENT FOR ATRIAL FIBRILLATION?
If the foreskin first comes up and/or lasts for a long time – the limit is usually 48 hours – the doctors try to stop this condition and return the heart back to the normal rhythm (sinus rhythm). This is also called cardioversion.
- Electric cardioversion: The heart receives an appropriate surge with a defibrillator, similar to a resuscitation. In this way, all heart muscle cells are “switched” at the same time and interfering excitement patterns are interrupted. The patient is briefly anaesthetized.
- Drug cardioversion: With so-called antiarrhythmic drugs (see below) the heart rhythm can be regulated similarly well. Usually, the patient receives the appropriate drug by syringe or infusion.
For the long-term treatment, Atrial fibrillation medication involves different drugs that can be useful. Anti-coagulants play an important role. They prevent blood clots (thrombi) forming in the shimmering heart atrium. Antiarrhythmics – those drugs that bring the heart back into the sinus rhythm during an acute case can also be used in the long term. The active ingredients include, for example, flecainide, propafenone and amiodarone.