samedi 25 octobre 2014

Atrial Fibrilation - A Brief Overview

By Neil P. Hines


Heart problems are all too prevalent in the United States and in fact constitute one of the most pressing public health concerns in the world at large. One of the most common of these is Atrial fibrilation, which affects an estimated nine million people in the US and Europe. It is characterized by an irregular heart rhythm and is sometimes accompanied by an elevated beat rate.

This irregularity is the main symptom of the condition and can lead to a number of problems including tiredness, shortness of breath and dizziness. These symptoms can be exacerbated by an abnormally fast heartbeat (palpitations), which can reach upwards of one-hundred and forty beats per minute. Some people however have no symptoms and remain unaware that they have the condition.

The muscular walls of a normally operating heart contract and relax in an even, rhythmic process (known as systole and diastole). Blood is forced from the heart and out into the body, then drawn in again to repeat the process. In AF, the atria of the heart (its upper chambers) contract too suddenly and rapidly, interfering with the heart's operation and its capacity to provide the body with blood efficiently.

Although the exact cause of the problem is not properly understood, it stems from a disruption in the heart's electrical signals. When these signals fire in a sudden, random manner, they interfere with the heart's inbuilt pacemaker. This causes the organ to beat too quickly, too slowly, irregularly or a combination of these.

In some patients, AF is very short-term and can come and go within a day or two. Other cases can last a week or more, while others can extend to over a year. Still other cases are more or less permanent and call for more significant intervention.

All varieties of the condition are more common in men than women, and are more common the older people get (although it can occur at any age). It is also more common in people with other conditions such as high blood pressure, arterial disease or a separate heart condition. Certain lifestyle factors are also thought to be triggers for the condition, heavy drinking and smoking being chief among them.

Although AF is not normally life-threatening it does increase the risk of stroke. This risk varies from patient to patient and can be calculated by a doctor. Interventions for the condition range from drugs (such as beta-blockers to slow down the heart rate) to pace-maker fitment. Modern interventions mean that many patients can expect a significant improvement in their symptoms, and in their quality of life.




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