Atrial Fibrillation (AF) March, 2013

Size: px
Start display at page:

Download "Atrial Fibrillation (AF) March, 2013"

Transcription

1 Atrial Fibrillation (AF) March, 2013 This handout is meant to help with discussions about the condition, and it is not a complete discussion of AF. We hope it will complement your appointment with one of our physicians. Questions during your office visit or afterwards are encouraged. Please feel free to call back or send to

2 Atrial Fibrillation (AF) Overview This is a cardiac rhythm abnormality which results from abnormal impulse formation in the 2 upper cardiac chambers, the atria. The primary problem is that rapid and ineffective beating of the heart causes poor pump function of these chambers. An uncontrolled heart rate will also compromise function of the lower cardiac chambers, the ventricles. Having less blood pumped to the body causes symptoms and AF can also lead to blood clot formation in the atria. Treatment is directed towards slowing the heart rate and, in many cases, restoring a normal rhythm. Medical treatment can also reduce the risk of stroke. In some cases, drug treatment slows the heart down too much (usually when the heart has returned to a normal rhythm). In those cases (this is called tachycardia-bradycardia syndrome ), pacemaker insertion will allow continued use of drugs, potentially allowing the arrhythmia to be controlled. Drugs do not always work and catheter ablation is an option for some individuals. At present, catheter ablation is not considered a first line treatment. Evaluation Testing looking for coexistent heart and lung disease is done. Thyroid testing is very appropriate. Knowing the duration of the AF is also very helpful. A cardiac ultrasound study (echocardiogram) will help to diagnose coexistent heart and lung disease. It will also help to determine risk of stroke and whether carrying out steps to restore a normal rhythm is reasonable. Ambulatory recording of the heart rhythm will help to determine how well-controlled the heart rate is over the course of the day. Treatment The risk of stroke is assessed. Older individuals are at higher risk of stroke. Having other medical conditions like high blood pressure, congestive heart or diabetes, and various structural cardiac abnormalities all predict stroke, as does having previously had a stroke. Drug treatment will be used if there is a significant risk of stroke. While aspirin can be used, individuals who are at high risk should be treated with other, more potent drugs. Drugs to control heart rate are usually needed, and often need to be adjusted over time. For many people, restoring a normal rhythm can greatly reduce symptoms. It is appropriate to use anti-arrhythmic drugs (AAD) and other therapies to restore a normal rhythm when someone is symptomatic and usually when the AF is of recent onset. After being started on a medicine to prevent stroke, then an AAD will be given. If this fails to convert, then shocking the heart (cardioversion) to restore a normal rhythm is usually carried out. Cardioversion is done at a hospital with an anesthesia specialist present to give medication. Most often it is done on an outpatient basis. While cardioversion is highly effective, it does not ensure that one will stay in a normal rhythm afterwards.

3 Common Questions What happens if atrial fibrillation is untreated? Over time the heart can enlarge and the risk of stroke then increases. Some individuals will go from having AF intermittently to having it continually. What treatment is available? Drugs can be used to control the rate, to reduce the likelihood of stroke and to convert the heart rhythm to normal. A pacemaker will prevent slow heart beating while an individual is taking antiarrhythmic drugs. Infrequently, the rate support will reduce the amount of AF but pacemakers are not an effective therapy alone. Catheter ablation or surgery entails using a physical modality to treat AF. Is atrial fibrillation life threatening? AF can cause stroke and congestive heart failure, and there is a small increased risk of dying as well in addition to this. How well do drugs work? Drugs work extremely well to prevent stroke. If an individual does not have severe symptoms, then simply preventing stroke may, in fact, be enough. It is more difficult to maintain a normal rhythm. Trials of drugs to maintain a normal rhythm have shown at least one third of patience have return of AF within a year. Factors that make it more likely that AF will not be suppressed include how long someone has been in AF before treatment, having other heart disease, having an enlarged left atrium, having an untreated sleep disorder and having an overactive thyroid. What causes atrial fibrillation? Although there is a long list of causes, most cases of AF are result from high blood pressure, chronic lung disease, or obesity and associated sleep disorders. Why might I need to stay on blood thinning medicine after things are done to restore a normal rhythm? The main reason is that treatment is not uniformly successful and individuals sometimes don t know when they go back into AF. So the first presenting symptom then could be a stroke. Conversely over time, if someone is maintaining a normal rhythm, stopping blood thinners or using aspirin is a consideration. Is cardioversion safe? This procedure was first done in the early 1960 s. It is clear that delivery of an accurately timed shock is safe. The procedure carries a small risk of stroke, but pretreatment with blood thinners is very effective in preventing stroke as a result of cardioversion. What is ablation? It is well known that AF is usually caused by abnormal electrical activity in the veins returning blood to the heart from the lungs. So procedures can be done to electrically disconnect these veins from the heart. Previously this was done by burning around the veins using a small catheter which delivers electricity to the back of the left atrium. More recently a balloon catheter has become available which freezes those areas. Ablation is not done as a first line treatment because it carries some risk. Also, individuals who have other kinds of heart disease may need drug treatment otherwise and often drugs can be used which treat both conditions.

4 How will I know I m in AF? Everyone feels this arrhythmia differently and some have no symptoms. Common symptoms include breathlessness, palpitation, chest pain and fatigue. Following medical treatment, the arrhythmia will usually be slower and less symptomatic so it may be harder to detect. Should I exercise? Many patients have other forms of cardiovascular disease that will clearly be helped by exercise. It s not clear that regular exercise will help to prevent AF, but an individual with AF can exercise safely. What if I have thyroid disease? This arrhythmia occurs with an overactive thyroid. Hyperthyroidism is not common, but it s important to diagnose it if an individual has AF. Correcting the hyperthyroidism will probably cure the arrhythmia, while treating an individual with undiagnosed hyperthyroidism may be ineffectual. What if I have no symptoms? First of all, absence of symptoms doesn't mean there should be no treatment as there can still be a high risk of stroke. Beyond that, having a high heart rate for a long time can cause the heart to weekend. So treatment to prevent stroke and control heart rate is still needed. What if I have sleep apnea? Again, while not one of the most common causes of AF, sleep apnea is an important thing to diagnose. Effective treatment of sleep apnea will greatly improve outcomes and not treating it effectively will make it much harder to control AF. Why can't I just take aspirin? ASA has been shown to be less effective than warfarin and, in some groups, it is not at all effective. If there is a high risk of stroke, you need a more effective blood thinner. What about new medicines like Pradaxa, Eliquis and Xarelto that can replace warfarin? These medicines have been shown to be better than warfarin in terms of preventing stroke. There's also no need for a blood test, diet is not an issue and there are fewer significant drug interactions. Disadvantages are cost and not having an easy way to reverse the drug effect. If you are already on warfarin and doing well, it is certainly reasonable to continue it. Can stress cause AF? The simple answer to this is no. Individuals clearly have a propensity to have AF episodes and evaluation usually finds a physical cause for the arrhythmia. In so much as not getting enough sleep (or having disturbed sleep) contributes to AF then of course stress can result in poor sleep which in turn is detrimental in individuals with AF. Does anti-arrhythmic drug therapy alone eliminate the risk of stroke? Again the best answer is no. Ablation also does not eliminate the risk of stroke, and other factors must be considered. But if you are unable to take blood thinners, then treatment with anti-arrhythmic drugs, which will at least reduce the risk of stroke, is an option.

5 Definitions Arrhythmia- an abnormal heart rhythm. This can mean, practically speaking, a fast or slow sequence of heart beats, an irregular sequence of heart beats, or a combination. Anti-arrhythmic drugs- a group of medicines which are used to slow the heart down, eliminate abnormal beating, or both. Atrial fibrillation- a common and specific arrhythmia which involves fast and irregular beating of the upper cardiac chambers. Cardioversion- using electrical energy to correct an abnormal heart rhythm. Usually the energy (a precisely timed shock) is applied to the outside of the chest. Cryoablation- treating arrhythmias by freezing the heart. This can be done with a catheter or with a baloon that is inflated in the heart. Normal rhythm (also sinus rhythm)- the usual electrical sequence in a normal, healthy heart. This is based on normal movement, with a defined sequence, of electrical impulses through the heart. Radiofrequency Catheter ablation- delivering energy to the inside of the heart using a catheter. Electricity passes through heart tissue and resistive heating damages the cells in the path of the catheter.

What to Know About. Atrial Fibrillation

What to Know About. Atrial Fibrillation Atrial Fibrillation What to Know About Atrial Fibrillation Understanding Afib Atrial fibrillation, or Afib, is a condition in which the heart beats irregularly speeding up or slowing down, or beating too

More information

Radiofrequency Ablation for Atrial Fibrillation. A Guide for Adults

Radiofrequency Ablation for Atrial Fibrillation. A Guide for Adults Radiofrequency Ablation for Atrial Fibrillation A Guide for Adults Fast Facts n There are different ways to treat atrial fibrillation (A-fib). One kind of treatment involves putting the heart back into

More information

Treatments to Restore Normal Rhythm

Treatments to Restore Normal Rhythm Treatments to Restore Normal Rhythm In many instances when AF causes significant symptoms or is negatively impacting a patient's health, the major goal of treatment is to restore normal rhythm and prevent

More information

What Are Arrhythmias?

What Are Arrhythmias? What Are Arrhythmias? Many people have questions about what the word arrhythmia means, and arrhythmias can be a difficult subject to understand. The text below should give you a better understanding of

More information

What Can I Do about Atrial Fibrillation (AF)?

What Can I Do about Atrial Fibrillation (AF)? Additional Device Information 9529 Reveal XT Insertable Cardiac Monitor The Reveal XT Insertable Cardiac Monitor is an implantable patientactivated and automatically activated monitoring system that records

More information

Cardioversion for. Atrial Fibrillation. Your Heart s Electrical System Cardioversion Living with Atrial Fibrillation

Cardioversion for. Atrial Fibrillation. Your Heart s Electrical System Cardioversion Living with Atrial Fibrillation Cardioversion for Atrial Fibrillation Your Heart s Electrical System Cardioversion Living with Atrial Fibrillation When You Have Atrial Fibrillation You ve been told you have a heart condition called atrial

More information

Atrial Fibrillation Centre

Atrial Fibrillation Centre About this guide We have prepared this guide to help you to: learn about atrial fibrillation manage atrial fibrillation and reduce the risk of stroke find out about medicines and other treatment options

More information

GUIDE TO ATRIAL FIBRILLATION

GUIDE TO ATRIAL FIBRILLATION PATIENT INFORMATION GUIDE TO ATRIAL FIBRILLATION Atrial Fibrillation (AF) Atrial Flutter (AFL) Rate and Rhythm Control Stroke Prevention This document is endorsed by: A Comprehensive Resource from the

More information

PATIENT INFORMATION GUIDE TO ATRIAL FIBRILLATION

PATIENT INFORMATION GUIDE TO ATRIAL FIBRILLATION PATIENT INFORMATION GUIDE TO ATRIAL FIBRILLATION A Comprehensive Resource from the Heart Rhythm Society AF 360 provides a single, trusted resource for the most comprehensive and relevant information and

More information

INFORMATION FOR PATIENTS AND FAMILIES A Patient s Guide to Living with Atrial Fibrillation

INFORMATION FOR PATIENTS AND FAMILIES A Patient s Guide to Living with Atrial Fibrillation INFORMATION FOR PATIENTS AND FAMILIES A Patient s Guide to Living with Atrial Fibrillation 30 Bond Street, Toronto, ON M5B 1W8 Canada 416.864.6060 stmichaelshospital.com Form No. XXXXX Dev. XX/XXXX GOALS

More information

A Patient s Guide to Antithrombotic Therapy in Atrial Fibrillation

A Patient s Guide to Antithrombotic Therapy in Atrial Fibrillation Patient s Guide to Antithrombotic Therapy in Atrial Fibrillation A Patient s Guide to Antithrombotic Therapy in Atrial Fibrillation PATIENT EDUCATION GUIDE What is atrial fibrillation? Atrial fibrillation

More information

Atrial Fibrillation (AF) Explained

Atrial Fibrillation (AF) Explained James Paget University Hospitals NHS Foundation Trust Atrial Fibrillation (AF) Explained Patient Information Contents What are the symptoms of atrial fibrillation (AF)? 3 Normal heartbeat 4 How common

More information

Catheter Ablation. A Guided Approach for Treating Atrial Arrhythmias

Catheter Ablation. A Guided Approach for Treating Atrial Arrhythmias Catheter Ablation A Guided Approach for Treating Atrial Arrhythmias A P A T I E N T H A N D B O O K This brochure will provide an overview of atrial arrhythmias (heart rhythm problems affecting the upper

More information

A Patient Guide to Atrial Fibrillation and Catheter Ablation

A Patient Guide to Atrial Fibrillation and Catheter Ablation A Patient Guide to Atrial Fibrillation and Catheter Ablation Al-Sabah Arrhythmia Institute 1111 Amsterdam Avenue New York, NY 10025 Phone: 212-523-2400 Fax: 212-523-2571 www.stlukescardiology.org Printed

More information

Arrhythmia Facts. Each day the average heart beats (expands and contracts) 100,000 times and pumps about 2,000 gallons of blood.

Arrhythmia Facts. Each day the average heart beats (expands and contracts) 100,000 times and pumps about 2,000 gallons of blood. Arrhythmia Facts During a 24-hour period, about 20% of healthy adults are likely to have frequent or multiple types of premature ventricular heartbeats. Heart arrhythmias are very common and nearly everyone

More information

Atrial Fibrillation. Information for you, and your family, whänau and friends. Published by the New Zealand Guidelines Group

Atrial Fibrillation. Information for you, and your family, whänau and friends. Published by the New Zealand Guidelines Group Atrial Fibrillation Information for you, and your family, whänau and friends Published by the New Zealand Guidelines Group CONTENTS Introduction 1 The heart 2 What is atrial fibrillation? 3 How common

More information

Atrial Fibrillation and Ablation Therapy: A Patient s Guide

Atrial Fibrillation and Ablation Therapy: A Patient s Guide Atrial Fibrillation and Ablation Therapy: A Patient s Guide ATRIAL FIBRILLATION CENTER AT UNIVERSITY OF ROCHESTER MEDICAL CENTER www.heart.urmc.edu 585-275-4775 INTRODUCTION Our goal at the Atrial Fibrillation

More information

Tachyarrhythmias (fast heart rhythms)

Tachyarrhythmias (fast heart rhythms) Patient information factsheet Tachyarrhythmias (fast heart rhythms) The normal electrical system of the heart The heart has its own electrical conduction system. The conduction system sends signals throughout

More information

ATRIAL FIBRILLATION ABLATION

ATRIAL FIBRILLATION ABLATION ATRIAL FIBRILLATION ABLATION WHAT IS ATRIAL FIBRILLATION? Atrial fibrillation (AF) is a rapid and irregular rhythm disturbance of the upper chambers of the (atria) heart overriding the normal heart pacemaker.

More information

CATHETER ABLATION for ATRIAL FIBRILLATION

CATHETER ABLATION for ATRIAL FIBRILLATION CATHETER ABLATION for ATRIAL FIBRILLATION Atrial Fibrillation Clinic Dr. Richard Leather, Dr. Larry Sterns, Dr Paul Novak, Dr. Chris Lane Royal Jubilee Hospital Block 3 rd floor, Rm 343 1952 Bay Street

More information

Atrial Fibrillation: The heart of the matter

Atrial Fibrillation: The heart of the matter Atrial Fibrillation: The heart of the matter This booklet has been written especially for people with atrial fibrillation (AF), a heart condition often described as an irregular heartbeat (also known

More information

Treatment Options for Atrial Fibrillation Patient Information

Treatment Options for Atrial Fibrillation Patient Information Patient Information Treatment Options for Atrial Fibrillation Page 1 of 8 Treatment Options for Atrial Fibrillation Patient Information Emory University Hospital Midtown Cardiac Electrophysiology Service

More information

Living with. Atrial Fibrillation

Living with. Atrial Fibrillation Living with Atrial Fibrillation U nderstanding Atrial Fibrillation An estimated 2.7 million Americans are living with atrial fibrillation (AF). That makes it the most common heart rhythm abnormality in

More information

Supraventricular Tachycardia (SVT) and Ablation

Supraventricular Tachycardia (SVT) and Ablation UW MEDICINE PATIENT EDUCATION Supraventricular Tachycardia (SVT) and Ablation Treating your abnormal heart rhythm This handout describes a type of abnormal heart rhythm called supraventricular tachycardia.

More information

Atrial Fibrillation An update on diagnosis and management

Atrial Fibrillation An update on diagnosis and management Dr Arvind Vasudeva Consultant Cardiologist Atrial Fibrillation An update on diagnosis and management Atrial fibrillation (AF) remains the commonest disturbance of cardiac rhythm seen in clinical practice.

More information

Advances in the Treatment of Atrial Fibrillation At VCU Medical Center

Advances in the Treatment of Atrial Fibrillation At VCU Medical Center Contact Us For additional information or to schedule an appointment with one of our specialists, please call: Ken Ellenbogen, M.D. Cardiology/Electrophysiology 804-828-7565 or 804-628-0147 You can also

More information

Atrial fibrillation (AF) patient information

Atrial fibrillation (AF) patient information AF A Atrial fibrillation (AF) patient information Providing information, support and access to established, new or innovative treatments for Atrial Fibrillation www.atrialfibrillation-au.org Glossary Antiarrhythmic

More information

GUIDE TO ATRIAL FIBRILLATION

GUIDE TO ATRIAL FIBRILLATION PATIENT INFORMATION GUIDE TO ATRIAL FIBRILLATION Atrial Fibrillation (AF) Rate and Rhythm Control Stroke Prevention A Comprehensive Resource from the Heart Rhythm Society SM This information is not intended

More information

5 MILLION AMERICANS 1. Atrial Fibrillation (AFib) AFib affects an estimated

5 MILLION AMERICANS 1. Atrial Fibrillation (AFib) AFib affects an estimated A Patient s Guide To with Atrial Fibrillation (AFib) CAUSES RISK FACTORS SYMPTOMS DIAGNOSIS TREATMENTS INSIDE The Healthy Heart... 2 Your Heart In AFib... 4 How Do You Get It?... 6 How Do You Know If You

More information

Patient Information Sheet Electrophysiological study

Patient Information Sheet Electrophysiological study Patient Information Sheet Electrophysiological study Your doctor has recommended performing an electrophysiological study (also called EPS). EPS is a diagnostic procedure designed to test and evaluate

More information

Do you have atrial fibrillation? Learn about a new treatment study.

Do you have atrial fibrillation? Learn about a new treatment study. Do you have atrial fibrillation? Learn about a new treatment study. About the amaze Trial If you have persistent Afib (atrial fibrillation), you may benefit from participating in a medical research study

More information

Visited 9/14/2011. What is Atrial Fibrillation? What you need to know about Atrial Fibrillation. The Normal Heart Rhythm. 1 of 7 9/14/2011 10:50 AM

Visited 9/14/2011. What is Atrial Fibrillation? What you need to know about Atrial Fibrillation. The Normal Heart Rhythm. 1 of 7 9/14/2011 10:50 AM 1 of 7 9/14/2011 10:50 AM Current URL: What you need to know about Atrial Fibrillation What is atrial fibrillation? What causes atrial fibrillation? How is atrial fibrillation diagnosed? What are the dangers

More information

AFib (short for atrial fibrillation) is the most common type of irregular heartbeat, affecting literally millions of men and women

AFib (short for atrial fibrillation) is the most common type of irregular heartbeat, affecting literally millions of men and women What is atrial fibrillation? AFib (short for atrial fibrillation) is the most common type of irregular heartbeat, affecting literally millions of men and women What is atrial fibrillation? AFib occurs

More information

Atrial Fibrillation and Catheter Ablation

Atrial Fibrillation and Catheter Ablation 2009 Atrial Fibrillation and Catheter Ablation Atrial Fibrillation and Catheter Ablation What is Atrial Fibrillation? With atrial fibrillation the heart does not beat in the way it should. The main pumping

More information

The science of medicine. The compassion to heal.

The science of medicine. The compassion to heal. A PATIENT S GUIDE TO ELECTROPHYSIOLOGY STUDIES OF THE HEART The science of medicine. The compassion to heal. This teaching booklet is designed to introduce you to electrophysiology studies of the heart.

More information

Healthy Blood Pressure Healthy Heart Beat. Initiated by the World Hypertension League

Healthy Blood Pressure Healthy Heart Beat. Initiated by the World Hypertension League Healthy Blood Pressure Healthy Heart Beat Initiated by the World Hypertension League MAY 17, 2013 What is Hypertension? Hypertension is most commonly known as High Blood Pressure. It is a chronic medical

More information

ATRIAL FIBRILLATION. What is Atrial Fibrillation?

ATRIAL FIBRILLATION. What is Atrial Fibrillation? What is Atrial Fibrillation? Atrial fibrillation (also called AFib or AF) is a quivering or irregular heartbeat (arrhythmia) that can lead to blood clots, stroke, heart failure and other heart-related

More information

COVERAGE GUIDANCE: ABLATION FOR ATRIAL FIBRILLATION

COVERAGE GUIDANCE: ABLATION FOR ATRIAL FIBRILLATION COVERAGE GUIDANCE: ABLATION FOR ATRIAL FIBRILLATION Question: How should the EGBS Coverage Guidance regarding ablation for atrial fibrillation be applied to the Prioritized List? Question source: Evidence

More information

Atrial fibrillation. Understanding abnormal heart rhythm

Atrial fibrillation. Understanding abnormal heart rhythm Atrial fibrillation Understanding abnormal heart rhythm What is atrial fibrillation (AF)? AF is a common and important disturbance of the electrical system of the heart. It is one of a number of disorders

More information

www.irishheart.ie ATRIAL FIBRILLATION AND YOU An information booklet for people living with Atrial Fibrillation (a type of irregular heart beat).

www.irishheart.ie ATRIAL FIBRILLATION AND YOU An information booklet for people living with Atrial Fibrillation (a type of irregular heart beat). www.irishheart.ie ATRIAL FIBRILLATION AND YOU An information booklet for people living with Atrial Fibrillation (a type of irregular heart beat). Contents Introduction 5 Produced by the Irish Heart Foundation

More information

Atrial Fibrillation Ablation. This handout will help you learn about atrial fibrillation ablation, also called pulmonary vein isolation.

Atrial Fibrillation Ablation. This handout will help you learn about atrial fibrillation ablation, also called pulmonary vein isolation. This handout will help you learn about atrial fibrillation ablation, also called pulmonary vein isolation. 2 Atrial Fibrillation Ablation How does the heart work? To understand atrial fibrillation, you

More information

Treating AF: The Newest Recommendations. CardioCase presentation. Ethel s Case. Wayne Warnica, MD, FACC, FACP, FRCPC

Treating AF: The Newest Recommendations. CardioCase presentation. Ethel s Case. Wayne Warnica, MD, FACC, FACP, FRCPC Treating AF: The Newest Recommendations Wayne Warnica, MD, FACC, FACP, FRCPC CardioCase presentation Ethel s Case Ethel, 73, presents with rapid heart beating and mild chest discomfort. In the ED, ECG

More information

Listen to Your Heart. What Everyone Needs To Know About Atrial Fibrillation & Stroke. The S-ICD System. The protection you need

Listen to Your Heart. What Everyone Needs To Know About Atrial Fibrillation & Stroke. The S-ICD System. The protection you need Listen to Your Heart The S-ICD System What Everyone Needs To Know About Atrial Fibrillation & Stroke The protection you need without Stroke. touching Are you your at heart risk? Increase your knowledge.

More information

Management of Symptomatic Atrial Fibrillation

Management of Symptomatic Atrial Fibrillation Management of Symptomatic Atrial Fibrillation John F. MacGregor, MD, FHRS Associate Medical Director, Cardiac Electrophysiology PeaceHealth St. Joseph Medical Center, Bellingham, WA September 18, 2015

More information

Catheter Ablation for Cardiac Arrhythmia

Catheter Ablation for Cardiac Arrhythmia Catheter Ablation for Cardiac Arrhythmia Promoting better understanding, diagnosis, treatment and quality of life for those affected by heart rhythm disorders (cardiac arrhythmias) www.knowyourpulse.co.za

More information

Atrioventricular (AV) node ablation

Atrioventricular (AV) node ablation Patient information factsheet Atrioventricular (AV) node ablation The normal electrical system of the heart The heart has its own electrical conduction system. The conduction system sends signals throughout

More information

About the British Heart Foundation

About the British Heart Foundation Atrial fibrillation About the British Heart Foundation The British Heart Foundation (BHF) is the nation s heart charity, saving lives through pioneering research, patient care and vital information. What

More information

Your Atrial Fibrillation Catheter Ablation

Your Atrial Fibrillation Catheter Ablation UW MEDICINE PATIENT EDUCATION Your Atrial Fibrillation Catheter Ablation How to prepare and what to expect This handout explains how to prepare for your catheter ablation to treat atrial fibrillation.

More information

ATRIAL FIBRILLATION. What you need to know

ATRIAL FIBRILLATION. What you need to know ATRIAL FIBRILLATION What you need to know Table of contents Atrial fibrillation overview... 1 What is a-fib?.... 2 Risk factors for a-fib... 3 Symptoms of a-fib.... 4 Complications from a-fib... 4 How

More information

Atrial Fibrillation: Drugs, Ablation, or Benign Neglect. Robert Kennedy, MD October 10, 2015

Atrial Fibrillation: Drugs, Ablation, or Benign Neglect. Robert Kennedy, MD October 10, 2015 Atrial Fibrillation: Drugs, Ablation, or Benign Neglect Robert Kennedy, MD October 10, 2015 Definitions 2014 AHA/ACC/HRS Guideline for the Management of Patients With Atrial Fibrillation: Executive Summary.

More information

PATIENT INFORMATION BOOKLET FOR ATRIAL FIBRILLATION

PATIENT INFORMATION BOOKLET FOR ATRIAL FIBRILLATION PATIENT INFORMATION BOOKLET FOR ATRIAL FIBRILLATION Prepared by Karen Jones MBA and Nancy Marco NP for the Complex Arrhythmia Clinic Toronto General Hospital Peter Munk Cardiac Centre University Health

More information

Atrial Fibrillation Know your risk of stroke Know your treatment options

Atrial Fibrillation Know your risk of stroke Know your treatment options Atrial Fibrillation Know your risk of stroke Know your treatment options Lorrie Langdon MS, RN, CHFN, Heart Failure Program Emily O Hern, RN, Electrophysiology Lab Deanna Walborn, RN, Electrophysiology

More information

Atrial Fibrillation and Anticoagulants

Atrial Fibrillation and Anticoagulants York Teaching Hospital NHS Foundation Trust Atrial Fibrillation and Anticoagulants A guide to your diagnosis and treatment Information for patients, relatives and carers For more information, please contact:

More information

written by Harvard Medical School Atrial Fibrillation Coping With a Chaotic Heartbeat www.patientedu.org

written by Harvard Medical School Atrial Fibrillation Coping With a Chaotic Heartbeat www.patientedu.org written by Harvard Medical School Atrial Fibrillation Coping With a Chaotic Heartbeat www.patientedu.org What Is Atrial Fibrillation? Atrial fibrillation is a fast and irregular heartbeat. It occurs in

More information

A CAREGIVER s Guide to. Complicated Atrial Fibrillation

A CAREGIVER s Guide to. Complicated Atrial Fibrillation A CAREGIVER s Guide to Complicated Atrial Fibrillation Introduction Atrial fibrillation (also known as AFib or AF) is a common heart condition, particularly among older people. It s estimated that AF affects

More information

GENERAL HEART DISEASE KNOW THE FACTS

GENERAL HEART DISEASE KNOW THE FACTS GENERAL HEART DISEASE KNOW THE FACTS WHAT IS Heart disease is a broad term meaning any disease affecting the heart. It is commonly used to refer to coronary heart disease (CHD), a more specific term to

More information

Introduction to Atrial Fibrillation (AFib)

Introduction to Atrial Fibrillation (AFib) Introduction to Atrial Fibrillation (AFib) Learn About: 1. What is atrial fibrillation? 2. How will I feel? 3. Who gets AFib? 4. Risk of stroke 5. AFib treatment 6. How to live well with AFib 1. What is

More information

J ohn Muir. Cardiac Rhythm Center

J ohn Muir. Cardiac Rhythm Center J ohn Muir Cardiac Rhythm Center The John Muir Cardiac Rhythm Center, located at the John Muir Medical Center Walnut Creek has been carefully developed to diagnose and treat heart rhythm disorders or arrhythmias.

More information

The heart then repolarises (or refills) in time for the next stimulus and contraction.

The heart then repolarises (or refills) in time for the next stimulus and contraction. Atrial Fibrillation BRIEFLY, HOW DOES THE HEART PUMP? The heart has four chambers. The upper chambers are called atria. One chamber is called an atrium, and the lower chambers are called ventricles. In

More information

Heart Attack: What You Need to Know

Heart Attack: What You Need to Know A WorkLife4You Guide Heart Attack: What You Need to Know What is a Heart Attack? The heart works 24 hours a day, pumping oxygen and nutrient-rich blood to the body. Blood is supplied to the heart through

More information

Electrophysiology study (EPS)

Electrophysiology study (EPS) Patient information factsheet Electrophysiology study (EPS) The normal electrical system of the heart The heart has its own electrical conduction system. The conduction system sends signals throughout

More information

ATRIAL FIBRILLATION IN THE 21 ST CENTURY TIMOTHY DOWLING, D.O. FAMILY PHYSICIAN

ATRIAL FIBRILLATION IN THE 21 ST CENTURY TIMOTHY DOWLING, D.O. FAMILY PHYSICIAN ATRIAL FIBRILLATION IN THE 21 ST CENTURY TIMOTHY DOWLING, D.O. FAMILY PHYSICIAN GOALS AND OBJECTIVES At The end of this talk you should understand: What is Atrial Fibrillation Causes of Atrial Fibrillation

More information

NATIONAL INSTITUTE FOR HEALTH AND CARE EXCELLENCE. Multiple Technology Appraisal

NATIONAL INSTITUTE FOR HEALTH AND CARE EXCELLENCE. Multiple Technology Appraisal NATIONAL INSTITUTE FOR HEALTH AND CARE EXCELLENCE Multiple Technology Appraisal Dual-chamber pacemakers for treating symptomatic bradycardia due to sick sinus syndrome or atrioventricular block, part review

More information

Atrial fibrillation. Treatment Guide

Atrial fibrillation. Treatment Guide Treatment Guide Atrial fibrillation Atrial fibrillation (AF or AFib) is the most common irregular or abnormal heart rhythm disorder, affecting more than 3 million Americans today. Thankfully, more options

More information

Current Management of Atrial Fibrillation DISCLOSURES. Heart Beat Anatomy. I have no financial conflicts to disclose

Current Management of Atrial Fibrillation DISCLOSURES. Heart Beat Anatomy. I have no financial conflicts to disclose Current Management of Atrial Fibrillation Mary Macklin, MSN, APRN Concord Hospital Cardiac Associates DISCLOSURES I have no financial conflicts to disclose Book Women: Fit at Fifty. A Guide to Living Long.

More information

Living with. A Guide for Patients and Families 40 RUSKIN STREET, OTTAWA ON K1Y 4W7 T 613.761.5000 WWW.OTTAWAHEART.CA UOHI 77

Living with. A Guide for Patients and Families 40 RUSKIN STREET, OTTAWA ON K1Y 4W7 T 613.761.5000 WWW.OTTAWAHEART.CA UOHI 77 Living with Atrial Fibrillation A Guide for Patients and Families UOHI 77 40 RUSKIN STREET, OTTAWA ON K1Y 4W7 T 613.761.5000 WWW.OTTAWAHEART.CA PLEASE BRING THIS BOOK WITH YOU TO THE HEART INSTITUTE Patient

More information

A normal adult heart beats in a regular pattern 60 to 100 times a minute; this is called sinus rhythm. Left atrium. Left ventricle.

A normal adult heart beats in a regular pattern 60 to 100 times a minute; this is called sinus rhythm. Left atrium. Left ventricle. Patient information factsheet Ablation procedure The normal electrical system of the heart The heart has its own electrical conduction system. The conduction system sends signals throughout the upper chambers

More information

HEART SERIES H9 UNDERSTANDING ATRIAL FIBRILLATION

HEART SERIES H9 UNDERSTANDING ATRIAL FIBRILLATION HEART SERIES H9 UNDERSTANDING ATRIAL FIBRILLATION Chest Heart & Stroke Scotland improves the quality of life for people in Scotland affected by chest, heart and stroke illness, through medical research,

More information

Electrophysiology Heart Study - EPS -

Electrophysiology Heart Study - EPS - Electrophysiology Heart Study - EPS - What is an EPS? EPS is short for ElectroPhysiology heart Study. This procedure looks at the electrical system of your heart. An EPS will show if you have a heart rhythm

More information

Atrial Fibrillation The Basics

Atrial Fibrillation The Basics Atrial Fibrillation The Basics Family Practice Symposium Tim McAveney, M.D. 10/23/09 Objectives Review the fundamentals of managing afib Discuss the risks for stroke and the indications for anticoagulation

More information

Atrial Fibrillation. The Beat Goes On. Living with AFib. Know Your Heart. Live Your Life. Know Your Choices.

Atrial Fibrillation. The Beat Goes On. Living with AFib. Know Your Heart. Live Your Life. Know Your Choices. Atrial Fibrillation The Beat Goes On Living with AFib Know Your Heart. Live Your Life. Know Your Choices. What is AFib? This booklet is for you if you have AFib, or if you are at risk for AFib. This booklet

More information

Recurrent AF: Choosing the Right Medication.

Recurrent AF: Choosing the Right Medication. In the name of God Shiraz E-Medical Journal Vol. 11, No. 3, July 2010 http://semj.sums.ac.ir/vol11/jul2010/89015.htm Recurrent AF: Choosing the Right Medication. Basamad Z. * Assistant Professor, Department

More information

AORTIC STENOSIS HENRY FORD HOSPITAL CENTER FOR STRUCTURAL HEART DISEASE

AORTIC STENOSIS HENRY FORD HOSPITAL CENTER FOR STRUCTURAL HEART DISEASE AORTIC STENOSIS HENRY FORD HOSPITAL CENTER FOR STRUCTURAL HEART DISEASE WHAT IS AORTIC STENOSIS? THE AORTIC VALVE The aorta is the major vessel that carries oxygenated blood out of the left side of the

More information

Summa cardiovascular institute. A Patient s Guide to AFib Treatment

Summa cardiovascular institute. A Patient s Guide to AFib Treatment Summa cardiovascular institute A Patient s Guide to AFib Treatment Healthy Heart Atrial Fibrillation Risk Factors Normal impulse Sinoatrial (SA) node Left Atrium According to the Heart Rhythm Society,

More information

CATHETER ABLATION FOR ATRIAL FIBRILLATION

CATHETER ABLATION FOR ATRIAL FIBRILLATION Australia www.atrialfibrillation-au.org Providing information, support and access to established, new or innovative treatments for Atrial Fibrillation CATHETER ABLATION FOR ATRIAL FIBRILLATION Copyright

More information

F A S T. Atrial fibrillation (AF) and stroke

F A S T. Atrial fibrillation (AF) and stroke Stroke Helpline: 0303 3033 100 Website: stroke.org.uk Atrial fibrillation (AF) and stroke Atrial fibrillation is a type of irregular heartbeat. It means that your heart may not be pumping as well as it

More information

Ngaire has Palpitations

Ngaire has Palpitations Ngaire has Palpitations David Heaven Cardiac Electrophysiologist/Heart Rhythm Specialist Middlemore, Auckland City and Mercy Hospitals Auckland Heart Group MCQ Ms A is 45, and a healthy marathon runner.

More information

Blood thinning (anticoagulation) in atrial fibrillation (AF)

Blood thinning (anticoagulation) in atrial fibrillation (AF) AF A Blood thinning (anticoagulation) in atrial fibrillation (AF) Providing information, support and access to established, new or innovative treatments for atrial fibrillation www.afa.org.uk Registered

More information

Atrial Fibrillation: Do We Have A Cure? Raymond Kawasaki, MD AMG Electrophysiology February 21, 2015

Atrial Fibrillation: Do We Have A Cure? Raymond Kawasaki, MD AMG Electrophysiology February 21, 2015 Atrial Fibrillation: Do We Have A Cure? Raymond Kawasaki, MD AMG Electrophysiology February 21, 2015 Disclaimer I have no relationships to disclose Do we have a cure for Atrial Fibrillation? The short

More information

Supraventricular Tachycardia

Supraventricular Tachycardia Supraventricular Tachycardia Supraventricular tachycardia (SVT) is a rapid heart rate that originates in the top chambers of the heart called the atria. This is a relatively common entity that effects

More information

Christopher M. Wright, MD, MBA Pioneer Cardiovascular Consultants Tempe, Arizona

Christopher M. Wright, MD, MBA Pioneer Cardiovascular Consultants Tempe, Arizona Christopher M. Wright, MD, MBA Pioneer Cardiovascular Consultants Tempe, Arizona Areas to be covered Historical, current, and future treatments for various cardiovascular disease: Atherosclerosis (Coronary

More information

PACEMAKER PATIENT INFORMATION

PACEMAKER PATIENT INFORMATION PACEMAKER PATIENT INFORMATION Information Leaflet Your Health. Our Priority. Page 2 of 11 Contents What is a pacemaker? Why do I need a pacemaker? The heart and normal electrical conduction Complete or

More information

ATRIAL FIBRILLATION (AF) PATIENT INFORMATION

ATRIAL FIBRILLATION (AF) PATIENT INFORMATION ATRIAL FIBRILLATION (AF) PATIENT INFORMATION The Heart Rhythm Charity Promoting better understanding, diagnosis, treatment and quality of life for individuals with cardiac arrhythmias www.heartrhythmcharity.org.uk

More information

The Treatment of Atrial Fibrillation University of Michigan Electrophysiology Service

The Treatment of Atrial Fibrillation University of Michigan Electrophysiology Service The Treatment of Atrial Fibrillation University of Michigan Fred Morady, MD; Hakan Oral, MD; Aman Chugh, MD; Frank Pelosi, MD; Frank Bogun, MD; Eric Good, DO; Krit Jongnarangsin, MD; Thomas Crawford, MD;

More information

Atrial Fibrillation Peter Santucci, MD Revised May, 2008

Atrial Fibrillation Peter Santucci, MD Revised May, 2008 Atrial Fibrillation Peter Santucci, MD Revised May, 2008 Atrial fibrillation (AF) is an irregular, disorganized rhythm characterized by a lack of organized mechanical atrial activity. The atrial rate is

More information

WATCHMAN Left Atrial Appendage Closure Device

WATCHMAN Left Atrial Appendage Closure Device WATCHMAN Left Atrial Appendage Closure Device Patient Information Guide WATCHMAN Left Atrial Appendage Closure Device PATIENT INFORMATION GUIDE Your doctor has recommended that you consider undergoing

More information

Radio Frequency (RF) Ablation for Atrial Fibrillation

Radio Frequency (RF) Ablation for Atrial Fibrillation Northwestern Memorial Hospital Patient Education TESTS AND PROCEDURES If you have any questions or concerns, please ask your doctor or nurse. Radio Frequency (RF) Ablation for Atrial Fibrillation An RF

More information

Atrial Fibrillation. By Danielle Flint

Atrial Fibrillation. By Danielle Flint Atrial Fibrillation By Danielle Flint Outline Definition Epidemiology Clinical Aspects Treatment Effects of Exercise Exercise Testing Exercise Prescription Summary References Definition: What is Atrial

More information

Atrial Fibrillation Cardiac rate control or rhythm control could be the key to AF therapy

Atrial Fibrillation Cardiac rate control or rhythm control could be the key to AF therapy Cardiac rate control or rhythm control could be the key to AF therapy Recent studies have proven that an option of pharmacologic and non-pharmacologic therapy is available to patients who suffer from AF.

More information

COACH Columbus Ohio Adult Congenital Heart Disease Program The Heart Center at Nationwide Children s Hospital & The Ohio State University

COACH Columbus Ohio Adult Congenital Heart Disease Program The Heart Center at Nationwide Children s Hospital & The Ohio State University COACH Columbus Ohio Adult Congenital Heart Disease Program The Heart Center at Nationwide Children s Hospital & The Ohio State University Single Ventricle Defects Normal Heart Structure The heart normally

More information

The Patient s Guide to the Electrophysiologic Study (EPS) and Catheter Ablation

The Patient s Guide to the Electrophysiologic Study (EPS) and Catheter Ablation The Patient s Guide to the Electrophysiologic Study (EPS) and Catheter Ablation 2 P a g e Table of Contents Introduction How the Heart Works 3 How the Heart s Electrical System Works 3 Commonly Used Heart

More information

Supra Ventricular Tachycardia Ablation Patient Information

Supra Ventricular Tachycardia Ablation Patient Information Melbourne Heart Rhythm Supra Ventricular Tachycardia Ablation Patient Information The Heart The heart is a pump responsible for maintaining blood supply to the body. It has four chambers. The two upper

More information

DERBYSHIRE JOINT AREA PRESCRIBING COMMITTEE (JAPC) MANAGEMENT of Atrial Fibrillation (AF)

DERBYSHIRE JOINT AREA PRESCRIBING COMMITTEE (JAPC) MANAGEMENT of Atrial Fibrillation (AF) DERBYSHIRE JOINT AREA PRESCRIBING COMMITTEE (JAPC) MANAGEMENT of Atrial Fibrillation (AF) Key priorities Identification and diagnosis Treatment for persistent AF Treatment for permanent AF Antithrombotic

More information

Atrial Fibrillation. Patient Information. 828361 Dec 19-12

Atrial Fibrillation. Patient Information. 828361 Dec 19-12 Atrial Fibrillation Patient Information 828361 Dec 19-12 Contents Introduction 1 Treatment & decrease stroke options 2 Information for people who are taking warfarin (Coumadin ) 5 Information for people

More information

Ablation The removal, isolation or destruction of cardiac tissue or conduction pathways involved in arrhythmias.

Ablation The removal, isolation or destruction of cardiac tissue or conduction pathways involved in arrhythmias. Glossary of Cardiology Terms Ablation The removal, isolation or destruction of cardiac tissue or conduction pathways involved in arrhythmias. Algorithm A set of precise rules or procedures programmed into

More information

INSERTABLE CARDIAC MONITORING SYSTEM. UNLOCK the ANSWER. Your heart and long-term monitoring

INSERTABLE CARDIAC MONITORING SYSTEM. UNLOCK the ANSWER. Your heart and long-term monitoring INSERTABLE CARDIAC MONITORING SYSTEM UNLOCK the ANSWER Your heart and long-term monitoring UNLOCK the ANSWER Irregular heartbeats can be related to a variety of conditions, including unexplained fainting,

More information

Your information prescription

Your information prescription Prepared on 12 May 2015 Serial number: MRP158FU View this prescription online http://www.nhs.uk/ipg/pages/ippreviewcover.aspx?ref=mrp158fu More health information at http://www.nhs.uk Your information

More information

Patient frequently asked questions

Patient frequently asked questions Patient frequently asked questions What is atrial fibrillation?...2 What are dabigatran and rivaroxaban and what are they used for?...2 Which is better, dabigatran or rivaroxaban?...2 For patients with

More information

About the British Heart Foundation

About the British Heart Foundation Heart rhythms About the British Heart Foundation The British Heart Foundation (BHF) is the nation s heart charity, saving lives through pioneering research, patient care and vital information. What you

More information

Let s talk about: Stroke

Let s talk about: Stroke Let s talk about: Stroke February 20 th 2013 Laura Wilson Christine Stables Questions 1. Why is knowing about stroke important? 2. What exactly is a stroke and what are the symptoms? 3. What should I do

More information