Treatments to Restore Normal Rhythm

Size: px
Start display at page:

Download "Treatments to Restore Normal Rhythm"

Transcription

1 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 recurrence of AF episodes. Treatment options to restore normal rhythm need to be individualised and may be adjusted over time. They include: Antiarrhythmic Drug Treatments Antiarrhythmic drugs are a group of medications which are designed to suppress the onset of arrhythmia and to help maintain the heart in normal rhythm. They are used to treat AF but are also used for treatment of other heart rhythm conditions. The different medications may vary in their efficiency in controlling AF from person to person and also have different possible side effects and potential safety issues. Flecainide A very effective medication for preventing and treating episodes of AF. It probably has the least side effects but cannot be used in people who have had a heart attack, significant coronary artery blockages or weakness of the heart muscle. Sotalol - A useful medication for preventing AF episodes. It is from a class of medications called beta-blockers (which counteract the effects of adrenaline on the body and heart) but has additional rhythm stabilising properties. It may also have effects on lowering blood pressure. Rarely, it can lead to a dangerous heart rhythm disturbance from interactions with other medications. You should always tell your doctors and your pharmacist if you are taking Sotalol when a new medication is being prescribed. Amiodarone A very effective medication for preventing and treating episodes of AF. It has some potential serious, but rare, side effects especially when used over a prolonged period of years. It is often used after other medications have been tried and have been unsuccessful. It can be used in patients with any type of underlying heart conditions.

2 Cardioversion For people who are in continuous AF and the rhythm has not returned to normal on its own, a cardioversion procedure may be required to restore the normal heart rhythm. Electrical cardioversion (also known as direct-current or DC cardioversion) is a procedure whereby a synchronised electrical current (shock) is delivered through the chest wall to the heart. The shock is delivered through special adhesive electrodes or paddles on the chest and back. The purpose of the cardioversion is to interrupt the abnormal electrical signals in the heart and to restore a normal heartbeat, like rebooting a computer. The delivered shock causes all the heart cells to contract simultaneously, thereby interrupting and terminating the abnormal electrical rhythm without damaging the heart. The heart's electrical trigger then restarts the normal heart rhythm. The procedure is performed under anaesthesia in hospital, often as a day patient. Sometimes a cardioversion procedure is combined with a transoesophageal echocardiogram procedure at the same time. There are special requirements for blood thinner treatment around the time of cardioversions. Permanent Pacemaker Implant A small number of people with AF may also have an abnormality of the heart s natural pacemaker or electrical trigger (called the sinus node ) which controls the normal heart rhythm. The heart may beat too slowly or even pause at times. This condition is called sick sinus syndrome. Drug treatments for AF may worsen the problem. Implant of a permanent pacemaker may be required to correct slow heart beats while drug treatments for AF are continued to correct fast or erratic heart rhythms. Catheter Ablation for AF What is it? Catheter ablation is a procedure which uses special wires that are advanced into the heart to give treatment to abnormal electrical impulses that cause heart rhythm problems (arrhythmias). In people who experience AF, the treatment is directed around the pulmonary veins (blood vessels bringing blood back from the lungs to the heart) where they connect to the left atrium (left top chamber of the heart). Research has shown that most abnormal electrical impulses that trigger episodes of atrial fibrillation come from this region of the heart. Why perform ablation for AF? Some people continue to experience significant symptoms from their AF despite having tried several medications and other treatments such as cardioversions. Catheter ablation is a new treatment which is effective at controlling or even curing atrial fibrillation in such people. How successful is the procedure? The success rates of this type of treatment in people who are having intermittent episodes of AF are greater than 70% in restoring and maintaining normal heart rhythm for at least 1 year. The success rates are lower if the heart has been in AF persistently for some time. Several techniques for catheter ablation for atrial fibrillation have been developed around the world with varying success rates according to technique and the amount of training and experience of the Cardiologist performing the procedure. Small numbers of patients can get their AF back over time, in which case medications can be retried or a repeat procedure can be performed to improve the success.

3 What does the procedure involve? The procedure is performed under a general anaesthetic in a special operating theatre called the Cardiac Catheterisation Laboratory. While the patient is asleep, small incisions are made in both groins and several catheters are passed up through the veins into the heart. Two small punctures are made from inside the heart to advance the catheters across into the left atrium where the treatment will be delivered. Intracardiac echocardiography is used to visualise and aid the punctures. First, information is collected with the catheters from the inside of the heart with the assistance of a 3D mapping system. Then ablation treatment is performed around each of the connections of the pulmonary veins with the left atrium. Information is then recollected to ensure that electrical impulses are no longer able to exit from inside of the pulmonary veins to trigger AF (so called pulmonary vein isolation ). Other areas of the heart will be checked for abnormal electrical impulses which could cause AF, and additional treatment may be performed. At the completion of the procedure pressure is applied to seal over the incisions. The patient is taken to recovery and then back to a ward bed for monitoring overnight. An important safety aspect of the procedure is preventing blood clots from forming on the catheters during the procedure, or inside the heart during the healing period, which could potentially travel off in the bloodstream and cause a stroke. Patients are required to take anticoagulation treatment for three months after the procedure, and sometimes before. Additional blood thinners are used during the ablation procedure.

4 Stroke Prevention Treatments During atrial fibrillation the upper chambers of the heart quiver rapidly instead of their normal pumping action which may allow blood to stagnate and blood clots to form inside the heart. The majority of blood clots form within a blind-ending pocket (called the left atrial appendage) attached to the left upper chamber. If a blood clot dislodges and travels to the brain a stroke may result. Who is at highest risk? Some people may go through their lives with AF and never have a stroke, but yet others will. Several characteristics increase a person s risk of having a stroke these include: 1. History of high blood pressure, even when treated 2. Diabetes 3. Increasing age (in particular >75 years old) 4. Having heart failure or weakened heart pump function 5. History of a prior stroke or TIA (transient ischaemic attack) These characteristics are termed risk factors and make up the CHADS 2 score that is used to guide treatment decisions for stroke prevention. In general, the more risk factors the higher the risk of stroke. The risk of having a stroke each year varies from around 1% for people with no risk factors through to approximately 23% for a person with all of these characteristics. CHADS2 Score The CHADS2 score is a stroke risk stratification tool in patients with atrial fibrillation (who do not have Rheumatic heart valve disease) and is used to determine the level of anticoagulation therapy required. The higher the CHADS2 score, the greater the risk of stroke. The CHADS2 scoring table is shown below. Adding together the points that correspond to the patient s conditions will result in a score that is used to estimate stroke risk: Condition Points C Congestive Heart Failure 1 H Hypertension (or treated hypertenstion) 1 A Age > 75 years 1 D Diabetes 1 S2 Prior Stroke or TIA 2 A CHADS2 score of 2 corresponds to an annualised stroke risk of 4%.

5 The following treatment strategies are recommended taking into account potential contraindications to the recommended drugs: CHADS2 Score Risk Anticoagulati on Therapy 0 Low Aspirin 1 Moderate Aspirin or *OAC 2 Moderate or High *OAC * OAC = Oral Anticoagulant medication, most commonly Warfarin, but also includes newer medications such as Dabigatran (Pradaxa), Rivaroxaban (Xarelto) and Apixaban (Eliquis). Myth: It is not true that the more atrial fibrillation you have, the higher the risk of stroke. A person who has only a few episodes per year can still have a stroke, whereas another person in full-time AF may not. The risk of blood clots and stroke is not necessarily reduced by being in normal rhythm rather than AF. There are currently 2 options to prevent stroke for people with AF blood thinner medications or a procedure to seal off the left atrial appendage. Recommended treatments vary according to a person s risk of stroke. Do the treatments completely prevent stroke? Less than one quarter of all strokes are caused by AF. In fact, the majority of strokes result from hardening of the arteries (atherosclerosis) leading to the brain and the effects of high blood pressure. Different treatments are often required to lower the risk of stroke from these conditions. Although no treatment is 100% effective, patients with AF can significantly reduce their chances of having a stroke with appropriate therapy. Blood thinners or Anticoagulation Treatments Blood thinner medications act to generally reduce the body s ability to make blood clots and must be taken long term. People with no risk factors are generally recommended to take Aspirin (or an alternative such as Clopidogrel). People with more than one risk factor need greater protection and a range of stronger medications for preventing blood clot formation (called oral anticoagulation treatments) may be recommended. Until recently warfarin was the only available anticoagulation tablet treatment. Warfarin requires careful monitoring with regular blood tests to keep the levels within a satisfactory range. Some of the other anticoagulation treatments now available in Australia are Pradaxa (dabigatran), Xarelto (rivaroxaban) and Eliquis (apixaban) which have also been shown to effectively prevent strokes when taken long-term. Rarely patients may suffer from major internal bleeding while taking anticoagulation, although the chances of this are very low (1% per year) if the levels are well controlled. The decision to take long term anticoagulation should be discussed carefully with your doctor.

6 Left Atrial Appendage Occlusion Device Implant Left atrial appendage occluder devices are an emerging alternative treatment to taking long term anticoagulation to prevent stroke (although not if you have rheumatic heart valve problems). This involves a keyhole catheterisation procedure to deliver a small plug inside the heart to seal off the blind-ending pocket (left atrial appendage) where blood clots are known to form. Once the plug has healed in properly (around 2 months) then anticoagulation can be stopped. In the future, these devices may be a suitable option for people who are completely contraindicated for anticoagulation treatments. There is, of course, a small upfront risk of having a complication with the procedure of around 1-2% which includes having major bleeding or a stroke. For more information: Patient Information Sheets Watchman Left Atrial Appendage Occlusion Patients with AF who are undergoing open heart surgery for any reason may have the left atrial appendage closed off or removed completely by the heart surgeon at the time to reduce the future risk of stroke.

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

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

Atrial Fibrillation (AF) March, 2013

Atrial Fibrillation (AF) March, 2013 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

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

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

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

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 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

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

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

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

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

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

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

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

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

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

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

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. 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

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

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

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

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

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

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

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

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

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

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

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

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 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

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

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

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

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

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

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

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

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

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

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 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

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

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

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

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

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

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

A PATIENT S GUIDE TO STROKE AND ATRIAL FIBRILLATION (AF)

A PATIENT S GUIDE TO STROKE AND ATRIAL FIBRILLATION (AF) A PATIENT S GUIDE TO STROKE AND ATRIAL FIBRILLATION (AF) This medicine is subject to additional monitoring. This will allow quick identification of new safety information. If you get any side effects,

More information

ACCIDENT AND EMERGENCY DEPARTMENT/CARDIOLOGY

ACCIDENT AND EMERGENCY DEPARTMENT/CARDIOLOGY Care Pathway Triage category ATRIAL FIBRILLATION PATHWAY ACCIDENT AND EMERGENCY DEPARTMENT/CARDIOLOGY AF/ FLUTTER IS PRIMARY REASON FOR PRESENTATION YES NO ONSET SYMPTOMS OF AF./../ TIME DURATION OF AF

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

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

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

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

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

Atrial Fibrillation and Cardiac Device Therapy RAKESH LATCHAMSETTY, MD DIVISION OF ELECTROPHYSIOLOGY UNIVERSITY OF MICHIGAN HOSPITAL ANN ARBOR, MI

Atrial Fibrillation and Cardiac Device Therapy RAKESH LATCHAMSETTY, MD DIVISION OF ELECTROPHYSIOLOGY UNIVERSITY OF MICHIGAN HOSPITAL ANN ARBOR, MI Atrial Fibrillation and Cardiac Device Therapy RAKESH LATCHAMSETTY, MD DIVISION OF ELECTROPHYSIOLOGY UNIVERSITY OF MICHIGAN HOSPITAL ANN ARBOR, MI Outline Atrial Fibrillation What is it? What are the associated

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

Anticoagulants for stroke prevention in atrial fibrillation Patient frequently asked questions

Anticoagulants for stroke prevention in atrial fibrillation Patient frequently asked questions Anticoagulants for stroke prevention in atrial fibrillation Patient frequently asked questions What is atrial fibrillation?...2 What are dabigatran, rivaroxaban and apixaban and what are they used for?...2

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

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

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

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

What You Need to KnowWhen Taking Anticoagulation Medicine

What You Need to KnowWhen Taking Anticoagulation Medicine What You Need to KnowWhen Taking Anticoagulation Medicine What are anticoagulant medicines? Anticoagulant medicines are a group of medicines that inhibit blood clotting, helping to prevent blood clots.

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

Anticoagulation Therapy Update

Anticoagulation Therapy Update Anticoagulation Therapy Update JUDY R. WALLING, FNP-BC ARRHYTHMIA MANAGEMENT MUSC CARDIOLOGY Outline Who do we anticoagulate? Review classes of Anticoagulants Review examples of Anticoagulants Review CHADS2

More information

NICE TA 275: Apixaban for the prevention of stroke and systemic embolism in people with non-valvular atrial fibrillation

NICE TA 275: Apixaban for the prevention of stroke and systemic embolism in people with non-valvular atrial fibrillation Service Notification in response to DHSSPS endorsed NICE Technology Appraisals NICE TA 275: Apixaban for the prevention of stroke and systemic embolism in people with non-valvular atrial fibrillation 1

More information

Atrial Fibrillation and Atrial Flutter

Atrial Fibrillation and Atrial Flutter Page 1 of 40 Atrial Fibrillation and Atrial Flutter Page 2 of 40 Introduction Page 3 of 40 Atrial fibrillation is an irregular heart rhythm that starts in the heart s upper chambers (atria). When it occurs,

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

Atrial fibrillation. Quick reference guide. Issue date: June 2006. The management of atrial fibrillation

Atrial fibrillation. Quick reference guide. Issue date: June 2006. The management of atrial fibrillation Quick reference guide Issue date: June 2006 Atrial fibrillation The management of atrial fibrillation Developed by the National Collaborating Centre for Chronic Conditions Contents Contents Patient-centred

More information

Anticoagulation in Atrial Fibrillation Patient information

Anticoagulation in Atrial Fibrillation Patient information Anticoagulation in Atrial Fibrillation Patient information RSBAY013 Anticoag A5 V2.indd 1 21/02/2014 17:13 Introduction This leaflet will help you understand your new medicine. Your new medicine is commonly

More information

V1: Draft Nov 2014. Making decisions... about anticoagulation for stroke prevention in atrial fibrillation. www.weahsn.net

V1: Draft Nov 2014. Making decisions... about anticoagulation for stroke prevention in atrial fibrillation. www.weahsn.net V1: Draft Nov 2014 Making decisions... about anticoagulation for stroke prevention in atrial fibrillation www.weahsn.net is this pack for? pack and booklet is for people with AF. It is designed to help

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

Dorset Cardiac Centre

Dorset Cardiac Centre P a g e 1 Dorset Cardiac Centre Patients with Atrial Fibrillation/Flutter undergoing DC Cardioversion or Ablation procedures- Guidelines for Novel Oral Anti-coagulants (NOACS) licensed for this use February

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

ORAL ANTICOAGULANTS - RIVAROXABAN (XARELTO) FOR ATRIAL FIBRILLATION

ORAL ANTICOAGULANTS - RIVAROXABAN (XARELTO) FOR ATRIAL FIBRILLATION ORAL ANTICOAGULANTS - RIVAROXABAN (XARELTO) FOR ATRIAL FIBRILLATION Information Leaflet Your Health. Our Priority. Page 2 of 6 What Are Anticoagulants And What Do They Do? This information leaflet has

More information

Managing the Patient with Atrial Fibrillation

Managing the Patient with Atrial Fibrillation Pocket Guide Managing the Patient with Atrial Fibrillation Updated April 2012 Editor Stephen R. Shorofsky, MD, Ph.D. Assistant Editors Anastasios Saliaris, MD Shawn Robinson, MD www.hrsonline.org DEFINITION

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

Anticoagulants in Atrial Fibrillation

Anticoagulants in Atrial Fibrillation Anticoagulants in Atrial Fibrillation Starting and Stopping Them Safely Carmine D Amico, D.O. Overview Learning objectives Introduction Basic concepts Treatment strategy & options Summary 1 Learning objectives

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

Atrial fibrillation: medicines to help reduce your risk of a stroke what are the options?

Atrial fibrillation: medicines to help reduce your risk of a stroke what are the options? Patient decision aid Atrial fibrillation: medicines to help reduce your risk of a stroke what are the options? http://guidance.nice.org.uk/cg180/patientdecisionaid/pdf/english Published: June 2014 About

More information

Antiplatelet and Antithrombotic Therapy. Dr Curry Grant Stroke Prevention Clinic Quinte Health Care

Antiplatelet and Antithrombotic Therapy. Dr Curry Grant Stroke Prevention Clinic Quinte Health Care Antiplatelet and Antithrombotic Therapy Dr Curry Grant Stroke Prevention Clinic Quinte Health Care Disclosure of Potential for Conflict of Interest Dr. F.C. Grant Atrial Fibrillation FINANCIAL DISCLOSURE:

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

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

A Patient s Guide to Primary and Secondary Prevention of Cardiovascular Disease Using Blood-Thinning (Anticoagulant) Drugs

A Patient s Guide to Primary and Secondary Prevention of Cardiovascular Disease Using Blood-Thinning (Anticoagulant) Drugs A Patient s Guide to Primary and Secondary Prevention of PATIENT EDUCATION GUIDE What Is Cardiovascular Disease? Cardiovascular disease (CVD) is a broad term that covers any disease of the heart and circulatory

More information

Warfarin therapy for stroke patients with atrial fibrillation

Warfarin therapy for stroke patients with atrial fibrillation Warfarin therapy for stroke patients with atrial fibrillation Delivering the best in care UHB is a no smoking Trust To see all of our current patient information leaflets please visit www.uhb.nhs.uk/patient-information-leaflets.htm

More information

National Medicines Information Centre

National Medicines Information Centre National Medicines Information Centre ST. JAMES S HOSPITAL DUBLIN 8 TEL 01-4730589 or 1850-727-727 FAX 01-4730596 www.nmic.ie THE CONTEMPORARY MANAGEMENT OF ATRIAL FIBRILLATION VOLUME 12 NUMBER 3 2006

More information

Palpitations & AF. Richard Grocott Mason Consultant Cardiologist THH NHS Foundation Trust & Royal Brompton & Harefield NHS Foundation Trust

Palpitations & AF. Richard Grocott Mason Consultant Cardiologist THH NHS Foundation Trust & Royal Brompton & Harefield NHS Foundation Trust Palpitations & AF Richard Grocott Mason Consultant Cardiologist THH NHS Foundation Trust & Royal Brompton & Harefield NHS Foundation Trust Palpitations Frequent symptom Less than 50% associated with arrhythmia

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

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

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

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

Stroke risk factors and prevention

Stroke risk factors and prevention Stroke risk factors and prevention Summary A stroke interrupts blood flow to an area of the brain. Most stroke risk factors are lifestyle related, so everyone has the power to reduce their risk of having

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

New in Atrial Fibrillation

New in Atrial Fibrillation New in Atrial Fibrillation September 2011 Stroke prevention more options Rhythm Control -drugs - alternatives to drugs; ablation Rate Control - pace + ablate A-FIB Dell Stroke Risk AFib Two Principles

More information

9/5/14. Objectives. Atrial Fibrillation (AF)

9/5/14. Objectives. Atrial Fibrillation (AF) Novel Anticoagulation for Prevention of Stroke in Patients with Atrial Fibrillation Objectives 1. Review current evidence on use of warfarin in individuals with atrial fibrillation 2. Compare the three

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

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