Cardiology

Study eyes 'silent' stroke threat after surgery

Seniors who suffered a 'silent stroke' after surgery faced double the risk of dementia or further strokes than those patients who did not have a stroke, according to a recent Western-led international study. These findings ...

Cardiology

HIV significantly increases risk for irregular heartbeat

HIV infection significantly increases the risk of atrial fibrillation (AF)—one of the most important causes of irregular heartbeats and a leading cause of stroke—at the same rate or higher than known risk factors such ...

Cardiology

Do NFL players' hearts take a hit from football?

Tim Tyrrell talks about football like a man who loved every minute of his six years in the NFL. He relishes stories of the devastating hits he leveled. He's proud of the way he could get knocked out, shake it off and get ...

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Atrial fibrillation (AF or A-fib) is the most common cardiac arrhythmia (irregular heart beat). It may cause no symptoms, but it is often associated with palpitations, fainting, chest pain, or congestive heart failure. AF increases the risk of stroke; the degree of stroke risk can be up to seven times that of the average population, depending on the presence of additional risk factors (such as high blood pressure). It may be identified clinically when taking a pulse, and the presence of AF can be confirmed with an electrocardiogram (ECG or EKG) which demonstrates the absence of P waves together with an irregular ventricular rate.

In AF, the normal regular electrical impulses generated by the sinoatrial node are overwhelmed by disorganized electrical impulses usually originating in the roots of the pulmonary veins, leading to irregular conduction of impulses to the ventricles which generate the heartbeat. AF may occur in episodes lasting from minutes to days ("paroxysmal"), or be permanent in nature. A number of medical conditions increases the risk of AF, particularly mitral stenosis (narrowing of the mitral valve of the heart).

Atrial fibrillation may be treated with medications to either slow the heart rate to a normal range ("rate control") or revert the heart rhythm back to normal ("rhythm control"). Synchronized electrical cardioversion can be used to convert AF to a normal heart rhythm. Surgical and catheter-based therapies may be used to prevent recurrence of AF in certain individuals. People with AF often take anticoagulants such as warfarin to protect them from stroke, depending on the calculated risk. The prevalence of AF in a population increases with age, with 8% of people over 80 having AF. Chronic AF leads to a small increase in the risk of death. A third of all strokes are caused by AF.

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