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What is Atrial Fibrillation? Causes, Symptoms, And Treatments What is Atrial Fibrillation? Causes, Symptoms, And Treatments

What is Atrial Fibrillation? Causes, Symptoms, And Treatments

Artemis Hospital

May 14, 2025 |
What is Atrial Fibrillation? Causes, Symptoms, And Treatments 9 Min Read | 406

Our heart is a well-tuned drum. It beats with a regular, steady rhythm to pump blood to all parts of the body. But occasionally, that rhythm gets irregular, too fast, or chaotic. A condition like this is known as Atrial Fibrillation, or AFib for short.

Atrial fibrillation is a heart rhythm disorder in which the heart beats irregularly. It tends to beat too quickly, which can become problematic over time. If you or someone close to you has ever been informed that they have an "irregular heartbeat," it could be AFib.

Knowing what AFib is, why it occurs, and how it can be treated is essential — particularly since it's more prevalent than most people are aware.

What is Atrial Fibrillation?

Let's begin at the beginning. Your heart has four chambers — two on top (which are referred to as atria) and two at the bottom (also known as ventricles). Generally, the electrical system of the heart dispatches impulses which keep the heart pulsating with a normal rhythm — approximately 60 to 100 beats a minute.

In atrial fibrillation, the upper chambers (atria) begin to beat very rapidly and in an erratic manner. Rather than a consistent beat, the heart begins to flutter or quiver. This results in it not pumping blood as effectively as it should.

Some individuals perceive this fluttering or accelerated heartbeat. Others perceive nothing at all. Yet even without symptoms, AFib can cause severe health issues.

Why is Atrial Fibrillation a Concern?

When the heart isn't pumping well, blood may collect in the heart's chambers, particularly the atria. This collected blood can become clotted. When a clot migrates to the brain, it can lead to a stroke.

AFib also causes the heart to work harder, eventually contributing to heart failure — a condition in which the heart is unable to pump sufficient blood to satisfy the body's demands.

That's why treatment and early diagnosis are so critical.

Atrial Fibrillation Symptoms

A few individuals with atrial fibrillation don't feel a thing and aren't aware anything is wrong. Some others might experience one or more of the following symptoms:

  • A rapid or fluttering heartbeat
  • Feeling weak or tired
  • Dizziness or lightheadedness
  • Shortness of breath
  • Discomfort in the chest
  • A feeling of general unease or anxiety

These symptoms may come and go. For a few, they only last for a few minutes. For others, they can persist for hours.
 

Common Symptoms of Atrial Fibrillation

Here's a quick explanation of what you may feel if you have AFib:

  • Irregular heartbeat: Feels as though your heart is skipping beats or pounding.
  • Palpitations: You may feel your heart beating too hard or irregularly.
  • Fatigue: You may tire easily even after doing something minor.
  • Shortness of breath: Especially when walking or climbing stairs.
  • Dizziness: You may feel lightheaded or even faint.

If you feel any of these symptoms regularly, it’s important to speak to a doctor.
 

What Causes Atrial Fibrillation?

AFib doesn’t always have a clear cause, but several factors can raise your risk. Common Causes and Risk Factors:

  • High blood pressure – This puts extra strain on your heart.
  • Heart Disease – Such as heart valve issues or previous heart attacks.
  • Thyroid issues – Particularly an overactive thyroid.
  • Sleep apnea – A condition in which you pause breathing for brief periods while sleeping.
  • Diabetes – High blood sugar levels can harm the heart.
  • Obesity – Being overweight causes your heart to work harder.
  • Smoking and alcohol – Particularly heavy drinking.
  • Age – The risk goes up as you age.
  • Family history – It may run in families.

Occasionally, AFib can happen even in healthy individuals.
 

Types of Atrial Fibrillation

There are various types of atrial fibrillation. These are determined by how frequently you get it and how long it lasts.

  • Paroxysmal AFib: Occurs and disappears by itself — typically resolves within a few hours or days.
  • Persistent AFib: Longer than one week and doesn't resolve on its own.
  • Long-standing Persistent AFib: It lasts for over 12 months.
  • Permanent AFib: The condition is permanent and can't be reversed to a normal rhythm.

Your physician can assist in figuring out which one you have and what treatment is ideal.
 

How is Atrial Fibrillation Diagnosed?

If your physician suspects AFib, they might order a couple of simple tests:
Common Tests:

  • Electrocardiogram (ECG or EKG) – This is a quick test that captures your heart's electrical activity.
  • Holter monitor – A small device worn for 24–48 hours to monitor your heartbeat.
  • Echocardiogram – Sound waves take pictures of your heart.
  • Blood tests – To test for thyroid or other issues.
  • Stress test – To assess how your heart handles exercise.

These tests assist your physician in diagnosing AFib and determining how it's impacting your heart.
 

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