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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 | 163

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.
 

Treatment Options for Atrial Fibrillation

Treatment for AFib depends on how severe your symptoms are and how long you’ve had the condition. Aim of treatment :

  • Control the heart rate – To prevent it from beating too fast.
  • Restore normal rhythm – If possible, return the heart to a regular beat.
  • Prevent blood clots – To reduce the risk of stroke.

Let’s explore the treatment options in simple terms.

Medications

  • Doctors often use medicines as the first step in treatment.
  • Rate control drugs: Slow the heart rate. (e.g., beta-blockers)
  • Rhythm control drugs: Attempt to restore a normal heartbeat.
  • Blood thinners (anticoagulants): Prevent clots and strokes. (e.g., warfarin, apixaban)

Take these as directed and maintain regular check-ups.
 

Electrical Cardioversion

This is a fast, safe procedure. Physicians administer a tiny shock to the heart to restart it to a normal rhythm. It's performed in a hospital with appropriate monitoring.

Catheter Ablation

In this treatment, physicians thread a thin wire through an artery into your heart. They use either heat or cold to kill off the small areas that are responsible for sending the abnormal signals.

It is usually used when medications don't work or produce side effects.

Pacemaker

If your heart goes too slowly following treatment or you have another cardiac condition, you might need a pacemaker. It's a tiny machine that is inserted just under the skin to regulate your heartbeat.

Changes in Lifestyle that Relieve AFib

In addition to these medical treatments, healthy habits may help your heart become healthier and alleviate symptoms.

  • Make a heart-friendly diet: Use fruits, veggies, and a little less salt.
  • Restrict alcohol and caffeine: They may cause AFib in some individuals.
  • Stop smoking: It hurts blood vessels and the heart.
  • Reduce stress: Try deep breathing, meditation, or yoga.
  • Exercise daily: Gentle walking or light workouts are helpful.
  • Sleep well: Treat sleep apnea if you have it.

Small changes can add up.

Can Atrial Fibrillation Be Cured?

In most instances, atrial fibrillation can be managed, and the symptoms can be minimized. Certain individuals can revert to a normal rhythm with therapy. Others might still live with AFib but feel better and lower their chances of complications. The secret lies in early detection, consistent therapy, and healthy living.

Living with Atrial Fibrillation

Living with AFib may feel scary at first. But with the right treatment, most people continue to lead active, normal lives. If you’re diagnosed with atrial fibrillation:

  • Take your medications regularly.
  • Go for regular check-ups.
  • Inform your doctor if symptoms change.
  • Follow a heart-healthy lifestyle.

When to See a Doctor?

Many people find that once their condition is under control, they feel much better and have more energy.

If you ever notice your heart pounding irregularly, too rapidly, or if you get dizzy or faint, don't dismiss it. Get to a doctor immediately. If you already have AFib and become worse, or if new symptoms emerge, seek assistance.

Keep in mind — the sooner it's treated, the more favorable your outcome.

Conclusion

Atrial fibrillation is a severe but prevalent heart condition. Though it sounds alarming, contemporary medicine has numerous good methods of curing it. With the knowledge of atrial fibrillation symptoms, causes, and appropriate treatment, you can get your heart life under control.

If you or a member of your family has been diagnosed, don't panic. Most individuals with AFib live normal, healthy lives with the right care, support, and changes in lifestyle.

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