Overview of Atrial Fibrillation

What is it?

Atrial Fibrillation, also known as AF, is an issue where the heart beats irregularly.

This is also known as an arrhythmia, which is where your heart has an abnormal rhythm.

AF happens when the atria (the upper two chambers of your heart) begin to fibrillate, also known as quivering. This fibrillation in your heart will stop it from beating in a normal rhythm.

As mentioned earlier, because the heart is beating irregularly, the flow of your blood will also be irregular. This is a risk factor for blood clots to form, increasing your risk of conditions such as stroke.

Different Types of Atrial Fibrillation

  • A one-off event of AF, such as an irregular beat or episode, typically induced after consuming excess alcohol
  • Paroxysmal Atrial Fibrillation (PAF): a type of AF where the heart is likely to have regular episodes of irregular rhythm,typically for short durations.
  • Chronic Atrial Fibrillation: this is where the heart permanently has an irregular heart beat.
Atrial Fibrillation Statistics

Causes

There are many known causes for AF, typically around a disease or event which has an impact on the heart.

Some of the known causes of AF are listed below, however, it is important to know sometimes no cause can be found for AF:

  • Heart Failure, a condition where the heart’s pumping function is impaired
  • Valvular diseases in the heart, where the flow of blood in the heart can be interrupted
  • Hypertension, also known as high blood pressure
  • Surgery on your chest, such as bypass surgery
  • Sleep apnoea
  • Certain medications
  • Obesity
  • Illnesses such as pneumonia
  • Over-exercising
  • Increased consumption of social drugs such as alcohol
  • Hyperthyroidism (your thyroid gland is overactive)
Atrial Fibrillation

Statistics

  • Between the years of 2014-15, there were 58,608 admissions to hospital in Australia for Atrial Fibrillation, with similar rates for both Aboriginal and Torres-Strait Islanders as well as other Australians.
  • Often people with AF will also have conditions such as Heart Failure, as both conditions share not only similar risk factors but can also cause each other and make each condition worse.
  • it is estimated that between 10-30% of the population with AF are not diagnosed
  • Around 3.73 women are lost per day to AF in Australia, in comparison to 2.14 per day for men.
  • Women made up around 63% of the total Australians who died in 2017 of a cardiac arrhythmia such as AF.
  • Women tend to have a lower quality of life when diagnosed with AF in comparison to men, however more research needs to be done to determine if this is due to the condition or simply for being female

Symptoms

Signs and Symptoms

Sometimes, arrhythmias such as AF may present with no symptoms at all.

There are two different types of symptoms for AF; typical and atypical.

Women are more likely to present with atypical symptoms, as well as presenting after a longer duration of symptoms.

Typical symptoms:

  • Chest pain
  • Shortness of breath
  • Palpitations
  • Dizziness

Atypical symptoms:

  • Weakness
  • Fatigue
Symptoms of Atrial Fibrillation

Treatment for Atrial Fibrillation

Medication Treatment for Atrial Fibrillation

There are different medications which may be required for treating AF and NPS Medicinewise could be a good place to find out more information about them.

Medications for stroke risk:

It is really important for you to take medication to reduce your risk of a stroke if your doctor suggests you take them. Anticoagulant tablets reduce your risk of blood clots which can lead to strokes when you have AF. Your doctor can talk to you about these as well as your stroke risk.

Medications for normalising your heart rhythm:

your doctor may suggest taking a medication to maintain a normal heart rhythm.  Your doctor will discuss more about these and you may be required to have regular tests on your liver and thyroid due to the toxicity risk of these medications.

Medications for slowing your heart rate:

you may be recommended to take medications which slow your heart rate. These medications include  beta-blockers  as well as calcium channel blockers.

Procedures for Atrial Fibrillation

If your AF does not respond to medications, your doctor may suggest different procedures for managing your AF.

Cardioversion:

Cardioversion is a painless procedure which attempts to get your heart back to a normal rhythm. In a cardioversion, you are given a general anesthetic (put to sleep) and gentle electric currents are sent to the heart to put it back to normal rhythm.

Catheter Ablation:

in a catheter ablation, your doctor will send energy to parts of your heart to remove the section that can cause fast heart beat. Before removing the tissue, your doctor will map out which sections of the heart are causing the abnormal rhythm.

Pacemaker:

pacemakers are small devices that control your heart rate with electrical signals. The device sits on your left or right shoulder under your skin, with leads sitting in your heart providing the electric signals. Most people recover from the procedure within a few weeks of treatment.

Prevention and Support

Follow the links below to find out more about how you can stop and support loved ones with AF

Prevention

Prevention

AF can be something that is not preventable, however there are steps you can take to keep your heart healthy to prevent AF from occurring due to Heart Disease.
Recovery & Support

Recovery & Support

Reaching out to a support group could be a beneficial way to meet other people who have a heart condition, as well as provide support for carers of individuals affected.
Carers

Carers

Caring for someone with AF can be very stressful. If you ever feel like you are struggling to cope with being a carer for a loved one, ensure you discuss how you feel with someone.

FAQs

What you need to know

AF tends to have a more serious affect for women, taking more lives of women in Australia than men. Furthermore, women with AF tend to have a worse quality of life than men who also suffer from AF.

It is likely with AF that you can continue to lead a normal life. Long-term implications of AF will depend on your type of AF and how you respond to treatment. Some women can manage their AF just with medications, some women may require procedures to treat and manage their AF. Your doctor can discuss your options with you about how to treat and manage your AF.

There are support groups available for people living with AF.

The Australian arm of the AF Association has contact details for a support group:

https://heartrhythmalliance.org/aa/uk/patients/support-groups

The international hub for the heart Rhythm Alliance:

http://www.heartrhythmalliance.org/aa/

AF FAQs