background image
February 2016
n
Beachwood Buzz
13
When Your Heart Skips a Beat
When you think of serious heart problems, a heart attack is likely
the first thing that comes to mind. But having an abnormal heart
rhythm like atrial fibrillation (also called A-fib or AF) can sometimes
be just as serious.
A-fib occurs when the heart's electrical system malfunctions and
its upper chambers (the atria) beat fast and irregularly. As a result,
blood doesn't flow normally to the heart's ventricles and the risk of
clotting increases ­ as does the risk for stroke. In fact, if left untreated,
A-fib doubles your risk of death from a heart-related condition and
increases your risk of stroke by four to five times, according to the
American Heart Association.
How Common is Atrial Fibrillation?
· A-fib is the most common heart rhythm disorder.
· More than 2.2 million people in the U.S. have A-fib.
· About 160,000 new cases are diagnosed each year.
· A-fib is uncommon among young people, although it can occur in
people of any age.
· The likelihood of developing A-fib increases as one grows older.
After age 65, between 3-5 percent of people have A-fib.
What Causes Atrial Fibrillation?
· In some patients, there is no apparent cause for A-fib. These
individuals have what is called "lone" or idiopathic A-fib. In others,
the condition may be related to certain medical problems, such as:
­ Coronary artery disease (CAD)
­ High blood pressure (hypertension)
­ Diabetes
­ Structural defects of the heart and its valves
­ Inflammation of the heart (pericarditis)
­ Lung disease including obstructive sleep apnea
­ Thyroid disease
­ Familial A-fib (a rare, genetic disease)
Restoring Your Rhythm
A proper diagnosis and a thorough evaluation are critical to
finding the right course of treatment, but this can be challenging
because the symptoms of A-fib may not be that noticeable.
"While atrial fibrillation often causes heart palpitations, for many
people, their only symptoms are the consequences of being out of
rhythm, which are shortness of breath, fatigue and a general lack of
energy," says Mauricio Arruda, MD, Director of the Electrophysiology
Center and Atrial Fibrillation Center at University Hospitals
Harrington Heart & Vascular Institute.
Treatment typically requires medications such as beta blockers
or calcium channel blockers to decrease your heart rate, or
antiarrhythmic drugs that can alter the electrical properties of your
heart. When medications aren't enough, catheter ablation may help.
During this nonsurgical procedure, a catheter is guided through a
blood vessel to your heart, ablating the area of tissue causing A-fib,
thereby restoring normal rhythm.
To learn more about A-fib, from medication management to
ablation options, check out the online patient education tool
presented by University Hospitals Harrington Heart & Vascular
Institute at UHhospitals.org/AFseminar.
To schedule an appointment, call 216-844-3800 or visit
UHhospitals.org/Heart.
A proper diagnosis and a thorough evaluation are
critical to finding the right course of treatment, but
this can be challenging because the symptoms of A-fib
may not be that noticeable.
Mauricio Arruda, MD