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Heart Care
Atrial Fibrillation
Atrial refers to the heart's two upper chambers, the left and right atria. The two lower chambers are called the ventricles. Fibrillating means quivering, or rapid beating.

Irregular, rapid beating of the atrial chambers characterizes Atrial Fibrillation. This happens when the normal system that conducts electricity in the atria malfunctions. A storm of electrical activity across both atria causes them to fibrillate 300 to 600 times per minute.

The ventricles pick up only a small number of these impulses, but the ventricular rate can approach 180 or higher. Whether Atrial Fibrillation happens at high or low heart rates, its irregular rhythm means the ventricles can't pump blood efficiently to the rest of the body. Instead, blood pools in the heart and the body doesn't get enough air.

This can result in a varying symptom from relatively mild ones, such as fatigue and cough, to serious ones, such as angina and stroke. Atrial Fibrillation causes more than 70,000 strokes each year in the U.S., where 160,000 new cases of Atrial Fibrillation are diagnosed each year. Atrial Fibrillation's likelihood increases with age..

Treatment of Atrial Fibrillation requires medication and, often, surgery. A variety of procedures are available. The most common initial step is Cardioversion - restoration of the heart's normal rhythm - accomplished either with medicine or electrically (direct-current cardioversion).s an ASD.

Atrial Fibrillation can manifest several ways. Older people typically get Chronic Atrial Fibrillation. Excess adrenaline - often during a "fight or flight" situation - causes Adrenergic Atrial Fibrillation. Neurogenic Atrial Fibrillation stems from an imbalance in the nervous system's regulation of the heart. Men between 30 and 50 are subject to Vagal Atrial Fibrillation after a meal or at rest. Young people can be affected by lone or primary Atrial Fibrillation, which presents no identifiable cause; Paroxysmal Atrial Fibrillation, which causes intermittent attacks of variable length; and rare familial Atrial Fibrillation.

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