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Information
Atrial Fibrillation
Rate, thrombus risk and personalized monitoring.
01Do all patients with atrial fibrillation need an anticoagulant?+
No.
The need for anticoagulation is determined by the risk of a thromboembolic event and not simply by the fact that atrial fibrillation is present.
The decision is individualized based on age, history and co-morbidities.
02What is CHA₂DS₂-VASc?+
It is a clinical tool used to assess the risk of stroke in patients with atrial fibrillation.
It is not a therapeutic decision in itself and is interpreted in the context of the overall clinical picture.
03Can atrial fibrillation only occur intermittently?+
Yes.
Paroxysmal atrial fibrillation can start and stop spontaneously. It may therefore not appear on a standard ECG if an episode is not happening at that moment.
04How is paroxysmal atrial fibrillation recorded?+
Depending on how often episodes occur, Holter monitoring or a longer period of heart rhythm recording may be needed.
05What are rate control and rhythm control?+
Rate control mainly aims to keep the heart rate at appropriate levels.
Rhythm control aims to restore and maintain sinus rhythm.
The best strategy is not the same for everyone.
06When is ablation discussed?+
Ablation may be a treatment option in selected patients, depending on symptoms, type of atrial fibrillation, response to prior therapy, and overall cardiac profile.
07Can I exercise if I have atrial fibrillation?+
In many patients yes, but the appropriate intensity depends on arrhythmia control, symptoms, and the presence of other heart disease.
08Do weight, alcohol and sleep apnea affect?+
Yes.
Obesity, increased alcohol consumption, hypertension and sleep apnea can affect the onset and recurrence of atrial fibrillation.
Addressing these factors is part of overall treatment.
Didn't find the answer you were looking for?
Every person has a different history. The right answer starts with personal assessment.