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What Is Atrial Fibrillation?

Atrial fibrillation (Afib) is an abnormal heart rhythm caused by erratic electrical signals in the heart. A normal heart rhythm creates regular electrical signals that are essential for the heart to beat in a steady, rhythmic way to pump blood to all parts of the body. Sometimes these electrical signals become irregular and the heart beats abnormally. 

37 Million People Have Atrial Fibrillation Worldwide5

Illustrations of people

 

Why Atrial Fibrillation Treatment Is So Important

Atrial fibrillation is a progressive disease.1 Unfortunately, atrial fibrillation is often undiagnosed or undertreated. If not properly treated, atrial fibrillation can become worse. There are several stages of atrial fibrillation, depending on how long it lasts.

Types of Afib

Paroxysmal means occasional. This stage of atrial fibrillation starts and stops on its own. It can last from 1 to 7 days. This is the first stage of atrial fibrillation. Persistent atrial fibrillation lasts beyond 7 days and as long as one year. If not treated, atrial fibrillation may advance to the long-standing persistent stage. Long-standing persistent atrial fibrillation symptoms continue beyond one year without stopping.
EARLY STAGE ADVANCED STAGES
Graphic of a heart Graphic of a heart Graphic of a heart
Symptoms for Early Stage Atrial Fibrillation: palpitations, fluttering feeling in the chest, or a rapid, irregular heartbeat. If not effectively treated, atrial fibrillation may progress to more advanced stages. Symptoms for Advanced Stages of Atrial Fibrillation: Chest pain (angina), chest pressure, lightheadedness, or low blood pressure.2,3 Some people with atrial fibrillation may not be aware of their symptoms and are only diagnosed when they see their physician.

Types of Afib

Paroxysmal means occasional. This stage of atrial fibrillation starts and stops on its own. It can last from 1 to 7 days. This is the first stage of atrial fibrillation.
EARLY STAGE
Paroxysmal
Symptoms for Early Stage Atrial Fibrillation: palpitations, fluttering feeling in the chest, or a rapid, irregular heartbeat. If not effectively treated, atrial fibrillation may progress to more advanced stages.

Types of Afib

Persistent atrial fibrillation lasts beyond 7 days and as long as one year. If not treated, atrial fibrillation may advance to the long-standing persistent stage. Long-standing persistent atrial fibrillation symptoms continue beyond one year without stopping.
ADVANCED STAGES
Persistent Afib - heart Longstanding Persistent Afib - heart
Symptoms for Advanced Stages of Atrial Fibrillation: Chest pain (angina), chest pressure, lightheadedness, or low blood pressure. Some people with atrial fibrillation may not be aware of their symptoms and are only diagnosed when they see their physician.

 

Atrial Fibrillation Can Damage Your Heart

Atrial fibrillation causes physical changes to the structure and shape of the heart. It can scar and stretch as well as stiffen your heart muscle. If it is not properly treated, it can lead to other health problems. If you have—or continue to have—atrial fibrillation, you are at 5 times higher risk for stroke.4 It is important to talk to your health care provider if you believe you have atrial fibrillation, or if you have atrial fibrillation and your current treatment is not working.

Scarring Stretching and Stiffening

 

Scarring
Atrial fibrillation can lead to scarring of the atrial tissue. The scarring is also called fibrosis. (The atria are the heart’s upper chambers.)

Stretching
Eventually the heart tissue becomes stretched, too. As the walls of the heart are stretched, the heart muscle becomes weaker.

Stiffening
The heart muscle gets stiffer, so that it’s harder for the heart to pump correctly.

These changes can cause more episodes of atrial fibrillation. Read about the other health problems caused by atrial fibrillation.

How Do I Find the Right Treatment for My Atrial Fibrillation?

If you suspect you have atrial fibrillation, consider talking to your health care provider about how to find the right treatment for your atrial fibrillation. Click here to learn more.

 

Symptoms, Risk Factors and Triggers for Atrial Fibrillation

What are the symptoms of atrial fibrillation – risk factors and triggers for atrial fibrillation

Importance of Treatment

If not properly treated, atrial fibrillation gets more severe. Atrial fibrillation can lead to stroke, heart failure, and other health problems. Read about how atrial fibrillation impacts your heart and other health risks.

Diagnosis and Treatment Options

Learn about diagnosis and treatment options

Frequently Asked Questions

Find answers to questions about atrial fibrillation
Page References

 

Click here to learn more about Clinical Evidence or Active Clinical Trials and Trials with Results

 

  1. Shukla, A., & Curtis, A. B. (2014). Avoiding permanent atrial fibrillation: treatment approaches to prevent disease progression. Vascular health and risk management, 10, 1–12. https://doi.org/10.2147/VHRM.S49334
  2. Calkins, H., Hindricks, G., Cappato, R., Kim, Y. H., Saad, E. B., Aguinaga, L., Akar, J. G., Badhwar, V., Brugada, J., Camm, J., Chen, P. S., Chen, S. A., Chung, M. K., Nielsen, J. C., Curtis, A. B., Davies, D. W., Day, J. D., d'Avila, A., de Groot, N., Di Biase, L., … Yamane, T. (2017). 2017 HRS/EHRA/ECAS/APHRS/SOLAECE expert consensus statement on catheter and surgical ablation of atrial fibrillation. Heart rhythm, 14(10), e275–e444. https://doi.org/10.1016/j.hrthm.2017.05.012
  3. Barbarossa, A., Guerra, F., & Capucci, A. (2014). Silent atrial fibrillation: a critical review. Journal of atrial fibrillation, 7(3), 1138. https://doi.org/10.4022/jafib.1138
  4. Benjamin E.J., Muntner, P., Alonso, A., Bittencourt, M.S., Callaway, C.W., Carson, A.P., Chamberlain, A.M., Chang, A.R.,  Cheng, S., Das, S.R., Delling, F.N., Djousse, L., Elkind, M.S.V., Ferguson, J.F., Fornage, M., Jordan, L.C., Khan, S.S. ... Virani, S.S., and On behalf of the American Heart Association Council on Epidemiology and Prevention Statistics Committee and Stroke Statistics Subcommittee. (2019). Heart Disease and Stroke Statistics—2019 Update: A Report from the American Heart Association.
    Circulation, 139, e56–e528. https://doi.org/10.1161/CIR.0000000000000659
  5. European Heart Journal – Quality of Care and Clinical Outcomes (2021) 7, 574-582 doi: 10.1093/ehjqcco/qcaa061
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