If you have a type of irregular heartbeat called atrial fibrillation, or Afib, it’s important to seek specialized care. Show
Without proper treatment, Afib can reduce your heart’s ability to pump blood. This causes symptoms like fatigue and lightheadedness and may lead to heart failure. Afib also greatly increases your risk of stroke. University of Iowa Heart and Vascular Center electrophysiologists offer tests that distinguish Afib from other, less serious types of irregular heartbeat. We also provide the treatments you need to improve challenging symptoms and prevent life-threatening complications. We’ve helped many people with hard-to-treat Afib who didn’t find relief with standard medications or procedures. Atrial fibrillation symptomsAtrial fibrillation is a type of arrhythmia, or irregular heartbeat. It occurs when the top two chambers of your heart don’t beat in sync with the bottom two chambers. This causes episodes of irregular and often rapid heart rhythms. You may have these episodes occasionally or frequently. Some people with Afib don’t have any symptoms. Others experience one or more of the following:
Even if you don’t have symptoms—or your symptoms come and go—your risk of stroke is still high. That’s because the chaotic heart rhythm associated with Afib can also cause blood to pool in the heart, leading to blood clots. If part of a clot breaks off, it may get stuck in an artery leading to the brain, resulting in a stroke. Atrial fibrillation diagnosisThe UI Heart and Vascular Center offers the full range of tests used to diagnose Afib. These include: ElectrocardiogramsIf you have a persistent irregular heart rhythm, the only test you might need is an electrocardiogram, also called an EKG or ECG. During this test, we attach sticky metal discs called electrodes to your chest. These electrodes are attached by wires to a machine that measures your heart’s electrical activity. If your heart was beating abnormally during your EKG, your results will confirm whether you have Afib or another type of arrhythmia. Portable devicesIf your EKG results were inconclusive—or your arrhythmia only happens occasionally—we may need to monitor your heart rhythm for a longer period of time. We can do this with wearable or implantable devices that keep track of your heart rhythm while you go about your day. These devices include:
Depending on your pattern of symptoms, your provider may also try to provoke an Afib episode. For example, if you have fainting spells or experience symptoms while exercising, you might need to have a tilt table test or a stress test. Atrial fibrillation treatment from UI Health CareWe offer all the treatments you might need to get your Afib under control. Our goal is to restore your normal heart rhythm and heart rate and lower your risk of stroke. Nonsurgical treatmentsMany people with Afib can improve their symptoms with prescription medicine and other nonsurgical therapies, such as: Lifestyle changesYour risk of Afib increases if you’re overweight or have other cardiovascular problems like high blood pressure. You can improve your heart health and lower your risk of Afib by losing weight, quitting smoking, and improving your diet and exercise. If your Afib gets worse when you drink alcohol or take part in physical activities, you can help prevent future episodes by avoiding these triggers MedicationBeta blockers and calcium channel blockers can slow or restore your heart rate during rest or activity. Anti-arrhythmic medications help your heart maintain a normal rhythm. Blood thinners help prevent blood clots. Minimally invasive proceduresIf medication isn’t enough to get your heart rate and rhythm under control, or if your medication causes serious side effects, you may need more advanced care. The UI Heart and Vascular Center offers several minimally invasive treatment options for Afib. Compared to traditional surgery, these procedures can help you recover more quickly and with less pain:
SurgeryIf your Afib doesn’t improve after trying various medications and procedures, you may need a type of heart surgery called maze surgery. In this case, your electrophysiologist will refer you to a heart surgeon. During maze surgery, we create a unique maze pattern of scar tissue in the heart. Because scar tissue can’t transmit electrical signals, the abnormal signals that cause Afib can no longer travel between the heart’s top and bottom chambers. If you have other serious heart conditions in addition to Afib, we may combine your maze surgery with other treatments. For example, if you need open heart surgery such as heart valve repair or coronary artery bypass grafting, we’ll perform maze surgery at the same time. A team approach to Afib careCertain heart conditions, including coronary artery disease and heart valve problems, increase your risk of Afib. And if you have Afib, you have a higher risk of conditions such as heart failure. To help make sure you get complete cardiovascular care, our electrophysiologists work closely with many other UI Heart and Vascular Center experts. This includes providers who specialize inTogether we’ll provide the care and support you need to improve your Afib symptoms and overall heart health. A life-changing alternative to blood thinnersMany people with Afib take blood thinners to reduce their risk of stroke. But for some patients, blood thinners cause serious side effects. If you have Afib and you’re unable to tolerate blood thinners, you may be eligible for a procedure called left atrial appendage closure. During this minimally invasive procedure, we place a tiny device called Watchman into the part of the heart where blood clots usually form. This permanently seals the area so blood clots can’t escape and travel to the brain. What does it mean when your blood pressure is low and your pulse is high?Having low blood pressure can sometimes lead to a higher pulse. If your blood pressure is low, your heart may have to work extra hard to deliver enough oxygen-rich blood to the organs, resulting in a high pulse. Low blood pressure with a high pulse could indicate an underlying medical condition or lifestyle factor.
Can atrial fibrillation cause low blood pressure?The way the heart beats in atrial fibrillation reduces the heart's performance and efficiency. This can lead to low blood pressure (hypotension) and heart failure.
Does AFib cause high pulse?The most obvious symptom of atrial fibrillation (AF) is palpitations caused by a fast and irregular heartbeat. A normal heart rate, when you are resting, should be between 60 and 100 beats a minute. In atrial fibrillation, it may be over 140 beats a minute.
Can you have AFib without high blood pressure?AFib has several possible causes. It's the most common complication after heart surgery, according to the American Heart Association . AFib may also be brought on by untreated related conditions, such as high blood pressure. In some cases, AFib may have no identifiable cause.
|