Is atrial fibrillation the same as atrial flutter?

Written by Cui Bo
Cardiology
Updated on September 16, 2024
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Atrial fibrillation, commonly abbreviated as AF, is a simple way to express atrial fibrillation, which is fundamentally pathological. Normal heart rhythm is sinus rhythm. Therefore, once atrial fibrillation occurs, it is crucial to seek medical attention promptly rather than ignoring it. All patients with atrial fibrillation are scored to determine if they require anticoagulation therapy. Since atrial fibrillation is a trembling of the atrium and results in a completely irregular heartbeat, it can easily lead to the formation of blood clots in the left atrial appendage. Hence, if one discovers their heartbeat is very irregular, utterly irregular, immediate medical attention is necessary. An electrocardiogram can confirm the diagnosis of atrial fibrillation, but it is essential to seek the underlying cause of the condition and manage both the ventricular rate in atrial fibrillation and the anticoagulation therapy.

Other Voices

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Written by Chen Ya
Geriatrics
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Is heart palpitation the same as atrial fibrillation?

Palpitations are considered a disease term in Chinese medicine, while atrial fibrillation is a medical term in Western medicine. Generally, if there is a correlation between Chinese and Western medical terminology, palpitations can correspond to atrial fibrillation, but not all cases of palpitations are atrial fibrillation. In Chinese medicine, palpitations refer to a subjective feeling of unease or discomfort in the chest, and a feeling of irregular heartbeats. For example, some people may feel their heartbeat distinctly even when their heart rate is not fast, especially when their blood pressure is high; this is also considered palpitations. Additionally, some people may experience a rapid "thumping" heart rate after physical exertion or when they have a fever, which is also a manifestation of palpitations. There are also healthy, sensitive young individuals who can feel their heartbeat while lying down quietly or during sleep, which is also classified as palpitations. However, palpitations that are caused by heart arrhythmias, like atrial fibrillation, where individuals can feel their heart beating rapidly and experience anxiety, are specifically indicative of atrial fibrillation; other types are not considered the same.

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Written by Li Hai Wen
Cardiology
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What is good to eat for atrial fibrillation?

Atrial fibrillation is a common type of arrhythmia in the elderly. After being diagnosed with atrial fibrillation, there are indeed some dietary considerations to be aware of. Here are a few aspects to pay attention to: First, eat less spicy and greasy food. Spicy and greasy foods can often irritate our stomach, leading to discomfort and potentially triggering an episode of atrial fibrillation. Second, eat more vegetables and fruits. Vegetables and fruits are often rich in dietary fiber and vitamin C, which are beneficial to our health. Third, balance meat and vegetable intake and ensure nutritional balance. Foods such as pork, fish, and lean meats are rich in high-quality protein, which is beneficial for our health.

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Written by Zeng Wei Jie
Cardiology
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Can atrial fibrillation be completely cured?

Regarding whether atrial fibrillation can be completely cured, it essentially depends on the definition of being completely cured. If the criterion is complete cessation of medication, then many patients cannot achieve this. However, if the standard is conversion of atrial fibrillation back to normal sinus rhythm, then it is achievable for many patients, such as those with paroxysmal atrial fibrillation, who suffer from recurrent episodes and do not respond well to medication. In such cases, radiofrequency ablation might be attempted, and there is a high likelihood that after the treatment, the rhythm will convert to sinus rhythm. In this sense, some people can be considered cured. However, whether anticoagulation therapy can be discontinued depends on their thromboembolic risk score. This means that even if atrial fibrillation converts to sinus rhythm after radiofrequency ablation, some patients still need long-term anticoagulant medication. Therefore, from the perspective of discontinuing medication, such patients with atrial fibrillation are not considered cured.

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Written by Li Hai Wen
Cardiology
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What does atrial fibrillation mean?

Atrial fibrillation, often abbreviated as AF, is a common type of cardiac arrhythmia in the elderly. Medically, it is described as a disorderly and irregular heart rhythm without a rhythm in the atria. In layman's terms, for example, if our heartbeat is like people queuing up to buy tickets, normally everyone comes one by one in an orderly manner. Atrial fibrillation, however, is like everyone rushing to the ticketing area at once. Consequently, some people might run fast, others slow, some take up more space because they are heavier, and others less because they are thinner. Atrial fibrillation is similar to this scenario.

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Written by Tang Li
Cardiology
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How is atrial fibrillation surgery performed?

Frequent atrial fibrillation attacks with a rapid ventricular rate, in cases unresponsive to drug treatment, can be managed by atrioventricular node ablation followed by the placement of a ventricular demand or dual-chamber pacemaker. Other treatment methods include radiofrequency ablation, surgical operations, and implantation of atrial defibrillators. In recent years, there have been significant advances in the methods for atrial fibrillation ablation, and the indications for atrial fibrillation ablation have been expanded. However, the success rate remains suboptimal and the recurrence rate is relatively high. Currently, international guidelines still categorize radiofrequency ablation as a second-line treatment for atrial fibrillation, not as the first choice treatment.