The difference between premature beats and atrial fibrillation

Written by Liu Ying
Cardiology
Updated on February 21, 2025
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Premature beats refer to the early discharge of the heart's impulses. Premature beats can be divided into atrial premature beats, ventricular premature beats, and junctional premature beats. Atrial premature beats occur when the impulse is prematurely emitted from the atrium; ventricular premature beats occur when the impulse is prematurely emitted from the ventricles; junctional premature beats occur when the impulse is prematurely emitted from the atrioventricular junction. Atrial fibrillation is characterized by the atria losing their normal pattern of contraction and relaxation, replaced by irregular quivering. Both premature beats and atrial fibrillation are common arrhythmias that can be identified on an electrocardiogram.

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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.

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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 Zhang Yue Mei
Cardiology
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Nursing Care for Patients with Atrial Fibrillation

Atrial fibrillation (AF) refers to atrial fibrillation, caused primarily by organic heart diseases, commonly seen in coronary heart disease, rheumatic heart disease, cardiomyopathy, and pulmonary heart disease, as well as certain metabolic disorders such as hyperthyroidism. Patients with AF can experience impacts on cardiac function, and in severe cases, may develop heart failure. Nursing care primarily involves ensuring the patient rests and avoids excessive fatigue. Mild physical activities can be performed, and it is advisable to eat easily digestible foods and avoid spicy foods to reduce gastrointestinal irritation and lessen the burden on cardiac function. Attention should be paid to sleep, avoiding smoking and alcohol, routinely checking the electrocardiogram (ECG), and seeking timely medical treatment at a hospital if special conditions arise.

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Written by Li Hai Wen
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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.