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Atrial fibrillation

Also known as AF, A Fib, and Auricular Fibrillation

Atrial fibrillation (AF or A-fib) is where the signal doesn't originate only from the SA node, and so the atrium doesn't contract simultaneously, causing an incredibly high heart beat, as well as lack of atrial systole. It is the most common cardiac arrhythmia (irregular heart beat). It may cause no symptoms, but it is often associated with palpitations, fainting, chest pain, or congestive heart failure. However, in some people atrial fibrillation is caused by otherwise idiopathic or benign conditions.

Source: Wikipedia

What are the symptoms?

Within all the people who go to their doctor with atrial fibrillation, 46% report having shortness of breath, 38% report having sharp chest pain, and 31% report having palpitations. The symptoms that are highly suggestive of atrial fibrillation are palpitations, irregular heartbeat, and increased heart rate, although you may still have atrial fibrillation without those symptoms.


What might my doctor prescribe?

Common Tests and Procedures

Patients with atrial fibrillation often receive hematologic tests, electrocardiogram, complete blood count, glucose measurement, electrolytes panel, intravenous fluid replacement, cardiac enzymes measurement and kidney function tests .

Common Medications

The most commonly prescribed drugs for patients with atrial fibrillation include warfarin, furosemide, digoxin, diltiazem, carvedilol, amiodarone, sotalol, potassium chloride, propafenone, flecainide, bumetanide, torsemide and dronedarone (multaq) .

Warfarin
$12
(28 days)
Furosemide
$4
(28 days)
Digoxin
$6
(28 days)
Diltiazem
$31
(28 days)
Carvedilol
$16
(28 days)
Amiodarone
$18
(28 days)
Sotalol
$19
(28 days)
Potassium Chloride
$15
(28 days)
Propafenone
$93
(28 days)
Flecainide
$39
(28 days)
Bumetanide
$11
(28 days)
Torsemide
$23
(28 days)
Dronedarone (Multaq)
$209
(28 days)

Who is at risk?

Groups of people at highest risk for atrial fibrillation include age 75+ years age 60-74 years. On the other hand, age 5-14 years, age 1-4 years, age 15-29 years, and age < 1 years almost never get atrial fibrillation.

Age

< 1 years
0.0x
1-4 years
0.0x
5-14 years
0.0x
15-29 years
0.0x
30-44 years
0.1x
45-59 years
0.7x
60-74 years
2.4x
75+ years
5.3x

Sex

Male
1.2x
Female
0.9x

Race/Ethnicity

Black
0.5x
Hispanic
0.5x
White
1.3x
Other
0.6x
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