Increase text size: A A A

Type in the condition you need,
or visit Advanced Search

Print this page

Email this to a friend

Comment on this page

Save to my Health Library

Johns Hopkins Health Alert

A Revised Strategy for Controlling Atrial Fibrillation

Johns Hopkins Health Alerts | Heart Health | Controlling Atrial Fibrillation

  • The American Heart Association estimates that atrial fibrillation is responsible for 15% to 20% of the 700,000 strokes that occur each year in the United States.

It’s a type of abnormal heart rhythm that affects, or will affect, many of us. According to a report in Circulation, about one quarter of Americans—a figure far higher than earlier estimates—have a cumulative lifetime risk of developing atrial fibrillation.

In atrial fibrillation, the upper chambers of the heart (or atria) contract in a rapid, uncoordinated manner, quivering (fibrillating) instead of beating normally. Because the heart cannot keep up with the body’s demand for blood during an episode of atrial fibrillation, people may feel breathless and have mild palpitations, chest pain, or decreased endurance. Many patients, however, experience no symptoms during an episode of atrial fibrillation.

Atrial fibrillation usually poses no immediate danger. However, it is one of the greatest risk factors for stroke if left untreated. The American Heart Association estimates that atrial fibrillation is responsible for 15% to 20% of the 700,000 strokes that occur each year in the United States. Therefore, effective treatment for atrial fibrillation is crucial and can be lifesaving.

In the past, the goal in treating atrial fibrillation involved getting the heart back into normal rhythm with medication or an electric shock, followed by maintenance antiarrhythmic drug therapy. But an expert panel from the American Academy of Family Physicians and the American College of Physicians issued new guidelines in 2003 recommending that for most patients, treatment for atrial fibrillation should now focus on controlling the heart rate with drug therapy rather than attempting to restore normal heart rhythm (though rhythm control may still be appropriate in certain cases). For patients who have been restored to normal rhythm, recent studies suggest that certain drugs can help reduce the risk of recurrence of atrial fibrillation.

Any patient who experiences an episode of atrial fibrillation needs to be evaluated by a cardiologist, who can evaluate whether rate or rhythm control is the best course of therapy.

Johns Hopkins Health Alerts | Heart Health | Controlling Atrial Fibrillation

Posted in Heart Health on May 18, 2006
Reviewed June 2008

Notify Me

Would you like us to inform you when we post new Heart Health Alerts?

Your email address:

Comments

Post a Comment

Users and editors may post comments here at their own discretion. The views expressed do not constitute medical advice and do not represent the position of Johns Hopkins Medicine or University Health Publishing, which has no responsibility for its content.


I HAD ELECTRIC SHOCK RIGHT AFTER MY DOCTOR DISCOVERED THAT I HAD ATRIAL FIB. AND MY HEART WAS PUT BACK IN NORMAL RYTHYM IN THE EARLY 1990'S BUT IT ONLY LASTED IN NORMAL RYTHYM FOR ABOUT 8 MONTHS. ONE REASON WAS MY WEIGHT WAS A CONSTANT ROLLERCOASTER & THEN MY MOM PASSED AWAY. TODAY, I BELONG TO WEIGHT WATCHERS AND I AM DOWN TO 235 AND STILL LOSE ABOUT 1-2 POUNDS A WEEK. I DRINK PLENTY OF WATER, EAT FRUITS & VEGGIES. I'VE ALWAYS HAD A VARIETY OF BREAKFASTS WHETHER ITS OATMEAL WITH RAISINS IN IT OR CHEERIOS WITH YOGURT OR EVEN RAISIN BRAN, BUT VARIETY IS THE KEY. I TRIED PROTEIN DRINKS RECENTLY. ANYWAY, I HAVE TO TAKE 3MG OF WARFARIN SOD AND 2 DIOVAN GELCAPS WITH HCT,AND ONE ATTENOL PER DAY,& FINALLY POTASSIUM TO REPLACE THE EXCESS WATER DISPLACED BY THE HCT.IT HAS BEEN AN EXPERIENCE,BUT I AM STILL IN GOOD HEALTH 15 YEARS LATER-I JUST TURNED 55 LAST JANUARY. I USE A BLOOD PRESSURE MACHINE EVERY MORNING AND WALK AT SHOPPING MALLS ON A DAILY BASIS & OWN A PEDIMETER.I KEEP ALL FOOD TO PORTION SIZE & DO NOT EAT SALTY CHIPS OR SALTY FRIES. I ENJOY RICE CAKES ON OCCASION AND AM LEARNING THE SECRETS OF EATING THE RIGHT FOODS.IT HAS TRULY BEEN A LEARNING EXPERIENCE-THANK YOU, ALAN BINTZ

Posted by: abintz | May 30, 2006

I am wondering why more Doctors don't try a combination of drugs to help control not only the fibrilations so many of us suffer from, i.e. "PVC's", (a combintaion of say Atenolol along with a small dose of Klonopin?) to help get our moods and PVC's under better control, and faster?

In my case, they tried three drugs over the course of 6 months and none of them worked for long (or they had bad side-effects, such as Inderal's effect on my sex-drive?) and I had several "Shocks", all of which helped stop the PVC's, but only for short periods. They always returned.

It was only AFTER my Doctor added a small dose(.25mg) of Klonopin twice per day (to help control my moods when the irregular beats began) that I finally got relief, long-term relief, as in for most of 20 years now...? At the height of my PVC episodes, I would sometimes be awake for 2 days at a time, walking, sitting, relaxing (or trying to anyway), and on and on and on. Nothing worked, and I was totally frustrated. Only after he addressed the terrible mood swings that I suffered from when these PVC's started, did I finally get a non-invasive and long-lasting answer to the problem.

Iknow that many people suffer from these things, and for many reasons, but the vast majority of us suffer from worry and dread when these things start, and it only feeds on itself making the episodes worse and lasting longer. Do I still get "episodes" of PVC's? Sure, but they NEVER last more than a few seconds, ever.

Shocks are NOT the long term answer. This drug combination works folks, it REALLY does, and it does not make you groggy or "down", far from it. I felt as if my life had been restored, and my activity level has tripled since then, my heart is beating just fine, thank-you.

Posted by: Bill Fold | October 8, 2006

I am relatively new to AFib. In looking around the WEB, I did not find any extensive study as to the "triggers' of AFib. Some of the Forums listed a handfull of "triggers", but nowhere did I find a list of the result of an authoritative study of the causes. Anyone found such a list???

Posted by: HDM | January 31, 2007

I am a male 52 years old and at age 51 was diagnosed with atrial fibrillation I had always been healthy as a horse and had NEVER even been admitted to a hospital before. That changed and now I am a genuine a-fib preacher. I looked all over the internet and was more confused than ever. SO, I started my own website about Atrial Fibrillation. Feel free to take a look.

http://www.afibtreatment.com

NEVER GIVE UP.

Steve.

Posted by: stingram | August 18, 2008



Post a Comment


New to the Johns Hopkins Health Alerts?
Signup

User Name:


This appears next to your comment.


Email Address:

(this will not be posted)
This will be your login ID.

Password:

Confirm Password:


Receive Health Alerts?

Notify me when new comments are posted?

Comment (offensive materials and/or spam will be removed, no HTML allowed)

Already a subscriber?
Login

Email:

Password:


Forgot your password?

Registered Users Log-in:

Email:

Password:

Remember me
Forgot Password?

Become a Registered User!
It's fast and FREE!
The Benefits of Being A Registered User

Health Topic Pages

Arthritis +Add
Back Pain & Osteoporosis +Add
Caregivers | Caregiving
Colon Cancer +Add
Complementary Medicine
Depression & Anxiety +Add
Diabetes +Add
Digestive Health +Add
Exercise and Fitness
Healthy Living +Add
Heart Health +Add
Hypertension & Stroke +Add
Lung Disorders +Add
Memory +Add
Men's Health
Nutrition +Add
Prescription Drugs +Add
Prostate Disorders +Add
Sexual Health
Vision +Add
Weight Control +Add
Women's Health
Health Alert Special Report



Johns Hopkins’ Bestsellers

Heart Health

Our Featured Titles:

Johns Hopkins White Papers: Heart
  • 2008 Heart Attack Prevention White Paper
    The latest news on how to prevent a heart attack.PLUS, get your special discount and FREE Special Report: Tested, Proven Ways to Save Your Heart through this exclusive web-only offer.
    Read more or order the INSTANT PDF DOWNLOAD EDITION
    Read more or order the PRINT EDITION


  • 2008 Coronary Heart Disease White Paper
    This White Paper reports on the latest life-saving advances for your heart health, to help you prevent or treat coronary heart disease. Topics include angina; cardiac arrhythmias; and congestive heart failure.
    PLUS, get your special discount and FREE Special Report: Healthier Heart, Longer Life through this exclusive web-only offer.
    Read more or order the INSTANT PDF DOWNLOAD EDITION
    Read more or order the PRINT EDITION

    Other Heart
    Related Titles:

  • The Johns Hopkins Heart Bulletin
    A must-have health journal for anyone concerned about their heart health. Each packed quarterly issue brings you the latest research and findings on coronary heart disease, including the latest breakthroughs on such conditions as: coronary artery disease, congestive heart failure, angina, atrial fibrilliation and other arrhythmias, pacemakers and defibrillators, and many other cardiac conditions and their treatments. Heart attack prevention, diet, weight loss, smoking cessation, how to reduce cholesterol, and other heart health concerns are also covered in-depth.Subscribe now, and you’ll also get a FREE Cardiac Glossary, PLUS 4 FREE Johns Hopkins Heart Health Special Reports, all available as instant downloads.Read more...

  • Johns Hopkins Recipes for a Healthy Heart
    Over the years, research has shown us that diet and exercise play an important role in the prevention of heart disease. Hopkins experts...Read more…

  • 2008 Diabetes White Paper
    Shows you how to manage your diabetes and avoid its most serious complications, such as neuropathy, foot problems, diabetic retinopathy, and other vision changes. Read more...

  • 2008 Hypertension and Stroke White Paper
    Explains how to treat your high blood pressure and prevent it from harming your health. Read more...

  • The Johns Hopkins Medical Letter: Health After 50
    You won't find a more authoritative source for the most current health news. Since 1988, Hopkins experts have been reporting on the latest cutting edge information on treating the major medical conditions affecting the over 50s. Women's health, men's medical concerns, nutrition, weight control, and more, direct to you every month from our specialists. Read more…

    Reference Books

  • The Johns Hopkins Medical Guide to Health After 50
    A comprehensive home medical encyclopedia that gives you a “crash course” on more than 100 major medical concerns of men and women over 50, organized in an easy-to-use A to Z format. Read more…

  • Johns Hopkins Symptoms and Remedies
    This easy-to-use reference book can help you pinpoint the causes of hundreds of disorders, from abdominal pain to skin rash to swollen glands. Read more…


  • ALL NEW!Number One of America's Best Hospitals 2008: Johns Hopkins

    Johns Hopkins has been ranked #1 again in the Honor Roll of America's Best Hospitals by
    U.S. News and World Report for the 18th consecutive year.


    Please visit here for more information about Johns Hopkins Patient Services

    Johns Hopkins Health Alerts

    Welcome to August 2008 at Johns Hopkins Health Alerts!

    What's new this month?

    Have you you visited the Digital Bookstore recently? Download White Papers, Bulletin Back Issues, Newsletter and FREE Special Reports here: Digital Bookstore

    This month we have two FREE Special Reports to download:
    Johns Hopkins Guide to Diabetic Retinopathy
    Johns Hopkins Guide to Macular Degeneration

    Just click on the Free Special Reports link to see our full list of available titles. And don't forget to check back often for the latest new reports.


    Johns Hopkins Health Alerts Customer Service
    Any Questions?
    We're here to help!

    Customer Service:
    DIGITAL PRODUCTS: (through the website)
    1 212-792-5417
    Hours:
    M to F - 9AM to 5PM EST/EDT
    or via email:
    customerservice
    @johnhopkinshealthalerts.com

    Questions about:
    PRINT PRODUCTS: (through the mail)
    Inside US and Canada:
    1 800 829-0422
    Outside US: 1 386 445-4662
    Hours:
    M to F - 7AM to 12AM EST/EDT
    Sat & Sun - 9AM to 6PM EST/EDT

    customerservice@
    johnshopkinshealthalerts.com


    Already a subscriber to Health After 50?
    Or the Johns Hopkins Bulletins?
    Questions about your account?

    Johns Hopkins Health After 50 Newsletter

    Customer Service for Johns Hopkins Health After 50 and Bulletins Subscribers

    Johns Hopkins Prostate Bulletin


    Medical Disclaimer: The information on this page is not intended to substitute for the advice of a physician.


    Charter Subscription to The Johns Hopkins Heart Bulletin,

    PLUS 4 FREE Special Reports, and a Cardiac Glossary

    Yes! Enter my charter subscription to The Johns Hopkins HEART BULLETIN on a risk-free basis at the charter subscription rate of $149 for one year (4 quarterly issues)— $46 off the regular subscription price.

    I understand that if I am not completely satisfied, I may cancel my subscription, send back the Bulletin, and receive a refund with no questions asked. The Special Reports and Cardiac Glossary are mine to keep even if I decide not to continue with my subscription.

    The Johns Hopkins Heart Bulletin: a quarterly in-depth report delivering the very latest research findings, medical breakthroughs, and therapeutic discoveries for preventing and treating coronary heart disease and related conditions.It's like having an in-depth consultation from a specialist from America's #1 medical center.

    In every issue, you'll find:

  • Quarterly briefings on the latest medical developments
  • Late breaking news of innovative new treatments and essential health study results
  • Expert evaluations and comparisons of new medications, surgical techniques, and diagnostic procedures
  • Authoritative medical guidance from leading experts from around the world
  • ALL delivered direct to you via Priority Mail!

    ADDED BONUS: FREE SPECIAL REPORTS!

    Click here for details:

  • Risk-FREE!
    Fill out the form and click "Submit my order."

    First Name

    Last Name

    Address

    Address2

    City

    State

    Zip

    Email Address (required)


    CANADIAN ORDERS, click here
    INTERNATIONAL ORDERS, click here


    Please send me my FREE Johns Hopkins Heart Health Alerts!

    Your risk-FREE subscription. The Johns Hopkins Heart Bulletin is yours to review risk-FREE. If you are not completely satisfied, simply return the Bulletin and receive a refund with no questions asked. Keep the four FREE Special Reports and the FREE Cardiac Glossary just for reviewing the Bulletin.

    Only by private subscription. Don't bother looking for The Johns Hopkins Heart Bulletin on the newsstand. It is available only by private subscription, delivered directly to you quarterly via Priority Mail.

    Why Johns Hopkins?


    © 2008 MediZine LLC. All rights reserved.
    Contact Us
    customerservice@johnshopkinshealthalerts.com