Atrial fibrillation    (also called AFib or AF) is the most common supraventricular    arrhythmia in Western countries -- affecting at least 2.7    million people in the U.S., according to the American Heart    Association. AFib is a serious condition, and one that I treat    regularly in my practices at the Montefiore Einstein Center for    Heart & Vascular Care in Bronx, New York.  
    During February's American Heart Month, here's some important    information about AFib:  
    Typical Patient  
    AFib predominantly affects, but is not limited to, older    people. This element is increasingly important because as our    life expectancy continues to improve and the average age of the    population increases, AFib is expected to grow and affect an    estimated 50 million patients by 2060 across the U.S. and    Europe. It's important to learn the facts of this condition as    early as possible.  
    [See: The Facts on Heart    Disease.]  
    Common Signs and Symptoms  
    The most common symptom of AFib is a quivering or irregular    heartbeat (also known as an arrhythmia), though patients may    experience palpitations, which are sensations of a racing,    uncomfortable, irregular heartbeat, or a flip-flopping in your    chest; lightheadedness and/or dizziness; confusion; shortness    of breath and anxiety; weakness; fatigue; reduced ability to    exercise; and/or chest pain or pressure. Please note, if you're    experiencing chest pain or pressure, call 911 immediately.  
    Now that we've outlined the most commons signs and symptoms of    AFib, there's one very important fact to note: Nearly one-third    of AFib patients are    asymptomatic. In other words, some people with AFib have no    symptoms and are unaware of their condition until it's    discovered during a physical examination. Because of this fact,    it's crucial to schedule an annual physical exam with your    doctor and understand your risks.  
    How to Treat It  
    There are a growing number of ways we can treat AFib and    achieve great results. However, if left untreated, AFib can    evolve from a momentary episode into a chronic, longstanding    and potentially even permanent issue, causing subsequent    concerns such as blood clots, stroke, heart failure and other    heart conditions. In fact, patients with AFib are nearly five    times more likely to experience a stroke those without AFib,    are at an increased risk of developing dementia and have a    nearly doubled risk of experiencing a heart-related death.    Studies also show that individuals with AFib have an increased    risk of renal disease.  
    It's important to discuss your risk of heart failure with your    doctor, as AFib and heart failure frequently coexist and are    often associated with several common predisposing risk factors.    These include hypertension, coronary artery disease, structural    heart disease, diabetes, obesity and obstructive sleep apnea.  
    [See: The 12 Best    Heart-Healthy Diets.]  
    The Good News  
    There are a number of ways you can reduce your risk of    developing AFib:  
    1. Increase your physical activity. Obesity is    a significant risk factor for AFib. Consult your doctor to    learn more about ways to safely increase your    levels of physical activity.  
    2. Improve your diet. Undergo a weight-loss program    and incorporate more fruits, vegetables and lean meats into    your daily diet. Limit caffeine, alcohol, fats and excess salt.    If necessary, consult your doctor about bariatric surgery.  
    3. Treat your blood pressure. Have a diet with    low salt, and take your medications routinely, as hypertension    increases your risk of developing AFib.  
    4. Treat your sleep apnea. If prescribed,    remember to use your continuous positive airway pressure, or    CPAP, mask every    night. Doing so will improve your AFib.  
    5. Control your diabetes. If diet and exercise    alone don't control your diabetes, please consult your doctor    for more support and/or resources, as gaining control of your    diabetes will reduce your risk of developing AFib.  
    6. Remember your medications. If your doctor    prescribed blood thinners to you, it's important you never    forget to take your medication to reduce your risk for stroke.  
    If you're diagnosed with AFib, there are many treatment options    you can explore with your doctor, ranging from medications to    minimally invasive procedures and, at times, surgery. One such    procedure is a catheter ablation -- an established treatment to    achieve freedom from AFib. Several randomized clinical trials    have shown that catheter ablation improves symptoms and quality    of life.  
      [See: 17 Ways Heart Health      Varies in Women and Men.]    
      Although ablation is effective, the best outcome is achieved      with a multidisciplinary approach that addresses multiple      health conditions and cardiac risk factors. And remember, if      you have AFib, the best outcomes are achieved if you actively      care for yourself by keeping your weight down and controlling      your blood pressure, diabetes and sleep apnea.    
      Consult your doctor for more information if you think you've      been experiencing AFib.    
      Luigi Di Biase,      M.D., Ph.D., F.A.A.C., F.H.R.S.,cardiologist, is the      section head of electrophysiology and the director of      arrhythmia services at the Montefiore Einstein Center for      Heart & Vascular Care. Dr. Di Biase is also an associate      professor of medicine within the Department of Medicine      (Cardiology) at the Albert Einstein College of Medicine. Dr.      Di Biase received his medical degree and completed his      cardiology residency at the University of Bari in Bari,      Italy. He completed a second-level master degree in      Electrophysiology and Pacing at the University of Insubria in      Varese, Italy, and his Ph.D. program in cardiovascular      physiopathology at the University of Foggia, Italy. Dr. Di      Biase's research focuses on cardiology and electrophysiology      with specific emphasis on catheter ablation of atrial      fibrillation and ventricular arrhythmias performed either      manually or with robotic catheter navigation. Additionally,      his research focuses on heart failure, particularly cases      treated with cardiac resynchronization therapy devices. Dr.      Di Biase is the author of nearly 300 publications in indexed      journals, 300 abstracts and 18 electrophysiology book      chapters.    
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Atrial Fibrillation: Understanding Symptoms, Risks and Treatment - Yahoo News