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Fibrillation

When the heart's electrical system no longer works efficiently, it can lead to fibrillations. There are two types of fibrillation: atrial and ventricular.

Atrial Fibrillation

Atrial fibrillation occurs when those electrical signals fire rapidly, causing the two upper chambers of the heart (the atria) to quiver. 

Over time, an irregular heartbeat can:

  • Weaken the heart and lead to heart failure
  • Cause blood to pool in the heart, since the atria don't contract efficiently
  • Lead to stroke as a result of blood clots forming in the pooled blood

Symptoms

Atrial fibrillation doesn't always have symptoms, but if they do appear, these are the most common:

  • Anxiety
  • Chest pain
  • Dizziness
  • Fatigue
  • Heart palpitations
  • Shortness of breath

Causes

Atrial fibrillation can occur when someone has an underlying heart disease, such as heart valve disease, heart attack or heart failure.

Other conditions can also lead to atrial fibrillation, including sleep apnea, thyroid problems and certain lung diseases.

Treatment

Some people with atrial fibrillation will experience a return to a normal heart rhythm without treatment.

Treatment depends on how bothersome your symptoms are and how long you've had them. For most people, treatment involves resetting the heart back to its normal rhythm with electrical pulses or controlling the heart rate.

Treatment can also involve a surgical procedure called catheter ablation, in which a catheter is guided through a blood vessel to the heart. Energy is then sent through the catheter to destroy the areas of tissue responsible for the arrhythmia.

Ventricular Fibrillation

In ventricular fibrillation, the lower chambers of the heart (the ventricles) quiver and can't pump any blood, which leads to collapse, then cardiac arrest.

Ventricular fibrillation is life-threatening and the most serious of all heart rhythm problems.

Cardiac arrest signs

If someone exhibits any of the signs of cardiac arrest below, call 911 immediately:

  • A sudden lack of responsiveness
  • Abnormal, gasping breaths

These are signs of sudden cardiac arrest and immediate medical help is necessary.

Treatment

Ventricular fibrillation can be corrected with an automated external defibrillator (AED), which gives electrical shocks to the heart to restore its normal rhythm.

If you are alone with someone suffering from cardiac arrest, call 911 and get an AED if one is available. Use it as soon as you can.

While you wait for an ambulance, continue CPR until the person begins to respond or help arrives.

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