What Is Atrial Fibrillation? A Complete Guide
Atrial fibrillation (AFib) is the most common sustained cardiac arrhythmia, affecting millions worldwide. It occurs when the upper chambers of the heart beat chaotically and out of sync with the lower chambers.
Mechanisms
AFib arises from disorganized electrical activity in the atria, often triggered by ectopic foci near the pulmonary veins. This leads to irregular, rapid atrial contractions and an irregularly irregular ventricular response.
Risk Stratification
The CHA₂DS₂-VASc score is used to estimate stroke risk and guide anticoagulation decisions, while the HAS-BLED score helps assess bleeding risk.
Management Overview
Treatment centers on three pillars: stroke prevention (anticoagulation), rate or rhythm control, and management of underlying risk factors such as hypertension and sleep apnea.