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Why Do Heart Fibrillations Occur?
I have been having sporadic dizziness and heart fibrillations even while at rest for the past 3 days. I m getting out of breath while talking and my heart is beating rapidly just walking to the bathroom. I feel very tired. My bp is 137/76, 94 hbpm. I don t have a fever but had missed my hormonal medication (total hysterectomy in 11) for about 2 weeks. I m now back on it as of yesterday. I have also taken my inhaler which isI taken as needed. I also have been experiencing minor nausea occasionally. Dr office or ER?
Fri, 21 Aug 2015
Hello. Thank you for your question and welcome to HCM. I carefully read your query.
Atrıal fibrillation is a supraventricular arrhythmia, which, wıth the proper medıcatıon of controllıng the rate and blood thınıng, is totally benign. Heart chambers use heart muscle to contract. In various scenarios where for different reasons heart chambers are exposed to higher than normal pressures, the compensatory mechanisms come to play, hypertrophy (thickening) and dilation (enlargement) of the heart muscle. Since atria do not have as much muscular mass as the ventricles, they quickly skip the thickening phase and proceed with dilation. At this moment, there are created groups of cells that fire on their own and generate a irregular rhythm which is atrial fibrillation. I would recommend you an EKG and echocardiogram to evaluate the heart chambers size and functioni also the valvular apparatus. If an episode of atrial fibrillation is found, you should go to the emergency room, because the conversion to sinus rhythm or the heart rate control measures should be undertaken in facilities with readily available monitoring. You can further discuss with your cardiologist, depeending on your echocardiogram parameters, whether this arrhythmia demands rhythm control or rate control and anticoagulation.
I hope I was helpful with my answer. Best regards.
Dr. Meriton
Atrıal fibrillation is a supraventricular arrhythmia, which, wıth the proper medıcatıon of controllıng the rate and blood thınıng, is totally benign. Heart chambers use heart muscle to contract. In various scenarios where for different reasons heart chambers are exposed to higher than normal pressures, the compensatory mechanisms come to play, hypertrophy (thickening) and dilation (enlargement) of the heart muscle. Since atria do not have as much muscular mass as the ventricles, they quickly skip the thickening phase and proceed with dilation. At this moment, there are created groups of cells that fire on their own and generate a irregular rhythm which is atrial fibrillation. I would recommend you an EKG and echocardiogram to evaluate the heart chambers size and functioni also the valvular apparatus. If an episode of atrial fibrillation is found, you should go to the emergency room, because the conversion to sinus rhythm or the heart rate control measures should be undertaken in facilities with readily available monitoring. You can further discuss with your cardiologist, depeending on your echocardiogram parameters, whether this arrhythmia demands rhythm control or rate control and anticoagulation.
I hope I was helpful with my answer. Best regards.
Dr. Meriton
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