BUNCHA SUNSANEEWITAYAKUL, M.D.
Medicine - Cardiology (Heart)
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Atrial Fibrillation (AF), also known as Atrial Fibrillation, is the most severe type of abnormal heart rhythm. When it occurs, it causes the upper chambers of the heart to beat irregularly and rapidly, preventing them from contracting together. This results in blood pooling, which can lead to the formation of blood clots and the potential for vascular blockages. Therefore, it is important to understand the causes, and symptoms, and pave the way for further treatment. Additionally, AF increases the risk of death. It is the most common type of arrhythmia, especially in elderly patients. This is because there are many potential causes of AF, which can be categorized into three main groups:
The first group involves external triggers, such as foods or drinks that stimulate the heart, including caffeine in coffee, tea, ginseng, and alcohol. Physical and mental stress from overwork or lack of rest can also be causes. Furthermore, various illnesses can trigger AF, such as asthma, pneumonia, or hyperthyroidism. Treatment for AF in this group involves eliminating the underlying causes or triggers, and AF may resolve on its own without further treatment.
The second group consists of abnormalities within the heart itself, such as coronary artery disease, heart valve problems, or heart failure. These conditions can stimulate the onset of AF. Treatment in this group focuses on addressing the primary heart abnormality, and if it cannot be corrected, the chance of AF resolving on its own is minimal.
The third group involves abnormalities in the electrical system of the upper chambers of the heart. AF occurring before the age of 65 is often due to a congenital electrical system defect, while AF that develops after the age of 65 is usually due to the degeneration of the heart’s electrical system, similar to how household electrical systems can develop problems after years of use. This may require repairs, such as replacing a faulty component or rewiring the system.
Atrial fibrillation can lead to heart failure and is a major cause of strokes, which may result in paralysis.
Medicine - Cardiology (Heart)