

The Office of Dr Joseph Tomson MD FRCP
What is atrial fibrillation? What should I do about it? How do I detect if I have AF?
Your heart normally beats in a steady, coordinated rhythm. In atrial fibrillation, the upper chambers of the heart (the atria) beat irregularly and chaotically, instead of squeezing in an organised way.
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Because of that:
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The heartbeat becomes irregular and often fast
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Blood may pool in the atria, which can form clots
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A clot can travel to the brain → stroke
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Some people feel AF right away; others have no symptoms at all.
Possible signs:
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Irregular or racing heartbeat
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Palpitations (fluttering, pounding)
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Shortness of breath
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Fatigue or weakness
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Dizziness or lightheadedness
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How can I tell if I might have AF?
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1. Check your pulse
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Place fingers on your wrist or neck
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AF often feels irregularly irregular (no pattern at all)
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Here is a link to a useful video: feeling your pulse
2. Blood pressure machines
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Some home BP cuffs flag an irregular heartbeat
3. Wearables & apps
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Apple Watch, Fitbit, Samsung, and others can detect rhythm irregularities
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These do not diagnose AF, but they’re good warning systems
4. Medical tests (the gold standard)
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ECG or EKG – confirms AF
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Holter monitor or patch ECG
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Atrial fibrillation is the most common arrhythmia in the adult population
If you have AF, your risks for a stroke or similar events increases
In some people, it can also cause other problems like heart failure or worsen valve disease.
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Speak to a cardiologist if you think you have symptoms of AF or you have new onset AF.
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