Pathophysiology

Atrial fibrillation can occur as a "tachy" or "brady" arrhythmia* depending upon the re-entry pattern. There are three circumstances in which atrial fibrillation will occur:

*Lone atrial fibrillation occurs without any underlying heart disease or structural heart abnormalities.


To help understand this arrhythmia, click here to review normal and abnormal conduction.


Atrial fibrillation is not usually a chronic condition. Rather, "attacks" may be triggered by stress, hypoglycemia, alcohol, nicotine, caffeine, chocolate, and allergic reactions to other substances (Larsen, 1996). The individual may feel dizziness, palpitations, breathlessness, and even chest pain. These symptoms reflect a possible deterioration of the patient’s hemodynamic status due to the loss of atrial kick.

As we can see from the information about "generic" atrial fibrillation, lone atrial fibrillation (LAF) is a specific subcategory. LAF typically strikes young adults. The majority of individuals who are affected are less than 65 years of age.

The severity of complications associated with lone atrial fibrillation may be based upon the nature of the problem. The prognosis for young patients with acute LAF is very good. However, patients who are experiencing chronic LAF may be at risk for embolic events (Scardi, et.al., 1999).


Instant Feedback:
Lone Atrial Fibrillation is:
Chronic
Acute
Strikes only adults over 65.
Associated with a poor prognosis for young patients.


Please click here to access Lone Atrial Fibrillation by by Hans R. Larsen.

Be prepared to answer the following question.

Certain foods can trigger an LAF attack. What are they?