HomeAnswersCardiologyatrial fibrillationI am diagnosed with atrial fibrillation and also suffer from an increased heart rate. Kindly help.

What does increased heart rate with atrial fibrillation indicate?

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Published At October 2, 2023
Reviewed AtNovember 9, 2023

Patient's Query

Hello doctor,

I was diagnosed with a heart condition called AF. Every three to four months or so I suffer fast HR of about 140 bpm lasting for about two to three hours. Thereafter, for three to four months, everything is normal. My last cardiogram shows AF, left anterior fascicular block, abnormal R-wave progression, late transition repolarization, and prolonged PR interval. Please explain what this medical jargon means.

Hello,

Welcome to icliniq.com.

Atrial fibrillation is the most common cardiac rhythm abnormality that occurs in cardiac as well as noncardiac illnesses. In this, the atria of the heart do not contract, instead, these fibrillate. The risk of stroke is high in atrial fibrillation. Abnormal R wave progression can occur in case of a dilated heart, incorrectly placed chest leads, etc. Late transition is the same. Please send the ECG strip and echocardiography report so that I can guide you accordingly.

Thank you.

Patient's Query

Hello doctor,

Please guide me further on the following:

1. How high is the risk of stroke on a scale of 1 to 10? Which number can be used to illustrate the degree of highness?

2. What is left anterior fascicular block?

3. What is repolarization abnormality?

4. What is borderline prolonged PR interval?

5. What is sinus rhythm?

I am currently awaiting the imaging reports, and they will be accessible once received. This process may involve some delay.

Hello,

Welcome back to icliniq.com.

The risk of stroke in atrial fibrillation depends upon certain risk factors in the patient, these include age of more than 65 years, heart failure, hypertension, diabetes mellitus, and previous history of stroke or heart attack. These are the technical terms of ECG (electrocardiogram). The left anterior fascicular block is certain pathways of the heart's electrical conduction are blocked or slow. In repolarization abnormality, there are two phases on a molecular level, depolarization, and repolarization. Depolarization causes the heart to contract and repolarization causes relaxation. A prolonged PR interval means the current is slow in the conduction pathway from the atria to the ventricles. Sinus rhythm is the normal rhythm of the heart.

Thank you.

Same symptoms don't mean you have the same problem. Consult a doctor now!

Dr. Muhammad Zohaib Siddiq
Dr. Muhammad Zohaib Siddiq

Cardiology

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