Is heart palpitation the same as atrial fibrillation?

Written by Chen Ya
Geriatrics
Updated on September 08, 2024
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Palpitations are considered a disease term in Chinese medicine, while atrial fibrillation is a medical term in Western medicine. Generally, if there is a correlation between Chinese and Western medical terminology, palpitations can correspond to atrial fibrillation, but not all cases of palpitations are atrial fibrillation. In Chinese medicine, palpitations refer to a subjective feeling of unease or discomfort in the chest, and a feeling of irregular heartbeats. For example, some people may feel their heartbeat distinctly even when their heart rate is not fast, especially when their blood pressure is high; this is also considered palpitations. Additionally, some people may experience a rapid "thumping" heart rate after physical exertion or when they have a fever, which is also a manifestation of palpitations. There are also healthy, sensitive young individuals who can feel their heartbeat while lying down quietly or during sleep, which is also classified as palpitations. However, palpitations that are caused by heart arrhythmias, like atrial fibrillation, where individuals can feel their heart beating rapidly and experience anxiety, are specifically indicative of atrial fibrillation; other types are not considered the same.

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Written by Chen Ya
Geriatrics
1min 37sec home-news-image

Is heart palpitation the same as atrial fibrillation?

Palpitations are considered a disease term in Chinese medicine, while atrial fibrillation is a medical term in Western medicine. Generally, if there is a correlation between Chinese and Western medical terminology, palpitations can correspond to atrial fibrillation, but not all cases of palpitations are atrial fibrillation. In Chinese medicine, palpitations refer to a subjective feeling of unease or discomfort in the chest, and a feeling of irregular heartbeats. For example, some people may feel their heartbeat distinctly even when their heart rate is not fast, especially when their blood pressure is high; this is also considered palpitations. Additionally, some people may experience a rapid "thumping" heart rate after physical exertion or when they have a fever, which is also a manifestation of palpitations. There are also healthy, sensitive young individuals who can feel their heartbeat while lying down quietly or during sleep, which is also classified as palpitations. However, palpitations that are caused by heart arrhythmias, like atrial fibrillation, where individuals can feel their heart beating rapidly and experience anxiety, are specifically indicative of atrial fibrillation; other types are not considered the same.

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Written by Li Hai Wen
Cardiology
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Can people with atrial fibrillation drink alcohol?

Atrial fibrillation is a common arrhythmia among many middle-aged and elderly people, and in our country, which has a strong culture of alcohol consumption, many people enjoy drinking. So, can you drink alcohol if you have atrial fibrillation? My advice is that it's best not to drink. Modern medical research has shown that alcohol can potentially trigger attacks of atrial fibrillation, and in our clinical practice, we often find that many patients experience an onset of atrial fibrillation by drinking alcohol, sometimes even necessitating hospital treatment due to the episodes. Therefore, it is recommended that patients with atrial fibrillation avoid or minimize alcohol consumption.

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Written by Li Hai Wen
Cardiology
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Can elderly people with atrial fibrillation take calcium tablets?

Elderly patients with atrial fibrillation can take calcium supplements if their condition requires it, such as those with osteoporosis. Generally, taking calcium supplements does not affect atrial fibrillation nor does it impact the effectiveness of the medications treating atrial fibrillation. However, calcium supplements themselves do not have an effect on atrial fibrillation and cannot reduce the occurrences of atrial fibrillation episodes. When atrial fibrillation occurs repeatedly, it is necessary to take anticoagulant medications under the guidance of a doctor, such as warfarin or the newer oral anticoagulant medication rivaroxaban, to prevent the formation of blood clots and avoid complications caused by clots from atrial fibrillation. Additionally, if the heart rate is fast, it is appropriate to take medications that control heart rate to improve symptoms.

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Written by Xie Zhi Hong
Cardiology
1min 35sec home-news-image

Can a normal heart rate have atrial fibrillation?

Atrial fibrillation includes paroxysmal atrial fibrillation and persistent atrial fibrillation. Patients with paroxysmal atrial fibrillation may have a normal heart rate during non-attack periods. In contrast, those with persistent atrial fibrillation continuously experience atrial fibrillation rates, presenting with irregular heart sounds of varying intensity. A normal electrocardiogram displays P waves, QRS complexes, and T waves. However, patients with atrial fibrillation either do not exhibit P waves or show irregularly sized, serrated P waves resembling dog teeth, suggesting atrial fibrillation. Therefore, although atrial fibrillation is associated with arrhythmias, individuals with paroxysmal atrial fibrillation may have a normal heart rate but experience repeated palpitations, chest tightness, discomfort in the precordial region, and fatigue. Therefore, patients who frequently experience palpitations should undergo a 24-hour Holter monitor test or consider esophageal electrophysiological examinations to rule out arrhythmic disorders, such as atrial fibrillation and supraventricular tachycardia. Hence, a normal heart rate does not exclude the presence of atrial fibrillation in individuals with corresponding symptoms.

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Written by Li Hai Wen
Cardiology
51sec home-news-image

Atrial fibrillation symptoms

Atrial fibrillation is a common type of arrhythmia we encounter in our daily lives. So, what symptoms generally accompany atrial fibrillation? These symptoms are often characterized by sudden onset and cessation of palpitations, or chest tightness. During palpitations or chest tightness, dizziness often accompanies, and some patients may experience chest pain. If you exhibit these symptoms, don't panic. You can visit the cardiology outpatient department at a hospital. There, a doctor can perform an electrocardiogram or a Holter monitor test to see if you have atrial fibrillation. Blood tests can also be done to check if hyperthyroidism, a potential cause of atrial fibrillation, is present. Based on these examinations, follow the doctor's guidance and take medications as prescribed for treatment.