The difference between premature beats and atrial fibrillation

Written by Liu Ying
Cardiology
Updated on February 21, 2025
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Premature beats refer to the early discharge of the heart's impulses. Premature beats can be divided into atrial premature beats, ventricular premature beats, and junctional premature beats. Atrial premature beats occur when the impulse is prematurely emitted from the atrium; ventricular premature beats occur when the impulse is prematurely emitted from the ventricles; junctional premature beats occur when the impulse is prematurely emitted from the atrioventricular junction. Atrial fibrillation is characterized by the atria losing their normal pattern of contraction and relaxation, replaced by irregular quivering. Both premature beats and atrial fibrillation are common arrhythmias that can be identified on an electrocardiogram.

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Written by Li Hai Wen
Cardiology
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Can hormones be used for atrial fibrillation?

Patients with atrial fibrillation can use steroids, but in principle, it is best not to use them. This is because the use of steroids can cause excitement of the sympathetic nerves, leading to an increased heart rate, which in turn can trigger an episode of atrial fibrillation and cause uncomfortable heart symptoms, such as palpitations, chest tightness, shortness of breath, and difficulty breathing. Of course, atrial fibrillation is not a contraindication for the use of steroids. If the condition requires it, such as during an asthma attack or certain immunological diseases, steroids can be used. When using steroids, it is important to strengthen observation and inform the patient to seek timely medical attention at a hospital if symptoms of an atrial fibrillation episode, such as palpitations or chest tightness, occur.

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Written by Li Hai Wen
Cardiology
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How is atrial fibrillation treated?

Atrial fibrillation is a common type of arrhythmia in our daily lives, and it has many dangers. First, it produces symptoms; when atrial fibrillation occurs, patients often experience palpitations and chest discomfort. Second, it can induce heart failure. Third, it can cause complications such as cerebral infarction. Therefore, the treatment of atrial fibrillation is usually divided into the following types: first, pharmacological treatment, such as using amiodarone to maintain sinus rhythm and taking warfarin to prevent thrombosis. Second, surgical treatment, such as radiofrequency ablation therapy, which is a minimally invasive method and is hoped to prevent further episodes of atrial fibrillation.

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Written by Zhang Yue Mei
Cardiology
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Nursing Care for Patients with Atrial Fibrillation

Atrial fibrillation (AF) refers to atrial fibrillation, caused primarily by organic heart diseases, commonly seen in coronary heart disease, rheumatic heart disease, cardiomyopathy, and pulmonary heart disease, as well as certain metabolic disorders such as hyperthyroidism. Patients with AF can experience impacts on cardiac function, and in severe cases, may develop heart failure. Nursing care primarily involves ensuring the patient rests and avoids excessive fatigue. Mild physical activities can be performed, and it is advisable to eat easily digestible foods and avoid spicy foods to reduce gastrointestinal irritation and lessen the burden on cardiac function. Attention should be paid to sleep, avoiding smoking and alcohol, routinely checking the electrocardiogram (ECG), and seeking timely medical treatment at a hospital if special conditions arise.

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Written by Li Hai Wen
Cardiology
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Can atrial fibrillation be cured?

Atrial fibrillation is a common arrhythmia in daily life. Many patients often ask their doctors after being diagnosed with atrial fibrillation, "Can my atrial fibrillation be cured?" The answer is affirmative. With the advancement of medical technology, some patients can be completely cured of atrial fibrillation, which needs to be analyzed and judged based on the treatment methods for atrial fibrillation. First, medication treatment, which is currently the mainstream method for treating atrial fibrillation. Most patients use medication treatment, but it cannot effectively cure atrial fibrillation. Second, radiofrequency ablation treatment, which is a minimally invasive means of treating atrial fibrillation. This technology has become very mature, and many patients have achieved complete cure of atrial fibrillation through radiofrequency ablation treatment. Third, surgical treatment, where a portion of the patients undergo a Maze procedure during surgery, which can also achieve the purpose of curing atrial fibrillation.

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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.