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 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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How to diagnose atrial fibrillation?

Atrial fibrillation, abbreviated as AF, refers to rapid and irregular beating of the atrial chambers of the heart. How should one be examined after being diagnosed with atrial fibrillation? Generally, the examination for atrial fibrillation involves the following aspects: First, blood tests, such as thyroid function tests, to see if there is hyperthyroidism causing the atrial fibrillation. Second, echocardiography. This test can reveal whether there are any heart valve diseases or myocardial diseases that might lead to atrial fibrillation. Third, electrocardiogram (ECG) and Holter monitor. Both ECG and Holter monitoring are effective and non-invasive tests that confirm the diagnosis of atrial fibrillation.

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Written by Tang Li
Cardiology
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Atrial fibrillation is caused by what?

Atrial fibrillation can occur in healthy individuals, sometimes triggered by emotional excitement, surgery, exercise, or excessive drinking. It often occurs in patients with existing cardiovascular diseases, such as rheumatic heart disease, coronary artery disease, hypertensive heart disease, hyperthyroidism, constrictive pericarditis, myocarditis, infective endocarditis, and chronic pulmonary heart disease. Atrial fibrillation can also occur in middle-aged and young adults without cardiac diseases, known as lone atrial fibrillation.

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Written by Li Hai Wen
Cardiology
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Can atrial fibrillation cause chest pain?

During an episode of atrial fibrillation, it is possible for symptoms such as chest pain to occur. Common symptoms of atrial fibrillation include palpitations, chest tightness, and shortness of breath or difficulty breathing. However, during a flare-up of atrial fibrillation, if the heart rate significantly increases, it can lead to chest pain symptoms. This is because when atrial fibrillation occurs and the heart rate significantly increases, it results in a marked shortening of the ventricular diastolic filling period. This reduces the blood volume during the diastolic filling period, further affecting the heart's pumping during the systole, leading to myocardial ischemia and causing symptoms similar to those of angina pectoris.

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Written by Zeng Wei Jie
Cardiology
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Can atrial fibrillation be completely cured?

Regarding whether atrial fibrillation can be completely cured, it essentially depends on the definition of being completely cured. If the criterion is complete cessation of medication, then many patients cannot achieve this. However, if the standard is conversion of atrial fibrillation back to normal sinus rhythm, then it is achievable for many patients, such as those with paroxysmal atrial fibrillation, who suffer from recurrent episodes and do not respond well to medication. In such cases, radiofrequency ablation might be attempted, and there is a high likelihood that after the treatment, the rhythm will convert to sinus rhythm. In this sense, some people can be considered cured. However, whether anticoagulation therapy can be discontinued depends on their thromboembolic risk score. This means that even if atrial fibrillation converts to sinus rhythm after radiofrequency ablation, some patients still need long-term anticoagulant medication. Therefore, from the perspective of discontinuing medication, such patients with atrial fibrillation are not considered cured.