Be still my beating heart: Atrial fibrillation
Tim Moser, M.D. is a Denver native and graduate of CU medical school. He completed a family medicine residency at St. Joseph Hospital in Denver, and worked for Kaiser Permanente for about 10 years before starting Denver House Calls, LLC in October 2011. Dr. Moser treats his patients with care and compassion exclusively in their home or office.
He may be reached at denverhousecalls@gmail.com or visit denverhousecalls.com .
Molly was doing her usual Tuesday morning housework. As she bent over to clean under the table, she suddenly felt a little dizzy - not enough to pass out, but as she stood up, she grasped for a chair to steady herself. The remainder of the day her heart would flutter on occasion. This was especially noticeable when she was sitting quietly in the armchair working on her needlepoint, or when lying in her bead trying to take a nap. Molly really did not have chest pain, but there was some chest discomfort present that worried her.
By dinnertime, she became more concerned since her symptoms did not go away. Reluctantly, Molly called her daughter for a ride to the emergency room. A kind and competent medical staff performed a complete evaluation, which showed atrial fibrillation. Since Molly's heart rate was too fast, medication was given through an IV, which slowed her heart. An ultrasound of her heart was performed, and several treatment options were discussed. After a short hospital stay, Molly returned home symptom free.
Atrial fibrillation (often abbreviated as "A Fib" by medical personnel) is the most common abnormal heart beat in the general population. As we age, the chance of developing atrial fibrillation is greatly increased. Some patients with atrial fibrillation are completely unaware the problem exists. Others know immediately that something is wrong, and seek medical attention.
Normal Heart Conduction
The heart is an organ that is very polite and orderly when it comes to the signals that tell the muscle when to contract. During a normal heart beat, an electrical signal that makes the heart muscle contract originates in the upper portion of the heart, known as the right atrium. As the electrical signal makes its way down the heart, the muscle contracts in an orderly fashion from the top to the bottom, allowing the heart to pump blood to the body. After a brief pause, the process is repeated. The next electrical signal is seldom initiated until the previous signal has made it entirely through the heart.
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By Dr. Tim Moser Tim Moser, MD is a Denver native and graduate of CU medical school. He completed a family medicine residency at St. Joseph Hospital in Denver, and worked for Kaiser Permanente for about 10 years before starting Denver House Calls,
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