Atrial Fibrillation

A fluttering heartbeat isn't always just nerves. Atrial fibrillation (AFib) is one of the most common and potentially serious heart rhythm problems in adults. At Parkview Cardiology PLLC in Midtown Manhattan, New York City, board-certified cardiologist and internal medicine physician Kedar Sankholkar, MD, MS, FACC, helps patients get to the root of their irregular heartbeat with advanced testing and evidence-based care. Book an office or telemedicine appointment online or call the office today.

What is atrial fibrillation?

Atrial fibrillation (AFib) is a heart rhythm problem that begins in the heart’s atria (the upper chambers). Instead of beating normally, the atria quiver or flutter, which can lead to poor blood flow. 

Over time, this irregular rhythm can cause blood clots, increase the risk of stroke, and weaken the heart’s ability to pump effectively.

What does atrial fibrillation feel like?

Atrial fibrillation symptoms often include:

• Rapid heartbeat
• Uneven heartbeat
• Sensations of fluttering
• Sensations of skipped heartbeats
• Tiredness
• Dizziness
• Shortness of breath
• Chest pressure

In some cases, there are no symptoms at all, which is why regular heart checkups are important. Routine heart checkups become particularly essential for those with certain risk factors. 

Who is most at risk for developing atrial fibrillation?

AFib risk increases with age. Other factors can increase the risk, including:

• High blood pressure
• Carrying extra weight
• Diabetes
• Obstructive sleep apnea
• History of heart disease
• Alcohol use
• Smoking

Some of these factors are controllable. Because an ever-increasing number of Americans struggle with their weight and chronic diseases like diabetes, the number of people with AFib is also on the rise. 

In fact, the American Heart Association estimates that at least 12 million people in the United States will have AFib by 2030. 

How is atrial fibrillation diagnosed?

An electrocardiogram (EKG) is a standard test to diagnose AFib. If the irregular heartbeat comes and goes, Dr. Sankholkar may ask you to wear a Holter or event monitor to record your heart’s activity over time. 

You could also need blood tests or other diagnostic assessments. These tools help pinpoint the type and frequency of AFib, which helps guide treatment.

What are the treatment options for atrial fibrillation?

AFib treatment depends on the severity of your symptoms and whether you have co-occurring health problems. 

Medications can help normalize the heart rate or prevent blood clots. Some people may need cardioversion — a procedure to “reset” the heartbeat using controlled electric shocks. There’s also a drug version of cardioversion, in which medication does the same job.

If medication causes unmanageable side effects or if more conservative measures fail, you could need catheter ablation. This minimally invasive procedure minimally treats irregular heartbeats using heat or cold energy to block abnormal electrical signals in the heart. It can restore a healthy heart rhythm.

Dr. Sankholkar prescribes lifestyle changes, such as controlling your blood pressure, losing weight, and treating conditions like sleep apnea, to further improve results and control your AFib.

Call the office or book an in-person or telemedicine appointment online today.