Symptoms of atrial fibrillation in the elderly

Update Date: 2021-05-01 Source: Network

summary

Once a person is old, some diseases will come to him, such as hypertension, coronary heart disease, chronic gastritis / bronchitis, etc. we often call them "senile diseases", and atrial fibrillation is one of them. Symptoms of atrial fibrillation in the elderly? Let's talk about it

Symptoms of atrial fibrillation in the elderly

It mainly depends on the ventricular rate. When the ventricular rate is slow, the patient may have no symptoms, the ventricular rate is more than 150 times / min, the patient feels palpitation, shortness of breath, angina pectoris, congestive heart failure and other hemodynamic disorders, atrial fibrillation has a higher risk of systemic circulatory blockage, there is no consensus on whether isolated atrial fibrillation increases the incidence of stroke.

Due to the loss of atrial mechanical coordination and contraction during atrial fibrillation, the blood flow of left atrium / left atrial appendage slows down, leading to mural thrombosis. After the embolus falls off, it can cause embolism in brain, kidney and limb arteries. Syncope occurs easily in patients with sinus node dysfunction, patients with extremely fast ventricular rate caused by atrioventricular accessory pathway, and patients with mitral valve orifice blocked by globular mural thrombus. Continuous and rapid atrial rate and ventricular rate can induce atrial and ventricular tissue remodeling and electrical remodeling, and even form tachycardia cardiomyopathy.

Cardiac auscultation S1 strength changes, rhythm is absolutely irregular, when the ventricular rate is fast, pulse shortness may occur. There are corresponding signs when embolism occurs. When atrioventricular conduction is normal, the ventricular rhythm of AF is irregular and the rate is fast. When the ventricular rhythm becomes regular in patients with atrial fibrillation,

matters needing attention

For elderly patients with atrial fibrillation, do not be nervous, to maintain a good attitude, actively cooperate with the treatment, clinically, the main treatment methods of atrial fibrillation are drug therapy, interventional catheter therapy, surgical treatment, minimally invasive treatment, etc., the traditional treatment method is traumatic, high surgical risk, delay the condition.