When a person has atrial fibrillation, it means that they experience an irregular heartbeat in the upper two chambers. The term chronic atrial fibrillation means that a person has the condition and experiences long-term symptoms. Some health experts call chronic atrial fibrillation, long-standing, persistent A-fib. The symptoms in chronic Afib usually last longer than 12 months with episodes which come and go over the course of this time.

Some of the most common symptoms of atrial fibrillation include fatigue, dizziness, chest pain, shortness of breath, sweating, fluttering feeling in the chest, weakness, anxiety, and palpitations. However, these symptoms might also be signs of a heart attack and thus, a person experiencing them should seek immediate medical attention.

Everyone can be at risk of developing chronic Afib. However, there are several factors which can increase the risk of atrial fibrillation, such as being over age 60, diabetes, sick sinus syndrome, thyroid problems, excess alcohol consumption, hypertension, inflammation around the heart, lung disease, and untreated atrial flutter.   

Chronic Atrial Fibrillation Diagnosis and Treatment

Sometimes, atrial fibrillation might be challenging to be diagnosed, especially because it shows no symptoms. Afib is usually diagnosed during a routine physical or a checkup for another problem. On the other hand, people who experience symptoms should see a doctor for a diagnosis.

So, a doctor will ask about the person's medical history and order a series of tests, such as a Holter monitor, electrocardiogram, echocardiogram, magnetic resonance imaging, computed tomography scan, and mobile cardiac monitoring.

When it comes to the treatment of chronic atrial fibrillation, its main aim is to minimize the risk of blood clots and return the heart to a normal rhythm. There are several treatment options for chronic Afib, such as medications, pacemakers, lifestyle changes, ablation, and surgery. Lifestyle changes are crucial for improving the condition. Hence, a person with Afib should quit smoking, limit the intake of alcohol and caffeine, do moderate exercises, and have a heart-healthy diet.

Moreover, the patients are usually recommended medications which aim to manage the symptoms and risks of chronic Afib. Some of the most common medications for chronic Afib are antiarrhythmics, beta blockers, blood thinners, and calcium channel blockers.

Nevertheless, some people might not notice any improvement from medications and might need an electronic device to help manage the condition. Devices like implanted cardioverter defibrillators and pacemakers will regulate the heart by delivering a controlled shock to the heart when the rhythm needs resetting.

Even though it is not always possible to prevent atrial fibrillation, but there are certain steps you can undertake to reduce the risk of developing the condition. Hence, in order to prevent Afib, you should exercise regularly, avoid saturated and trans fats, eat a diet rich in omega 3s and whole grains, quit smoking, maintain a healthy weight, avoid too much caffeine, and control your blood pressure. Last but not least, consider talking to a doctor or dietician to help you create a general health plan, so you can reach your goal.