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This may include checking the neck for signs of thyroid, pulmonary examination, cardiovascular exam, abdominal exam and an exam of the central nervous system.

Physical examination: A full physical exam should be conducted to try and identify the cause of atrial fibrillation.

The history should focus on symptoms such as chest pain, shortness of breath, palpitations, dizziness, increased lower extremity swelling and dyspnea on exertion as well as wider issues such as heart disease.

Complete history: A complete history and risk stratification of the patient should be conducted to get a better understanding of the severity of the atrial fibrillation.

Diagnostic investigation typically includes a complete history, physical examination, ECG, transthoracic echocardiogram, full blood count and serum thyroid-stimulating hormone level. Heart disease ( heart valve disease, congenital heart disease, coronary heart disease )ĪF may be paroxysmal, persistent or permanent.This damage can be caused by any of the following: The most common cause of atrial fibrillation is damage to the heart’s structure. Other times, atrial fibrillation may have no noticeable symptoms at all.Ītrial fibrillation might be permanent, or may come and go, which is known as paroxysmal atrial fibrillation. Other symptoms include chest pain, fatigue or finding it difficult to exercise. These can last either a few seconds or a few minutes. With atrial fibrillation, heart palpitations will often be noticeable where the heart will often feel like it is pounding hard, fluttering or beating irregularly. This can often lead to other symptoms such as dizziness, shortness of breath or tiredness. The atrias (upper chambers) beat chaotically and out of sync with the ventricles (lower chambers) and may cause heart palpitations, shortness of breath and weakness.Ītrial fibrillation causes an irregular heartbeat which is often abnormally fast, in some cases being considerably higher than 100 beats per minute. With atrial fibrillation, the irregular heartbeat is often very rapid, which can result in blood clots in the heart, strokes and other heart related issues so should be treated as a serious medical issue which needs to be addressed. Atrial fibrillation (AF) is the most common sustained type of cardiac arrhythmia, characterised by irregularly irregular ventricular pulse and loss of association between the cardiac apex beat and radial pulsation.

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