Introduction There are approximately 5.7 million people in the United States diagnosed with heart failure and about half of those diagnoses will die due to causes related to heart failure within five years (“Heart Failure”, 2016). Heart failure related deaths vary by geographic locations; however, they are most predominant among men and offer a greater risk to women if left untreated. Heart failure is a serious medical condition, if diagnosed and treated early enough, the chance of preventing death increase.
Heart failure is a syndrome where the heart lacks the ability to pump blood effectively throughout the body for a prolonged period. It often co-exists with other diseases or related illnesses that causes damage to the heart, such as atrial
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Atrial fibrillation can then be further broken down based on the frequency of the episodes into five types paroxysmal, persistent, long-standing persistent, permanent, and nonvalvular. Paroxysmal atrial fibrillation stops spontaneously or via intervention within seven days of onset. Persistent atrial fibrillation is continuous irregular rhythm lasting more than seven days. Long-standing atrial fibrillation is continuous irregular rhythm lasting more than twelve months. Permanent atrial fibrillation cannot be controlled through intervention and cannot self regulate. Further attempts to restore normal sinus rhythm will be stopped and therapeutic treatment will be initiated. Nonvalvular atrial fibrillation means it is not caused by a heart valve problem. It occurs when there is no mitral stenosis or artificial heart valve present (Boyle, …show more content…
The ECG is a test that connects wires to the chest and arms displaying the electrical signals of the heart on a monitor. In atrial fibrillation, the monitor will display no discernable, independent P waves, but rather replaced by evident F waves. The QRS complex will vary with R-R intervals and result in a rapid, narrow complex (Goralnick, 2015). The ECG can also provide other information such as presence of bundle-branch block, left ventricle hypertrophy, and prior myocardial infraction (Floyd, 2016). The holter monitor is a portable ECG that is carried around and records 24 hours or more of heart activity to later be interrupted by the doctor. The event recorder is again the portable ECG that is intended to record weeks to months of heart activity and records only if an episode of atrial fibrillation occurs. The echocardiogram is a noninvasive test that shows a video image of the heart originated by sound waves. These images can show if there is any structural damage of the heart. Blood tests are completed to eliminate thyroid issues or other biomarkers in the blood that could be causing the atrial fibrillation (Mayo Clinical Staff, 2015). Positive biomarker results are elevated C-reactive protein and B-type natriuretic peptide
12 Lead Electrocardiogram (ECG) - There are typical changes to the normal pattern of the ECG in a heart attack. Patterns that occur include pathological Q waves and ST elevation (Koutoukidis, Stainton & Hughson 2013, p. 505). However, it is possible to have a normal ECG even if a patient has had a heart attack. The indicators for this test include: suspected myocardial infarction, suspected pulmonary embolism, perceived cardiac dysrhythmias, fainting or collapse, a third heart sound, fourth heart sound, a cardiac murmur or other findings to indicate structural heart disease. The
Heart failure is a chronic, progressive condition in which the heart muscle is unable to pump enough blood through to meet the body 's needs for blood and oxygen. Basically, the heart can 't keep up with its workload. American Heart Association Statistics (2016) reveals that heart failure accounts for 36% of cardiovascular disease deaths. Projections report a 46% increase in the prevalence of Heart Failure (HF) by 2030 by affecting over 8 million people above 18 years with the disease. Healthy People 2020 goals are focused on attaining high quality longer lives free of preventable diseases, promotion of quality of life, healthy development and healthy behaviors across all stages of life (Healthy People 2020, 2015).
What is atrial fibrillation? Atrial fibrillation, also known as afib, is an irregular heartbeat that produces disorganized electrical signals within the heart. This results in quivering of the atria, or top chambers of the heart which allows blood to pool. Stagnant blood in the atria increases the risk of developing a blood clot.1 The blood clot can enter the bloodstream and travel to the brain resulting in a stroke. Atrial fibrillation is associated with a 5 times increased risk for stroke, and approximately 15-20 percent of people who experience a stroke have atrial fibrillation.2 Symptoms of atrial fibrillation are heart palpitations, shortness of breath, weakness, chest pain, dizziness, nausea, and fatigue.1(p6) The incidence of afib increases
Heart failure is a condition in which the heart muscle becomes too weak to maintain an adequate cardiac output to meet the body’s
A number of tests would be performed to analyze the extent of damage of the heart. An electrocardiogram would be one of the first tests performed to check the electrical
When one begins to discuss issues that arise with an intrinsic organ, things get serious. Unfortunately, vital organs like the heart and liver that are causing problems can’t be removed like the appendix or the kidney and “cure” people of issues such as Appendicitis or constant dealings with gallstones. This is true when things begin to go awry within the heart and conditions begin to arise. Atrial Fibrillation (A-fib) is the most common type of arrhythmia, or issue with the heart rate or rhythm. Though A-fib is not a condition that is life-threatening, depending on the severity and lack of treatment, this condition leads to more serious issues like heart disease, and even heart attacks and strokes, which are usually what end up being the cause of death in individuals diagnosed with the condition. Because of A-fib leading to other more detrimental problems, such as the ones listed above, it is difficult to identify and pinpoint if someone has it or had it, which is why it is known as one of the contributors to the “silent killer,” also known as the heart attack. In this paper, gaining a deeper understanding of Atrial Fibrillation will be accomplished through the exploration of: causes, diagnosis, symptoms and treatment, the variation of types, what all is affected within the body as a result, what happens physically, and what occurs at the cellular level when diagnosed with this disorder. All in all, Atrial Fibrillation should be taken seriously and further research is
Heart failure affects nearly 6 million Americans. It is the leading cause of hospitalization in people older than 65. Roughly 550,000 people are diagnosed with heart failure each year (Emory Healthcare, 2014). Heart failure is a pathologic state where the heart cannot pump enough blood to meet the demand of the body’s metabolic needs or when the ventricle’s ability to fill is impaired. It is not a disease, but rather a complex clinical syndrome. The symptoms of heart failure come from pulmonary vascular congestion and inadequate perfusion of the systemic circulation. Individuals experience orthopnea,
The heart is an organ that pumps oxygenated blood to the body and deoxygenated blood to the lungs. Heart failure is when the heart can’t pump blood very well. If the heart fails to work properly, a major system called the circulatory system won’t work properly and therefore the whole human body will fail to work properly because the cells won’t be able get oxygenated blood and use the oxygen to undergo cellular respiration and make energy.
Cardiac dysrhythmias come in different degrees of severity. There are heart conditions that you are able to live with and manage on a daily basis and those that require immediate attention. Atrial Fibrillation is one of the more frequently seen types of dysrhythmias (NIH, 2011). The best way to diagnosis a heart condition is by reading a cardiac strip (Ignatavicius &Workman, 2013). Cardiac strips play an chief part in the nursing world allowing the nurse and other trained medical professionals to interpret what the heart is doing. In a normal strip, one can clearly identify a P wave before every QRS complex, which is then followed by a T wave; in Atrial Fibrillation, the Sinoatrial node fires irregularly causing there to be no clear P
Atrial Fibrillation (AF) is defined as an irregular heartbeat, often of a rapid rate, that causes insufficient blood flow to the body. During atrial fibrillation, the upper chambers of the heart (atria) beat chaotically and out of synchronization with the lower chambers of the heart (ventricles). Atrial fibrillation is the most common sustained arrhythmia, affecting more than 2 million people in the United States, with an estimated 150,000 new cases being diagnosed each year (Shea and Sears, 2008). The Chronic Illness Trajectory Framework, developed by Corbin and Strauss, focuses on the patient living with atrial fibrillation and the ability to manage the course of the illness based on
Heart Failure is a progressive heart disease when the muscle of the heart is weakened so that it cannot pump blood as it should; the blood backs up into the blood vessels around the lungs and the other parts of the body (NHS Choice, 2015). In heart failure, the heart is not able to maintain a normal range cardiac output to meet the metabolic needs of the body (Kemp and Conte, 2012). Heart failure is a major worldwide public health problem, it is the end stage of heart disease and it could lead to high mortality. At present, heart failure is usually associated with old age, given the dramatic increase in the population of older people (ACCF/AHA, 2013). In the USA, there are about 5.7 million adults who have heart failure, about half of the people die within 5 years of diagnosis, and it costs the nation an estimated $30.7 billion each year (ACCF/AHA, 2013).
Today millions of Americans live or have lived with Atrial fibrillation. The main concern with this health issue is that many people who lived with it sometimes are not aware of it. Atrial fibrillation is defined by Mayo Clinic (2012) as “an irregular and often rapid heart rate that commonly causes poor blood flow to the body”. It occurs when the four chambers of the heart have a disrupted rhythm. The abnormal functionality of health may lead to a stroke because of the possible blood clot that will be formed. The Atrial fibrillation or Afib put the body in a situation without oxygen and nutrients because the body is not well supplied by a heart that is became weak. In general, only few people will feel change in their heartbeat. They may verbalize
Atrial fibrillation (AF) is a type of irregular heartbeat or dysrhythmia. Atrial fibrillation can be something that happens every now and sometimes you may develop atrial fibrillation that doesn’t go away and needs to be treated. Symptoms of atrial fibrillation usually include heart palpations, dizziness or light-headedness, and a feeling of fluttering or “butterflies” in the chest. Although AF may be asymptomatic, up to two thirds of patients report that the arrhythmia is disruptive to their lives (Markides, 2003). Atrial fibrillation can a lot of the time lead to more serious complications such as stroke, and other heart diseases.
As the population ages heart failure is expected to increase exceptionally. About twenty-two percent of men and forty-four percent of women will develop heart failure within six years of having a heart attack. “Thirty years ago patients would have died from their heart attacks!” (Couzens)