Atrial fibrillation 

Atrial fibrillation is a heart condition that causes an irregular and often abnormally fast heart rate.

A normal heart rate should be between 60 and 100 beats a minute when you're resting. You can measure your heart rate by feeling the pulse in your wrist or neck. In atrial fibrillation, the heart rate may be over 140 beats a minute.

Atrial fibrillation may be defined in various ways, depending on the degree to which it affects you:

• Paroxysmal atrial fibrillation - this comes and goes and usually stops within 48 hours without any treatment.
• Persistent atrial fibrillation - this lasts for longer than seven days (or less when it is treated).
• Longstanding persistent atrial fibrillation - this usually lasts for longer than a year.
• Permanent atrial fibrillation - this is present all the time and there are no more attempts to restore normal heart rhythm.

What happens in atrial fibrillation?

When the heart beats normally, its muscular walls contract (tighten and squeeze) to force blood out and around the body. They then relax, so the heart can fill with blood again. This process is repeated every time the heart beats.

In atrial fibrillation, the upper chambers of the heart, called the atria, contract randomly and sometimes so fast that the heart muscle cannot relax properly between contractions. This reduces the heart's efficiency and performance.

This may lead to a number of problems, including dizziness and shortness of breath. You may also be aware of a fast and irregular heartbeat (palpitations) and feel very tired.

Read more about the symptoms of atrial fibrillation.

Some people with atrial fibrillation have no symptoms and are completely unaware that their heart rate is not regular. 

Why it happens

Atrial fibrillation occurs when abnormal electrical impulses suddenly start firing in the atria. These impulses override the heart's natural pacemaker, which can no longer control the rhythm of the heart. This causes you to have a highly irregular pulse rate.

The cause is not fully understood, but it tends to occur in certain groups of people (see below) and may be triggered by certain situations, such as drinking excessive amounts of alcohol or smoking.

Read more about the causes of atrial fibrillation.

How common is atrial fibrillation?

Atrial fibrillation is the most common heart rhythm disturbance and affects up to 500,000 people in the UK.

Who is affected?

Atrial fibrillation can affect adults of any age. However, it affects more men than women and becomes more common the older you get. It affects about 10% of people over 75.

Atrial fibrillation is more likely to occur in people with other conditions, such as high blood pressure or atherosclerosis.

It is not common in younger people, but may be slightly more common in people with another heart condition, such as a heart valve problem.

Outlook

Atrial fibrillation is generally not life threatening, but it can be uncomfortable and often needs treatment.

Treatment may involve medication to control the heart rate or rhythm, and medication to prevent a stroke.

Find out more about treatment for atrial fibrillation.