Lone Atrial Fibrillation (A-Fib) – Takeaways from our Heart to Heart

Lone Atrial FibrillationThank you for those who were able to participate in the Emory Heart & Vascular Center Live Chat on Arrhythmias last week! You all had great questions and highly engaged. If you could not join me, you can view the Arrhythmia chat transcript here. We covered a lot of different topics. Please feel free to use the comments below to let us know if you have other heart and vascular topics you would like to cover in future live chats, and we will see if we can organize!

During the chat, there were questions I did not have time to answer. Specifically, I told attendees that I’d be posting a follow up blog on Lone Atrial Fibrillation, a less discussed type of arrhythmia that I got some good questions around.

What is Lone Atrial Fibrillation (A-Fib)?

Lone Atrial Fibrillation (A-Fib) is atrial fibrillation seen in patients younger than 60 years with no underlying structural heart disease.  It may be caused by a specific trigger or could occur without any trigger.

What are the possible triggers for Lone Atrial Fibrillation?

Lone A-Fib can be triggered by:

  • Emotional or work related stress
  • Physical Overexertion
  • Alcohol use or overuse
  • Caffeine consumption
  • Infection
  • Dehydration
  • Electrolyte imbalances
  • Drugs (cocaine, amphetamines, etc)
  • Hypoglycemia

Unfortunately, in the majority of cases of Lone Atrial Fibrillation occur without any triggers. It is probably difficult to avoid all the potential triggers for Lone A-Fib.  But when a trigger exists, it is  typically specific to each individual.  There is no consistent way to safely and effectively manage Lone A-Fib episodes, so I recommend you consult your cardiologist to ensure you are taking the most appropriate steps for your particular case.

You can visit our website to learn more about Emory’s Arrhythmia Program.

Dr. Mikhael El-ChamiAbout Mikhael El-Chami, MD
Dr. El-Chami completed his residency at Emory in 2003 and he was nominated for a chief residency year at Emory in 2004. His training in cardiology and electrophysiology also was completed at Emory. His areas of clinical interest include: cardiac arrhythmia ablation, cardiac resynchronization therapy and prevention of sudden cardiac death. Dr. El-Chami holds organizational leadership memberships with the American College of Cardiology and the Heart Rhythm Society. He speaks Arabic and French fluently.

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