Causes Of Afib - Early detection is very important.
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Atrial fibrillation causes 15% of all strokes in America. A-fib symptoms include heart palpitations, racing or fluttering of the heart, and shortness of breath. If you are experiencing any symptoms of A-fib, call 866-501-DOCS today. For more information on A-fib, visit www.stjohnprovidence.org
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Causes Of Afib - Lec 19 | MIT 8.02 Electricity and Magnetism, Spring 2002.
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Atrial Fibrillation - How to Prepare For the Atrial Maze Procedure
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Atrial maze (AM) surgery is used to treat a heart rhythm irregularity known as atrial fibrillation (alternatively called AF or AFib). Normally, a group of cells (called the sinus node) within your heart's right atrium generates electrical impulses that travel through your atria and ventricles in a methodical fashion. This causes contractions within the four chambers. With AFib, the electrical signals disperse and travel in different directions. This causes the atria to quiver, or flutter. The result is a disorderly heartbeat that can hamper your heart's ability to pump blood effectively.
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During an atrial maze procedure, a surgeon will create scar tissue on the surface of your atria. The electrical impulses cannot cross the scars because the scar tissue does not conduct electricity. This allows the surgeon to create a labyrinth through which the signals can travel. Below, we'll describe the steps you'll need to take in order to prepare for the operation.
Before The Operation
Though AM surgery can be performed by using a minimally invasive approach, many hospitals continue to use an open chest strategy. Many of the preparatory steps are identical, though open surgery requires a few additional precautions.
Several days before the operation, your doctor or caregiver will recommend that you stop using anticoagulants and aspirin. If you are taking other medications, ask whether you will need to stop taking them. If you smoke, you will be asked to stop one or two weeks prior to undergoing maze surgery in order to prevent clotting issues.
The day before the operation, you may need to undergo one or more tests. Your doctor may take X-rays of your chest, perform blood and urine tests, and request an electrocardiogram. The goal of these tests is to confirm there is no infection present and your health has not declined.
Immediately before the operation, you will receive an anesthesia. If an open chest strategy is used, the surgical team will insert a tube into your windpipe and another tube into your stomach. The former helps manage your breathing while the latter ensures your stomach remains empty during the procedure.
The next step is to access your heart. For open chest surgery, this is accomplished by making a long incision down the center of your chest. Then, your sternum will be split to help the surgical team gain access to the affected atria.
What To Expect After The Operation
Open chest maze is an invasive procedure. To that end, there is a higher risk of infection and a longer recovery time than would be the case for minimally invasive maze surgery. After the surgical team has completed the procedure, you'll be moved into an intensive care unit. While you're in ICU, doctors and nurses will monitor your vital signs. After one or two days, you'll be moved out of ICU. You can expect to spend another four to seven days in the hospital before being released to complete your recovery at home.
The atrial maze procedure is a common treatment for atrial fibrillation. However, because it is often performed through open surgery, you may require up to six months for a full recovery.
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