Read more about cardioversion procedures here. This is especially useful for patients with unstable symptoms from AFib with RVR such as severe dizziness, shortness of breath, or chest pain. CardioversionĮlectrical or pharmacological cardioversion may be used to restore normal heart rhythm in patients with AFib and RVR. Anticoagulants: Blood thinners like warfarin or direct oral anticoagulants (DOACs: Such as Eliquis or Xarelto) can reduce the risk of blood clots and stroke. Rhythm control: Antiarrhythmic medications, such as amiodarone or flecainide, can help restore normal heart rhythm. These are the most common first line treatment options for AFib with RVR. Rate control: Beta-blockers, calcium channel blockers, or digoxin may be prescribed to slow down the ventricular rate. Treatment options include: Medications for AFib with RVR The primary goals of treating AFib with RVR are to control the ventricular rate, restore normal heart rhythm, and prevent complications such as blood clots and stroke. Event recorders can be worn for up to 4 weeks if needed.Įchocardiogram: This ultrasound examination of the heart can reveal structural heart diseases that may cause or contribute to AFib with RVR.īlood Tests: These are used to rule out thyroid problems, electrolyte abnormalities, or other abnormalities in the blood that may lead to AFib with RVR.īased on the results from these diagnostic tests, doctors can then determine if a patient has AFib with RVR and propose a suitable treatment plan. Holter Monitor: This portable ECG device is worn by the patient for a day or more to provide a continuous 24-hour record of the heart's rhythm.Įvent Recorder: Similar to a Holter monitor, an event recorder is worn for longer periods and the patient activates it when they experience symptoms. Healthcare providers often utilize various diagnostic tools and procedures to confirm the diagnosis:Įlectrocardiogram (ECG or EKG): This is often the first-line diagnostic tool, as it records the electrical activity of the heart and can show if the heart rhythm is irregular or faster than normal. Certain medications, including stimulants or medications that affect heart rate How To Diagnose AFib with RVRĭiagnosing AFib with RVR involves a multi-step process that begins with an in-depth patient history and physical examination, which can help identify potential symptoms such as heart palpitations, dizziness, or shortness of breath. Underlying heart disease or structural abnormalities Several risk factors may contribute to the development of AFib with RVR, such as: Fainting (syncope) Causes of AFib with RVR Heart palpitations or a sensation of a racing, irregular heartbeat Symptoms of AFib with RVRĪFib with RVR can present with various symptoms, including: However, the pulse comes from the ventricles which can easily go as rapid as 100-200 beats per minute during AFib with RVR. The atrium rate can get up to 600 beats per minute. In patients with atrial fibrillation, the atrium is beating so fast that it is basically quivering. The heart has four chambers - two upper atriums and two lower ventricles. To better understand this condition, we first need to understand the basic anatomy of the human heart. RVR stands for rapid ventricular rate, which is defined as a heart rate of over 100 beats per minute. Here is everything you need to know about AFib with RVR (Also called Atrial Fibrillation with Rapid Ventricular Rate): What is AFib with RVR?ĪFib with RVR is a subtype of the overall condition of atrial fibrillation. Correct identification of your atrial fibrillation is essential for getting the proper treatment and care you need.Īs an electrophysiologist, I work with AFib patients everyday to properly diagnose their specific subtype of atrial fibrillation, and create a personalized treatment plan. While many symptoms of atrial fibrillation are similar, specific types can cause additional risks and require additional monitoring and management. Did you know that there are many different types of atrial fibrillation ( AFib)?
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