A-Fib Risk Factors

A-Fib Risk Factors

Atrial Fibrillation (A-Fib)

Arial fibrillation is an irregular heart rhythm that can lead to inadequate blood supply and blood clots in the heart.
normal heartbeat vs atrial fibrillation ecg

Arial fibrillation Symptoms

Common Signs:

  • Panic
  • Palpitations
  • Chest tightness
  • Shortness of breath
  • Dizziness, or even blackness and fainting in severe cases
  • Weakness

Severe Signs:

  • A drop in blood pressure
  • Dyspnea
  • Some patients can have no obvious conscious symptoms when atrial fibrillation attacks.
afib-symptoms

What are the risk factors for developing atrial fibrillation?

Afib risk factors
  1. Age

The risk of atrial fibrillation increases with age, up to 5% in people over 65 years old and up to 10% in people over 75 years old.

  1. Obesity, Overweight

The risk of developing atrial fibrillation was 1.22 times higher in overweighted people and 1.65 times higher in obese people than in normal-weight people.

  1. Sleep apnea

We tend to think of people who snore as sound sleepers, but in fact, a significant number of people who snore have A-Fib. Patients with sleep apnea have poor sleep quality, frequent awakenings at night and lethargy during the day. Severe cases require a homeused ventilator or pharyngeal surgery.

O2Ring, a ring, is recommended to monitor your blood oxygen levels, so as to diagnose the condition of sleep apnea. Many users approved its effect. Click here to read its reviews.

  1. Hypertension

Hypertension is one of the most important causes of atrial fibrillation. Among many risk factors of cardiovascular disease, hypertension is the most dangerous one. How to prevent hypertension:

  1. Keep fit.
  2. Limit salt intake.
  3. Cut back on fast food.
  4. Limit alcohol.
  5. Stop smoking.

Recommend our home-used product to measure blood pressure in daily life. 👇

Wi-Fi blood pressure monitor with ECG function help you to measure continuous blood pressure and track 30s ECG. With the help of the AI-ECG platform, people who don’t have the professional knowledge can also know the ECG interpretation since this platform has been approved to detect some special ECG events.

  1. Diabetes

Both type 2 and type 1 diabetes can increase the risk of atrial fibrillation.

5 Ways to Prevent Diabetes and Atrial fibrillation:

  1. Increase physical exercise.
  2. Eat foods rich in fiber.
  3. Try to choose whole grains.
  4. Lose weight.
  5. Instead of dieting on a whim, stick to a healthy, balanced diet for the long run.
  1. Smoking

Smoking significantly increases the risk of atrial fibrillation, with current smokers having twice the risk of atrial fibrillation as nonsmokers. Quitting smoking can lower the risk of atrial fibrillation.

  1. Drinking

Don’t drink too much wine, though it adds to the fun. If you don’t have a drinking habit, don’t raise your glass for the so-called “blood vessel softening” effect. Because the glass of alcohol may be a small cardiovascular assistant, but more likely to be a gentle “killer”.

  1. Some drugs

Adenosine, dobutamine, evabradine, non-steroidal anti-inflammatory drugs (such as celecoxib, ibuprofen), high doses of hormones, aminophylline, and bisphosphonates (such as alendronate) can increase the risk of atrial fibrillation. However, in most cases there is no need to discontinue medication because of these risks, adding or removing medications should be done under the guidance of a physician.

  1. Anger, anxiety and other emotions

Not only can a bad mood increase the risk of atrial fibrillation in healthy people, but it can also make it more frequent in those who already have it. It is even associated with recurrence after catheter ablation of atrial fibrillation. If you have depression and anxiety that cannot be relieved for a long time or find yourself unable to control anger, please go to a professional clinic in time.

  1. Lack of endurance training

Physical inactivity is a contributing factor to many cardiovascular diseases, but more physical activity is not always better, and high-intensity endurance training may increase the risk of atrial fibrillation. Moderate intensity training benefits the most.

  1. Hyperthyroidism

The proportion of patients with hyperthyroidism complicated with atrial fibrillation is quite surprising. The primary task for the treatment of atrial fibrillation is to control hyperthyroidism. After treatment, more than half of patients can restore normal sinus rhythm by themselves.

Holter Recommended by Wellue for You

24-hour AI ECG Recorder

Portable 24-Hour ECG Recorder

-Easy to use with 2 measuring ways.

-Monitor your heart up to 24 hours.

-AI ECG platform to detect irregular heart rhythms without fees.

12-Lead Holter

-Continuously track ECG up to 24 hours with 12 leads.

-Free AI analysis for abnormal ECGs.

12-lead holter
How Important is 12-Lead ECG Machine in Emergency Medical Service?

How Important is 12-Lead ECG Machine in Emergency Medical Service?

Emergency medical service(EMS) is an essential part of the health care system and is always expected to be available always and continuously in case of need.

The 12-lead ECG is one of the most fantastic advances in EMS treatment since the invention of the bandage. It has proven to be a landmark addition to the EMS toolkit as the critical diagnostic aid to provide care in the field, guide transport to the most appropriate hospital for acute heart conditions, and allow notification of the hospital so that emergency staff can be prepared.

The movement of this powerful diagnostic tool from the confines of the hospital to the streets has been nothing short of revolutionary. It has given EMS professionals a wealth of information on how to best care for our patients and has driven hospital care and the development of medical care practices by providing clear and critical data that physicians had rarely before seen.

What is a 12-Lead ECG Machine?

A 12-lead electrocardiogram (ECG) is a medical test that is recorded using leads, or nodes, attached to the body.

It can identify a variety of heart problems, rhythm abnormalities, and cardiac injuries. Its addition serves as the basis for updating EMS protocols to improve the care of patients suffering many types of acute cardiac events.

Most importantly, the 12-lead EKG is the only tool to identify a patient with an ST-elevation myocardial infarction (STEMI).  It could reproduce QRS, ST, and T waveforms accurately, and provides evidence of P wave and QRS complex morphology that cannot be determined by single-Lead ECG. 

Not all hospitals provide acute treatment interventions for this condition, so the crucial EMS role is to identify patients with that disease and then, if possible, transport the patient for immediate intervention. There are many outstanding cases of EMS personnel identifying the patient having an MI, communicating that condition to the emergency department, and helping move the patient to the cardiac lab.

Application of 12-lead ECG in the diagnosis of STEMI

For ST-elevation myocardial infarction, the mortality of patients is closely related to the time from chest pain to perfusion (Ischemic to balloon time, also called myocardial hypoxia time).

The demonstrated advantages of 12-Lead ECG in EMS

Help doctors diagnose early, perform automatic interpretation or transmit ECG to expert

In 2006, the New England Journal of Medicine published that if the cardiac catheterization room can be activated before the patient arrives at the hospital, it will effectively reduce the time of myocardial hypoxia. However, the proportion of patients who can complete the pre-hospital ECG diagnosis is still not high.

In some cities, ambulances are equipped with 12-lead ECG equipment. When the fire rescue arrives at the rescue scene, they can first perform an ECG examination according to the condition. If it is judged to be STEMI, then the catheter would be called to activate immediately. In this way, when the patient arrives at the hospital, the Cath Lab would be ready to arrange cardiac catheterization, so as to reduce the preparation time of the cath lab, thereby shortening the time from hospital to perfusion.

Actually, even if the ambulance directly transfers the patient to the cardiac catheterization hospital, the activation of the cath lab will take a lot of time, which includes the organization of the cardiac catheterization team, the preparation of machines and equipment, etc. At present, if the hospital needs to activate the acute cardiac catheterization team, the notification can only be confirmed after the patient arrives at the emergency room and complete the ECG diagnosis.

In the emergency scene, 12-Lead ECG is used to complete the ECG detection, and some of the machines are able to automatically interpret and transmit the ECG report to the expert to establish the diagnosis result in advance, and then transfer it to the cardiac catheterization hospital, thus the early treatment could reduce the time of myocardial hypoxia and mortality rate effectively.

How Wellue can help

Wellue offers two types of portable 12-Lead ECG Machines, the Biocare 12-Lead EKG Machine, and the Wellue® 12-Lead ECG Tablet. By popularizing these tools into the field, they have almost made heart attacks into minor medical complaints that can be effectively treated if caught early.

Wellue® 12-Lead ECG Tablet

Wellue 12-Lead ECG Tablet

The flexible size of 197mm×112.4mm×26.1mm (7.8”x4.4”x1.0”), makes it easy to fit in your pocket. With the Wellue® 12-lead ECG tablet, you can make heart diagnoses everywhere immediately on your hand. 

There are two measuring methods to choose from 9 leads and 12 leads. Whether in an ambulance, fire rescue or field medical, air rescue, no need to print, editing EKG reports, analyzing, reviewing, and saving data will all take place in one touch-screen tablet. Most importantly, this tablet supports file sharing between Android devices, therefore the EMS team can send reports to the hospital on their way. Once a physician confirms the result, the hospital can take the patient with a severe heart attack to the cath lab directly. Wellue® 12-Lead ECG tablet helps to make faster cardiac medical decisions and will largely improve the efficiency of heart diagnosis.

Biocare 12-Lead EKG Machine

12-Lead EKG Machine

This portable EKG machine only weighs 1.3kg (2.9lbs). Compares to many EKG devices which normally weigh about 2kg (4.4lbs), this EKG machine is definitely an indispensable tool in the EMS toolkit.

The set includes a metal handle for emergency staff to carry around in the rescue.

This compact machine is also equipped with a printer,  which prints out the analysis in 3×4 format. So you can get a quick view of your patients in just a few seconds, and pass the result to cardiologists or physicians so that the hospital can get ready in advance.

Wellue ECG Recorder with AI Analysis Review

Wellue ECG Recorder with AI Analysis Review

-From Mohammed Hasnain Saiyed, a cardiac surgery resident.

In hospital we know that small ECG device with 3-5 cables that monitors our Heart for 24hours. But these days many mobile health gadgets started off as modified fitness trackers, or simply already developed medical devices altered to be powered by a mobile phone.  It’s a booming industry that is exciting to follow, but sometimes products can seem repetitive.

Recently, however, there have been a few companies that are truly taking it to the next level of mobile gadgets by providing unique tools for previously unavailable services. The Wellue 24h Heart Monitor is one such device.


Wellue has been perfecting the mobile phone customized electrocardiogram (ECG), building up to a point where they have now AI Heart Health Monitor, 24 Hours Holter with Free AI Analysis & PC Report, Chargeable Home Heart Recorder. I wanted to find out first hand what this device was all about. Here is my product review.

Appearance and Design

Small, slim, and cute. The device itself is compact enough to fit in the palm of your hand and is very lightweight. It has rubbery feeling. With chest strap one can easily sleep and exercise. One can wear it everywhere all the time of course not in shower or swimming pool.

Product features

– Long-term 24h ECG recording with AI analysis of the recorded ECG

– Two wearing modes with chest strap or electrodes
– Professional preparation of the ECG data in report form (PDF) e.g. for forwarding to the doctor!

This is real deal, I mean its works for me, I never saw such a device in one of the best hospitals in the world in last 10 years.

I don’t have any heart problem but i use it to monitor my ECG during Sleep and exercise and it can point out when it was and how much it was. I wanted to monitor my heart ECG because of curiosity as a doctor and as someone who like to do sport.

Just like any other ECG device you can monitor your ECG in your mobile at anytime.

Setup

This was impressive. From opening the package to getting heart readings took about 5 minutes. You download the free app, set up a quick account with some basic information, and after a few instructions you are live and pulsing. 

Packet comes with pen drive to install computer program to further read ECG and read AI analysed report. You can’t see graphs but ECG pages moves like continues screen with clicks. I mean I see many ECG strips on computer in Hospitals that’s why I find it very easy to analyse and use.

Use

If i say true as a doctor i would love to use it for my family and friends.

As you can see below in my report Maximum Heart Rate and Time of event.

Here you can see all the events that can happen and ECG strips

Here it was separately shown when my Heart Rate was abnormal i.e. 140during exercise.

I will use it to monitor my family and friends  all the time such an intelligent device.

What are cardiac tests? What are the differences between them?

What are cardiac tests? What are the differences between them?

What are cardiac tests? Which kinds of tests currently exist and what are the differences between them?

In terms of cardiac testing, hospitals now usually use three types of tests: cardiac color doppler ultrasounds, electrocardiogram tests, and coronary angiographies. These three tests are responsible for examining the structure of the heart, understanding the rhythm of the heart, and showing the condition of the blood vessels, respectively.

PART 1:

If one day, you ever feel that your heart is uncomfortable and have to go to the hospital for an examination, the doctor will ask you to lie on the bed, stretch your legs, and untie your shirt. A light blue, sticky, and gelatinous liquid will be applied to your chest, and a thick-headed pillar will be pulled out.

The colloidal liquid is called a “medical ultrasonic couplant,” and the thick-headed column is an ultrasound probe. The human heart can be seen as comprising of four “rooms” (right and left atria and ventricles) separated by walls (myocardium) and doors (valves) that allow blood to pass through the rooms. There is a normal range of door size and wall thickness for all people. And if something goes wrong, it means the heart is “sick”.

For example:

  • Some people have defects in the “walls” of the heart as soon as they are born, which is often referred to as congenital heart disease.
  •  For some people, long term high blood pressure causes the heart muscle to become fat and the “walls” to become thicker, which is called hypertensive heart disease.
  • For some people, due to infections, the “valves” are narrowed or not closed properly, which prevents the “doors” from opening and closing smoothly and affects the blood flow. That is called valvular heart disease.

The cardiac color ultrasound, also known as cardiac color Doppler, is responsible for observing these “door-wall” structures. The cardiac color Doppler ultrasound is one kind of ultrasound examination, but compared with the ordinary B-ultrasound, it is clearer and finer, and it can better avoid the interference of obesity and other conditions.

It clearly identifies structural abnormalities in the heart, such as the size of the chambers, the thickness of the interstitial wall, and the presence of valves that are not closing properly, narrowing, or prolapsing, as well as the heart’s ability to pump blood.

It is precisely because it is a type of ultrasound that cardiac ultrasound is a very safe way to examine the heart.

(Heart color Doppler ultrasound : this is what the doctor sees when you are lying on the bed, and he/she is scanning your chest with the thick-headed pillar.)

PART 2

If one day you go to the hospital for a checkup and the doctor makes you lie on the bed with your legs stretched out, unbutton your shirt, and then stick a bunch of patches with random wires attached to them on your chest, it might make you feel like an internet or video game addict,  who needs to be sent to an internet addiction treatment facility to receive electric shocks.

The human heart beats, and in addition to the number of beats having a normal range, the rhythm of the beat is also important.

A normal person’s heartbeat is as accurate as clockwork, and if it is occasionally fast or slow, it is an arrhythmia, which may affect the heart’s ability to supply blood. For example, the most common clinical arrhythmia, called atrial fibrillation, brings about a feeling of panic and palpitations, shortness of breath, fatigue, and even dizziness and fainting.

This is where the electrocardiogram (ECG) comes into play. It is made to understand the rhythm of the heart.

A routine electrocardiogram (ECG) is performed by placing electrode pads (which seems like an electrocution) and a hand and foot electrical lead system on the skin for a few minutes, which depicts the electrical activity of the heart on a curve. An experienced doctor can use these curves to know if the heart is beating rhythmically.

In addition to the conventional ECG, there is a “dynamic ECG” that compensates for a routine ECG by detecting the heartbeat 24 hours a day. In clinical practice, the ECG, combined with troponin and cardiac enzymes, is often used to detect myocardial infarction.

By the way, the technology used in lie detectors that we often see in movies is also used in ECGs, and by finding the slightest “unintentional twitch” in your wonderful little heart, your “inconsistencies” will be uncovered.

PART 3

If one day you go to the hospital for a checkup and the doctor pushes you into a strange kind of big room, makes you lie down on a bed, has you spreading your legs, and you then feel like you are paralyzed, and you see several doctors in lab blouses, masks and hair covers, all wrapped up tightly, slowly pushing some kind of strange looking liquid towards your body,…

A coronary angiography is a relatively low-risk, relatively safe, surgery performed under local anesthesia. It is mainly used to visualize the blood vessels in the heart through X-rays, while the “contrast agent” is pushed towards the body in order to enhance the visualization.

As stated above, the human heart is like a house, and the coronary arteries are the tubes that supply water and oxygen to the house. The coronary arteries are located outside the heart and provide a steady flow of oxygen and nutrients to the heart. Diabetes, high blood pressure, dyslipidemia, smoking, etc., can cause impurities in the blood vessels to increase and the water flow to become less and less smooth.

To understand the condition of these coronary arteries, a “coronary angiogram” is used, through a contrast agent, that allows the physician to clearly visualize the thickness of the coronary arteries under X-rays to determine a subsequent treatment.

Because if these pipes are severely blocked, various clinical symptoms (with chest pain as the main syndrome) may appear, that is, “coronary heart disease”, which is why coronary angiography is the “gold standard” for the diagnosis of coronary heart disease.

Through local anesthesia, the femoral artery is punctured, the arterial sheath is implanted, the angiography catheter is sent into the left and right coronary orifices, the contrast agent is injected at multiple projection angles, and then the condition of the coronary artery is displayed on the monitor screen to determine the degree of coronary artery disease.

But don’t be afraid to look. A coronary angiography is generally used for coronary heart disease, not for ordinary cardiac examinations.

In conclusion, the three most common types of heart tests are cardiac ultrasounds, electrocardiograms (EKG), and coronary angiograms. Doctors will use one or more of these tests to help determine what is wrong with the heart by understanding its structure, rhythm, and blood vessels.

In addition, cardiac tests also include cardiac MRIs (magnetic resonance imaging), etc. As for the choice of which test to do, you should go to the hospital and listen to your doctor’s advice based on your symptoms.