Restoring normal sinus rhythm: What is it?

What is a Normal Sinus Rhythm?

In addition to managing your stroke risks, you and your provider may consider strategies to help you achieve what is called “normal sinus rhythm.”

What is the definition of “cured” for atrial fibrillation?

A regular pumping rhythm is an important goal, and many people who are able to achieve long-term stability with their sinus rhythm feel that their AFib is “cured.” The possibility of a lasting “cure” is most likely for people who have episodes of AFib that come and go (called paroxysmal AFib). This group is likely to have fewer complications and may experience rapid treatment success.

What is a normal sinus rhythm? Understanding Your Heart’s Electrical System

The Heartbeat Starting Point: Your SA Node The heart beats (or contracts) when an electrical impulse from the sinoatrial node (also called the SA node or sinus node) moves through the tissue of the heart. The SA node is sometimes referred to as the heart's "natural pacemaker" because it initiates impulses for the heartbeat.

The Orderly Signals For Normal Heartbeats: The normal electrical sequence begins in the right atrium and spreads throughout the atria to the atrioventricular (AV) node. From the AV node, electrical impulses travel down a group of specialized fibers called the His-Purkinje system to all parts of the ventricles.

This exact route must be followed for the heart to pump properly. As long as the electrical impulse is transmitted normally, the heart pumps and beats at a regular pace. In an adult, a normal heart beats 60 to 100 times a minute. When everything works correctly, your heart is said to be in “normal sinus rhythm.”

Atrial Fibrillation and Erratic Heartbeats: During atrial fibrillation, the sinus rhythm is disrupted and contraction signals may fire erratically from various places in the heart tissue or the nearby veins, often causing uncoordinated, fast or irregular contractions throughout the tissue and muscle around the heart. This uncoordinated timing creates a risk for blood clots to develop that can lead to stroke, so achieving a normal sinus rhythm and adhering to any clot-prevention strategies your healthcare provider advises for you are important goals.

Many people with AFib consider their condition to be cured when they achieve normal sinus rhythm and are able to maintain for a period of years. However, follow up treatment will continue to be important. A significant portion of those with AFib are unaware of any symptoms, so it is not a good idea to disregard recommended follow-up visits simply because you do not notice anything wrong.

Learn more about the normal heartbeat and atrial fibrillation.

Recent Discussions From The Providers Office Forum
Spencer avatar

OK.  Now, I didn't do it not to say that I didn't think it... but my cardiac doc broke his should.  Remember this doc - yelled at me when asking about other options, performed a cardioversion on me after I told him that I didn't approve one, and cooed about how intelligent and talented he was after my last ablation and then I had a heart attack 3 days later.  Well - he is out.  My ablation was moved from 4 Apr to 5 Apr and I have a new doc.  But, I will not be allowed to meet with this doc until I am on the OR table. I tried to get some info but since this is all military, there is zero records online.  The doc could have multiple malpractice claims against him, or have terrible success with ablations.  I don't know.  I only know that he is a doc and that is about it.  

So I will be operated on for cardiac surgery by someone that I don't know and won't meet until the moment before I am put under.  I have gotten worse from every single operation in this clinic and my symtpoms have gone from annoyance to debilitating and life threathening.  I can't back out as my VA benefits could be denied because I am not doing what is being perscribed.  So I's @@#$@ again.  Par for the course.

Spencer

Waiting for my Sunrise

Blkat131 avatar

Hello all,


I was recently diagnosed with afib/rvr, and my doctor ordered a pocket ecg for one month. I am not taking any drugs for this condition, as I could not tolerate them, not because I didn't want to. Anyhow the cardiologist office just called and gave me an appointment on Tuesday due to an alert they received overnight from my monitor, but did not tell me what it was specifically. Does anyone here have experience with these monitors or know why an alert would be generated?  I had a short spike in hr up to about 130 which quickly resolved, and later woke in the middle of the night with my heart thumping like crazy, not high rate but very irregular. Now of course Im even more anxious than I was, waiting for a call back from a nurse. Thanks for any insights.

 

cowlady1 avatar

I am interested in knowing how many of you are seeing an EP rather than a cardiologist...I have been in SNR since my diagnosis in early November.  Cardiologist never put me on a monitor and I found him to be dismissive and distracted.  If episodes were caused by holiday heart syndrome (which are his thoughts) does this mean I will be on drugs forever? 

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