Diagnosis of AFib

Diagnosis of AFib

What Is Involved in Getting A Diagnosis of AFib?

If you or your doctor suspect that you have atrial fibrillation, there are several helpful tests that can be used to diagnose whether you have AFib. In addition, other heart-related tests may be ordered to provide a complete picture of any other possible problems that may either contribute to AFib or be causing some of the symptoms you may be experiencing. These tests can help reveal any underlying heart disease or structural issues such as enlargement of the atria or heart valve malfunction. These are especially important when you are scheduled to undergo a procedure for atrial fibrillation.

Common helpful tests to diagnose atrial fibrillation:

What is an Electrocardiogram (ECG or EKG)?

An electrocardiogram is a test that measures and charts the electrical activity of the heartbeat. The result provides a readout of the patterns, or rhythms, of the important phases of a heartbeat pattern.

What is an Electrophysiology Study (EPS)?

An electrophysiology study is a catheter-based test that helps doctors understand the causes of your abnormal heart rhythms (arrhythmias) and more closely investigate possible treatments to help you.

Monitoring Your Heart Rhythm

There are several types of monitors that may help provide additional information to your healthcare provider. These can be helpful for arriving at an accurate diagnosis, and they may also be useful for evaluating the changes after a medication has been started or a procedure has been performed.

You may be asked to wear a Holter monitor to see if you have a slow, fast or irregular (uneven) heartbeat. 

Additional Testing for Possible Causes and Effects

Although some (very few) people truly have what is called “lone AFib,” or atrial fibrillation that seems unrelated to any other existing problem, many people develop atrial fibrillation in response to another problem that is going on in or around the heart.

Diagnosing Atrial Fibrillation in Children

Does your child have atrial fibrillation (AF or AFib)? Or do you wonder about the possibility because your child tires easily and has pounding, irregular, or fast heartbeats? Here are some facts you should know.

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.


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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