Recognizing Atrial Fibrillation: 5 Key Symptoms You Shouldn't Ignore
Published: Jun 08, 2024
Atrial fibrillation (AF) can be tricky to spot, as symptoms vary widely between individuals. Some people may have no symptoms at all, making it a 'silent' condition. However, recognizing potential signs is crucial for early detection and treatment.
Contents
The Tell-Tale Heart
The most common symptom of AF is heart palpitations - a feeling that your heart is racing, pounding, or fluttering. This can be alarming, but it's your body's way of alerting you to the irregular rhythm. Some people describe it as a 'fish flopping' or 'drum beating' in their chest.
Beyond the Beat
AF doesn't just affect your heart - it can impact your whole body. Common symptoms include fatigue, weakness, and reduced exercise capacity. You might find yourself getting tired more easily or struggling to complete your usual activities. Dizziness and lightheadedness are also frequent complaints.

Breathing Troubles
Shortness of breath, especially during physical activity or when lying down, can be a sign of AF. In some cases, this can progress to more severe breathing difficulties. If you find yourself unusually winded after climbing stairs or walking short distances, it's worth mentioning to your doctor.
Chest Discomfort
While not everyone experiences this, some people with AF report chest pain or pressure. This can range from mild discomfort to more intense pain. It's important to note that severe chest pain could indicate a heart attack and requires immediate medical attention.
Frequently Asked Questions
Yes, symptoms may be intermittent, especially in paroxysmal AF.
No, symptoms can vary widely between individuals.
Yes, some people have 'silent' AF with no noticeable symptoms.
Occasional palpitations are common, but persistent ones warrant medical attention.
Stress can trigger or worsen AF symptoms in some people.
When to Seek Help
If you experience persistent or concerning symptoms, don't hesitate to consult a healthcare professional.
References
- January CT, et al. 2014 AHA/ACC/HRS guideline for the management of patients with atrial fibrillation. Circulation. 2014;130:e199.
- Wynn GJ, et al. The European Heart Rhythm Association symptom classification for atrial fibrillation: validation and improvement through a simple modification. Europace. 2014;16:965.
This article has been reviewed for accuracy by one of the licensed medical doctors working for Doctronic. Always discuss health information with your healthcare provider.
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