Overview of Atrial Fibrillation in Cats
Atrial fibrillation (AF), commonly referred to as “A-Fib”, is a common electrical disturbance or arrhythmia of the heart, marked by rapid randomized contractions of the atrial heart muscle causing a totally irregular, often rapid , ventricular rate. In this arrhythmia the normally coordinated electrical activity in the upper heart chambers, the right atrium and left atrium, is lost. The muscle of these chambers begins to wiggle like a “bag full of worms.” Atrial flutter is similar to AF, but the atrial contractions are rapid but regular. Both rhythms are very abnormal and reduce heart function.
Below is an overview of Atrial Fibrillation in Cats followed in-depth information on the diagnosis and treatment of this condition.
AF can occur as a single problem (lone AF) or more often as a complication of heart muscle disease (cardiomyopathy) or chronic heart valve disease. It occurs in both dogs and cats but is much more common in dogs. Many cats with AF are also in congestive heart failure (CHF).
Once established, these heart arrhythmias are often permanent.
What to Watch For
The symptoms of atrial fibrillation are not very specific.
Diagnosis of Atrial Fibrillation in Cats
Diagnostic tests are needed to recognize AF, and exclude other diseases. The evaluation of a cat with AF is similar to that needed to evaluate any cardiac patient. These tests may include:
Treatment of Atrial Fibrillation in Cats
Treatments for AF depend on the underlying heart condition. In most cases, heart failure is also evident and must be managed medically.
Hospital control of congestive heart failure includes:
Home therapy includes:
Home Care and Prevention
Administer all medications as prescribed by your physician. Learn the side effects of each medication; for example, digoxin can lead to loss of appetite or vomiting. Alert your veterinarian if there are signs of difficult breathing, loss of appetite, exercise intolerance, coughing or other symptoms.
There is no specific preventative measure for atrial fibrillation. It is important to give all medication for any existing heart condition. See your veterinarian for routine examinations to monitor the progress of the disease.
In-depth Information on Atrial Fibrillation in Cats
Both atrial fibrillation (AF) and the related rhythm, atrial flutter, originate in the top chambers of the heart called the atria. Both rhythms can lead to a decrease in heart function related to chaotic rhythm and excessively rapid heart rates. These electrical disturbances can rarely be “cured” back to normal because the majority of dogs with AF have progressive underlying heart disease. When AF occurs as the only heart problem (lone atrial fibrillation) or suddenly develops in a hospitalized patient, there is a greater likelihood that the rhythm can be made “normal” again. However, over 95 percent of cases maintain AF for life.
A number of other heart rhythm disturbances can also lead to a rapid heart rate and deterioration in heart function. Ventricular tachycardia is a good example; this is a rapid heart rate that originates in the lower chambers of the heart called the ventricles. These disturbances are readily distinguished by an electrocardiogram (EKG) examination.
A key to management of AF is the medical control of co-existing congestive heart failure (CHF) when present.
Veterinary care should include diagnostic tests and subsequent treatment recommendations.
Diagnostic tests are needed to recognize all AF, and exclude all other diseases. These tests may include:
The principles of therapy for AF include the following:
Initial treatment for heart failure may require hospitalization with administration of a diuretic, oxygen and other treatments. Vasodilator drugs such as nitroglycerine or nitroprusside, which cause dilatation of blood vessels, may be administered. In some forms of heart failure, the use of dobutamine or other potent stimulators of the heart muscle may be necessary. Fluid accumulation around the lungs (pleural effusion) may require drainage with a needle (thoracocentesis). Additional treatment may include:
Follow-up Care for Cats with Atrial Fibrillation
Optimal treatment for your cat requires a combination of home and professional veterinary care. Follow-up can be critical. Administer prescribed medication(s) as directed, and be certain to alert your veterinarian if you are experiencing problems treating your cat. Optimal follow up veterinary care for atrial fibrillation often involves the following: