Atrial Fibrillation
Atrial fibrillation (AF) is a heart condition that causes an irregular and often abnormally fast heart rate. Atrial fibrillation is associated with a risk of stroke, so it’s important to have the condition properly diagnosed and monitored.
What is atrial fibrillation?
Atrial fibrillation (AF) is a condition of the heart that causes an irregular and often an abnormally fast heart rate. When atrial fibrillation happens, the heart's upper chambers contract randomly and often contract so fast that the heart muscle can’t relax properly between contractions, reducing the heart's performance and efficiency.
Atrial fibrillation is not usually life-threatening, but it can be uncomfortable and is associated with a risk of stroke, so it’s important to manage the condition properly.
Our expert cardiologists see patients with atrial fibrillation in our dedicated Heart Health centre. They use the most advanced diagnostics and treatment options to provide you with the best possible care.

Dr Iqbal Malik, Director of Cardiology at Welbeck Heart Health explains the symptoms, diagnosis and treatment of atrial fibrillation in this video.
More information
In atrial fibrillation, the heart can beat very fast, and in some cases over 100 beats a minute. A regular heart should beat between 60 to 100 times a minute when resting, and can be measured by feeling your pulse either in your neck or wrist.
Other symptoms can also be experienced, including:
dizziness
tiredness
shortness of breath
chest pain
palpitations
Some people may not even know they have an irregular heart rate, particularly older people.
Whilst the cause of atrial fibrillation is not fully understood, it does tend to affect those in a certain age group, usually over the age of 65, and can be triggered by certain factors including drinking too much alcohol or smoking.
In addition, it can be associated with:
high blood pressure
diabetes
heart failure
sleep apnoea
obesity
At your initial consultation, your expert cardiologist will talk to you about your specific symptoms and medical history. They’ll carry out a physical examination of your pulse and will confirm atrial fibrillation using an electrocardiogram (ECG) – a non-invasive test to check the heart’s electrical signals.
Further tests may be carried out to determine any underlying cause, or to rule out other conditions, including:
an echocardiogram – an ultrasound of the heart
blood tests
Atrial fibrillation can’t always be prevented, but you can lower your risk by living a heart-healthy lifestyle.
Lower your risk of atrial fibrillation by:
eating a healthy diet
exercising regularly
maintaining a healthy weight
not smoking
limiting alcohol
managing other health conditions such as diabetes, high blood pressure, and sleep apnoea
When the upper chambers in the heart do not pump efficiently, there’s a risk of blood clots forming. When clots are formed and move around the blood circulation, they can block arteries in the brain and cause a stroke. The risk of having a stroke with atrial fibrillation is increased by roughly 4 to 5 times.
Persistent atrial fibrillation can weaken the heart. If it’s extreme, your heart may be unable to pump blood around the body efficiently, leading to heart failure.
Whilst atrial fibrillation is not usually life-threatening, it can be uncomfortable and may require treatment.
If you have atrial fibrillation, medication will usually be recommended to reduce your risk of stroke, such as blood thinners.
Other treatment options will depend on your age, specific symptoms and any underlying conditions. Options include:
medication to control heart rhythm
cardioversion to shock the heart into a normal rhythm
catheter ablation to destroy the area inside the heart that’s causing the abnormal heart rhythm
At Welbeck, our cardiologists are experts in their field and are dedicated to providing world-class care to every patient.
With access to colleagues across other specialties, our consultants are also able to refer within the Welbeck ecosystem if required to ensure you receive the treatment you need as quickly as possible, all under one roof.
All appointments, testing, treatment, and follow-up appointments take place within our state-of-the-art facilities, enabling us to deliver accurate diagnostics and advanced treatments.
Your health is important to us, so we strive to offer same-day appointments whenever possible.
Our consultants are recognised by the major health insurance companies. If you have private health insurance, your treatment at Welbeck can begin once you have obtained authorisation. We also provide care to self-paying patients. Learn more about the different payment options at Welbeck.
Get in touch today to book an appointment.
Our specialists
Dr Mehul DhinojaConsultant Cardiologist
Dr Ankur GulatiConsultant Cardiologist- Dr Ahran ArnoldConsultant Cardiologist
Professor Amitava BanerjeeConsultant Cardiologist
Dr Mark EarleyConsultant Cardiologist
Dr Anish BhuvaConsultant Cardiologist
Dr Nay AungConsultant Cardiologist
Professor Malcolm FinlayConsultant Cardiologist and Electrophysiologist
Dr Sunthar KanaganayagamConsultant Cardiologist
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Frequently asked questions
Yes. Although atrial fibrillation and atrial flutter often have similar symptoms and treatment options, they are different conditions. The heartbeat caused by atrial flutter is usually more regular than one caused by atrial fibrillation. It’s possible to have both atrial fibrillation and atrial flutter. Our cardiologists can help you fully understand the cause of your heart symptoms.
Yes, you can usually still exercise with atrial fibrillation, and exercise is encouraged for heart health. It's important to find the right exercise routine that works for you. Your cardiologist can help recommend how to exercise safely with atrial fibrillation.
Yes, most people with atrial fibrillation can fly safely if their condition is well managed. It’s important to remember that long flights increase your risk of blood clots, so regular movement and staying hydrated while flying are important.
In some cases, where there’s an underlying cause that can be treated, atrial fibrillation may not return. However, for most people, atrial fibrillation is a chronic condition that will need long-term management. Even following cardioversion or catheter ablation, atrial fibrillation can often return.