AFib for Seniors
Common. Treatable. Stroke prevention crucial.
What AFib is
- Irregular heart rhythm.
- 10% of seniors 65+ have it.
- Many don't know.
- Increases stroke risk 5x.
- Often no symptoms.
- Smartwatches helping detect.
Symptoms (some have)
- Heart palpitations / racing.
- Skipped beats sensation.
- Chest fluttering.
- Shortness of breath.
- Fatigue.
- Lightheadedness.
- Many feel nothing.
Detection
- Pulse check — irregular = could be AFib.
- EKG at doctor.
- Apple Watch / Fitbit ECG.
- KardiaMobile ($90 device).
- Holter monitor (24-48 hr).
- Catch + treat early.
Treatment
- Blood thinner — Eliquis, Xarelto. Prevents stroke.
- Rate control — beta blockers slow heart.
- Rhythm control — antiarrhythmics restore normal rhythm.
- Cardioversion — electric shock to reset.
- Ablation — burns problem tissue.
- Lifestyle changes too.
Reduce AFib triggers
- Lose weight if overweight.
- Limit alcohol.
- Treat sleep apnea.
- Manage stress.
- Reduce caffeine if triggers.
- Control BP + diabetes.
- Don't smoke.
Stroke risk = top concern
Don't skip blood thinner. Many AFib stroke deaths preventable. Eliquis + Xarelto have less bleeding risk than Coumadin. Cost $400-500/mo brand — assistance programs available. Generic apixaban 2026.