The ABCs of atrial fibrillation

About one in 11 men ages 65 and older has atrial fibrillation (afib), a heart rhythm disorder that causes an irregular and often faster-than-normal heartbeat. Afib can be persistent and chronic, or it can happen intermittently. People might have no symptoms with either variety, or afib can cause lightheadedness, shortness of breath, chest pain, or extreme fatigue. But the biggest worry is a fivefold increased risk of stroke. The main treatment choices for people are rate control with medication, or rhythm control, done with medication or a procedure such as electrical cardioversion or catheter ablation.