Is Your Heart Trying to Tell You Something?
Posted February 23, 2026

AFib signs and symptoms you shouldn’t ignore
Your heart’s rhythm plays a critical role in keeping blood flowing efficiently throughout your body. When that rhythm is disrupted, it can be a sign of an underlying condition that deserves attention. One such condition – atrial fibrillation (AFib) – is common, often overlooked, and associated with serious complications, including stroke and heart failure.
Understanding the signs, symptoms, and risk factors of AFib can help you recognize when something isn’t right and seek care before complications occur.
What is AFib
Under normal circumstances, the human heart beats in a strong, steady rhythm – 60 to 100 beats per minute. With atrial fibrillation, or AFib, the heart may beat too fastor irregularly, preventing it from working as efficiently as it should.
AFib is a type of arrhythmia, or irregular heartbeat, that can increase the risk of blood clots, stroke and heart failure. According to the American Heart Association, AFib is the most common heart rhythm disorder, affecting at least 2.7 million Americans.
In a healthy heart, the four chambers beat in a coordinated, rhythmic pattern. With AFib, the upper chambers (atria) quiver or beat rapidly and irregularly – sometimes as fast as 500 beats per minute – disrupting normal blood flow through the heart. As a result, the lower chambers (ventricles) also beat too fast and your pulse will be elevated typically in the 90-150 bpm range.
Possible complications
Because blood does not flow smoothly through the heart during AFib, blood clots can form in the heart’s upper chambers. If a clot travels to the brain, it can cause a stroke. In fact, about 15 to 20% of people who experience a stroke also have AFib. This increased clot risk is why many people with AFib are prescribed blood-thinning medications. The risk of having a stroke from AFib is ~5 to 10% per year
Even though untreated AFib doubles the risk of heart-related death and increases stroke risk fivefold, many people do not feel their AFib when it starts and don’t realize how serious the condition can be. While AFib can’t always be cured, early diagnosis and treatment can help manage symptoms and significantly reduce complications.
Risk factors
AFib is more common with age, but it can affect adults of all ages. According to the Centers for Disease Control and Prevention, common risk factors include:
- Advancing age
- High blood pressure
- Obesity and obstructive sleep apnea (OSA)
- Diabetes
- Heart failure
- Ischemic heart disease
- Hyperthyroidism
- Chronic kidney disease
- Moderate to heavy alcohol use
- Smoking
- Valve disease
Signs and symptoms
AFib symptoms vary from person to person, depending on age, underlying health conditions and how much the irregular rhythm affects the heart’s ability to pump blood. Episodes of AFib can be transient (come and go) or be persistent (continuous). Typical symptoms include:
- Irregular heartbeat
- Heart palpitations (rapid, fluttering, or pounding)
- Lightheadedness/dizziness
- Extreme fatigue
- Shortness of breath, especially with exertion
- Chest pain
- Change in exercise tolerance
Some people have no noticeable symptoms. In these cases, the condition can go undetected for years, sometimes until a serious complication occurs. This is unusual and more likely to occur in the older population.
Recurring AFib
Isolated episodes of AFib can occur when it is triggered by temporary issues – such as infection, electrolyte imbalances, pain, surgery or thyroid disorders. When these underlying problems are treated/resolved, the AFib is unlikely to recur.
However, when long-term conditions such as heart disease, high blood pressure, obesity, or sleep apnea are present, AFib is more likely to return and typically becomes more frequent and more prolonged over time. Without treatment, it can progress to a permanent condition.
Treatment options
Fortunately, there are many effective treatment options available for people with AFib. The
Summa Health Atrial Fibrillation Program, uses a multidisciplinary team approach to develop personalized treatment plans.
During an initial visit, a Summa Health heart specialist reviews a patient’s medical history, symptoms, and contributing health factors. Initial treatment may include:
- Anticoagulation therapy (blood thinners) to prevent strokes and reduce symptoms
- Medication to slow down the heart rate while in AFib
- Antiarrhythmic medications to suppress the AFib from occurring in the first place
- Electrophysiology studies and cardiac ablation to pinpoint the location and cure the AFib altogether – typically achieved by a pulmonary vein isolation (PVI) procedure
Alternate treatments may include a Modified maze or Convergent procedure, both of which necessitate a surgical approach. In some cases, specialized devices are needed, such as:
- WATCHMAN™ LAAC to prevent blood clots – typically reserved for patients who cannot tolerate blood thinners
- Pacemaker if the medical therapies used to treat the AFib cause the heart to beat too slow (bradycardia)
The Summa Health Heart and Vascular Institute is a nationally recognized heart care program dedicated to providing compassionate, patient-centered cardiovascular care. In fact, Healthgrades has honored Summa Health System with an America’s 100 Best Hospitals for Cardiac Care™ 2026 Award for superior clinical outcomes in heart bypass surgery, coronary interventional procedures, heart attack treatment, heart failure treatment and heart valve surgery.
If you have been diagnosed with AFib – or are experiencing symptoms – talk with your doctor about a referral to the Summa Health Atrial Fibrillation Program. To learn more, visit
summahealth.org/heart.