April 02, 2026

How to recognize the early warning signs of A-fib

When a Kaiser Permanente member discovered she had an irregular heartbeat called atrial fibrillation, or A-fib, her cardiologist helped reduce her risk of stroke.

Woman walking a dog outdoors on a pathway


 

Harriet, a retiree and longtime Kaiser Permanente member, had always been active and healthy. However, her family history of heart disease made her extra vigilant about her own heart health.

So, when she noticed her heart was beating faster than normal on a regular basis, she knew she needed to see a doctor right away.

Reema Chugh, MD, Harriet’s cardiologist at Kaiser Permanente in Southern California, told her she had atrial fibrillation, or A-fib. A-fib is a type of irregular heartbeat that can increase the risk of stroke and other heart-related complications.

“I was shocked and scared,” said Harriet (who asked that her last name not be shared to protect her privacy). “But everyone at Kaiser Permanente was so patient and kind.”

‘Grateful for the excellent care’

An irregular heartbeat, or arrhythmia, is when your heart beats too fast, too slow, or in an uneven, irregular rhythm.

A-fib is a type of arrhythmia that can cause blood to pool in the atria, the 2 upper chambers of the heart. Pooled blood is more likely to form clots that can travel to the brain and block blood flow, resulting in a stroke.

Signs of stroke include numbness or weakness on one side of your body, confusion, or a drooping face. If you have these symptoms, get medical attention right away.

According to the American Heart Association, people are more likely to develop A-fib as they age. About 2% of people in their 60s and 9% of people in their 80s have the condition.

“Dr. Chugh took the time to explain everything to me and made sure I understood what was happening,” said Harriet. “I’m so grateful for the excellent care.”

Managing A-fib

Harriet began taking a prescribed blood thinner every day to prevent blood clots from forming in her heart and reduce her risk of stroke.

She also made lifestyle changes. She joined health education classes for nutrition and stress management. She started eating a healthier diet, focusing on lean protein and plenty of fruits and vegetables. And she started exercising more, with regular brisk walks.

“As a health care professional, I find it so fulfilling when people make lifestyle choices that complement medications and interventions, especially when they result in good health and a better quality of life like they did for Harriet.” said Dr. Chugh

Lifestyle changes for a healthy heart

Blood pressure control is essential. And cutting back on alcohol and cardiac stimulants, like caffeine and energy drinks, can significantly reduce your risk of A-fib.

And if you have sleep apnea, talk with your doctor about treatment options. Untreated obstructive sleep apnea can greatly increase your likelihood of developing A-fib.

Early detection is key. And it’s important to manage other conditions that can trigger A-fib, like:

  • Thyroid problems
  • Anemia
  • Heart or valve diseases
  • Blood clots in the lungs
  • Serious infections
  • Low potassium or magnesium
     

Here are more tips for maintaining a healthy heart.

Eat high-fiber foods, such as fruits, vegetables, whole grains, and beans. Try some of these healthy and delicious recipes from our doctors, nurses, and dietitians.

Limit drinks and foods with added sugar, caffeine, or high levels of sodium. Too much sugar can lead to weight gain and heart issues. Caffeine may raise blood pressure and heart rate. And excess sodium contributes to hypertension. Choose whole foods, drink water or herbal teas, and season meals with herbs instead of salt.

Exercise regularly. Low-impact workouts can help improve your heart health. In place of running, try walking, cycling, or swimming. Staying active and maintaining a healthy weight reduces strain on your heart.

Quit tobacco use. Quitting tobacco can significantly improve your heart health and overall well-being. Talk to your doctor about the best strategy for you.

Stay up to date with your health. Get regular checkups and screenings so your doctor can monitor your blood pressure and cholesterol levels and any other risk factors. It’s also important to take the medications your doctor prescribes.

With heart healthy lifestyle changes, you can reduce your risk of A-fib and other heart conditions.

“I’ve learned that taking small steps can go a long way to improving my health,” said Harriet. “I want to share that with others so they can take care of their hearts, too.”

Learn more about taking care of your heart health.