Personalized Heart Rhythm Care at Cardiology First

When your heart beats with a healthy rhythm, you rarely think about it. But when that rhythm becomes irregular, it can affect everything from your energy level to your long-term health. One of the most common heart rhythm disorders is atrial fibrillation (AFib), a condition that affects millions of Americans and significantly increases the risk of stroke and heart failure if left untreated.

At Cardiology First, Dr. Van Adamson provides compassionate, evidence-based care for patients diagnosed with atrial fibrillation throughout New Braunfels and the surrounding communities. Whether you’re experiencing occasional heart palpitations or have recently been diagnosed with AFib, our goal is to help you understand your condition, reduce your risks, and restore your confidence in living an active, healthy life.

Every patient deserves individualized care. That’s why Dr. Adamson develops personalized treatment plans based on your symptoms, lifestyle, medical history, and long-term cardiovascular goals.

What Is Atrial Fibrillation?

Atrial fibrillation, often called AFib, is the most common type of cardiac arrhythmia, or abnormal heart rhythm. Normally, the heart beats in a steady, coordinated pattern. In atrial fibrillation, the upper chambers of the heart, known as the atria, beat rapidly and irregularly.

Instead of contracting efficiently, the atria quiver. This irregular rhythm can reduce the heart’s ability to pump blood effectively and may allow blood to pool inside the heart. Over time, pooled blood can form clots, which may travel to the brain and cause a stroke.

AFib can occur occasionally, come and go, or become a long-term condition requiring ongoing medical management. While some patients have obvious symptoms, others may not realize they have atrial fibrillation until it is discovered during a routine examination or after experiencing a serious complication.

Symptoms of Atrial Fibrillation

Every patient experiences AFib differently. Some notice symptoms immediately, while others have little or no discomfort.

Common symptoms include:

• Heart palpitations or a racing heartbeat
• Fluttering sensation in the chest
• Irregular pulse
• Fatigue
• Shortness of breath
• Dizziness or lightheadedness
• Weakness
• Chest discomfort
• Difficulty exercising
• Reduced stamina

If you experience sudden chest pain, severe shortness of breath, or signs of a stroke such as facial drooping, arm weakness, or difficulty speaking, seek emergency medical attention immediately.

What Causes Atrial Fibrillation?

Several factors can contribute to atrial fibrillation. In many patients, AFib develops because of changes in the heart’s electrical system that occur over time.

Common causes include:

• High blood pressure
• Coronary artery disease
• Heart valve disorders
• Heart failure
• Prior heart attack
• Thyroid disease
• Diabetes
• Obesity
• Sleep apnea
• Chronic lung disease
• Excessive alcohol use
• Certain medications
• Family history of arrhythmias

Age is also a significant risk factor, with atrial fibrillation becoming more common after age 60. However, younger adults can also develop AFib, particularly if other cardiovascular risk factors are present.

Why Early Diagnosis Matters

Atrial fibrillation is more than an inconvenience. If left untreated, it can increase the risk of serious complications, including:

• Stroke
• Heart failure
• Blood clots
• Chronic fatigue
• Reduced exercise tolerance
• Cardiomyopathy (weakening of the heart muscle)

Early diagnosis allows patients to begin treatment before these complications occur. At Cardiology First, Dr. Adamson emphasizes preventive care and early intervention whenever possible.

How Is AFib Diagnosed?

Diagnosing atrial fibrillation begins with a comprehensive cardiovascular evaluation.

During your appointment, Dr. Adamson will review your:

• Medical history
• Current symptoms
• Medications
• Family history
• Lifestyle
• Cardiovascular risk factors

Depending on your symptoms, additional testing may include:

Electrocardiogram (EKG)

An EKG records your heart’s electrical activity and often confirms atrial fibrillation.

Holter Monitor

A Holter monitor continuously records your heart rhythm over 24 to 48 hours, helping detect intermittent episodes of AFib.

Event Monitor

If symptoms occur less frequently, an event monitor can record your heart rhythm over several weeks.

Implantable Loop Recorder

For patients with unexplained fainting, dizziness, or suspected intermittent arrhythmias, a loop recorder provides long-term monitoring.

Echocardiogram

A cardiac ultrasound evaluates the heart’s size, pumping strength, valve function, and structural abnormalities.

Laboratory Testing

Blood tests may identify thyroid disorders, electrolyte imbalances, or other medical conditions contributing to AFib.

Personalized Treatment

for Atrial Fibrillation

Every patient requires an individualized treatment strategy. Treatment depends on your age, symptoms, overall health, risk of stroke, and the type of atrial fibrillation you have.

Dr. Adamson works closely with each patient to develop a plan that may include one or more of the following.

Heart Rate Control

For many patients, slowing the heart rate helps relieve symptoms and improves heart function. Medications may be prescribed to keep the heart beating at a healthy pace.

Heart Rhythm Control

Some patients benefit from restoring a normal heart rhythm through medications or specialized procedures performed by electrophysiology specialists when appropriate.

Stroke Prevention

One of the most important aspects of AFib treatment is reducing stroke risk. Depending on your individual risk factors, blood-thinning medications may be recommended to prevent clot formation.

Lifestyle Modifications

Many patients experience significant improvement by addressing modifiable risk factors such as:

• Weight management
• Blood pressure control
• Diabetes management
• Smoking cessation
• Limiting alcohol
• Treating sleep apnea
• Increasing physical activity
• Following a heart-healthy diet

Lifestyle improvements not only reduce AFib symptoms but also improve overall cardiovascular health.

The Importance of Follow-Up Care

Managing atrial fibrillation is not a one-time event. It requires ongoing monitoring to ensure treatment remains effective.

Regular follow-up visits allow Dr. Adamson to:

• Evaluate symptom improvement
• Adjust medications if needed
• Monitor blood pressure
• Assess heart rhythm
• Review diagnostic testing
• Discuss lifestyle progress
• Reduce the risk of future complications

Building a long-term relationship with your cardiologist is one of the most effective ways to maintain heart health.

Living Well with Atrial Fibrillation

Many patients continue to lead active, fulfilling lives after an AFib diagnosis. The key is working closely with your healthcare team and following a treatment plan tailored to your needs.

Simple daily habits can make a meaningful difference:

• Take medications exactly as prescribed.
• Keep scheduled follow-up appointments.
• Monitor your blood pressure.
• Stay physically active with your physician’s guidance.
• Eat a diet rich in fruits, vegetables, whole grains, and lean proteins.
• Limit sodium and processed foods.
• Get adequate sleep.
• Manage stress through healthy coping strategies.

With proper care, many patients successfully control symptoms and reduce their risk of serious cardiovascular events.

Why Patients Choose Cardiology First

Choosing a cardiologist is about more than credentials—it’s about finding a physician who listens, communicates clearly, and partners with you throughout your healthcare journey.

At Cardiology First, patients appreciate:

• Compassionate, patient-centered care
• Thorough cardiovascular evaluations
• Personalized treatment plans
• Advanced diagnostic technology
• A focus on prevention and long-term wellness
• Clear communication and education
• Ongoing follow-up and support

Dr. Van Adamson is committed to helping patients understand their condition and make informed decisions about their heart health.

Frequently Asked Questions

Can atrial fibrillation go away on its own?

Some episodes stop without treatment, but atrial fibrillation often requires medical evaluation and long-term management to reduce complications.

Is atrial fibrillation dangerous?

It can be if left untreated. AFib significantly increases the risk of stroke and may contribute to heart failure or other cardiovascular problems.

Can exercise help?

Yes. Regular physical activity, when approved by your cardiologist, supports heart health and may improve symptoms.

Will I need blood thinners?

Not everyone does. Dr. Adamson will evaluate your individual stroke risk and determine whether anticoagulation therapy is appropriate.

When should I see a cardiologist?

You should schedule an evaluation if you experience heart palpitations, an irregular heartbeat, dizziness, unexplained fatigue, chest discomfort, or shortness of breath.

Schedule an Appointment for Atrial Fibrillation Care in New Braunfels

If you’re experiencing symptoms of atrial fibrillation or have recently been diagnosed with an irregular heartbeat, don’t wait to seek expert care. Early diagnosis and personalized treatment can reduce your risk of serious complications and help you return to the activities you enjoy.

At Cardiology First, Dr. Van Adamson is dedicated to providing comprehensive cardiovascular care with a focus on prevention, education, and long-term patient relationships.

Cardiology First
Dr. Van Adamson, MD

Phone: (210) 767-2549
Website: www.cardiologyfirstclinic.com

Serving patients throughout New Braunfels, Schertz, Cibolo, Seguin, Garden Ridge, Selma, Universal City, and surrounding communities with compassionate, personalized heart care.