Associated symptoms continued:

• AF is frequently associated with structural heart disease in the elderly, and concomitant symptoms such as dyspnea, dizziness, sweating, and pallor often accompany the palpitation.
• Syncope is uncommon with AF except in a relatively rare condition called Wolf-Parkinson-White syndrome where at times the rate can be exceedingly rapid (over 200).
• The increased heart rate that often accompanies AF may provoke anginal chest pain in patients with coronary artery disease.
• AF, itself does not cause chest pain, but when rates exceed 200, it may cause dyspnea in patients whose hearts are structurally normal.