A member asked:

I have chronic uncontrollable afib. how can i manage my condition?

4 doctors weighed in across 3 answers

RF Ablation: Atrial fibrillation is a rapid irregularly irregular heart rhythm. Therapy is aimed at controlling the heart rate and giving anticoagulants to prevent thrombotic emboli and stroke. The rate can usually be controlled with medicine such as digoxin, beta blockers and calcium channel blockers. Recurrences are treated with antiarrythmics. If still uncontrolled then rf ablation and pacing is used.

Answered 6/24/2015

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Dr. Louis Grenzer answered

Specializes in Cardiology

See your dr.: Basically we either try to controll the rate which tends to be fast with atrial fibrillation or we try to get the patient back into a regular rhythm. Either way you may need blood thinners or Aspirin to prevent clots. Medications are used for both types of treatment. To get the rhythm back to normal might require a shock across the chest also. (called cardioversion) ablation is another option.

Answered 6/24/2014

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Meds or ablation: Anti-arrhythmic meds, which alter electrical properties of the heart, can suppress afib. The potential toxicities of these meds mandates careful selection by an experienced cardiologist. Catheter ablation can eliminate afib in 60-80% of people (with 1 to 2 procedures). Weight loss in heavy patients can sometimes help, especially if underlying sleep apnea is present, a common driving force of afib.

Answered 5/12/2015

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