Doctor insights on:
A Fib (Atrial Fibrillation)
AF vs vf: Good question, they could look alike on ECG. Both would also result in cardiac arrest. As no perfusion would result, one would expect AF waves to be less visible than VF very quickly. If arrest had been present for say more than 30sec. , VF would be more likely as the AF waves should likely not be visible. ...Read more
Afib/vfib: ventricular standstill and fine v-fib are functionally the same the ventricle is not contracting - vfib is a slight quivering which may or may not be identifiable on ECG; if the ventricle is not contracting then it is not possible to non-invasively identify atrial fibrillation from simply sinus/atrial arrest. ...Read more
Can A fib present as a few or one or two flutters in chest lasting few seconds? Can these symptoms potentially be of Atrial fibrillation?
Atrial fibrillation: has variable symptoms. In fact many patient are completely asymptomatic. It would not be surprising for you to have short intermittent symptoms that are atrial fibrillation. On the other hand, it is highly unlikely that a 20 year old would have atrial fibrillation. It is simple to figure this out however with an event recorder. Ask your health care provider to order one for you. ...Read more
Beside taking arrhythmia medicines, what are other option for atrial fibrillation? Does a pace maker or defibrillator cure a fib?
Ablation: Catheter ablation (pulmonary vein isolation) can be curative. Although not curative, an av node ablation in combination with a pacemaker or defibrillator can usually eliminate the symptoms of atrial fibrillation. If you have obstructive sleep apnea using CPAP can greatly improve atrial fibrillation. ...Read moreSee 1 more doctor answer
Mother in law has atrial fibrillation but cannot handle blood thinners( they cause her bleeding issues). What else can treat Atrial fib besides blood thinners?
Prevention/treatment: Blood thinners are used mainly for stroke prevention in patients with atrial fibrillation. There are numerous proposed personal scores/scales based on which they are recommended. The bleeding risk is usually the limiting factor in the use of blood thinners. Atrial fibrillation treatment is a different topic and it involves mainly controlling the heart rate/ heart rhythm. ...Read moreSee 2 more doctor answers
What meds can I use to control my a fib? What are the risks and side effects of medications to control my atrial fibrillation or to reduce the risk of stroke? What are the risks/benefits of other treatment options?
The : The treatment of atrial fibrillation has two important components: 1) treating the rhythm, and 2) preventing stroke. There are two strategies for treating the rhythm. The first is called the rate control strategy, and involves using medicines to prevent the heart rate from going too fast. These medicines do not prevent atrial fibrillation episodes, but are generally effective at preventing fast rhythms and also tend to have few side effects. This is a good strategy for people who do not have severe symptoms from atrial fibrillation, such as older less active people. The second strategy is called the rhythm control strategy, and involves using medications that are designed to maintain normal sinus rhythm and prevent episodes of atrial fibrillation. This strategy may be more desirable for people who are vey symptomatic when in atrial fibrillation such as young, active people. Unfortunately, this strategy tends to be less successful because recurrence of atrial fibrillation is common. The rhythm control medications also tend to have more side effects than the rate control medicines, and in some cases the side effects can be severe. Neither strategy is better than the other at preventing stroke. For stroke prevention, warfarin (also called coumadin) is typically used for people at moderate or high risk. This medication has been shown to be superior in preventing stroke, but it also increases the risk of dangerous bleeding because it is a blood thinner. Patients at lower risk for stroke may just take an Aspirin tablet daily. This has a lower bleeding risk than warfarin. Lastly, some people are candidates for surgical or catheter-based ablation procedures. These procedures can cure atrial fibrillation, but are not always successful and not all people are good candidates. ...Read moreSee 2 more doctor answers
Arrhythmias: Atrial fibrillation (afib) is the most common sustained rhythm abnormality. It's characterized by an irregular heart rate. The upper chambers of the heart (atrium) do not beat but quiver. Many people don't notice it. But many do. It can lead to strokes in some patients so blood thinners are important. It can be treated with medications, ablation thru iv's in the groin or surgery. See a cardiologis. ...Read moreSee 1 more doctor answer
Medications: There are a variety of medications which can either control the heart rate or convert the rhythm back to normal. Sometimes cardioversion is used to correct the heart rhythm. Also in some cases ablation can be done which will correct the abnormal rhythm. ...Read moreSee 2 more doctor answers
See below.: The most important effect of atrial fibrillation is the risk of clots arising in the atrium and causing a stroke when the clot leaves the atrium and lands in the brain. Patients with atrial fib may have decreased exercise tolerance and shortness of breath due exaggerated heart rate response. Patients may have fatigue due to decreased cardiac output. The feeling of palpitations may cause anxiety. ...Read moreSee 1 more doctor answer
Excellent: Many patients with atrial fibrillation live long and happy lives. Although atrial fibrillation may cause significant symptoms, many patients are asymptomatic, and there is no data to suggest that atrial fib in and of itself shortens your life. As long as atrial fibrillation is managed appropriately: with blood thinners, other medications, and occasionally procedures, the prognosis is excellent. ...Read moreSee 1 more doctor answer
Myriad of drugs: Myriad of drugs, here are some of the drugs with categorized by treatment strategy. 1. To control heart rate - beat-blockers, calcium channel blockers, digoxin. 2. For rhythm control - flecainide, rythmol, (propafenone) multaq, sotalol, tikosyn, amiodarone. 3. To decrease stroke risk - aspirin, warfarin, pradaxa, xarelto, eliquis. ...Read moreSee 1 more doctor answer
Generally, not: If there is no underlying cardiac problems that may predispose one to atrial fibrillation, it would be unusual for stress to be actual cause; however stress can be the underlying to so many maladies, that one never says never. If one develops atrial fib, must look for underlying heart disease, and--even it none is found-be treated for it by cardiologist specializing in cardiac rhythm disorders. ...Read moreSee 1 more doctor answer
May provoke: Stress alone usually doesn't cause the arrhythmia unless there is some underlying predisposition. Having said that, someone with the predisposition, can have recurrences, especially with acute stress. You should make every effort to manage with stress-reducing techniques. ...Read moreSee 1 more doctor answer
No: Atrial fibrillation is a specific rhythm abnormality caused by certain specific electrical changes in the upper chamber of the heart. This cannot be faked. However, the stress from certain psychological conditions can increase the likelihood that a patient goes into or experiences the symptoms of atrial fibrillation. ...Read moreSee 1 more doctor answer
Atrial fibrillation: Afib is a rapid irregular heart rhythm which can decrease heart efficiency as much as 20% in some patients. It can also be associated with clotting and clots travelling around the body to cause stroke or other problems. Some people have atrial fibrillation as their normal rhythm. Talk to your dr. About it if you have it. ...Read moreSee 1 more doctor answer
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