Doctor insights on:
Atrial Fibrillation With Controlled Ventricular Response
Only in a Very Few: Generally, the answer to this is a very solid "no." this is a rare complication of people with another condition (on top of their afib) called wolff-parkinson-white syndrome (or wpw). In certain patients having both conditions, the top chamber is too-well connected to the bottom and can trigger ventricular fibrillation. ...Read more
Usually < 60-70: Most people, left untreated, have rates between 70 and 150. It's a bit unusual to fall below that without drugs or other treatment. ...Read more
Ventricular fib: Vf is worse; it usually causes cardiac arrest which is often fatal. Atrial fibrillation, while not as severe, also has significant health risks. It increases the risk of stroke, which can be disabling or fatal. Additionally, if the af causes a fast pulse for a prolonged period of time, this may lead to weakening of the heart and cause heart failure. ...Read more
Fibrillation: atrial fibrillation has normal left ventricular contractions put poor atrial function. Ventricular fibrillation has no real ventricular contractions so blood pumping essentially stops. Atrial fibrillation is a rhythm you can live with. Ventricular fibrillation is a rhythm you die with unless it is corrected quickly. ...Read more
Any chances to "recover" from vfib one need to be in an intensive care an hooked to an ekg. And a slim chance to live. If someone collapses on the street, help has to come in minutes to jump heart back to normal rhythm. People who go in vfib have an underlying and severe heart disease.
Conclusion vfib kills a afib can be controlled, even normal rhythm may be restored. Big difference! ...Read more
It depends: Ventricular fibrillation is from the bottom chamber; vf is worse; it usually causes cardiac arrest which is often fatal. Atrial fibrillation - from the top chamber- while not as severe, also has significant health risks. It increases the risk of stroke, which can be disabling or fatal. ...Read more
Not typically; however, if you also have an accessory pathway (wolff-parkinson-white syndrome), this is a unique situation where af is known to cause very rapid ventricular activation during af, which can lead to vf.
Rapid ventricular response may cause cardiac weakening over time, which in turn may increase the risk of vf. ...Read more
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
Can you tell me if atrial fibrillation with ventricular standstill is recognized from fine v-fib?
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
What makes atrial fibrillation not immediately life threatening while ventricular fibrillation is?
A circuit breaker: The rhythms in the top chamber during atrial fibrillation can reach and exceed 600 bpm. If this were conducted directly to the lower chamber, it would be as fatal as ventricular fibrillation. However, nature built in a circuit breaker called the av node between the two such that only some of the top chamber heartbeats in fibrillation make it to the bottom chamber. ...Read more
Does left ventricular atrial fibrillation in te past wid medication hav a say on sex life. Does impotency n premature ejaculation result from it.
Would echo,ekg,stress test,xray,bloodwork rule out any arrhythmia problem such as premature ventricular contraction and paroxysmal atrial fibrillation?
No: Occasional PVCs are normal. Paroxysmal atrial fibrillation by definition is only present some of the time and the tests you list could easily miss this if done while the heart is in normal rhythm. Diagnosis of intermittent arrhythmias can be difficult and frequently requires consultation with a cardiologist subspecialized in electrophysiology, Holter monitor test is frequently used. ...Read more
Not much.: In reality, there are no implants that are commonly used to control atrial fibrillation. There used to be atrial defibrillators, but these are not used much any more. Pacemakers might be implanted as part of a care plan for af - but this only prevents slow pulses that might come as a result of medications for the af or after av-node ablation. Pacemakers themselves can not prevent or control af. ...Read more
See a specialist: It sounds like you need some help from a cardiac electrophysiologist. There are several world leading cardiac electrophysiologists in the neighborhood of palo alto, and i suggest you consult one of them. ...Read more
It Varies: The most important treatment is stroke prevention, which is usually done by medications (aspirin or warfarin). Sometimes rate control medications are used, like metoprolol. If the af is severe enough, stronger anti-arrhythmic medications are used, like propafenone. If these do not work, catheter ablation may be recommended. Pacemaker and av-node ablation may be used as a last resort. ...Read more
Is there a cure for atrial fibrillation? Diagnosed in 2004. Taking medication to control it. Still have flare-ups frequently.
Yes in some cases: Yes in some cases. The medical treatment can be focused on just keep your hear rate low or to try to convert you into normal rhythm. Cardio version is another treatment when you shock the patient under sedation. Procedure wise electro physiologists can do an ablation through the groin. Surgeons can do the ablation preferably minimally invasive through the side or a hybrid procedure - convergent. ...Read more
I have atrial fibrillation for a couple of hours each month should I ask my doctor for rate control drugs-there seems to be different opinions.Thanks?
Lots of options: You're correct, there are a lot of options, and a lot of it comes down to your preferences and discussions with your doctor. For atrial fibrillation we think of three things: minimizing risk of stroke with anticoagulation, controlling the heart rate, and managing symptoms. If you are feeling ok, a few hours a month of afib symptoms could be ok and may not necessarily need a change in strategy. ...Read more
Can ACE inhibitors or ARBs given to control Bp if s.cr is1.56 in patient with atrial fibrillation?
ACE-ARB, CRF A-FI:
ACE and ARB in chronic renal failure can be administered together. However will have no therapeutic effect on chronic atrial fibrillation.
For arterial hypertension with chronic renal failure you will require to switch one of the current HPT med to a beta blocker. Such as Sotalol 80 mg twice a day (minimal dose), and have BP controlled twice a day, adjust as .
Have you ever underwent cardio-versi ...Read more
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 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 more
Patient received pacemaker to control atrial fibrillation. Does she still need to be on blood thinner (Xarelto)?
Afib: The pacemaker only protects from too slow a heart rate. The indication for anticoagulation remains. ...Read more
Food can affect meds: Afib is a rythm that can be very fast and can cause a stroke from blod clots going to the brain. Many patients are on Coumadin (warfarin) a blood thinner that works through vitamin k. So if the patient eats green leafy veges and other foods high in vitamin k , it can reverse the Coumadin (warfarin) and make pt suseptable to stroke. Foods and items high in caffiene like coffee chocolate etc can stimulate the heart rate. ...Read more
Yes: As long as the heart rate is not to fast and the risk of strike is appropriately dealt with, people work with af. Some people might feel better if they are in normal rhythm. Specific questions regarding rhythm vs. Rate control should be directed to your doctor. ...Read more
Yes : It is possible however rare.Get a more detailed answer ›
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