Doctor insights on:
Home Remedies For Atrial Fibrillation
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. We use drugs to control rate, rhythm and if not successful, ablation therapy by electrophysiologist. ...Read more
Anticoag + rate cont: Anticoagulation and rate control with PO meds. ...Read more
Depends: It depends on how many other diseases you have. For the people with the highest risk, it can cause strokes, which can be deadly. Anyone with this condition needs to see a Cardiologist. ...Read more
Afib: Treatment of afib is tailored to the patient. The treatment that gives the individual the best results varies. ...Read more
Yes: All catheter-based techniques are considered minimally invasive. Conventional techniques are up to 75% effective though multiple procedures are frequently required. There is a mini-thoracotomy procedure they can do with slightly improved efficacy over this but it involves making a lot of scar tissue around the left atrium; we usually reserve that for people needing other procedures in the chest. ...Read more
Taking 200 mg of Flecainide daily and still having episodes of atrial Fibrillation and PVCs. What should the next course of treatment be? Thanks
Follow your MD lead: You need to be patient and stick to the treatment offered by your cardiologist or electro physiologist and discuss your options and doubts with them. Do NOT over read or look for answers on the internet. This can be harmful when the arrhythmia, in general, is not. ...Read more
Can I use biflace sildenafil 50 mg. If I have had or if I am in the middle of a treatment for atrial fibrillation taking xarelto of 20 mg? Cialis?
Discuss w cardiac Dr: S/he is the person to ask. Would be medically unethical to give you advice. ...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
If atrial fibrillation with sick sinus syndrome changes from intermittent to continuous, is further treatment needed? Taking Coversyl & Pradaxa now.
AF: This discussion should be with your doctor who knows you and your entire situation. In general if maintaining sinus rhythm is no longer realistic, we still need to continue rate control and usually anticoagulation. These treatments however need to be patient specific. ...Read more
For young (<60), asymptomatic, paroxysmal atrial fibrillation patients on NOACs with LVH, should the patient seek out catheter ablation for treatment?
Depends: On left atrial size and function, frequency. Ablation is a big deal and frequently unsuccessful. I would try to suppress with a beta blocker like Bystolic, get magnesium level to 2.1-2.4, potassium to 4.1-4.5, stay off stimulants/alcohol, use hawthorne berry, avoid many other supplements, get general labs checked. Why the LVH? HRS, MD, FACC. Www. Thepmc. Org ...Read more
I have been to the ER for a rapid heartbeat. Sometimes it's diagnosed as sinus tachycardia and sometimes atrial fibrillation. I have tried cardyzeme and metopral without much success. What happens if I don't seek treatment next time?
I agree with dr. Guyton's excellent and thorough answer and would like to emphasize that with atrial fibrillation there are two main issues:
1) heart rate - a fast heart rate is typically what most people present with, and typically can be managed with medications to control heart rate such as the two you described, although there are others. Sustained high heart rates are not good for the heart, but as long as you are not having chest pain, shortness of breath, dizziness, or loss of consciousness then you can call your physician before rushing to the er.
2) stroke - afib presents a very real increase risk of stroke if not properly treated. For this reason, an accurate diagnosis is a must, and if it is indeed afib the you should discuss with your physician whether you are high enough risk to require blood thinners such as Coumadin (warfarin) or pradaxa. This is a long term risk so can be discussed in the outpatient setting with your docotor or a cardiologist. ...Read more
Atrial Fibrillation: Atrial fibrllation is an irregular heart rhythm of the heart that predisposes patients to stroke. There are a lot of treament options but it depends on the patient's clinical situation. Generally, treatment includes medications to control rate and rhythm, blood thinner and sometimes cardiologist offer ablation. Discuss these options with your physician. ...Read more
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 more
Atrial fibrillation: Atrial fibrillation, or afib, is a very common rhythm disturbance, the most common in this country. It is most often associated with hypertension, but can also be associated with valvular disease specifically mitral valve disease. It can be treated with either rate control or converting back to the normal sinus rhythm. Patient are often placed on blood thinners to prevent complications. ...Read more
It can be: If afib is difficult to treat ie unable to convert patient to normal rythm or unable to slow rate down with medicines, or perhapse the patient can't tolerate the medications to treat the problem, a person can be disabled. Pts with pre existing heart problems may not tolerate afib as well. Ablation therapy is not always effective and some patients may need a pacemaker. Just depends on pt ...Read more
Only if…: Only if the atrial rate is conducted in a very rapid fashion to the lower chamber. Your heart has built-in protection to keep this from happening. However, patients with a condition known as Wolff-Parkinson-White sometimes lack this protection and under the right circumstances can die as a result of atrial fibrillation. ...Read more
EKG /Physical exam: Different ways. Listening to the heart there is obvious irregular rhythm with irregular rate. The electrocardiogram is diagnostic. Some times atrial fibrillation may appeared transiently or paroxystically. A holter monitor or cardiac monitor could show the characteristic features of the EKG changes. ...Read more
Read...: As per epocrates: CAD (coronary disease) hypertension, heart failure, valvular disease, pericardial and pleural diseases, diabetes, thyroid disorders, disorders of the lung, and advanced age are known risk factors for the development of acute af. However, af may occur in the absence of any underlying cardiac or noncardiac diseases, for example, as a result of heavy alcohol intake. ...Read more
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