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Doctor insights on: Lone Atrial Fibrillation Treatment

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Atrial fibrillation versus ventricular fibrillation. Causes and cures?

Atrial fibrillation versus ventricular fibrillation. Causes and cures?

VF vs AF: Ventricular is lethal instantly. A fib is not lethal and treated with medications or ablation. ...Read more

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Dr. John Garner
1,831 doctors shared insights

Atrial Fibrillation (Definition)

A heart condition, in which the electrical activity of the heart is abnormal. This abnormal electrical signal causes the heart muscle to contract when it is not supposed to and thus blood is ...Read more


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What is worse: ventricular fibrillation or atrial fibrillation?

What is worse: ventricular fibrillation or atrial fibrillation?

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

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Without treatment, is atrial fibrillation deadly?

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

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Why is ventricular fibrillation worse than atrial fibrillation?

Why is ventricular fibrillation worse than atrial fibrillation?

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

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What is Paroxysmal atrial fibrillation?

What is Paroxysmal atrial fibrillation?

Irregular pulse: Paroxysmal atrial fibrillation is an abnormal heart rhythm that is intermittent (or paroxysmal), arising from the upper chambers of the heart (or atria), and is very chaotic, or irregular (fibrillating). It can cause problems because it usually drives the heart rate up too fast (giving symptoms and eventually weakening the heart) and can increase the risk of stroke. Causes of PAF are multiple. ...Read more

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Is atrial fibrillation hereditary?

Is atrial fibrillation hereditary?

No: Congenital heart problems can be inherited and this can lead to afib. But afib itself is not. ...Read more

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How are atrial fibrillation and atrial flutter different?

How are atrial fibrillation and atrial flutter different?

Irregular/ regular: Heart rythm problem is more unpredictable in a fib. In flutter the are more predictable and regular rate. The treatment approach differs and risk of intracardiac blood clot also in that context. ...Read more

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How is atrial fibrillation diagnosed?

How is atrial fibrillation diagnosed?

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

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Is atrial fibrillation inherited?

Is atrial fibrillation inherited?

Sometimes: There is a gene that makes the tendency to get it more likely, but most a fib is due to environmental and aquired factors such as age, valvular heart disease and alcohol. ...Read more

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How is atrial fibrillation treated?

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 more

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What is more dangerous, atrial fibrillation or ventricular fibrillation?

For: 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

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Does atrial fibrillation with rapid ventricular response cause ventricular fibrillation?

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

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Would a pacemaker repair atrial fibrillation?

Would a pacemaker repair atrial fibrillation?

Not directly.: 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

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What is atrial fibrillation?

Irregular rhythm: Af is an irregular heart rhythm caused by uncoordinated electrical activity in the atria, or top chambers of the heart. Sometimes it is fast, other times it isn't. ...Read more

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What is atrial fibrillation?

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

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Which treatments control atrial fibrillation?

Which treatments control atrial fibrillation?

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

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Can atrial fibrillation with rapid ventricular beat cause ventricular fibrillation?

Can atrial fibrillation with rapid ventricular beat cause ventricular fibrillation?

Not usually: 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

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Is an irregular heart beat usually atrial fibrillation?

Is an irregular heart beat usually atrial fibrillation?

Not always: It certainly can be. Although there are multiple instances when one can have an "irregular heartbeat'. You should see your doctor so an ekg can be done or possibly a monitoring device ordered to evaluate further. ...Read more

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Hello docs, is atrial fibrillation heart disease hereditary?

Hello docs, is atrial fibrillation heart disease hereditary?

Occasionally: It can run in families, but mainly, it's just a common entity that has increasing prevalence with aging. ...Read more

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Without treatment, is atrial fibrillation deadly?

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

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There are drugs for treatment of vagal atrial fibrillation?

There are drugs for treatment of vagal atrial fibrillation?

Yes: Vagal-mediated atrial fibrillation typically occurs at night while people are sleeping or may occur when drinking something cold or going to the bathroom. An antiarrhythmic called norpace, or disopyramide, works well in this situation, as it has anti-vagal properties. ...Read more

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Which is the preferred atrial fibrillation (afib) treatment?

Afib: Treatment of afib is tailored to the patient. The treatment that gives the individual the best results varies. ...Read more

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These days what's the medical treatment for atrial fibrillation?

These days what's the medical treatment 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

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Hoping you can tell me, is minimally invasive treatment for atrial fibrillation available?

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

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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

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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?

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 more

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If atrial fibrillation with sick sinus syndrome changes from intermittent to continuous, is further treatment needed? Taking Coversyl & Pradaxa now.

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

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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 : 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

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Which treatments control atrial fibrillation?

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

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What are drug treatments for atrial fibrillation?

What are drug treatments for atrial fibrillation?

See below: All patients with atrial fibrillation should be placed on anticoagulants to decrease the risk of blood clots from the atrium. Drugs like warfarin or the newer drugs such as 10a inhibitors are used. Drugs such as beta blockers or calcium channel blockers are used to control the heart rate. Other drugs such as amiodarone or sotalol are used to try to convert atrial fibrillation back to sinus rhythm. ...Read more

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Are there any new treatments for atrial fibrillation?

Yes: There are multiple ways to treat atrial fibrillation: 1. Control the heart rate with medications that control the heart rate. 2. Try to convert patients in nornal rhythm and keep them in normal rhythm with medications specific for that purpose. 3. Minimize the risk of a stroke with medications that thin the blood 4. If medications fail, patients can undergo a procedure called catheter ablation. ...Read more

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Are there any permanent treatments for acute atrial fibrillation?

In the right patient: An invasive procedure called an atrial fibrillation ablation using either radio frequency or a freezing technology called cryoablation actually has a relatively high rate of cure in carefully selected patients. I would recommend that you speak with a cardiologist who then can recommend the best electrophysiologist (a type of cardiologist) in your area for this procedure. ...Read more

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What are the treatments for atrial fibrillation?

What are the treatments for atrial fibrillation?

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

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Can you please lay out the latest treatments for atrial fibrillation?

Improved Ablation: The techniques we use to ablate afib haven't changed much in the past 10 years or so, but there's a new technique we're just finishing the early trials on which may potentially be a game-changer. It should be on the market late this year and will probably start being widely available next year. ...Read more

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Which drugs are mostly recomended to start therapy for patients with atrial fibrillation. Is quinidine a good chioce?

Which drugs are mostly recomended to start therapy for patients with atrial fibrillation. Is quinidine a good chioce?

Atrial fibrillation: Quinidine is only rarely used any more. We older doctors learned years ago that we killed some folks with it. There are more recent and safer drugs that we use now. Talk to your doctor to discuss if you have afib, a cloud doctor shouldn't be advising you without knowing your situation. ...Read more

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Atriel fibrillation what's the best treatment?

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

Fibrillation (Definition)

Fibrillation is the rapid, irregular, and unsynchronized contraction of muscle fibers. An important occurrence is with ...Read more