Doctor insights on:
Medicine 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
The non drug treatments for Atrial fibrillation include:: Watchful waiting, Cardioversion, Cardiac ablation.Get a more detailed answer ›
Atrial fibrillation: We have a variety of medications we use for afib. First we need to diagnose that its there and why before we choose medications. We have anticoagulants, rate control medications and rhythm modulating medications. There are multiple choices for each with advantages and disadvantages to each. There is no one 'best', we choose depending on the patient's status and individualize for each. ...Read more
Rate or rhythm? : Some meds are good to control the heart rate in af, others are to try to control the rhythm and maintain normal sinus rhythm. In addition, blood thinners (anticoagulant meds) need to be considered for some people. So, there is not an easy answer. If this applies to you and you are only 40, you should also consider a curative ablation procedure. ...Read more
Lots of choices: If the goal is just to control the heart rate, the common choices are drugs that slow the heart rate like a beta blocker or calcium channel blocker and a blood thinner to lower the risk of stroke. Classically coumadin, (warfarin) but there are newer ones ( xarelto, for example). Sometimes there are drugs given after the heart has been restored to a normal rhythm that help maintain this, such as amiodarone. ...Read more
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
For Atrial Fibrillation, can you still have an electrical cardio-version if drugs (Flecainide) stop working?
Please make sure you have seen an electrophysiologist... That is really essential...
In short yes you can be cardioverted, but by a specialist ...Read more
What to do if I have a history of atrial fibrillation but this did not show up on the holter monitor. Any suggestions on an actual cause?
Timing is critical. If a Holter monitor did not show any atrial fibrillation it's most likely because there was no such activity during the time you carried the monitor, considering the limits of such a test.
That does not mean you did not have atrial fibrillation prior to the test or a chance to develop another self limited episode anytime in the future. ...Read more
What do you recommend if I have a history of atrial fibrillation but this did not show up on the holter monitor. Any suggestions on an actual cause?
Event monitor: If you are continuing to have symptoms that you feel are possible atrial fibrillation, but you were unlucky enough to not have symptoms during a 24 hour ecg, you physician can order an event monitor. This is an ECG monitor that you can wear for 30 days, which will increase the likelihood of detecting an arrhythmia. ...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
I have extreme anxiety and i'm always uncomfortable even around my family. I'm worried to get on medicines because I have atrial fibrillation. What should I do?
Atrial fib anxiety: Unfortunately atrial fib can cause significant anxiety symptoms in and of itself and should be evaluated and treated by a cardiologist. Also, antidepressants such as ssris that are usually recommended to treat anxiety can cause atrial fib! benzodiazepines would help and not cause it but can cause dependence. Treat the atrial fib first! ...Read more
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
My father in law aged 72 yrs. Hospitalized for last 28 days. Diagnosed as follows :
2.Multi drug resistant klebsillia pneumona
CHF: Sounds like your father in law is very ill and the klebsiella resistant is an additional very serious problem. What is your question? ...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 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 ›
Sometimes none: Highly variable: some people are entirely unaware. Others feel their heart beating irregularly or "fluttering" & may notice rapid heart rate. Commonly people notice fatigue and their exercise capacity is mildly reduced. Sedentary people usually don't notice any change. Younger people & folks with their 1st bout tend to be more aware. Frequent bouts and older people are less likely to notice. ...Read more
Unclear: I am sorry, but I do not understand what you are asking. Atrial fibrillation is never normal. The rate can be controlled with medicine if it is present all the time. Some people have atrial fib at times but not at others, and sometimes the atrial fib. can be converted to a normal rhythm with treatment. Please ask your question again, with a clearer question that we may be able to answer better. ...Read more
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 more
Not usually: Atrial fibrillation may be a consequence of structural abnormalities of the heart, which can indeed be serious. However, if the rhythm disturbance is the only abnormality then it can usually be controlled sufficiently that the patient can be free of symptoms. In older patients with af there is significant risk of stroke, but this too can be mitigated by treatment to reduce blood clots. ...Read more
Electrical chaos: The electrical impulses in the upper chambers of your heart (mostly originating from the left side) are completely chaotic leading to a quivering motion of these chambers instead of their typical, coordinated pumping function. The lower chambers beat erratically, as the electrical impulses bombard them in a haphazard way. See a cardiologist or an elelctrophysiologist. ...Read more
- Talk to a doctor online
- Atrial fibrillation
- Weight lifting and atrial fibrillation
- Emergency treatment for atrial fibrillation
- Vitamins for atrial fibrillation
- Is atrial fibrillation life threatening?
- Melatonin and atrial fibrillation
- Atrial fibrillation with aberrant conduction
- Is atrial fibrillation the same as arrhythmia?
- Marijuana and atrial fibrillation