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 moreSee 1 more doctor answer
Possibly: Atrial fibrillation is one of many causes of an "irregular heart beat" but there are many other much more benign causes as well. Talk with your doctor and if they do not find it on ECG then talk to them about longer monitoring with a zio patch or event monitor. ...Read moreSee 1 more doctor answer
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 moreSee 1 more doctor 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 moreSee 1 more doctor answer
For Atrial Fibrillation, can you still have an electrical cardio-version if drugs (Flecainide) stop working?
Yes: 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?
Paroxysmal: 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 moreSee 2 more doctor answers
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
I have had atrial fibrillation and am on medication.after my run this morning a had acute tooth pain and pain on the side of my face. Does this constitute an emergency?
Cardiac : With your health history important to consult with cardiologist immediately. If cardiac issues ruled out, then see your Dentist for examination. ...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
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