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Doctor insights on: Medicine For Acute Atrial Fibrillation

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Are there any permanent treatments for acute atrial fibrillation?

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

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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Dear doctor, i'm suffering from irregular heartbeat, could it be from acute atrial fibrillation?

Dear doctor, i'm suffering from irregular heartbeat, could it be from acute atrial fibrillation?

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 more

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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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What medicine is good for atrial fibrillation?

What medicine is good for atrial fibrillation?

Digoxin,coumadin (warfarin) or : To prevent stroke we need to use Coumadin (warfarin) or pradaxa, for rapid atrial fibrillation we can use digoxin, beta blockers and antoarrythmic drugs or calcium channel blockers. ...Read more

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What medicines are best for atrial fibrillation?

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

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Which medicines are good for atrial fibrillation?

Which medicines are good for atrial fibrillation?

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

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Which medicines are good for atrial fibrillation?

Atrial fibrillation: We have a lot of medicines we use with specific reasons for each. Your doctor can explain why he/she is using what is prescribed. ...Read more

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What 3-5 drugs are commonly given for atrial fibrillation?

What 3-5 drugs are commonly given for atrial fibrillation?

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

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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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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

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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?

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

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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

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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

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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?

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

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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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My father in law aged 72 yrs. Hospitalized for last 28 days. Diagnosed as follows : 1.Atrial fibrillation. 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

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What medicine is good for atrial fibrillation and a,slow heart beat?

What medicine is good for atrial fibrillation and a,slow heart beat?

It depends: upon what else is going on - what is your blood pressure, how slow is the pulse, does it ever go fast; do you have heart failure or sleep apnea. if your heart goes so slow it bothers you, and there is nothing correctable, the only solution is a pacemaker. ...Read more

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Beside taking arrhythmia medicines, what are other option for atrial fibrillation? Does a pace maker or defibrillator cure a fib?

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

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Does atrial fibrillation cause fainting?

Does atrial fibrillation cause fainting?

Afib cause faint?: It is unlikely but i guess possible. The most common cause of faint is "vaso vagel syncope ". This is like after standing a long time, at the sight of blood, etc. ...Read more

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How can food affect atrial fibrillation?

How can food affect atrial fibrillation?

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

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Can young adults get atrial fibrillation?

Can young adults get atrial fibrillation?

Yes: I have seen af in 20 year olds. Most likely genetic when it afflicts young people. ...Read more

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Can someone work with atrial fibrillation?

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

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Which exercises are safe with atrial fibrillation?

Which exercises are safe with atrial fibrillation?

All: As long as the heart rate is controlled, there is no contraindication to exercise with atrial fibrillation. ...Read more

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What are the common symptoms of atrial fibrillation?

What are the common symptoms of atrial fibrillation?

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

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In which case we can found a regular atrial fibrillation?

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

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How to know what is atrial fibrillation and is it serious?

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

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Is atrial fibrillation a serious condition? My friend is 45 and has it.

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

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Funny how a diagnosis doesn't mean much till you have it. What is atrial fibrillation?

Funny how a diagnosis doesn't mean much till you have it. What is atrial fibrillation?

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

Fibrillation (Definition)

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