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.
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.
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.
The non drug treatments for Atrial fibrillation include: Watchful waiting, Cardioversion, Cardiac ablation.
Many different. Drugs for treatment of atrial fibrillation but I am confused by the term vagal af.
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.
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.
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.
See a cardiologist! There are many options for someone in this situation. She may need to consider going on a blood thinner to prevent a blood clot in the heart, as well as medications to control her heart rate. But it is important for her to see a cardiologist, and if possible where you live, a cardiac electrophysiologist who specializes in abnormal heart rhythms.
See a cardiologist. The most important question is what previous treatment has been tried for the atrial fibrillation. If the answer is none, a cardioversion and use of an antiarrhythmic drug may be a reasonable option. If your mother has repeatedly failed this treatment, a cardiac electrophysiologist may be able to assist you.
ACE-ARB, CRF A-FI. ACE and ARB in chronic renal failure can be administered together. However will have no therapeutic effect on chronic atrial fibrillation. For arterial hypertension with chronic renal failure you will require to switch one of the current HPT med to a beta blocker. Such as Sotalol 80 mg twice a day (minimal dose), and have BP controlled twice a day, adjust as. Have you ever underwent cardio-versi.
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.
My father in law aged 72 yrs. Hospitalized for last 28 days. Diagnosed as follows : 1.Atrial fibrillation. 2.Multi drug resistant klebsillia pneumona
? What is the question? Your father in law sounds very sick, if he's been hospitalized for almost a month, and a multidrug resistant klebsiella pneumonia could be the cause of that. There still isn't a question to answer.
CHF. Sounds like your father in law is very ill and the klebsiella resistant is an additional very serious problem. What is your question?
OK... Well, the fib is likely a combination of his age and the fact that he's got an acute illness. Mdr k.P is a bummer. They'll do special testing to see what antibiotics still work against the bug, then start him on that. Good luck.