Treatment FAQ

what is the best treatment for afib

by Josefina Hessel MD Published 2 years ago Updated 2 years ago
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Heart rate controlling medicines, such as beta-blockers that include Coreg (Carvedilol) and Lopressor and Toprol (Metoprolol), is the best way to treat AFib. These medications can control or slow the rapid heart rate so that the heart can function in a better way.Aug 7, 2020

Medication

February is heart month, and all month, we’ll be bringing you stories on different aspects of heart health. Tonight (Feb. 7), we’re focusing on new research involving a condition called Atrial Fibrillation Or A-Fib for short.

Procedures

Treatments for A-fib involve a variety of surgical procedures or medications to restore your heartbeat to its normal rhythm and blood-thinners to prevent blood clots from forming. More natural treatments may include dietary supplements, exercise, and more.

Nutrition

February is heart month, and all month, we’ll be bringing you stories on different aspects of heart health. Tonight (Feb. 7), we’re focusing on new research involving a condition called Atrial Fibrillation Or A-Fib for short.

Can you cure AFIB naturally?

Treating AFib Naturally. 1. The Paleo Diet: The First Step in Resolving AFib (and really any health issue). Address the diet as this lessens the burden on the body, and based on today’s food pyramid, quite a burden it is! A Paleo Diet has been very successful in helping address AFib. Why is this diet so important?

Are there any natural cures for AFIB?

How to cure atrial fibrillation naturally?

How do you treat AFIB naturally?

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What is the most common treatment for atrial fibrillation?

Heart rate medicines: The most common way to treat atrial fibrillation is with drugs that control your heartbeat....Potassium channel blockers, which slow the electrical signals that cause AFib:Amiodarone (Cordarone, Nexterone Pacerone),Dofetilide (Tikosyn)Sotalol (Betapace, Sorine, Sotylize)

What is the drug of choice for atrial fibrillation?

Beta blockers and calcium channel blockers are the drugs of choice because they provide rapid rate control. These drugs are effective in reducing the heart rate at rest and during exercise in patients with atrial fibrillation.

Can atrial fibrillation be cured?

There is no definite cure for AFib. The rhythm can be controlled with medicine, ablation and blood thinners and by lowering risk factors.

What is the first line treatment for atrial fibrillation?

Beta-blockers and calcium channel blockers are first-line agents for rate control in AF. These drugs can be administered either intravenously or orally. They are effective at rest and with exertion. Intravenous diltiazem or metoprolol are commonly used for AF with a rapid ventricular response.

Which is safer eliquis or Xarelto?

A review and meta-analysis of Eliquis and Xarelto for acute venous thromboembolism (VTE) concluded that both drugs were similarly effective but that Eliquis may be safer. The patients treated with Xarelto experienced more bleeding—both major and minor.

What is the most common cause of atrial fibrillation?

Problems with the heart's structure are the most common cause of atrial fibrillation. Possible causes of atrial fibrillation include: Coronary artery disease. Heart attack.

How successful is ablation for AFib 2021?

Results from the multicentre investigator-initiated trial found that cryoablation was superior in maintaining freedom from AF, atrial tachycardia and atrial flutter, with 57.1% of patients in the catheter ablation group versus 32.2% in the antiarrhythmic drug group achieving treatment success at 12 months.

What is the best sleep position for AFib?

A left lateral recumbent position increases the dimensions of the left atrium and the right pulmonary veins and thereby increases local myocardial stress (Wieslander et al., 2019).

What is the life expectancy of a person with AFib?

Whether or not Afib shortens a person's lifespan depends on whether or not he or she can get their heart rate and anticoagulation under control. If controlled, then Afib doesn't shorten a person's lifespan. If these two things are not under control then Afib can shorten one's lifespan.

Is a pacemaker better than ablation?

Conclusions: In patients with paroxysmal AF-related tachycardia-bradycardia syndrome, AF ablation seems to be superior to a strategy of pacing plus AAD. Pacemaker implantation can be waived in the majority of patients after a successful ablation.

Is ablation better than drugs?

Catheter ablation, a common cardiovascular procedure, appears no more effective than drug therapies in preventing strokes, deaths, and other complications in patients with atrial fibrillation.

Which is better cardioversion or ablation?

Conclusion: In patients with AF, there is a small periprocedural stroke risk with ablation in comparison to cardioversion. However, over longer-term follow-up, ablation is associated with a slightly lower rate of stroke.

What is the best medication for atrial fibrillation?

These medications include dabigatran, rivaroxaban, apixaban and edoxaban. They are shorter acting than warfarin and usually don't require regular blood tests or monitoring by your doctor.

What to do if you think you have atrial fibrillation?

If you think you may have atrial fibrillation, it is critical that you make an appointment with your family doctor. If atrial fibrillation is found early, your treatment may be easier and more effective. However, you may be referred to a doctor trained in heart conditions (cardiologist).

How does catheter ablation help with atrial fibrillation?

Atrial fibrillation is often caused by rapidly discharging triggers, or "hot spots." In catheter ablation to treat atrial fibrillation, a doctor inserts long, thin tubes (catheters) into your groin and guides them through blood vessels to your heart. The electrodes at the tips of the catheters help your doctor determine where these triggers are located. Electrodes at the catheter tips can use radiofrequency energy, extreme cold (cryotherapy) or heat to destroy these triggers, scarring the tissue so that the erratic signals are normalized.

What is the procedure called when a catheter is placed in the left atrium?

Left atrial appendage closure. Your doctor may also consider a procedure called left atrial appendage closure. In this procedure, doctors insert a catheter through a vein in the leg and eventually guide it to the upper left heart chamber (left atrium).

How to diagnose atrial fibrillation?

To diagnose atrial fibrillation, your doctor may review your signs and symptoms, review your medical history, and conduct a physical examination. Your doctor may order several tests to diagnose your condition, including:

How does cardioversion work?

In this brief procedure, an electrical shock is delivered to your heart through paddles or patches placed on your chest. The shock stops your heart's electrical activity for a short moment. The goal is to reset your heart's normal rhythm.

What is the best medication to slow your heart rate?

Digoxin. This medication may control the heart rate at rest, but not as well during activity. Most people need additional or alternative medications, such as calcium channel blockers or beta blockers. Beta blockers. These medications can help to slow the heart rate at rest and during activity.

How to reduce the risk of AFIB?

These changes can help reduce your risk of complications from AFib. You should stop or refrain from smoking and limit your intake of alcohol and caffeine. Also, you should avoid cough and cold medications that contain stimulants. If you’re not sure which to avoid, ask your pharmacist.

What are the goals of AFIB treatment?

Your treatment plan will likely address three goals: restore your normal heart rate. restore your normal heart rhythm. Medications can help achieve all three of these goals.

How does AFIB work?

Two types of medication can help with this. They work by slowing down electrical signals in your heart. These medications are: Sodium channel blockers such as flecainide (Tambocor) and quinidine.

How to slow down heart rate?

Slowing down your heart rate is another important step in treatment. Your doctor may prescribe medications for this purpose. Three types of medications can be used to restore your normal heart rate: 1 Beta-blockers such as atenolol (Tenormin), carvedilol (Coreg), and propranolol (Inderal) 2 Calcium channel blockers such as diltiazem (Cardizem) and verapamil (Verelan) 3 Digoxin (Lanoxin)

What is the best medicine for slowing down heart rate?

Three types of medications can be used to restore your normal heart rate: Beta-blockers such as atenolol (Tenormin), carvedilol (Coreg), and propranolol (Inderal) Calcium channel blockers such as diltiazem (Cardizem) ...

What is the most common type of heart arrhythmia?

Atrial fibrillation (AFib) is the most common type of serious heart arrhythmia. It’s caused by abnormal electrical signals in your heart. These signals cause your atria, the upper chambers of your heart, to fibrillate or quiver. This fibrillation typically results in a fast, irregular heartbeat.

Why are NOACs recommended over warfarin?

These NOACs are now recommended over the traditionally prescribed warfarin (Coumadin) because they have no known food interactions and don’t require frequent monitoring. People who take warfarin require frequent blood testing and need to monitor their intake of foods rich in vitamin K.

How to reduce AFIB?

Go for fruits, veggies, and whole grains. Get more exercise -- more physical activity strengthens your heart. They'll probably suggest that you make other changes to lower your odds of heart disease, as well as conditions like diabetes and lung disease that can contribute to AFib: Quit smoking.

How to treat AFIB without surgery?

If medicines don't work or they cause side effects, you can try one of two procedures called cardioversion or ablation. These treat AFib without surgery. Electrical cardioversion: The doctor gives your heart a shock to regulate your heartbeat. They’ll use paddles or stick patches called electrodes onto your chest.

What is the procedure that a doctor uses to guide a catheter?

The doctor makes several small cuts between your ribs and uses a camera to guide catheters for either cryoablation or radiofrequency ablation. Some hospitals offer robot-assisted surgery that uses smaller cuts and allows for greater precision. Your doctor will put a video camera or tiny robot into your chest.

What is AFIB and how does it affect your heart?

Living With AFib. Atrial fibrillation is a problem with your heart 's electrical activity. You and your doctor have treatment options if your symptoms become too severe. With AFib, your heart quivers, beats irregularly, or skips beats. It can't pump blood through its chambers and out to your body as well as it should.

How does a doctor destroy the AV node?

Your doctor will insert a catheter into a vein in your groin and slide it up to the AV node, a nerve that conducts electrical impulses between the top and bottom chambers of your heart. They’ll send radiofrequency energy through the catheter to destroy the AV node. This stops the signals from reaching your ventricle.

How to treat atrial fibrillation?

Heart rate medicines: The most common way to treat atrial fibrillation is with drugs that control your heartbeat. These slow your rapid heart rate so your heart can pump better. You may need other drugs. Some are called beta-blockers. They also slow your heart rate.

How does AFIB work?

It’s connected to one or two wires that are inserted through a vein and sit in your heart. It delivers painless electric pulses that make your heart beat. Treating the Causes of AFib. If problems such as high blood pressure, cholesterol, or an overactive thyroid caused your AFib, you'll need to treat the root cause.

Is atrial fibrillation a stroke?

This causes blood to pool in the heart, which increases the risk of the pooled blood clotting and causing a stroke. Patients with atrial fibrillation often report symptoms such as heart palpitations, shortness of breath, fatigue, dizziness, and lightheadedness. The good news is that atrial fibrillation is a very treatable condition.

Does Oklahoma Heart Hospital have AFIB?

Oklahoma Heart Hospital now offers a new treatment option for patients with persist ent atrial fibrillation (AFib). In fall 2020, the FDA approved the Thermocool Smarttouch Catheter for use in AFib patients. This new treatment offers better long-term results for those with persistent atrial fibrillation.

What is the most common type of heart arrhythmia?

Atrial fibrillation ( A-fib or AF) is the most common type of heart arrhythmia, affecting up to 6.1 million Americans. It occurs when the upper chambers of the heart are beating irregularly, and thus aren’t coordinated with the lower chambers. This affects blood flow, which is what causes A-fib symptoms.

Why is anti-inflammatory diet important?

This is important not only for your overall health but because obesity is a major risk factor in cardiovascular disease, including atrial fibrillation. Anti-inflammatory foods often contain high levels of antioxidants, which help fight against cell damage.

What is the best way to get Omega 3?

Omega-3 fatty acids have been shown to fight inflammation and reduce your risk of obesity and heart disease. The most well-known source of omega-3s is fatty fish, like salmon or mackerel . Fish or krill oil is a quick and easy way to add omega-3s into your diet. They’re both widely available in pill and liquid form.

Does inflammation cause atrial fibrillation?

Inflammation has been linked to atrial fibrillation as a marker than can predict an increased risk of developing the condition. Normally, we associate inflammation with our immune system reacting to germs or viruses, like a cut that becomes red and swells, or a sore throat.

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Diagnosis

Treatment

Clinical Trials

Lifestyle and Home Remedies

Medically reviewed by
Dr. Kabir Sethi
Your provider will work with you to develop a care plan that may include one or more of these treatment options.
Treatment aims to reset the heart’s rhythm to normal. Procedures are instrumental in destroying small areas of heart tissue to prevent abnormal electrical signals, and medications help in controlling the heart rate.
Medication

Anti-arrhythmic drugs: Given orally or intravenously to restore normal functions of the sinus node.

Quinidine . Dofetilide . Propafenone


Anticoagulants: To prevent blood clot and stroke.

Warfarin

Procedures

Electrical cardioversion: Electrical shock applied to the heart through patches or paddles placed on the chest to get the normal heart rhythm back.

Catheter ablation: Controlling abnormal rhythm of heart using a catheter, by scarring the tissues at the triggering spots.

Atrioventricular (AV) node ablation: Prevents the atria from sending electrical impulses to the ventricles, and a pacemaker controls the abnormal heart beats.

Left atrial appendage closure: Inserting a device to close a small sac in the left upper chamber of the heart to prevent blood clots.

Maze procedure: There are different methods of surgical maze techniques. An open-heart surgery is advised if other treatments fail.

Nutrition

Foods to eat:

  • Include fresh fruits, vegetables, and whole grains

Foods to avoid:

  • Reduce salt and sodium intake
  • Limit Alcohol
  • Reduce fatty foods

Specialist to consult

Cardiologist
Specializes in the diagnosis and management heart related disorders.

Preparing For Your Appointment

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