Treatment FAQ

what is the first line treatment for atrial fibrillation

by Keely Barrows Published 3 years ago Updated 2 years ago
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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.Nov 18, 2019

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

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.

Nutrition

Ways to stop an A-fib episode

  1. Take slow, deep breaths. It is believed that yoga can be beneficial to those with A-fib to relax. ...
  2. Drink cold water. Slowly drinking a glass of cold water can help steady the heart rate. ...
  3. Aerobic activity. ...
  4. Yoga. ...
  5. Biofeedback training. ...
  6. Vagal maneuvers. ...
  7. Exercise. ...
  8. Eat a healthful diet. ...
  9. Manage high blood pressure and cholesterol. ...
  10. Get enough sleep. ...

More items...

Can you cure AFIB naturally?

What Are the Treatments for AFib?

  • Medications. These can prevent clots and strokes, slow your heart rate, and control your heart rhythm. ...
  • Procedures to Treat AFib. If medicines don't work or they cause side effects, you can try one of two procedures called cardioversion or ablation.
  • Treating the Causes of AFib. ...

How to cure atrial fibrillation naturally?

How to naturally control AFIB?

What are my treatment options for AFIB?

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What is the first drug of choice for atrial fibrillation?

Amiodarone as a first-choice drug for restoring sinus rhythm in patients with atrial fibrillation: a randomized, controlled study. Chest.

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 latest treatment for atrial fibrillation?

Newly Approved Treatments A new medicine called edoxaban has been cleared to prevent blood clots and stroke in patients with AFib. Edoxoban is also a NOAC (non-vitamin K oral anticoagulant).

Which drug is commonly used to treat atrial fibrillation?

Depending on your level of risk, you may be prescribed warfarin or an anticoagulant, such as dabigatran, rivaroxaban, apixaban or edoxaban. If you're prescribed an anticoagulant, your doctor will assess and discuss your risk of bleeding with you both before you start the medicine and while you're taking it.

Which is better metoprolol or diltiazem?

The key finding is that diltiazem was more effective than metoprolol in achieving rate control in ED patients with AFF at all time points within 30 min and did so with no increased incidence of adverse effects.

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.

Which is better for AFib metoprolol or diltiazem?

Conclusion: Intravenous diltiazem has higher efficacy, shorter average onset time, lower ventricular rate, less impact on blood pressure, and with no increase in adverse events compared to intravenous metoprolol.

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 beta blocker for AFib?

Bisoprolol* or metoprolol succinate are first-choice beta-blockers for patients with atrial fibrillation as they are prescribed once-daily and do not require dose adjustment in patients with renal impairment. Bisoprolol is preferred as it is more cardioselective than metoprolol and may cause more bradycardia.

What is the safest antiarrhythmic drug?

Dronedarone was the best tolerated of the antiarrhythmic drugs, with the lowest rates of severe adverse events and a significant reduction in the risk of stroke. It is our practice to use propafenone, flecainide, sotalol, and dronedarone as first-line therapies in patients without structural heart disease (Table 4).

What is the drug of choice for cardiac arrhythmia?

The most common medications in this class are: amiodarone (Cordarone, Pacerone) flecainide (Tambocor) ibutilide (Corvert), which can only be given through IV.

What does Cardizem do for atrial fibrillation?

This Calcium Channel antagonism leads to decreased SAN chronotropic effect and decreased AVN conduction, making it useful for treatment of atrial arrhythmias such as AF, Atrial Flutter and Supra-ventricular Tachycardias (SVTs).

Diagnosis

Clinical Trials

Lifestyle and Home Remedies

Preparing For Your Appointment

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.

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