Treatment FAQ

what is the most effective treatment for afib

by Litzy Runolfsdottir PhD Published 2 years ago Updated 2 years ago
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Blood thinners (Aspirin and Heparin) can thin the blood and lower the risk of serious complications. Heart rate controlling medicines, such as beta-blockers that include Coreg (Carvedilol) and Lopressor and Toprol (Metoprolol), is the best way to treat AFib.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 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.

How successful is medication for AFib?

Moderate success rate Success rates average around 50 percent overall. “Research shows that with medication there's a good 40 to 60 percent maintenance of normal rhythm at one year,” says Saliba. “And that's acceptable to some patients.”

What medications should be avoided with atrial fibrillation?

If you have atrial fibrillation (irregular heartbeat) and are on blood thinners to lower your risk of blood clots and stroke, beware of nonsteroidal anti-inflammatory drugs (NSAIDs). NSAIDs include common pain relievers naproxen (Aleve®) and ibuprofen (Advil®).

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.

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 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 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.

What triggers atrial fibrillation?

drinking excessive amounts of alcohol, particularly binge drinking. being overweight (read about how to lose weight) drinking lots of caffeine, such as tea, coffee or energy drinks. taking illegal drugs, particularly amphetamines or cocaine.

How many years does an ablation last?

Long-term success of AF ablation procedures, defined as freedom from arrhythmia recurrence for a minimum of 36 months off antiarrhythmic therapy, can be achieved in many patients.

Is cardiac ablation worth the risk?

Ablation can relieve symptoms and improve the quality of life in people with atrial fibrillation. But it doesn't work for everyone. If atrial fibrillation happens again after the first ablation, you may need to have it done a second time. Repeated ablations have a higher chance of success.

Who is a good candidate for cardiac ablation?

Good Candidates for Cardiac Ablation Likely candidates for the cardiac ablation procedure include: People who cannot have a procedure called cardioversion. One type of cardioversion uses medication, but some people cannot take these drugs. Others experience severe side effects from them.

What is the best medicine for AFIB?

Heart rate controlling medicines, such as beta-blockers that include Coreg ( Carvedilol) and Lopressor and Toprol ( Metoprolol ), is the best way to treat AFib.

What are the symptoms of AFIB?

Early warning signs and symptoms of atrial fibrillation include chest pain, palpitations, shortness of breath, and lightheadedness. Treatment for atrial fibrillation includes medical procedures, surgery, and medication.

How do you know if you have AFIB?

Symptoms of AFib are confusion, anxiety, fatigue, a fluttering in the chest, and the feeling that you may pass out or faint. Atrial fibrillation is treated with medications, cardioversion therapy, and surgery.

What is the name of the medication that is used to treat ventricular arrhythmias?

Sotylize ( sotalol hydrochloride) Sotylize (fluorouracil) is a prescription medication used to treat life-threatening heart rhythm problems called ventricular arrhythmias and to increase the amount of time between having symptoms of heart rhythm disorders called atrial fibrillation or atrial flutter.

What is brevibloc premixed?

Brevibloc Premixed (esmolol hydrochloride) Injection is a beta-blocker indicated for the rapid control of ventricular rate in patients with atrial fibrillation, or atrial flutter in perioperative, postoperative , or other emergent circumstances. Brevibloc is also indicated in noncompensatory sinus tachycardia where the rapid heart rate requires specific intervention.

What is AF in medical terms?

Atrial fibrillation (AF) is an abnormal heart rhythm characterized by an irregular and fast heartbeat. The upper chambers of the heart (atria) beat chaotically, and can cause pooling and clotting of blood in the atria, instead of it emptying into the lower chamber (ventricles).

Is Multaq good for AF?

It is meant for people who have had certain types of atrial fibrillation (paroxysmal or persistent AF) in the past, but are now in normal rhythm. Taking Multaq is associated with an increased risk of death, stroke, and heart failure in people with decompensated heart failure or permanent atrial fibrillation.

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 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 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 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 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.

Treatment With Medications

There are two components of AF that need management: heart rate and heart rhythm.

Heart Rate Management

Beta-blockers decrease resting and exercise heart rates, reducing the workload on the heart. Common drugs in this class used for AF rate control are:

Heart Rhythm Management

Heart rhythm drugs, called antiarrhythmics, restore the heart’s normal rhythm. The goal here is to decrease AF episode duration and frequency.

Anticoagulation

Some people with AF are candidates for anticoagulation therapy, which reduces the risk of blood clots forming that can lead to a stroke.

Electrical Cardioversion

Research shows that electrical cardioversion is an effective way to resolve AF and it can return the heart to its normal rhythm.

Surgical Intervention

Open-heart surgery is the best option for some individuals, especially if it is scheduled to address and correct another problem. The Maze procedure is the top choice because it restores heart rate and rhythm while reducing the risk of stroke.

Catheter Ablation

Catheter ablation is a non-surgical intervention option for people with AF that does not respond to medication therapy.

What are the causes of AFIB?

The most common drivers of the Afib epidemic are advancing age, high blood pressure, heart artery disease, and obesity, but the causes of Afib are many and varied – some young, healthy people and even endurance athletes can be predisposed to atrial fibrillation. Knowing that obesity and lifestyle factors (like being sedentary) ...

Did JoAnne have more control over her AFIB?

Hope for Afib. JoAnne was encouraged by these study results. She was excited to potentially have more control over her Afib , and it provided additional motivation for her to get in shape and lose some weight, which she wanted to do anyway.

How long does it take for AFIB to go away?

AFib may go away for a long time, but it can return. It’s rare, but if you have persistent or chronic AFib, you might need a second ablation within 1 year. If you’ve had AFib for more than a year, you may need one or more treatments to fix the problem. If your symptoms come and go (your doctor will call this paroxysmal AFib), ...

How many people will have normal heart rhythm after AFIB?

About 3 out of 4 people will have a normal heart rhythm after one treatment. A second treatment will get rid of AFib for most of the rest. Ablation may not help everyone. Older adults and those with other heart conditions are the hardest to treat.

What is the most common form of ablation?

Catheter ablation is the most common form of this treatment. The scar tissue it creates can stop the faulty signals that cause your heart to beat out of rhythm. The doctor will make a small cut in a vein in your arm, groin, upper thigh, or neck. You’ll get pain medication so you won’t feel anything.

Why does my heart flutter after ablation?

The most common problem is bleeding or infection where the tube goes into your blood vessel. Also, close to a third of people who have ablation will feel a new heart flutter. If medication doesn’t stop it, you may need a second ablation.

What are the best medications for a swollen heart?

Common medications may include: 1 Blood thinners to prevent or treat clots 2 Beta-blockers or calcium channel blockers to control your heart rate 3 Sodium channel blockers or potassium channel blockers to slow heart rhythm

Does ablation work for AFIB?

It also showed that ablation worked better than medication for treating people with sporadic AFib alone. The longer you have AFib, the less likely any treatment will work. One study looked at people with longstanding, persistent AFib. Again, ablation led to better results.

What is the best medicine to slow heart rate?

Beta-blockers or calcium channel blockers to control your heart rate. Sodium channel blockers or potassium channel blockers to slow heart rhythm. These medicines usually relieve symptoms. After a year, though, about half of the people taking them find they no longer work.

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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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