Treatment FAQ

when to seek treatment for atrial fibrillation

by Prof. Kaylie Kuvalis Published 3 years ago Updated 3 years ago
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When to Call the Doctor or 911. If an AFib episode lasts 24 to 48 hours with no break or if symptoms worsen, call your physician, Armbruster says. Call 911 or go to the emergency room immediately if you experience any symptoms of a stroke, which are sudden weakness or numbness or difficulty speaking or seeing.Feb 5, 2019

Medication

Usually, the most serious risk from AFib is that it can lead to other medical problems, including:

  • Stroke
  • Heart failure
  • Chronic fatigue
  • Additional heart rhythm problems
  • Inconsistent blood supply

Procedures

“I hear a lot about atrial fibrillation. What exactly is it ... Your provider can help decide what is the best option for you. The WATCHMAN Implant could be a life-changing alternative to the lifelong use of blood thinners for those who need one.

Nutrition

Trans fats are found in:

  • margarine
  • foods made with partially hydrogenated vegetable oils
  • certain crackers and cookies
  • potato chips
  • doughnuts
  • other fried foods

How dangerous is atrial fibrillation?

Medications, shocking the heart back into rhythm, or even a procedure to potentially cure atrial fibrillation, called a catheter ablation, may be necessary. Certainly, with A-fib, an ounce of prevention is definitely worth a pound of cure!

What is the best treatment for atrial fibrillation?

What foods trigger atrial fibrillation?

How to get rid of atrial fibrillation once and for all?

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Should I go to ER for AFib episode?

How to help: Call a doctor. AFib episodes rarely cause serious problems, but they'll need to get checked out. If they're uncomfortable or their heart is beating rapidly, call 911 or go to an emergency room. Doctors may use medications or a device called a cardioverter to help their heart go back to a normal rhythm.

How do I know if my AFib is serious?

Call 911 right away if you have these symptoms, which could be signs of a heart attack or stroke:Pain or pressure in the middle of your chest that lasts more than a few minutes.Pain that spreads to your jaw, neck, arms, back, or stomach.Nausea.Cold sweat.Drooping face.Arm weakness.Trouble speaking.

When should you see a cardiologist for atrial fibrillation?

It may be time to visit a cardiologist if you are experiencing symptoms like shortness of breath, chest pain, or dizziness. Your primary care physician will likely recommend an appointment with a cardiologist to find the source of these symptoms.

What heart rate is too high with AFib?

The most obvious symptom of atrial fibrillation (AF) is palpitations caused by a fast and irregular heartbeat. A normal heart rate, when you are resting, should be between 60 and 100 beats a minute. In atrial fibrillation, it may be over 140 beats a minute.

At what heart rate should you go to the hospital?

If you're sitting down and feeling calm, your heart shouldn't beat more than about 100 times per minute. A heartbeat that's faster than this, also called tachycardia, is a reason to come to the emergency department and get checked out. We often see patients whose hearts are beating 160 beats per minute or more.

What happens if you stay in AFib too long?

Untreated persistent AFib can lead to permanent AFib. Having any form of AFib, including persistent AFib, increases your risk for stroke, heart attack, and death.

Is atrial fibrillation an emergency?

Srivatsa: AFib is a common reason for emergency department visits and hospitalizations. It's also a significant cause of heart failure and disabling strokes that occur when clots form in pooled blood in the left atrium and travel to the head.

How long should an AFib episode last?

paroxysmal atrial fibrillation – episodes come and go, and usually stop within 48 hours without any treatment. persistent atrial fibrillation – each episode lasts for longer than 7 days (or less when it's treated) permanent atrial fibrillation – when it's present all the time.

What should you not do if you have atrial fibrillation?

Limit Sodium. In addition to causing high blood pressure, high sodium levels have been linked with a long-term risk of developing AFib. Avoid or reduce salty foods such as pizza, cold cuts, salad dressings, and soups to reduce your risk.

What should blood pressure be with AFib?

BP of 120 to 129/<80 mm Hg was the optimal BP treatment target for patients with AF undergoing hypertension treatment.

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).

Is 180 too high for heart rate?

Episodes can last for seconds, minutes, hours or (in rare cases) days. They may occur regularly, several times a day, or very infrequently, once or twice a year. The heart rate may be as high as 250 beats per minute, but is usually between 140 and 180 (a normal heartbeat should be 60-100 beats per minute at rest).

What should you not do if you have atrial fibrillation?

Limit Sodium. In addition to causing high blood pressure, high sodium levels have been linked with a long-term risk of developing AFib. Avoid or reduce salty foods such as pizza, cold cuts, salad dressings, and soups to reduce your risk.

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.

Can you live a long life with atrial fibrillation?

The good news is that although AF is a long-term condition, if managed correctly, you can continue to lead a long and active life. There are a number of steps you can take that will help you manage your condition, lower your risk of stroke and relieve any worries you may have.

What triggers AFib attacks?

However, a sudden increase in exercise or a workout that is too intense can trigger an A-fib attack. Getting overheated or dehydrated while exercising can also trigger attacks. Holidays. Holidays offer many triggers, including stress, fatigue, and alcohol use.

How long are the guidelines for AFIB?

The guidelines spell out what is proven most helpful to the greatest number of people. Although the guidelines for atrial fibrillation are about 170 pages long, there are some basic decisions outlined in the treatment guidelines that every AFib patient should understand.

What type of medication do you need for a thrombotic thrombosis?

Depending on your risk, you will likely either need some type of antithrombotic medication (such as warfarin, one of the new direct-acting oral anticoagulants or DOACs – dabigitran, apixaban, rivoraxaban or edoxaban) or maybe aspirin.

Why are medical guidelines written?

Medical guidelines are written by a panel of experts to document the science that helps healthcare providers choose the right treatments. The guidelines spell out what is proven most helpful to the greatest number of people.

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 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.

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 tell if someone has AFIB?

They may feel faint, anxious, or confused. And they may notice that their heart is fluttering or pounding. How to help: Call a doctor. AFib episodes rarely cause serious problems, but they'll need to get checked out.

What are the complications of AFIB?

Heart Attack. Stroke. Most episodes of atrial fibrillation aren't life-threatening, but an irregular heartbeat can cause complications like a heart attack or stroke.

How to help a stroke patient?

How to help: Call 911. Don't wait to see if the symptoms go away on their own. The sooner they get medical treatment, the better. Try to help them lie down.

What to do if you have a heart attack and you vomit?

They may vomit or feel tingling or pain in their back, shoulders, arm, or jaw. How to help: If they have these warning signs, call 911 right away, even if you're not sure it's a heart attack. It's better to be wrong than to wait too long. The 911 operator will stay on the phone with you until help arrives.

What to wear if someone takes blood thinners?

That way, you can share the list with medical professionals during any emergency. If your loved one takes blood thinners, they should wear a medical bracelet or tag saying so. You'll also want to know what happens during an AFib episode, heart attack, and stroke, and the different warning signs of each.

Why does a heart attack happen?

What it is: A heart attack can happen when blood doesn't flow to the organ like it should because of a blockage. This can damage its tissue and could be deadly.

Is AFIB more likely to cause a stroke?

It's the biggest risk with AFib. Your loved one is five times more likely to have a stroke than other people. The symptoms: Remember the initials F.A.S.T. Stroke can also bring on a severe headache, vision problems, dizziness, confusion, trouble speaking, or numbness or weakness on one side of the body.

What is the best treatment for AFIB?

The most common treatment for AFib in an emergency room setting is rate controlling medications. In an emergency room setting a patient will likely receive intravenous medications for rapid control of the heart rate. The most common intravenous medications used are metoprolol, diltiazem, digoxin, or amiodarone.

What is the barrier to seeking medical attention for an AFIB attack?

A common barrier to people seeking medical attention for an AFib attack is a lack of education about what the medical providers in the emergency room will do to manage their symptoms.

How Can I Stop AFib Naturally?

If you are interested in natural treatment options for atrial fibrillation and are highly motivated in improving your symptoms naturally, to reduce your need for medications or even procedures, then take a look at my one of a kind, online educational program, Take Control Over AFib.

What is the heart flutter?

Atrial Flutter 一 Atrial flutter occurs when the heart’s atria beat in a regular rhythm that is faster than the expected normal rate. Atrial flutter symptoms can resolve on their own, but in severe cases may also require medical attention. In addition, atrial flutter also increases risk for stroke, similar to AFib.

What are the most important features about when to seek urgent medical attention in the emergency room?

Symptoms are the most important feature about when to seek urgent medical attention in the emergency room. This is more important then the tachycardia, or the level of high heart rate.

How high is the heart rate for AFIB?

It is important to note that some patients with AFib will have an elevated heart rate (usually over 120 bpm at rest ) and will experience no symptoms at all. This is why monitoring your symptoms and assessing your personal baseline is essential for identifying the onset of a possibly dangerous AFib attack. If you begin to experience any of these symptoms in a way that makes you feel stressed, uncomfortable, or like you are out of control, that is when seeking medical attention at your nearest emergency room is essential.

What is the condition that causes a sudden abnormally fast heart rate?

Supraventricular Tachycardia 一 Commonly known as SVT, this condition can cause a sudden abnormally fast heart rate involving the upper chambers of the heart. While this condition can sometimes be managed at-home, prolonged episodes of SVT require medical intervention.

How to treat afib?

The ability of lifestyle change to reduce the burden of atrial fibrillation remains an active area of research. In the meantime, take steps to live a healthy and active lifestyle, in addition to medication and other standard a-fib treatments: 1 If you smoke, quit. 2 Control high blood pressure. 3 Get treatment for sleep apnea if you have it. 4 Maintain a healthy weight. 5 Don't drink alcohol, or consume only in moderation. 6 Keep your cholesterol and triglycerides within a healthy range. 7 Get regular exercise. 8 Get recommended vaccinations for the flu and pneumonia, especially if you have heart disease.

How to reduce the burden of atrial fibrillation?

In the meantime, take steps to live a healthy and active lifestyle, in addition to medication and other standard a-fib treatments: If you smoke, quit. Control high blood pressure.

Can you treat atrial fibrillation with medication?

Although your ability to prevent or treat atrial fibrillation with a healthy lifestyle has limits, most people are able to control bothersome symptoms long-term with medication, procedures, or both. That said, some people run out of safe or effective options, in which case the a-fib will become permanent. But with proper anticoagulation, you can still minimize your risk of stroke, the most dangerous complication of this abnormal heart rhythm.

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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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