How is atrial fibrillation treated?

Written by Li Hai Wen
Cardiology
Updated on September 21, 2024
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Atrial fibrillation is a common type of arrhythmia in our daily lives, and it has many dangers. First, it produces symptoms; when atrial fibrillation occurs, patients often experience palpitations and chest discomfort. Second, it can induce heart failure. Third, it can cause complications such as cerebral infarction. Therefore, the treatment of atrial fibrillation is usually divided into the following types: first, pharmacological treatment, such as using amiodarone to maintain sinus rhythm and taking warfarin to prevent thrombosis. Second, surgical treatment, such as radiofrequency ablation therapy, which is a minimally invasive method and is hoped to prevent further episodes of atrial fibrillation.

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Written by Cui Bo
Cardiology
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Is atrial fibrillation the same as atrial flutter?

Atrial fibrillation, commonly abbreviated as AF, is a simple way to express atrial fibrillation, which is fundamentally pathological. Normal heart rhythm is sinus rhythm. Therefore, once atrial fibrillation occurs, it is crucial to seek medical attention promptly rather than ignoring it. All patients with atrial fibrillation are scored to determine if they require anticoagulation therapy. Since atrial fibrillation is a trembling of the atrium and results in a completely irregular heartbeat, it can easily lead to the formation of blood clots in the left atrial appendage. Hence, if one discovers their heartbeat is very irregular, utterly irregular, immediate medical attention is necessary. An electrocardiogram can confirm the diagnosis of atrial fibrillation, but it is essential to seek the underlying cause of the condition and manage both the ventricular rate in atrial fibrillation and the anticoagulation therapy.

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Written by Zhang Yue Mei
Cardiology
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Nursing Care for Patients with Atrial Fibrillation

Atrial fibrillation (AF) refers to atrial fibrillation, caused primarily by organic heart diseases, commonly seen in coronary heart disease, rheumatic heart disease, cardiomyopathy, and pulmonary heart disease, as well as certain metabolic disorders such as hyperthyroidism. Patients with AF can experience impacts on cardiac function, and in severe cases, may develop heart failure. Nursing care primarily involves ensuring the patient rests and avoids excessive fatigue. Mild physical activities can be performed, and it is advisable to eat easily digestible foods and avoid spicy foods to reduce gastrointestinal irritation and lessen the burden on cardiac function. Attention should be paid to sleep, avoiding smoking and alcohol, routinely checking the electrocardiogram (ECG), and seeking timely medical treatment at a hospital if special conditions arise.

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Written by Tang Li
Cardiology
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What medicine is used for atrial fibrillation?

The current medications for atrial fibrillation mainly include three types: the first type controls the ventricular rate, which ensures the basic function of the patient's heart and minimizes the cardiac dysfunction caused by atrial fibrillation. This includes drugs such as receptor blockers and calcium channel antagonists, digoxin, amiodarone, and others. The second type of drugs are those used for cardioversion. The third type of drugs are those used to prevent embolism, which are anticoagulants. Currently, the main drugs include warfarin, new anticoagulants such as dabigatran and rivaroxaban, and intravenous medications like low molecular weight heparin calcium and nadroparin.

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Written by Li Hai Wen
Cardiology
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Can atrial fibrillation lead to sudden death?

Atrial fibrillation is a very common arrhythmia in our daily lives, but does it lead to sudden death after its onset? Generally speaking, atrial fibrillation does not cause sudden death, but this does not mean that atrial fibrillation is safe. Atrial fibrillation often poses the following risks: Firstly, it causes symptoms; repeated episodes of atrial fibrillation can cause symptoms such as palpitations and chest tightness in patients. Secondly, it triggers heart failure; acute episodes of atrial fibrillation are often a significant cause of heart failure, which necessitates hospital treatment for many patients. Thirdly, it leads to complications from blood clots, which is one of the most severe yet common complications of atrial fibrillation, leaving sequelae such as weakness in walking or hemiplegia on one side of the body.

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Written by Chen Tian Hua
Cardiology
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What are the symptoms of atrial fibrillation?

The most common symptoms of atrial fibrillation episodes are chest tightness, palpitations, shortness of breath, and fatigue. When atrial fibrillation causes a significant decrease in cardiac output, it can also lead to insufficient cerebral blood supply, causing symptoms such as dizziness and blackouts. Occasionally, it may also cause fainting in patients. When coronary artery blood supply is insufficient, it can also trigger angina attacks. Moreover, if atrial fibrillation leads to heart failure, it can cause significant respiratory difficulty. Atrial fibrillation is a common arrhythmia clinically. The treatment of atrial fibrillation should be based on the specific situation, choosing either cardioversion or controlling the ventricular rate. Cardioversion can be achieved through medication or radiofrequency ablation surgery, while controlling the ventricular rate can be managed with β-blockers, amiodarone, digoxin, and other drugs. In treating atrial fibrillation with ventricular rate control, patients need to take anticoagulants long-term to prevent the occurrence of peripheral arterial embolism. (Please follow medical advice regarding medications.)