What is the drug of choice for atrial fibrillation?

Beta blockers are usually the first line for treatment of AF regardless of it being for a rhythm or rate control strategy. We may also use them in combination with other anti-arrhythmic drugs such as: calcium channel blockers (diltiazem/verapamil) amiodarone.

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What is the first choice drug for atrial fibrillation?

A beta blocker, such as bisoprolol or atenolol, or a calcium channel blocker, such as verapamil or diltiazem, will be prescribed. The medicine you'll be offered will depend on what symptoms you're having and your general health. A medicine called digoxin may be offered if other drugs are not suitable.

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What is the most effective treatment for atrial fibrillation?

Electrical cardioversion restores your heart rhythm using low-energy shocks to your heart. Catheter ablation destroys the tissue that is causing the arrhythmia. Ablation is not always successful and in rare cases may lead to serious complications, such as infection, bleeding or stroke.

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What are 3 drugs for atrial fibrillation?

Several antiarrhythmic drugs are commonly used to prevent atrial fibrillation recurrence, such as quinidine, flecainide, propafenone, sotalol, and dofetilide. Other antiarrhythmic agents, such as amiodarone, are used in an off-label fashion with great clinical efficacy.

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What is the best beta blocker for atrial fibrillation?

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.

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Atrial Fibrillation Treatment- Medications

26 related questions found

What medications should be avoided with atrial fibrillation?

Atrial Fibrillation Drugs to Avoid
  • Warfarin (also known as Coumadin and Jantoven)
  • Apixaban (also known as Eliquis)
  • Rivaroxaban (also known as Xarelto)
  • Aspirin.
  • Enoxaparin (also known as Lovenox)
  • Clopidogrel (also known as Plavix)
  • Heparin.
  • Dabigatran (also known as Pradaxa)

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Do all AFib patients need beta-blockers?

It is for this dromotropic effect that beta-blockers are strongly recommended in the treatment of atrial fibrillation to 'improve quality of life and reduce the risk of tachycardia-induced cardiomyopathy'.

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What can worsen 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.

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What Pfizer drug for atrial fibrillation?

TIKOSYN is indicated for the conversion of atrial fibrillation and atrial flutter to normal sinus rhythm.

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Can you live with AFib without blood thinners?

While patients who have elevated stroke risks may be able to manage symptoms of AFib — such as a racing heartbeat — with other medications or medical procedures, they will still need to take blood thinners to protect against stroke.

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How can I prevent atrial fibrillation from getting worse?

The basics include not smoking, following a heart-healthy Mediterranean-style diet (high in plant-based foods, fruits and vegetables, and low in saturated fats), being physically active and keeping to a normal weight (as indicated on a body-mass index chart).

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Can atrial fibrillation go back to normal?

Can Afib go away? If you have paroxysmal Afib, your symptoms may go away on their own without treatment. However, paroxysmal Afib can progress to persistent Afib depending on your risk factors. And both persistent Afib and long-standing persistent Afib require treatment to avoid serious complications.

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Why is it best to leave atrial fibrillation untreated?

If your atrial fibrillation is persistent, it may start to weaken your heart. In extreme cases, it can lead to heart failure, as your heart is unable to pump blood around your body efficiently.

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How is atrial fibrillation treated in the elderly?

Rhythm control therapy in atrial fibrillation. Rhythm control consists of cardioversion to normal sinus rhythm, usually followed by medications for sinus rhythm maintenance or non-pharmacologic rhythm treatment (e.g., catheter ablation).

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What is the safest blood thinner for AFib?

The most recent guidelines from the American College of Cardiology (ACC) and the American Heart Association (AHA) recommend DOACs as the best blood thinners for AFib in most people.

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Can atrial fibrillation be caused by anxiety?

Feeling angry or stressed about work may make AFib. Having anxiety increases the risk of AFib.

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Can atrial fibrillation be cured?

No, atrial fibrillation (AFib) cannot be cured. Unless there is a clearly identified and reversible cause that is treated, there is always the risk of redeveloping atrial fibrillation. There is no definite cure for AFib.

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What is a normal heart rate for someone with AFib?

What is a Normal Heart Rate for Someone with Atrial Fibrillation? The normal heart rate for someone without A-fib typically runs from 60-100 beats per minute, while a patient with A-fib may see a heart rate jump to 100-200 beats per minute.

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What is the most common cause of death in atrial fibrillation?

Having AFib puts people at an increased risk for stroke, which can be both deadly and costly. Medicare alone is estimated to pay . 7 billion per year to treat newly diagnosed atrial fibrillation patients. Stroke is the 5th leading cause of death in the U.S. and kills more than 129,000 people each year.

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Does atrial fibrillation make you tired?

The most common symptom of atrial fibrillation is fatigue, or extreme tiredness. Other symptoms include: Low blood pressure. Difficulty breathing, especially when lying down or when exercising.

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Does AFib ever require a pacemaker?

Many patients with atrial fibrillation (AF) have sinus node dysfunction with symptomatic bradycardia requiring pacemaker placement.

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Does everyone with AFib need a pacemaker?

Atrial fibrillation can usually be treated with medication, but some people don't respond to treatment, so a pacemaker may be recommended. Sometimes people with atrial fibrillation can have a much slower pulse rate than normal, which can also be intermittent (not continuous).

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What happens if your heart is always in AFib?

With the right treatment and regular management, most people with persistent atrial fibrillation can live active, healthy lives. The longer persistent Afib goes without treatment, however, the harder it is to manage. It may become permanent or lead to severe complications such as blood clots or stroke.

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What are 4 common drugs tied to AFib?

Cocaine, methamphetamine, opioids, and cannabis may independently increase risk of atrial fibrillation (AFib), based on data from almost 24 million people.

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How can I reverse atrial fibrillation naturally?

How can you get rid of A-fib naturally?
  1. avoiding or limiting the intake of alcohol, tobacco, and caffeine.
  2. getting enough exercise.
  3. following a varied and nutritious diet.
  4. trying acupuncture, yoga, or both.
  5. asking a doctor about supplements and herbal remedies.

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