Atrial fibrillation

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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 people with atrial fibrillation drink alcohol?

Atrial fibrillation is a common arrhythmia among many middle-aged and elderly people, and in our country, which has a strong culture of alcohol consumption, many people enjoy drinking. So, can you drink alcohol if you have atrial fibrillation? My advice is that it's best not to drink. Modern medical research has shown that alcohol can potentially trigger attacks of atrial fibrillation, and in our clinical practice, we often find that many patients experience an onset of atrial fibrillation by drinking alcohol, sometimes even necessitating hospital treatment due to the episodes. Therefore, it is recommended that patients with atrial fibrillation avoid or minimize alcohol consumption.

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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 Zhang Yue Mei
Cardiology
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"Heart atrial fibrillation" refers to what?

Atrial fibrillation is the most common clinical arrhythmia. An electrocardiogram reveals abnormal fluctuations in the atria, which are fast and disordered with some fibrillating waves, known as atrial fibrillation. Diseases causing atrial fibrillation are often associated with structural heart disease. Common conditions include rheumatic heart disease, heart failure, pulmonary heart disease, viral myocarditis, coronary artery disease, and congenital heart disease. Atrial fibrillation can also occur in conditions that cause sympathetic or parasympathetic nerve activity changes, with hyperthyroidism being a common related disease.

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Written by Li Hai Wen
Cardiology
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How is atrial fibrillation treated?

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 Tang Li
Cardiology
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Can atrial fibrillation be cured?

The treatment of atrial fibrillation, first and foremost, should actively seek the primary disease and inducing factors of atrial fibrillation, and make corresponding treatments. Currently, the treatment of atrial fibrillation mainly includes two types: one is drug treatment. Since patients with atrial fibrillation have a higher incidence of embolism and may have a history of embolism, valve disease, hypertension, diabetes, older patients, left atrial enlargement, and coronary heart disease, which can increase the risk of embolism, therefore, such patients should be advised to undergo long-term anticoagulation treatment. Another type of drug treatment is to control the ventricular rate. When drug treatment is ineffective, surgical treatment can be chosen, and the main surgical treatment currently is radiofrequency ablation.

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Written by Li Hai Wen
Cardiology
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Can atrial fibrillation be cured?

Can atrial fibrillation be cured? Many patients often ask doctors this question, and the answer is affirmative. With the development of minimally invasive interventional treatment techniques, some patients with atrial fibrillation have been cured after radiofrequency ablation treatment and have not experienced any recurrence. As for which atrial fibrillation cases are suitable for radiofrequency ablation treatment, I suggest that if the atrial fibrillation recurs repeatedly and the symptoms are quite apparent, and the effect of medication is not ideal, one should consult a specialist cardiologist to see if radiofrequency ablation treatment is appropriate.

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Written by Zhang Yue Mei
Cardiology
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Is atrial fibrillation the same as atrial flutter?

Atrial fibrillation, also known simply as AFib, is the same disease just referred to by different names. Atrial fibrillation is caused by various reasons leading to pathological changes in cardiac contractility and conductivity. By using a stethoscope, a doctor can detect irregularities in heart rate and varying intensities of heart sounds. Electrocardiogram (ECG) tests can record the distinctive waveforms of atrial fibrillation. Rapid atrial fibrillation requires medication for treatment. If not effectively treated, long-term atrial fibrillation can lead to heart failure, resulting in insufficient blood supply to the body and causing significant harm.

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Written by Zeng Wei Jie
Cardiology
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Can atrial fibrillation be completely cured?

Regarding whether atrial fibrillation can be completely cured, it essentially depends on the definition of being completely cured. If the criterion is complete cessation of medication, then many patients cannot achieve this. However, if the standard is conversion of atrial fibrillation back to normal sinus rhythm, then it is achievable for many patients, such as those with paroxysmal atrial fibrillation, who suffer from recurrent episodes and do not respond well to medication. In such cases, radiofrequency ablation might be attempted, and there is a high likelihood that after the treatment, the rhythm will convert to sinus rhythm. In this sense, some people can be considered cured. However, whether anticoagulation therapy can be discontinued depends on their thromboembolic risk score. This means that even if atrial fibrillation converts to sinus rhythm after radiofrequency ablation, some patients still need long-term anticoagulant medication. Therefore, from the perspective of discontinuing medication, such patients with atrial fibrillation are not considered cured.

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Written by Li Hai Wen
Cardiology
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Atrial fibrillation symptoms

Atrial fibrillation is a common type of arrhythmia we encounter in our daily lives. So, what symptoms generally accompany atrial fibrillation? These symptoms are often characterized by sudden onset and cessation of palpitations, or chest tightness. During palpitations or chest tightness, dizziness often accompanies, and some patients may experience chest pain. If you exhibit these symptoms, don't panic. You can visit the cardiology outpatient department at a hospital. There, a doctor can perform an electrocardiogram or a Holter monitor test to see if you have atrial fibrillation. Blood tests can also be done to check if hyperthyroidism, a potential cause of atrial fibrillation, is present. Based on these examinations, follow the doctor's guidance and take medications as prescribed for treatment.