Can atrial fibrillation be cured?

Written by Li Hai Wen
Cardiology
Updated on September 20, 2024
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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 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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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 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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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 Li Hai Wen
Cardiology
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How to diagnose atrial fibrillation?

Atrial fibrillation, abbreviated as AF, refers to rapid and irregular beating of the atrial chambers of the heart. How should one be examined after being diagnosed with atrial fibrillation? Generally, the examination for atrial fibrillation involves the following aspects: First, blood tests, such as thyroid function tests, to see if there is hyperthyroidism causing the atrial fibrillation. Second, echocardiography. This test can reveal whether there are any heart valve diseases or myocardial diseases that might lead to atrial fibrillation. Third, electrocardiogram (ECG) and Holter monitor. Both ECG and Holter monitoring are effective and non-invasive tests that confirm the diagnosis of atrial fibrillation.