Do you know the best treatment for atrial fibrillation?

Atrial fibrillation is a very common heart disease. After suffering from atrial fibrillation, you need to take medication to maintain and adjust the heart and speed up the heartbeat to prevent it. Many patients with severe atrial fibrillation need an artificial pacemaker to recover. In terms of related treatment, it can be treated through surgery and other methods.

①Drug treatment: antiarrhythmic drugs, anticoagulants.

② Electrical treatment: electric defibrillator, artificial cardiac pacemaker, catheter radiofrequency ablation (radical treatment).

③Surgical treatment: surgical maze operation.

Drug treatment strategies for atrial fibrillation

( 1) Cardioversion and maintenance of sinus rhythm : the first choice treatment for paroxysmal and persistent atrial fibrillation. The longer atrial fibrillation lasts, the more likely it is to cause atrial electrical remodeling and make it difficult to convert, so cardioversion treatment should be started as early as possible. Paroxysmal atrial fibrillation can usually be converted on its own. If the ventricular rate is not fast, the hemodynamics are stable, and the patient can tolerate it, he can be observed for 24 hours. If the patient still cannot recover after 24 hours, cardioversion is required. Some people also advocate that medication should be used to control attacks as soon as they occur. For patients with persistent atrial fibrillation for more than 1 year, the success rate of cardioversion is not high, and even if cardioversion is achieved, it is difficult to maintain.

2) Before cardioversion treatment, possible inducing or influencing factors should be identified and treated: such as hypertension, hypoxia, acute myocardial ischemia or inflammation, drinking, hyperthyroidism, gallbladder disease, etc. Sometimes when the above factors are removed, atrial fibrillation may disappear. If atrial fibrillation persists in the absence of the above factors or after the above factors are removed, cardioversion treatment is required. For organic heart diseases (such as coronary heart disease, rheumatic heart disease, cardiomyopathy, etc.), their own treatment cannot replace cardioversion therapy.