Drugs for treating atrial fibrillation, drug treatment strategies

Atrial fibrillation is very harmful to physical health. The first choice for treating this disease is drug therapy. Good care should also be taken in daily life. Treating some primary diseases is crucial. If the disease occurs, you should pay attention to rest, maintain a good mood, and have confidence in curing the disease.

1. Drug treatment strategies for atrial fibrillation

Cardioversion and maintenance of sinus rhythm: It is the first choice treatment for paroxysmal and persistent atrial fibrillation. The longer the duration of atrial fibrillation, the more likely it is to cause atrial electrical remodeling and it is difficult to cardiovert. Therefore, cardioversion treatment should be started as early as possible. Paroxysmal atrial fibrillation can usually be converted by itself. If the ventricular rate is not fast, the hemodynamics is stable, and the patient can tolerate it, he can be observed for 24 hours. If it still cannot recover after 24 hours, cardioversion is required. Some people also advocate that drugs should be used to control the attack as long as it occurs. For patients with persistent atrial fibrillation for more than 1 year, the success rate of cardioversion is not high, and it is difficult to maintain even if cardioversion is performed.

Before cardioversion treatment, possible inducing or influencing factors should be identified and dealt with, 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. In the absence of the above factors or after the removal of the above factors, if atrial fibrillation still exists, cardioversion treatment is required. For organic heart disease (such as coronary heart disease, rheumatic heart disease, cardiomyopathy, etc.), its own treatment cannot replace cardioversion treatment.

2. Atrial fibrillation care

1. Actively treat the primary disease. The nursing routine for patients with atrial fibrillation is to regularly observe heart rate and blood pressure, and observe changes in heart rhythm. If the heart rate suddenly becomes too fast, too slow, or irregular, or there are obvious palpitations, shortness of breath, discomfort in the precordial area, or a drop in blood pressure, etc., they should be discovered in time and go to the hospital immediately for treatment.

2. Patients with atrial fibrillation should stay in bed and rest during the acute attack period. If the attack is mild, you can engage in appropriate activities or rest according to the condition of the primary heart disease and your physical condition.

3. Pay attention to diet regulation. Eat more foods rich in protein and vitamins, such as lean meat, fish, shrimp, eggs, milk, etc.; eat more fresh vegetables and fruits.

4. Patients with atrial fibrillation tend to be depressed, irritable, and low in mood. Nursing should focus on eliminating patients' mental worries and fears, keeping their mood calm, and enhancing their confidence in treating the disease. Avoid excessive emotions and long-term negative emotions.