Atrial fibrillation: treatment, pills
Atrial fibrillation is a disease that with proper compliance with the lifestyle and the implementation of the recommendations of the doctor may not disturb the patient. Otherwise, you may develop complications, life-threatening, and then to help the patient more difficult. The main objectives in the treatment of this disease be to maintain a normal state of health of the patient and prevention of complications, and not the restoration of normal values of heart rate.
The main directions in the treatment of atrial fibrillation is a technique of restoring and maintaining normal sinus rhythm or slowing of the heart rate to 80 – 100 per minute with the preservation of the scintillation of the Atria. The first method is successful in rare bouts of the disease and normal heart size. If the patient has frequent seizures, increased heart size and there are changes in the structure of the myocardium, the therapeutic strategy will focus on the second method. Regardless of tactics of treatment the patient is assigned antithrombotic drugs that thin the blood and reduce the likelihood of one of the worst complications of a stroke.
Group of drugs used in atrial fibrillation of the heart
You need to understand that antiarrhythmic medications will not cure the arrhythmia, they only reduce heart rate and prevent the development of recurrent exacerbations and complications.
Before starting drug treatment of atrial fibrillation, you need to find out its cause – the underlying disease which led to it. It is necessary to get rid of this reason. If the rhythm is not restored, it is necessary to resort to antiarrhythmic and antithrombotic therapy. All antiarrhythmic drugs are divided into several groups:
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Anticoagulants are appointed to prevent blood clots in the Atria (due to the accumulation of blood in them), and to prevent separation of already existing clots. Today the preference is given to preparations of warfarin (Warfarex, Marevan and Warfarin Nycomed). Treatment should be strictly prescribed by the doctor doses, otherwise there is a high risk of bleeding.
The choice of drugs based on evidence about effectiveness, side effects and contraindications. In patients without organic lesions of the heart muscle therapy you can start with any class of drugs. In organic lesions of the heart it is better to start treatment with the second or third grade. In case of inefficiency it is possible to combine these two classes. Good therapeutic effect has the combination of Amiodarone with any beta-blocker.