Atrial fibrillation heart rate has been 130 beats / min has not come down when you need to take long-term comprehensive treatment, active prevention of thromboembolism, turn and maintain sinus rhythm and control the ventricular rate, the specific treatment is as follows:
1. Control the ventricular rate: the drugs for controlling the heart rate include metoprolol, verapamil, deacetylmurrayin and amiodarone, which can effectively reduce the heart rate.
2. Conversion and maintenance of sinus rhythm: Methods of converting AF to sinus rhythm include pharmacologic resuscitation, electrical resuscitation, and catheter ablation therapy. Drugs include procainamide, propafenone and amiodarone. Electrical cardioversion can be used when pharmacologic cardioversion fails, especially in patients with atrial fibrillation who have low blood pressure and acute left heart failure. Catheter ablation can also be used as a first-line treatment.
3. In addition, patients with atrial fibrillation have a high incidence of embolism, and regular oral administration of warfarin or rivaroxaban, dabigatran etexilate is particularly important.
Therefore, patients with atrial fibrillation and fast heart rate need to go to the hospital in time for treatment, and the above drugs need to be used under the guidance of a physician in order to avoid delaying the condition.