Comprehensive treatment of atrial fibrillation

  The best treatment for atrial fibrillation is to try to convert to normal rhythm, but many patients with chronic atrial fibrillation are no longer suitable for conversion to normal rhythm and require comprehensive treatment to reduce complications such as stroke and heart failure and improve quality of life. The method of conversion to normal heartbeat: a. Drug resuscitation Amiodarone tablets or needles b. Electrical resuscitation Both drug resuscitation and electrical resuscitation must be implemented in the hospital, by health care professionals who choose people with indications! This treatment is not suitable for every patient with atrial fibrillation, and patients who are successfully treated will still turn back to atrial fibrillation.  Anticoagulation therapy 1, Warfarin: anticoagulant effect, can prevent the formation of thrombus in the atria, to prevent stroke. Patients with hypertension, heart failure, left ventricular insufficiency, age 65-74 years, diabetes, stroke, thromboembolism, peripheral vascular disease is a must.  Blood test should be done once a month and the dose of Warfarin should be adjusted according to the test result to maintain INH between 2.0-3.0, which is the key to treatment!  2, dabigatranate, rivaroxaban: no need to measure blood coagulation, convenient, but the price is very high ah! Control of ventricular rate.  Atrial fibrillation patient’s ventricular rate is best controlled within 100 beats, commonly used drugs are: betalactam, digoxin.