The ability to perform gastroscopy in patients with atrial fibrillation needs to be decided by a combination of professional deliberations. In the case of acute gastric hemorrhage, gastroscopic hemostasis should be performed in a timely manner with effective emergency measures. If the gastroscopy is only performed, the decision should be made by an anesthesiologist, cardiologist, and gastroenterologist.
Atrial fibrillation is a common arrhythmic disease, especially persistent atrial fibrillation, the atrium loses its contractile function, and the blood easily accumulates in the atrium to form thrombus, and the thrombus, once dislodged, can reach all parts of the body with the blood, and organ embolism occurs, such as myocardial infarction, cerebral infarction, and so on.
Atrial fibrillation patients may be exposed to external stimuli during gastroscopy, which may lead to dislodgement of the embolus or increase in heart rate, increasing the risk to the patient. If patients with atrial fibrillation are stable and their ventricular rate is controlled within the ideal range, general anesthesia painless gastroscopy can be used.
In conclusion, whether or not a patient with atrial fibrillation is able to have a gastroscopy should be done in strict accordance with medical advice.