Avatar universal

Afib attacks

My dad is 79 yrs old, he keep having afib-attacks, 2 in the last 6 weeks, landing him in ER then ICU, changing his medicines again, but can't get his heart back into rhythm.   What can we do?
3 Responses
Sort by: Helpful Oldest Newest
976897 tn?1379167602
If medications do not work, then the only options are to try a pacemaker which may keep the hearts rhythm correct, or have catheter ablation where the defective cells interrupting the signal are destroyed. Sometimes it is necessary to use cardioversion (electric shock) to return the heart to a normal rhythm if medication doesn't work. If the A-Fib has been occurring for 2 days or more, then they will usually administer warfarin for a few weeks before the shock because there would otherwise be a very high risk of stroke. The Warfarin (anti clotting medication) would also be given for several weeks after the shock. The key factor is finding the cause of the A-Fib, for example the thyoid gland.
Helpful - 0
1089281 tn?1314567514
dear laniz:  Has your father tried a medication called Flecainide?  It worked really good for me.  I have since had an ablation that fixed the afib.. but at your dads age Id probably try medications.. however there is one bad one called Amidiroane or Pacerone..that has too many bad side effects.. but flecainde might work for him as long as he does not have congestive heart failure.. claytex
Helpful - 0
63984 tn?1385437939
Afib is a very dangerous condition, it can and often leads to a stroke, so often an ablation is used to get the heart back beating correctly, as Ed and claytex mentioned.  Amiodarone is a drug that is extremely effective in getting the heart to beat regularly, but as claytex mentioned, it has side effects.  However, danger of a stroke trumps the side effects of the drug.  I went into Afib after bypass surgery and was administered Amiodarone, and it stopped the Afib within twenty-four hours.  My side effects were itchy eyes from the drug, and believe me, itchy eyes was an easy trade-off from a stroke.
Keep us informed.
Helpful - 0
Have an Answer?

You are reading content posted in the Heart Disease Community

Top Heart Disease Answerers
159619 tn?1538180937
Salt Lake City, UT
11548417 tn?1506080564
Learn About Top Answerers
Didn't find the answer you were looking for?
Ask a question
Popular Resources
Is a low-fat diet really that heart healthy after all? James D. Nicolantonio, PharmD, urges us to reconsider decades-long dietary guidelines.
Can depression and anxiety cause heart disease? Get the facts in this Missouri Medicine report.
Fish oil, folic acid, vitamin C. Find out if these supplements are heart-healthy or overhyped.
Learn what happens before, during and after a heart attack occurs.
What are the pros and cons of taking fish oil for heart health? Find out in this article from Missouri Medicine.
How to lower your heart attack risk.