Atrial fibrillation is a very common disorder, in which the atria of the heart do not contract normally. Know its repercussions, and how to identify and deal with this problem. You can treat it by using eliquis. Eliquis cost is not much high at Prescription Hope due to available coupon.
The treatment of atrial fibrillation includes:
Treatment of the underlying disease
For example, hyperthyroidism or pulmonary thromboembolism.
Heart rate control
Sometimes it is possible to apply a treatment to reverse the disorder and the heart to beat normally again. In patients in whom there is no underlying cause of atrial fibrillation, or there is a controllable cause such as hyperthyroidism, one can try to reverse the arrhythmia, a procedure we call cardioversion. For this, two strategies can be used:
- The pharmacologic cardioversion , comprising administering a treatment with antiarrhythmic drugs that can get restore normal heart rhythm.
- The electrical cardioversion , which involves the application of a small electric shock to the heart through electrodes applied to the chest. This procedure is very fast and effective and therefore is the treatment of choice in the event that atrial fibrillation leads to symptoms so severe that they endanger the life of the patient.
Before carrying out a cardioversion, it is necessary to ensure that there are no thrombi in the atria, since the normal beat can detach these thrombi and cause a cerebral infarction. The presence of thrombi is especially frequent when atrial fibrillation is chronic. To ensure that there are no thrombi in the atria, anticoagulant therapy can be administered during the weeks prior to cardioversion. A cardiac ultrasound may also be performed to see that there are no thrombi in the atria. For this purpose, a transesophageal ultrasound is usually performed, which allows a perfect view of the atria of the heart through a probe inserted into the esophagus.
When it has been possible to eliminate atrial fibrillation with cardioversion, some antiarrhythmic medication is usually prescribed to prevent it from reappearing. In addition, anticoagulant therapy is usually maintained for at least a month after the reappearance of a normal heart rhythm.
Control of heart rate
Many times it is not possible to perform cardioversion because atrial fibrillation is motivated by a cardiac pathology that we can not easily control. For example, in some pathologies of the heart valves the atria dilate irreversibly causing atrial fibrillation. It is not worth trying to reverse the arrhythmia, because it would reappear with total safety. In these cases, the treatment is aimed at having a normal heart rate that is, maintaining between 60 and 80 beats per minute at rest. This is achieved with medications such as digoxin, verapamil or atenolol, among others.
Treatment to prevent the formation of thrombi in the heart
This measure is essential to avoid complications such as cerebral infarction caused by the migration to the brain of a thrombus in the heart. Oral anticoagulants are commonly used, such as acenocoumarol. These medications require periodic blood coagulation tests, because there is a risk that the doses are insufficient and there is risk of thrombus, or on the contrary, that the dose is excessive and there is a risk of bleeding. Recently anticoagulants have been introduced in the market with a better safety profile, such as dabigatran, apixaban or rivaroxaban, which exert their effect in a safer way and do not need periodic controls of coagulation.
The doctor establishes the need for anticoagulant treatment after carefully evaluating the benefit of this treatment against the risk of serious hemorrhaging.
Other treatments for atrial fibrillation
Sometimes it is possible to cure atrial fibrillation by eliminating the points that cause the electrical disorder in the atria with a radiofrequency catheter or through surgery. However, these techniques are not yet fully developed. Another option is eliquis medicine. Eliquis coupon is available on the Prescription Hope at best rates.
Finally, in rare cases it is necessary to implant a pacemaker along with antiarrhythmic drugs to control atrial fibrillation.