If you want to treat atrial fibrillation, which is more important, ablation or anticoagulation?

Radiofrequency ablation is the best way to convert atrial fibrillation to normal sinus rhythm in patients with atrial fibrillation; For permanent atrial fibrillation, anticoagulant and heart rate control drugs can be taken first** to protect heart function; **During the period, you should also pay attention to rest, avoid staying up late, and avoid getting emotional.

Anticoagulation is the most important and can play a very important role in the process of atrial fibrillation**, and can also relieve the patient's symptoms of the disease.

I think ablation is more important because it helps with the disease.

The problem is that the success rate of atrial fibrillation ablation is very low, and it needs to be done several times!

Most patients with atrial fibrillation need anticoagulation**, so what kind of patients need anticoagulation**? Currently, patients with valvular atrial fibrillation require anticoagulation**, i.e., severe mitral stenosis, severe valvular insufficiency, mitral valve replacement, aortic valve replacement, and these patients must be anticoagulation**. In the case of nonvalvular atrial fibrillation, a thromboembolic risk score and a bleeding risk score are required to guide anticoagulation**, and if the thromboembolic risk is greater than 2 points, anticoagulation** is required, and the thromboembolic risk is greater than or equal to 1 point, which is also beneficial for anticoagulation**.

Therefore, the indication for anticoagulation** in patients with atrial fibrillation is generally greater than or equal to 1 point. Anticoagulation of atrial fibrillation should be stratified according to age and age:1

Patients with valvular atrial fibrillation, such as those with rheumatic heart disease and after valve replacement surgery, must be anticoagulation**; 2. NVAF, patients with hypertension, diabetes, heart failure, and stroke over 75 years old and under 75 years old must be anticoagulated**, and warfarin and rivataban can be used; People younger than 65 years of age without other complications may be given aspirin to relieve symptoms.

The specific medication should be combined with the clinical practice, and the doctor's interview guidance shall prevail. In recent years, new anticoagulant drugs have mainly included darby** and rivaroxaban. The risk of bleeding is lower than that of warfarin, but the time to market is short, and clinical application experience still needs to be accumulated.

From the point of view of research evidence, there is currently more evidence. Long-term follow-up observation has demonstrated that left atrial appendage closure has great advantages in terms of safety and efficacy compared with oral warfarin**, so good anticoagulation and antithrombotic effects can be achieved through this kind of closure for patients with suitable indications**.

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Warfarin is used in patients with permanent or persistent atrial fibrillation without valvular disease, < age 65 years and with more than one high-risk factor; 65 Aspirin or warfarin may be used in patients aged 75 years without high-risk factors, and base-warfarin may be used in patients with risk factors; Those who are 75 years old are always given warfarin. Patients with rheumatic valvular heart disease and atrial fibrillation, particularly those with replacement prosthetic valves, should be treated with warfarin. For atrial fibrillation that does not recover spontaneously for more than 48 hours, warfarin should be taken for 3 weeks and warfarin for 4 weeks before cardioversion is required.

Warfarin is generally started at 2 3 mg, and the INR is monitored at the time of application to ensure that it is worth 2 3 mg. The recommended target target for the elderly INR is 2 5. For people over 75 years of age, the target target for INR should be 2 0 2 5.

1. The occurrence of total atrial fibrillation is often the result of multi-cause action, which can be carried out by radiofrequency ablation**, which has the rapid development of interventional ** technology and is becoming more and more widely used. Let's introduce it to you. In addition to contracted and dilated cardiomyocytes, there are also cells that conduct electrical signals.

The sinus node is the "headquarters" that sends out the rhythm of the heartbeat. Atrial fibrillation occurs due to the formation of abnormal conduction pathways between the tracts of conductive cells in the atrium, the rapid rhythm of which inhibits sinus node function. The principle of atrial fibrillation ablation is to find these abnormal conduction pathways and eliminate them to restore normal sinus rhythm and achieve the purpose of atrial fibrillation.

Currently, the success rate of radiofrequency ablation in paroxysmal atrial fibrillation can reach 80%. Radiofrequency ablation and ablation technology consists of two parts, the first is electrophysiological examination, that is, calibration through electrocardiogram (including body surface electrocardiogram and cardiac electrocardiogram) to discover the mechanism and location of atrial fibrillation, and then radiofrequency pulses are emitted with a radiofrequency catheter to ablate local lesions (targets). If the electrophysiological examination is repeated after discharge, atrial fibrillation is not induced, and there are no episodes at clinical follow-up, the ablation is successful.

Oral warfarin should be given to those who are older than 75 years old or have other risk factors for thromboembolism, such as transient ischemic attack before the first tranquil ruler, peripheral vascular embolism or stroke, hypertension, left ventricular dysfunction, etc.; Age less than 65 years, no other risk factors, aspirin is sufficient; There are no other risk factors at age 65 to 75 years, and the efficacy of aspirine and warfarin is comparable. The anticoagulant strength of warfarin should be maintained in older people than the age of the year.

Warfarin is an anticoagulant that maintains the normal flow of blood by inhibiting blood clotting, keeping blood vessels open. Warfarin is a vitamin K antagonist, so if you take foods rich in vitamin K, it will affect the efficacy. For example, vegetables and fruits such as spinach, cabbage, kale, papaya, and avocado, meats such as liver and sausage, and alcohol should be avoided, while broccoli, broccoli, lettuce, mung beans, etc. should be strictly limited.

In addition, the dose of warfarin is also very fluctuating, and patients need to go to the hospital regularly to have blood drawn for monitoring, and the dose is adjusted according to the monitoring results of different periods. The landlord can consult the doctor, as far as I know, there is now a new anticoagulant called pradaxa, called Paddle in Hong Kong, called Taibiquan in the mainland, the possibility of this anticoagulant and drugs, food is very low, do not worry about all kinds of taboos, and do not need to often draw blood for monitoring, it is convenient to use.

However, any anticoagulant actually has a certain risk of bleeding, so if you don't do anticoagulation in time, it may lead to stroke, and then the gains outweigh the losses. It is important to know that the benefits of using anticoagulants far outweigh the risks.

Coagulation is checked regularly, once a week and once every half a month. In fact, warfarin is still very commonly used internationally.

Warfarin is indeed very limited, especially for people with diabetes and hyperlipidemia. Warfarin interacts with many commonly used drugs, such as hypoglycemic drugs (metformin) and lipid-lowering drugs (gemfibrozil), which have a great effect on anticoagulation.

It's really painful to not be able to eat anything, especially at a family dinner or something, and I always feel like I'm being treated specially... Anticoagulants are used to prevent atrial fibrillation and stroke. The most important thing is to keep your mood cheerful and stable! In addition, it is necessary to do some exercise appropriately.

Your grandmother is so old, you have to choose medicine carefully, like warfarin, there are a lot of taboo requirements, the old man has a bad memory, in case it is very dangerous to make a mistake.

Take Plavix, warfarin can easily cause bleeding.

Agree with the statement that you think in terms of benefits! The use of prescription drugs must be consulted by a doctor, as long as the use of drugs and precautions are correctly understood, the benefits of anticoagulation** in patients with atrial fibrillation are actually far greater than the risk of related complications. It is recommended that when choosing anticoagulants, it is necessary to start from the actual effect obtained by the patient, and indeed consider using pradaxa dabi** ester.

In short, don't worry too much about **, risk or something. In the end, it is the improvement of the patient's quality of life that is the king!

Atrial fibrillation is a very common arrhythmia, and the incidence of atrial fibrillation increases as we age. Some patients have mild symptoms and do not feel noticeable, while others may feel palpitations, palpitations, and shortness of breath. If left unchecked, a stroke is likely to occur.

This is because the blood in the atria of patients with atrial fibrillation cannot be pumped completely, which will form stasis and produce blood clots; The blood clot breaks off and travels with the blood to the brain, blocking the blood vessels in the brain and eventually causing an ischemic stroke. When it comes to why anticoagulation is necessary**, because anticoagulants can make the blood in the whole body not easy to coagulate, even in atrial fibrillation, the blood in the left atrial appendage is stagnant, and it is not easy to form blood clots, so it can prevent stroke.

As for what anticoagulant is, it varies from person to person. Previously, warfarin, which was cheap and had a good anticoagulant effect, was considered the gold standard. But warfarin has a lot of limitations to use, and it's hard to stick to:

It is greatly affected by the individual, and it is necessary to regularly go to the hospital for blood examination during the medication process, and adjust the dose according to the test results, and interact with many foods and drugs, etc., so the compliance is generally not high, which leads to a great reduction in the anticoagulant effect. Now, the direct thrombin inhibitor Taibiquan is playing the leading role, and there is no need to take frequent blood tests, adjust the dosage of medication, and do not need to worry about reacting with other foods and drugs. The most important thing is that the effect in the prevention of stroke and systemic embolism will be more advantageous than the traditional old medicine, of course, ** will be relatively higher, if the family conditions allow, you can consider, after all, stroke is not an ordinary cold and fever.

In any case, if you have atrial fibrillation, you must accept anticoagulation in a timely, active and active manner, and you can't avoid medical treatment. Listen to the doctor for what medicine to use!

The onset of atrial fibrillation is insidious, and the initial symptoms are generally not easy to detect and can be easily ignored. But in fact, the symptoms of atrial fibrillation can be found through some clues, such as chest tightness and shortness of breath are the main symptoms of atrial fibrillation. In addition, before the appearance of atrial fibrillation, there is often a feeling of fatigue, accompanied by headache and chest pounding; During an attack, there may be irregular pulse beating, shortness of breath when exerting force, etc.

Atrial fibrillation can cause stroke because in atrial fibrillation, the blood flowing through the atria slows down, and it is easy to accumulate and form blood clots; The blood clot that forms sticks to the wall of the atrium, and when the atria vibrates, the clot breaks off and travels with the blood to the ventricles and then throughout the body. In most cases, a stroke occurs when the heart pumps a blood clot upwards and blocks a blood vessel in the brain. Hope it works for the landlord!

Anticoagulants are used to prevent blood clots, which are a precursor to stroke.

Atrial tremor, incomplete atrial contraction, easy to form a small local thrombus in the atrium, blood clot through the carotid artery into the brain, stroke will occur. Before atrial tremor is cured, anticoagulants such as warfarin and aspirin are commonly used to prevent thrombosis.

Atrial fibrillation** requires surgery and has a success rate of about 65%. If atrial fibrillation does not stop, the patient must take medicine for life!

I used to use warfarin for a while, and I had to go to the hospital regularly to have blood tests, adjust the dose, and there were a lot of diets to pay attention to, so I couldn't stick to it. There are two dosage forms of 100mg and 150mg, which are available in many tertiary hospitals and secondary hospitals, and I am now using 150mg.

The relationship between atrial fibrillation and stroke can be said to be quite close, and if you do not do anticoagulation **, it is easy to have a stroke.

Emotions should be controlled and stable, try not to have too many fluctuations, eat lightly, and take medication regularly.

Atrial fibrillation causes the atria to vibrate irregularly, and blood flow changes that predispose to thrombosis. Risk factors should be assessed for atrial fibrillation to determine whether to use anticoagulation**. Anticoagulation is not necessarily necessary**.

It is necessary to decide whether to anticoagulate or not based on the patient's age and concomitant diseases (previous stroke, cerebrovascular disease, blood pressure, diabetes, coronary heart disease, valvular disease, peripheral vascular disease, etc.), in principle, anticoagulation** (referring to concomitant diseases) is required to meet any of them, and the best anticoagulant is warfarin, which needs to be maintained during the medication period is also different from person to person), so it is necessary to visit the hospital before taking the drug.