What should be done to effectively treat paroxysmal atrial fibrillation?

(Mr. Phan Thanh, 60 years old, living in Cam My district)

Doctor replied:

Hello Mr. Thanh!

His condition is technically called paroxysmal atrial fibrillation. Treatment of atrial fibrillation includes goals such as: finding and treating the cause, controlling the rhythm (trying to convert to and maintain sinus rhythm), controlling the heart rate and preventing thromboembolism.

In addition to some causes such as hyperthyroidism, myocardial ischemia, electrolyte disorders, heart valve disease, etc., atrial fibrillation can be idiopathic. Conversion to sinus rhythm can be done by medication or by electrophysiological examination and ablation.

Depending on the cause, the time of new or persistent atrial fibrillation, the condition of the heart muscle and the arrhythmia foci, the success rate of converting to sinus rhythm will be different. Currently, at Dong Nai General Hospital, it is possible to perform rhythm conversion using medication as well as screening for causes that can increase the risk of atrial fibrillation. If electrophysiological cautery is indicated, doctors will guide patients to transfer to appropriate centers.

Hello and good health to you!

MD, PhD Nguyen Van Toi,

Department of Cardiovascular Intervention, Dong Nai General Hospital

Source: https://baodongnai.com.vn/alo--bac-si-oi/202504/rung-nhi-con-can-phai-lam-gi-cho-hieu-qua-9146f50/