Which medications are effective in managing atrial fibrillation?

Question

Hello doctor,

What medications would you prescribe for someone with a part of their heart that is not functioning, AFib, an EF of 25, a thickened area in the heart, and fluid buildup? Is medication their only option?

Please advise.

Answer 1

Hello,

Welcome to icliniq.com.

Based on your query, it seems the patient has severe LV (left ventricular) dysfunction, along with atrial fibrillation. Therefore, I would prescribe medications such as beta-blockers, ACE (angiotensin-converting enzyme) inhibitors, aldosterone antagonists, and possibly Amiodarone if the atrial fibrillation is rapid. Consult your specialist doctor, discuss with him or her, and take the medicines with take the medicines with their consent.

I would also want to rule out any reversible causes of the heart dysfunction, such as blockages in the coronary arteries or alcohol abuse, and address those if possible. In addition to medication, there are devices like cardiac resynchronization therapy, although only a few patients are suitable for this, and ultimately, heart transplantation may be considered.

I hope this helps you.

Thank you.