AFib Treatments To Reduce Stroke Risk (2024)

Atrial fibrillation - or AFib - is a common heart condition that affects the heart's rhythm. Millions of Americans are living with this condition, and many don't even know it. However, it's important to be aware of the risks and symptoms of AFib because it's a major cause of stroke. In fact, according to the Centers for Disease Control and Prevention (CDC), 1 in 7 strokes are caused by AFib.

What Is The Connection Between AFib And Stroke?

Having AFib greatly increases your chances of having a stroke. That's because in people with AFib, the atria (heart chambers) aren't moving blood properly. This can lead to blood pooling and forming clots. Blood clots can lead to stroke.

If you have AFib, work with your doctor to make sure it's under control. With proper treatment, you can reduce your risk of serious complications such as stroke.

[H2] What Are The Most Effective Treatments For AFib?

AFib is a treatable heart condition. A comprehensive approach to care can successfully help manage AFib. The first line of treatment is controlling the underlying condition causing it, explains Saifullah Siddiqui, MD, interventional cardiologist at Franciscan Health Cardiology Olympia Fields. This often involves developing a plan to address multiple health care needs, including lifestyle changes, medication, and, when necessary, surgery.

Lifestyle Changes To Treat AFib And Reduce Stroke Risk

Lifestyle modifications can help keep your heart healthy and manage your symptoms. Remember that when you live a healthy lifestyle, it positively impacts your heart and AFib symptoms. Dr. Siddiqui offers a few tips to help you get started:

  • Maintain a healthy weight because extra weight can strain the heart and worsen your symptoms.
  • Get regular exercise to improve your overall heart health and regulate heart rhythms.
  • Eat a heart-healthy diet full of vegetables, fruits, whole grains and lean proteins.
  • Reduce the amount of salt, added sugar, and processed foods in your diet.
  • Limit or avoid alcohol.

Medicine To Treat AFib And Reduce Stroke Risk

Heart specialists often use anticoagulation medications (or blood thinners) to help manage Afib and its underlying cause. Doctors continue to use older medications like warfarin (Coumadin), but there are newer anticoagulation medications that don't require blood draws to monitor the effectiveness of the drug. These drugs reduce the likelihood of experiencing potentially dangerous blood clots within the heart that may cause a stroke.

"A lot of patients will require blood thinners, but every good blood thinner increases the risk for bleeding," said Shivang Shah, MD, a cardiac electrophysiologist at Franciscan Physician Network Indiana Heart Physicians in Indianapolis. "We have an entire team dedicated to helping patients make sure that their blood is not too thick, not too thin, but just right."

Procedures To Treat AFib And Reduce Stroke Risk

If lifestyle and medications aren't enough to manage AFib, your heart specialist may recommend direct cardioversion. This is a simple, painless, non-invasive procedure. During direct cardioversion, a small amount of electrical energy is delivered to the heart while you are sedated. The goal is to restore a normal heart rhythm.

Ablation is another treatment option cardiac electrophysiologists (heart electrical system specialists) use to restore a normal heart rhythm. During ablation, the specialist uses radiofrequency energy to destroy the faulty electrical pathway in the heart.

Left Atrial Appendage Occluder Implant Device

Franciscan Health providers also offer the left atrial appendage occluder (LAAO) device, a revolutionary new implant to help manage AFib and your risk of developing a stroke. This treatment option may be right if you have a high risk for bleeding and cannot take a blood-thinning medication.

When a blood clot forms within the heart of a person with AFib, the clots almost always form in the part of the heart called the left atrial appendage.

"This area of the heart makes it somewhat easier for blood clots to form there - more so than anywhere else in the heart," explained Dr. Siddiqui.

The LAAO device is an implant that occludes (closes off) that small part of the heart - eliminating the possibility of blood clots forming. The device prevents blood flow from entering this part of the heart, which in turn prevents blood clots from forming there.

"As a result, with the left atrial appendage occluder device, we can help eliminate the risk for stroke with a well-implanted device," explained Dr. Siddiqui.

Compassionate Care, Right Here

Take the next step in protecting your heart from AFib-related stroke. Contact a Franciscan Health heart specialist and learn about effective treatment options for AFib.

Request an Appointment

Request An Appointment

Don't wait, prioritize your health. Find the right Franciscan Health doctor for your needs, and request an appointment today.


AFib Treatments To Reduce Stroke Risk (1)

AFib Treatments To Reduce Stroke Risk (2024)

FAQs

How to prevent a stroke if you have atrial fibrillation? ›

Shang-Chiun Lee with Mercy Clinic Cardiology has seven things you can do to help lower your risk of stroke while living with AFib:
  1. Get your AFib under control. ...
  2. Exercise. ...
  3. Maintain a healthy weight. ...
  4. Avoid alcohol. ...
  5. Don't smoke. ...
  6. Keep diabetes in check. ...
  7. Get quality sleep.

What medication is used to prevent stroke in AFib? ›

These medications directly block a protein needed to form blood clots. They include dabigatran (Pradaxa), rivaroxaban (Xarelto), apixaban (Eliquis), and edoxaban (Savaysa). They have fixed doses, and you will not need frequent blood tests.

What are the new treatments for atrial fibrillation? ›

The PulseSelect PFA system uses PFA – a breakthrough ablation technology that uses pulsed electric fields to effectively, efficiently, and safely treat patients with paroxysmal or persistent AF1. AFib is a growing heart issue that impacts more than 37 million people worldwide.

What is the first drug of choice for atrial fibrillation? ›

Beta blockers are usually the first line for treatment of AF regardless of it being for a rhythm or rate control strategy. We may also use them in combination with other anti-arrhythmic drugs such as: calcium channel blockers (diltiazem/verapamil) amiodarone.

What are the odds of having a stroke with AFib? ›

People with atrial fibrillation have 3 to 5 times greater risk for ischemic stroke. During Afib, the atria contract chaotically. Because the atria aren't moving blood properly, blood pools and gets stuck in the grooves of the heart. Blood clots may form, which could get pumped to the brain.

Does cardiac ablation reduce stroke risk? ›

In this large real-world population study of consecutive patients who underwent catheter ablation at three major Swedish electrophysiology units between 2008 and 2018, we found a significant reduction in mortality or stroke in ablated patients and this was driven by a marked reduction in mortality.

What is the most successful treatment for AFib? ›

Blood thinners (Aspirin and Heparin) can thin the blood and lower the risk of serious complications. Heart rate controlling medicines, such as beta-blockers that include Coreg (Carvedilol) and Lopressor and Toprol (Metoprolol), is the best way to treat AFib.

What is the safest drug for AFib? ›

Treating Atrial Fibrillation
  • Rhythmol and Tambocor are relatively well tolerated as long as they do not cause proarrhythmia. ...
  • Betapace and Tikosyn are also relatively well tolerated as long as they do not cause proarrhythmia. ...
  • Cordarone is a truly unique antiarrhythmic drug.
Mar 22, 2024

What is the number one trigger for AFib? ›

Some common triggers are: Stimulants: Caffeine, cigarettes, and other things that speed up your system can set off AFib. Caffeine will probably affect you more if you don't usually drink it. Alcohol: For some people, binge drinking is a trigger.

What is the new procedure for AFib 2024? ›

BOSTON, MA, MAY 18, 2024 – Today, the Heart Rhythm Society (HRS) announced the findings of three new studies demonstrating the safety and efficacy of pulsed field ablation (PFA), a non-thermal ablation treatment for patients with atrial fibrillation (AF).

What is the last resort treatment for AFib? ›

Pacemaker and ablation is the last resort therapy for atrial fibrillation. If medicine, catheter ablation and all other attempts at restoring normal rhythm have failed, and if your doctor is having trouble controlling your pulse rate, an “ablate and pace” strategy can help.

What is the last resort drug for AFib? ›

In addition, the symptoms of amiodarone toxicity are not always recognized (even by the medical community) before it is too late. Amiodarone is a drug of last resort and that's according to the FDA.

Does drinking lots of water help with AFib? ›

Without enough water, your heart must work harder, and your blood circulation may not be as efficient. When the heart works harder, the risk for Afib increases.

What meds should you not take with AFib? ›

These medications include certain OTC pain relievers, decongestants, some antibiotics, stimulant medications for ADHD, levothyroxine, and certain antidepressants. Also, avoid certain herbal supplements to prevent unwanted interactions and consider other AF triggers when managing your condition.

What is the safest blood thinner for AFib? ›

For many years, warfarin was the first-choice blood thinner to prevent stroke in people with AFib. But a newer group of medications called direct oral anticoagulants (DOACs) are now considered the best blood thinners for AFib treatment. DOACs include Pradaxa, Xarelto, and Eliquis.

How long can you have atrial fibrillation before a stroke? ›

"This evidence highlights that patients are at highest risk for a stroke within five days of an AF episode that lasts five and a half hours or more.

What is the most common cause of death in atrial fibrillation patients? ›

SCD is the most common cause of cardiovascular death in patients with atrial fibrillation and has several distinct predictors, some of which are modifiable.

What is the life expectancy of a stroke patient with AFib? ›

By 1 year, 40.3% (95% confidence interval [CI] 37.3%–43.5%) of stroke patients had died, 51.9% (95% CI 48.7%–55.1%) by 2 years, and 72.8% (95% CI 69.4%–76.1%) by 5 years (figure 1A). Median survival was 1.8 years (95% CI 1.6–2.1 years) after stroke.

How do you prevent blood clots in atrial fibrillation? ›

To help reduce the risk of AFib-related stroke, healthcare providers may prescribe anticoagulants or antiplatelets, which are both blood thinners to help prevent blood clots from forming. There are different kinds of blood thinners.

References

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