By a subjective feelings is never define right which rhythm destroy was been happened.

 And a most often atrial arrhythmia diagnosing by ECG  and by Holter as daily monitoring ECG. And first attack here is doctor calling and hospitalization,and in tests finding  arrhythmia reasons,  and attack fighting with medicaments or elector impulsive therapy,after cure selecting for a preventing repeating paroxysms.

And if patient later addressing ,as atrial fibrillation keeping within a week, thus restoring rhythm without a preliminary prescribing anticoagulants as remedies affecting on the coagulating system a blood is avoiding. As for cupping fibrillation are using propafenon, cordaron, vernacalant, but any anti arythmic therapy prescribing just a doctor, and therapy approaches to the curing fibrillation are hard,as using remedies here are having lots of limiting. As 1st class remedies are allapinin, etacizin, propanorm , beta adreno blockers sotalol are awesome anti  arhythmics, and doctor never prescribe theirs if hear is widen and hypertrophied, or lowering shortening as fraction for ejection  a left ventricular .And in doctors cardiologists  is rule having, which shows,that  anti arythmic remedies are must defining by a saving , but not an effectivity,thus in deciding a question about a restoring sinus rhythm is needing to weight as for and against!And fibrillation attack as keeping a more,than 30 sec is taking for attention ,and doctor here by a scales defining stroke risks and in every patient and in which threat prescribing anti coagulants as xarelto, Eliquis, pradaxa,and if fibrillation displaying as complication in valve defects for heart, thus prescribing just warfarin and in his getting a needing controlling for international normalizing relations/INR / and you need to remember this,as a dose for warfarin control is doing by the results for laboratory stat and here needing keeping INR in diapazone keeping 2.0-3.0

Xarelto, eliquiz, pradaxa are not needing a such control, and patient need to check for itself,as their complications having as bleeding, as nose, gum, stomach...

And avoiding using with anti coagulation is alcohol, and these remedies not prescribing in a risks for big bleeding as in stomach ulcer, in low intellect with a hard kidneys diseases,and for patients for surgery going.

And patients asking me,does I can use just anti aggregants as acetyl acidum, copidogrel,and my answer is No! These remedies are not prescribing in atrial fibrillations,they are preventing forming thrombotic overlays on atherosclerotic plaques in arteries, but not diluting blood.

And in constant fibrillation entering a force as strategy for rare rhythms frequent,and here using adreno blockers as bisoprolol, metoproporol, sotalol, heart glycoside digoxin, antagonist calcium verapamil, and dosages selecting  ,that within minute will be are 90 heart shortenings. Today are spreading using invasion normalization for rhythm with catheter radio frequently ablation or crioblation for overlaps of lung arteries.And data surgeries doing without narcosis and keeping 2 hours and on the third day patient leaving hospital. And a class for evidences,than in cure with remedies is low. And in a lots of patients leading a restoring for sinus rhythm, but on a future he is not keeping . And  specifical  preventing for fibrillations are not having, but timely and right cure for base disease is lowering probably a fibrillation arrhythmia appearing.And a success restoring a rhythm is a not to indicator, that to avoid from a long medicament therapy and including anti coagulant.

by Plahova, cardiologist.