Let me talk about it in detail.
Let's start with western medicine.
First of all, it depends on the purpose of taking medicine. I made a picture and put all the commonly used medicines on it. Let's take a look first:
The concept of western medicine is to treat symptoms, so people, especially the elderly (about 70 years old now) call western medicine "top medicine", and whatever problems exist, they will take care of them.
One of the purposes of medication for atrial fibrillation is to comfort, eliminate symptoms, reduce ventricular rate, cardioversion and prevent thrombosis. Then, drugs for diabetes will be prescribed for other diseases and diabetes that exist at the same time. If there is hypertension, there will be antihypertensive drugs, and if there is coronary heart disease, there will be hyperthyroidism drugs. I won't elaborate here.
This article focuses on the treatment of atrial fibrillation itself.
I won't focus on what is written in the drug instructions, because everyone can find it online, so I will say what is not in the drug instructions.
It's hard to say whether comfort is effective. Some patients eat it habitually, and some doctors prescribe it habitually. Every doctor has different things to learn, different books to read, different worlds to see and different experiences to accumulate, so there is a habit problem.
Coenzyme Q 10: This medicine is said to nourish the heart muscle. In western medicine pharmacology, participate in myocardial energy metabolism. Now there are medicines and health products, which are often used in regular hospitals. It's hard to say whether it has any effect. According to the principle, the whole chain of heart metabolism involves countless small substances, and coenzyme is only one of them. But the problems of the heart are basically the whole problem (the whole heart problem), which does not mean that the heart has nothing but coenzyme Q 10. A team that has just been defeated and disheartened can cheer up by sending an all-around special force inside. Can the rusty old machine be replaced by a new gear? So far, I haven't found any side effects of coenzyme Q 10, so I said, I'll eat if I want, and I won't eat if I don't want. It's not expensive or bad anyway. I did meet someone who said that I felt good after eating, and I could eat when I felt good.
Gu: Many atrial fibrillation is accompanied by autonomic nerve dysfunction, and Gu is an old medicine for "treating" autonomic nerve disorder. Why do you want to quote this treatment? Because for more than twenty years, I haven't found anyone whose autonomic nervous disorder has been cured by Gu. I graduated from university 1995. At that time, there were few kinds of drugs. Almost all doctors prescribe oryzanol when they meet patients who are uncomfortable and can't be classified (all kinds of patients are uncomfortable, but they don't look like anything). The master takes the apprentice and the attending takes the intern, which makes it a habit. I don't see any harm. Eat if you want, don't expect to be in charge.
Eliminating symptoms and reducing ventricular rate Some symptoms are caused by fast ventricular rate, so reducing ventricular rate can relieve symptoms, so I put them together. Some symptoms are not caused by rapid ventricular rate, so they should be treated separately.
Betaloc: Betaloc has never been able to treat atrial fibrillation, but it is a blocking drug. It can make atrial fibrillation not spread so fast, so it can slow down the ventricular rate. For example, in the original atrial fibrillation, the ventricular rate 100 was much, and you were flustered. After taking betaloc, you can slow down and your heart palpitations will be relieved. That's the effect.
It is an antiarrhythmic drug, and no one in the world has said that it will increase the mortality rate.
In terms of side effects, attention should be paid to affecting male function, and young men should pay attention to it. Long-term consumption still has obvious effects. Then it is necessary to gradually add a large amount, but it is not easy to stop taking the medicine. The human body is a feedback system. If you block me, I will work hard, so in most cases, I will increase the dose after a while, but he will not cure it. Don't expect the dose to be completely cured. You can't stop. If you stop, you will bounce back. For example, if you take 25 mg, your heart rate will be 80. After half a year, 25 mg will not work, and you can only maintain your heart rate of 80 after taking 50 mg. At this time, you stop taking the medicine and the ventricular rate will reach 6544 immediately. Just like a dam, the dam will be raised when the water level is high, but when the dam is demolished, all the water will come down.
Therefore, if the ventricular rate is not too fast, such as less than 90 beats, and you are not flustered, it is recommended not to eat.
If the ventricular rate of paroxysmal atrial fibrillation is fast, you can take it temporarily, not all the time. The vast majority of patients treated in our charity hall gradually stopped using betaloc after their condition improved.
In addition, some patients have a slow heart rate or a long interval, such as an interval of more than 2 seconds. This depends on the factor of betaloc, whether it is caused by taking betaloc, and whether it is not slow after stopping taking the drug, so there is no long interval. Some hospitals let you install pacemakers at long intervals. Don't worry, let's stop at Betalok before we talk about something else.
Digoxin: This is a very old medicine, which is used to treat heart failure. There is a side effect, which is blockage, so it can also slow down the ventricular rate. It is rarely used in big hospitals, but it is still useful among the patients we meet. They are all run by small hospitals, remote places and old doctors. This medicine, no matter how small it is, is poisoned in large quantities and has many reactions after poisoning, so if there is no heart failure, it is recommended not to use it. If you have heart failure, the situation will be more complicated. It is difficult for patients to judge by themselves, so just listen to the hospital.
Other symptoms: Many patients with atrial fibrillation have other symptoms, such as burping, constipation, insomnia, irritability and chest tightness. The hospital will prescribe motilium, diazepam and laxatives. Here are two points: first, diazepam, ordinary diazepam is not here, and I feel dizzy the next day, so I can consider taking Sinool. This medicine takes effect quickly and fails quickly, and people who have difficulty falling asleep can fall asleep soon after taking it. Second, these Chinese medicine practitioners can treat atrial fibrillation, and they can treat it from the root. These treatments are helpful to atrial fibrillation and are some signs of their effectiveness. After all, people are one, and we treat atrial fibrillation together (without separate charges). These diseases are all linked.
Cardioversion and propafenone: Will increase mortality! Will lead to new arrhythmia! The whole world recognizes it! After eating it, premature beats may be less, paroxysmal atrial fibrillation may not happen often, but the mortality rate has increased. Maybe there are fewer rooms, and the room comes out early, which is actually a mess of flow. I have seen a person eat 2 1 tablet every day, which is very scary. Propafenone can also slow down the ventricular rate. Don't take propafenone all the time. If propafenone is effective for paroxysmal atrial fibrillation, take it temporarily. If it can be managed when the ventricular rate is fast, eat it temporarily. Sudden supraventricular tachycardia is also handled in this way. Anyway, you can eat it temporarily, not for a long time.
Slow heart rate: also known as melody. It's old medicine, too. It's the same as the heart rhythm in every way. It will also increase mortality and lead to new arrhythmia. Now it seems that people eat more propafenone and eat less slow heart rate, but this has something to do with the propaganda of selling drugs and so on, and has little to do with the quality of curative effect.
Amiodarone: I have seen a patient whose face is black and yellow, unlike the black and yellow of liver disease or the khaki of kidney disease. When asked, he himself said that after taking amiodarone, the sclera changed color and the eye color was like that. If you expect to take amiodarone to stop atrial fibrillation, forget it, but I met an old lady again. According to her own experience for many years, she suffers from paroxysmal atrial fibrillation. Every time she takes amiodarone temporarily, she estimates that she is going to have an attack. She said it was effective and had no side effects, but she finally came to do good deeds, so I learned this trick from her. There are too many side effects. Don't count on it Try not to eat. At least not for a long time.
Aspirin prevents thrombosis: patients with coronary heart disease are still taking aspirin. Coronary heart disease refers to myocardial ischemia, myocardial infarction and stent. Coronary heart disease and atrial fibrillation are not necessarily related. Should aspirin be used to prevent thrombosis in atrial fibrillation without coronary heart disease? At present, most of the voices are useless and ineffective. This voice refers to western medicine experts in most regular hospitals around the world.
Warfarin: It doesn't matter if you eat less anyway. It is easy to bleed if you eat too much. There are many arguments on this issue:
It is generally recognized that paroxysmal atrial fibrillation is not eaten, but I have seen many paroxysmal atrial fibrillation;
Some people advocate stratification of persistent atrial fibrillation, that is, although they are all persistent atrial fibrillation, we should first look at who is prone to thrombosis, what to eat is easy to grow, and what not to eat is not easy to grow, and deal with the risks separately. There are many opinions, depending on which school you met.
Fake cigarettes, fake wine, smog and water pollution are all likely to lead to thrombosis. Now many men aged 20-30 have good thrombosis and no atrial fibrillation. Why? What happened? None of the papers on atrial fibrillation are prone to thrombosis, including fake cigarettes, fake wine and smog, and waste oil.
Although it is still atrial fibrillation, I can eat and sleep, defecate normally, and the ventricular rate is not fast during atrial fibrillation, and I feel everything is fine. This is certainly not easy to form a thrombus, because there is definitely not one cause of thrombosis, such as blood viscosity, blood deficiency and severe atrial degeneration, atrial fibrillation and trembling, atrial burn by radio frequency, and complete isolation of the left atrial appendage (the left atrial appendage is completely burned by radio frequency, but it does not move).
In the last month, I encountered two cases, both of which were paroxysmal atrial fibrillation. One of them swims every day, eats warfarin, bleeds under his eyes and is blind. He waited in line at Tongren Hospital for eight months, but he didn't succeed. He invited colleagues and experts to the hospital next door for surgery, without reimbursement, 80,000 yuan. No, as a result, one eye is completely blind and the other eye is 0.2. Of course, atrial fibrillation will still tremble. I came to charity hall to treat atrial fibrillation, because we didn't treat him because of fundus hemorrhage.
The other is fundus hemorrhage caused by paroxysmal atrial fibrillation. I took a screenshot on WeChat to show you: from paroxysmal atrial fibrillation to persistent atrial fibrillation and fundus hemorrhage, I met a good friend of mine, and I suggested that he stop Fahua. A few days ago, I entrusted another friend to the charity museum for consultation. I said: In order to prevent a possible cerebral infarction from leading to definite fundus hemorrhage, the pros and cons have nothing to do with studying medicine.
My personal opinion has been reflected above. Let's think it over. This is the same as the Tomb Raider star cutting her chest to prevent breast cancer. Take precautions! She had her ovaries removed to prevent ovarian cancer! I wrote in Prevention of Diseases by Traditional Chinese Medicine, and I was wondering: Will she change her mind in advance? Philosophical problems. It has nothing to do with medicine.
Other anticoagulants: there are new anticoagulants (dabigatran etexilate and rivaroxaban) just listed, and all of them are said to be available, so I won't comment in detail. It's just that in my 27-year medical student career, and in the materials I've read and read, every new drug was a magical drug at first, and after a few years, everyone shouted for it, with exceptions.
Atrial Fibrillation Complicated with Other Diseases: Atrial Fibrillation can exist alone, but nothing else. Of course, this is diagnosed according to western medicine.
If atrial fibrillation is accompanied by coronary heart disease, there are many treatments for coronary heart disease; At the same time, there is diabetes, a lot of diabetes; The same is true of other diseases.
Let's talk about Wenxin Granules and Shen Song Yangxin: At present, only Wenxin Granules and Shen Song Yangxin are common in the market. Many of the patients we met took them before coming to the clinic. Some say it's effective, others say it's invalid. This is normal. Traditional Chinese medicine pays attention to syndrome differentiation, and the finished medicine is dead. It's all atrial fibrillation, but the syndrome differentiation is different. Touching it will have an effect, but touching it wrong will have no effect. Even if you touch it right, it seems that eating alone is not very good. When eating, be careful not to take these two medicines at the same time, which is a bit confusing, and don't eat this while eating the soup prescribed by the doctor. It is also very confusing, and it is not easy to see who is effective.
Sanqi: Some people drink Sanqi, whether it is good or not, whether it can be anticoagulated or not, and whether it can replace western medicine anticoagulants. My point of view is: First, Panax notoginseng can really promote blood circulation and stop bleeding, which is incredible to western medicine, but there is nothing wrong with Chinese medicine; Second, most traditional Chinese medicines use notoginseng in their formulas. Traditional Chinese medicine pays attention to arranging troops, assisting monarchs, ministers, envoys, and of course, taking medicine blindly. Third, you can try it yourself.
Why do I always say I can try? Because many experts and professors in big hospitals are wrong, and the patient's own feelings are the most right, and your own feelings will not lie to you. My principle is not absolute, not suitable for every situation, but it is the best principle in the current medical environment.
To sum up: try not to eat western medicine. If you eat it, you can't stop and can't cure it, but you can eat it in an emergency; Try Chinese medicine yourself. If it works, eat more. Don't eat it if it doesn't work. Observation for half a month is basically enough.