How do I get my heart rhythm back to normal without cardioversion?

Q. Kindly suggest me some medications to get my heart rhythm back to normal.

Answered by
Dr. Prashant Valecha
and medically reviewed by Dr. K Shobana
This is a premium question & answer published on Sep 30, 2021 and last reviewed on: Jul 14, 2023

Hello doctor,

I have a history of SVT, which converted into Afib. I tried all at-home solutions to get my heart back into a sinus rhythm. I am trying to avoid cardioversion as I am traveling internationally right now. I took medication ten years ago, which helped me to get my heart rhythm back. Is there any medication like that to get my heart back into rhythm for this episode? Kindly help.

#

Hi,

Welcome to icliniq.com.

I hope you are doing good. For your problem, the treatment of choice would be RF ablation (radio frequency) after an electrophysiological study (EP study). For paroxysmal AFib (atrial fibrillation), there are pills like Propafenone or Flecainide. Take a single dose at the time of AFib onset. You can also take beta-blockers like Metoprolol 25 to 50 mg or Bisoprolol 2.5 to 5 mg once daily. Along with this, oral anticoagulation will be needed to prevent clot formation in AFib. For rhythm control, cardioversion, either by electrical or pharmacological means, is a must. I suggest you do an echocardiogram to rule out any clot formation in the left atrium. Regards.


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