iCliniq Logo
HomeAnswersGeneral Medicineatrial fibrillation

What is the effectiveness of blood thinners in AfIB?

This Premium Q&A, reviewed and published, features a real conversation between an iCliniq user and a physician.

Patient's Query

Hello doctor,

I am 66 years old and was diagnosed with atrial fibrillation a few months ago after I felt my heart racing and got lightheaded. I am on blood thinners now, but I am still feeling occasional flutters and get really anxious when it happens. My doctor mentioned something about ablation, but I am not sure what that involves or if it is safe for someone my age. I am also afraid of having a stroke, especially since a friend of mine did. How effective are the medications long-term, and are there lifestyle changes that can help? This condition has made me feel constantly on edge.

Kindly suggest.

Thank you.

Hello,

Welcome to icliniq.com.

I can understand your concern.

Atrial fibrillation (AFib) is a common heart rhythm disorder, especially in people over 60, and you are not alone in feeling anxious about it, especially with the risk of stroke and the unpredictable heart flutters.

Your doctor was right to start you on blood thinners; these are essential in reducing stroke risk, which is one of the main concerns with AFib. They are very effective long-term when taken correctly, and the benefits generally outweigh the risks in people of your age.

The occasional flutters you are still feeling might mean your heart rhythm is not fully controlled. This can happen even with medication. That is where catheter ablation might come in. It is a minimally invasive procedure that targets the areas in your heart causing the abnormal rhythm. For many people, even in their 60s or 70s, it can significantly reduce symptoms or even eliminate AFib. It is generally safe when performed in experienced centers, and your overall health matters more than just your age. That said, ablation is not the only approach. Here are some lifestyle strategies that can help:

  1. Limit caffeine and alcohol – both can trigger AFib.

  2. Maintain a healthy weight – obesity increases strain on the heart.

  3. Control blood pressure and diabetes – key risk factors.

  4. Get regular, gentle exercise – like walking, yoga, or swimming.

  5. Manage stress and anxiety, which can both worsen symptoms. Mindfulness, breathing exercises, or therapy may help.

You are doing the right thing by staying informed and proactive. If the anxiety is affecting your daily life, do not hesitate to discuss that with your doctor too; managing both your heart and your emotional well-being is equally important.

And if you ever feel symptoms worsening, like chest pain, severe shortness of breath, or fainting, seek urgent care.

I hope this helps.

Kindly follow up if you have more concerns.

Thank you.

Medically reviewed byiCliniq medical review team

Published At August 1, 2025
Reviewed AtAugust 1, 2025

Same symptoms don't mean you have the same problem. Consult a doctor now!

Listen to related tracks in our music library

Ask your health query to a doctor online

*guaranteed answer within 4 hours

Disclaimer: No content published on this website is intended to be a substitute for professional medical diagnosis, advice or treatment by a trained physician. Seek advice from your physician or other qualified healthcare providers with questions you may have regarding your symptoms and medical condition for a complete medical diagnosis. Do not delay or disregard seeking professional medical advice because of something you have read on this website. Read our Editorial Process to know how we create content for health articles and queries.