How to Perform Self-First Aid During Atrial Fibrillation Episodes

When experiencing an atrial fibrillation (AFib) episode, it's crucial to stop any ongoing physical activity immediately. Sit down or lie down to rest, and if available, use supplemental oxygen to help ease symptoms. Remaining calm and still can significantly reduce the strain on your heart and potentially shorten the duration of the episode.

Medications for Acute AFib Episodes

If you suffer from paroxysmal atrial fibrillation, having prescribed medications on hand can be highly effective in restoring normal heart rhythm. A commonly used drug is Propafenone (also known as Rythmol), which is often recommended for rhythm control during sudden AFib episodes. Always consult with your physician before taking any medication and ensure it's appropriate for your condition.

Controlling Heart Rate During AFib

In cases where the heart rate becomes excessively rapid and causes significant palpitations or discomfort, beta-blockers such as Metoprolol (Lopressor or Toprol XL) can be used to slow the heart rate. These medications help reduce the heart's workload and alleviate symptoms like dizziness, shortness of breath, and chest discomfort.

Managing Anxiety and Stress

Emotional stress and anxiety can worsen AFib symptoms or even trigger an episode. If you're feeling anxious during an episode, taking a mild sedative such as a benzodiazepine (e.g., Lorazepam or Diazepam) may help calm the nervous system. Always follow your doctor's guidance regarding the use of anti-anxiety medications.

Additional Tips for Self-Care During AFib

Stay hydrated and avoid stimulants like caffeine, alcohol, and nicotine, which can exacerbate arrhythmias. Practicing deep breathing or vagal maneuvers (like the Valsalva maneuver) may also help in some cases. However, if symptoms persist for more than a few hours or you experience chest pain, fainting, or severe shortness of breath, seek emergency medical attention immediately.