


These medications may be needed indefinitely. Rarely, they may cause ventricular arrhythmias - life-threatening rhythm disturbances originating in the heart’s lower chambers. Although these drugs may help maintain a normal heart rhythm, they can cause side effects, including nausea, dizziness, and fatigue. Medications may include dofetilide, flecainide, propafenone, amiodarone, and sotalol. After electrical cardioversion, your doctor may prescribe anti-arrhythmic medications to help prevent future episodes of atrial fibrillation. If your episode of atrial fibrillation lasted more than 48 hours, you may need to take this type of medication for at least a month after the procedure to prevent blood clots in the heart. Before cardioversion, you may be given warfarin or another blood-thinning medication for several weeks to reduce the risk of blood clots and strokes. Cardioversion can be done in two ways: electrical cardioversion and cardioversion with drugs. To correct your condition, doctors may be able to reset your heart to its regular rhythm (sinus rhythm) using a procedure called cardioversion, depending on the underlying cause of atrial fibrillation and how long you’ve had it. Ideally, to treat atrial fibrillation, the heart rate and rhythm are reset to normal. Generally, the treatment goals for atrial fibrillation are to reset the rhythm or control the rate and prevent blood clots. The atrial fibrillation treatment that is most appropriate for you will depend on how long you’ve had atrial fibrillation, how bothersome your symptoms are and the underlying cause of your atrial fibrillation.
