Reversal of atrial fibrillation to sinus rhythm in a csae of cerebrovascular stroke and mitral stenosis?

Cardioversion/Defibrillation. Everybody clear!

That is the only thing that I can think of, besides the medication adenosine. Something, or someone has to reset the av node.

But you know, now that I think about it, it could be a faulty mitral valve that caused the "a fib" in the first place. You should really speak to a cardiologist.

*Update
A pacemaker may also be a permanent means by which to control "A-fib" without meds. And speaking of meds, doctors don't like to use amiodarone because it is extremely toxic. Be careful stimulating those vagal receptors by coughing real hard, bearing down and such. It can cure "a fib" with a more potentially fatal heart rhythm called asystole. But don't take our word for it, I implore you to speak with a physician.

Cardioversion, and medical therapy (is the patient taking Warfarin?). If the Atrial Fibrillation is not controlled by this, there is a new therapy called AF radiofrequency ablation that may be useful for some patients, need to discuss with the cardiologist or someone with Electrophysiology study experience (they are called Electrophysiologists).

Cardioversion is used, but there is also a medication called cordarone (brand name is Amiodarone). Also should be on a blood thinner such as Coumadin. Talk with your cardiologist.

OK if the patient is awake have them try the following

Cough real hard

Bear down like taking a mega dump or giving birth

Stick there face in a bowl of cold water.

Yes these ARE real methods of breaking A-fib

Medication treatment decisions are based on the cause of your atrial fibrillation, your symptoms, and your risk for complications.

Treatment with medication is often needed for many years when heart disease is the underlying cause of atrial fibrillation.

Rate control medications are usually tried first for people who have persistent atrial fibrillation. These medications include beta-blockers, calcium channel blockers, and/or digoxin.

In a recent study called the AFFIRM trial, rate control medications were found to be preferable to antiarrhythmic medications as a first treatment for certain people with atrial fibrillation, specifically older people at risk for stroke who did not have severe symptoms. The study found that antiarrhythmic medications were expensive, often had side effects, and did not produce better results in this group of people.9

Rate control medications usually do not return your heart to a normal rhythm; in other words, your heart rhythm will still be irregular. However, these medications can keep your heart from beating at a dangerously fast rate. Most people tolerate an irregular heart rhythm if the rate is kept between 60 and 100 beats per minute.

Rhythm control medications, such as ibutilide (Corvert), are sometimes used to try to convert atrial fibrillation to a normal sinus rhythm. Rhythm control medications, also called antiarrhythmic medications, are also used to try to maintain normal sinus rhythm when symptoms persist despite rate control medications and in certain other cases.

Anticoagulant medications, such as warfarin (Coumadin, for example), are recommended for most people with atrial fibrillation who are at average to high risk of stroke.


The questions or factors involved is it a recent or new-onset Afib or a chronic A-fib. If it is a recent Afib (not more than 48 hrs) then the doctor might order cardioversion to reverse the afib. If it is a chronic Afib, the MD might order Coumadin or Heparin 1st before cardioverting. I have also witnessed a newly diagnosed Afib which converted to Sinus Rhythm with the use of a Calcium channel blocker called Cardizem