Hello Dr. Shraddha,

Atrial fibrillation if acute and ongoing, can be fatal in few cases, but can majorly lead to complications like stroke and heart failure.

It is caused usually due to sympathetic overactivity. It can be as a result of hypertension, obesity, sleep apnea, in cases of low EF, Tight Mitral stenosis, High blood sugar levels and high alcohol intake and in cases of hyperthyroidism also.

Panchakarma treatment can be performed in patients of A. fibrillations when they are not in acute phase of fibrillation. If they are seen in acute phases, hospitalization along with blood thinners and heart rhythm medications is to be advised.

To manage an obese patient with H/O Atrial fibrillation, weight reduction by more than 10% is advisable. Controlling the risk factors like Ischemia, Heart failure, blood sugar levels and blood pressure levels along with maintaining healthy electrolyte levels is advisable to prevent future attacks of AF.

Monitoring the Left atrial size and Left atrial volume is a good strategy to prevent further attacks. Managing fluid volume through liquid intake, and good controlled diuresis through mutra or purisha virechan can be helpful. Various researches have proved that several types of Pranayama like Bhramari can be helpful to control the Sympathetic overactivity and improve the Autonomic nervous system, thus preventing further episodes of AF.