Atrial Fibrillation: Causes, Risks, and How Medications Help Manage It

When your heart beats irregularly—sometimes too fast, sometimes unevenly—you might be dealing with atrial fibrillation, a type of irregular heartbeat that increases stroke risk by letting blood pool and clot in the heart. Also known as AFib, it’s one of the most common heart rhythm problems in adults over 65. It doesn’t always cause symptoms, but when it does, you might feel your heart fluttering, get short of breath, or feel unusually tired. Left untreated, AFib can lead to blood clots that travel to the brain and cause a stroke—sometimes without warning.

That’s why blood thinners, medications that prevent clots from forming. Also known as anticoagulants, they’re often the first line of defense. Warfarin is one of the oldest and most used, but it needs careful tracking. Your doctor checks your INR levels, a number that tells you how long it takes your blood to clot. Also known as international normalized ratio, it’s the key metric for safety. Too low, and clots can still form. Too high, and you risk dangerous bleeding. That’s why home testing and regular lab visits matter. And it’s not just about the drug—it’s about what you eat, what supplements you take, and what other meds you’re on. For example, Dong Quai, an herbal supplement some use for menopause or menstrual issues. Also known as Angelica sinensis, it can dangerously boost warfarin’s effect and lead to uncontrolled bleeding. Even common pain relievers or antibiotics can throw off your balance.

Managing atrial fibrillation isn’t just about popping a pill. It’s about understanding how your body reacts, what to avoid, and when to call your doctor. The posts below cover real-world situations: how INR monitoring keeps you safe, why certain herbs are risky with blood thinners, how other conditions like kidney disease or lupus can complicate treatment, and what alternatives exist if warfarin doesn’t work for you. You’ll find clear, no-fluff advice from people who’ve been there—whether you’re newly diagnosed or have been living with AFib for years. This isn’t theory. It’s what works in daily life.