We treat atrial fibrillation by assessing stroke risk, making anticoagulation decisions when indicated, selecting rhythm or rate control strategies, and reducing underlying risk factors through individualized prevention plans.
What atrial fibrillation treatment includes
Atrial fibrillation, often called AF or AFib, is an irregular heart rhythm that raises the risk of stroke and may cause palpitations, fatigue, or shortness of breath. Our atrial fibrillation treatment combines careful diagnosis, medical management, lifestyle and risk factor control, and ongoing monitoring. When procedures or specialist procedures are appropriate, we coordinate care with electrophysiology and other specialists to ensure continuity.
We see adults from Manhattan and the surrounding region at our New York location and manage care for patients across the Bronx, Queens, Brooklyn, Westchester, Long Island, New Jersey, and the greater New York metropolitan area. Learn more about typical symptoms and what to watch for in our topic on atrial fibrillation symptoms.
Benefits of focused atrial fibrillation care
- Reduced stroke risk through individualized anticoagulation decisions and monitoring.
- Improved symptoms and quality of life with targeted rhythm or rate control.
- Lower long term cardiovascular risk by treating hypertension, cholesterol, and diabetes as part of an integrated plan.
- Clear follow up and monitoring to detect recurrence and adjust therapy.
- Coordination with primary care and specialists for seamless care and shared decision making.
Our process for evaluating and treating AF
- Initial evaluation. We review your history, symptoms, medications, family history, and risk factors such as hypertension, diabetes, and prior stroke.
- Risk assessment. We calculate stroke risk and bleeding risk to guide anticoagulation choices and discuss the risks and benefits in plain language.
- Diagnostic testing. We use EKGs, ambulatory monitors such as Holter or event monitors, and echocardiography or other imaging to define rhythm, heart structure, and contributors.
- Medical management. When appropriate, we start or adjust anticoagulation, prescribe rate control medicines, or initiate rhythm strategies while reviewing interactions and monitoring plans.
- Preventive treatment plan. We address blood pressure, cholesterol, sleep apnea, weight, physical activity, and diabetes control as part of a comprehensive prevention program.
- Ongoing follow up. We monitor therapy effectiveness, check labs when needed, and coordinate care if interventional procedures or specialist referrals are required.
Watch out: Anticoagulation reduces stroke risk but also increases bleeding risk. The decision requires individualized evaluation. Do not stop or start blood thinners without medical guidance.
What good atrial fibrillation care looks like
Good care begins with accurate diagnosis and clear communication. We document the type of AF, how often it occurs, and how it affects daily life. Good care also includes measurable goals, such as target blood pressure, cholesterol targets, and a clear anticoagulation plan if indicated.
We prioritize continuity. That means consistent follow up, accessible test results, and coordination with primary care and other specialists. Our approach combines preventive cardiology principles with AF specific management, so each plan addresses both immediate rhythm issues and long term cardiovascular risk.
Why choose our approach
We focus on prevention and long term risk reduction. Led by Dr. Bradley Radwaner, our center blends specialist cardiology expertise with preventive programs that emphasize early detection and tailored therapy. Our care model includes advanced testing when warranted, personalized treatment plans, and coordinated communication with referring physicians.
For patients interested in a broader prevention program that includes AF care, see our Preventive Cardiology service page.
Service area
We provide atrial fibrillation evaluation and ongoing care to adults across the New York metropolitan area. Typical locations we serve include:
- Manhattan
- The Bronx
- Queens
- Brooklyn
- Westchester
- Long Island
- New Jersey
For information about our base of operations and directions, see our New York location page.
Related services and topics
AF care is closely linked to stroke prevention, blood pressure control, and cholesterol management. Relevant pages to explore include our service on Stroke Prevention, and our services for Cholesterol Management and Hypertension Management. For deeper background on testing, see our topic on Advanced Cardiac Testing.
Frequently asked questions
How do you decide if I need an anticoagulant?
We assess stroke risk using established risk calculators, evaluate bleeding risk, review other medical conditions and medications, and discuss your preferences. The final decision balances stroke prevention with bleeding risk and your lifestyle.
What is the difference between rhythm control and rate control?
Rate control focuses on keeping the heart rate within a safe range while AF continues. Rhythm control aims to restore and maintain a normal rhythm. The choice depends on symptoms, heart function, age, and other medical issues, and we discuss the tradeoffs for each patient.
What tests will I need to diagnose AF?
Typical tests include a resting EKG, ambulatory heart rhythm monitoring such as a Holter or event monitor, and echocardiography to assess heart structure. We order additional imaging or blood tests when they help guide treatment decisions.
Can lifestyle changes reduce AF episodes?
Yes, addressing weight, sleep apnea, high blood pressure, uncontrolled diabetes, and excessive alcohol or caffeine can reduce AF burden in many patients. Lifestyle measures are part of a comprehensive plan but are most effective when combined with medical therapy when needed.
When should I see a cardiologist for AF?
You should see a cardiologist if you have new or recurrent palpitations, fainting, unexplained fatigue, or if your primary care physician identifies atrial fibrillation on an EKG. Patients with stroke risk factors should have a cardiology evaluation to discuss prevention.
Learn more and read patient feedback
To see where we practice, read patient reviews, or get directions, check our Google Business Profile. To explore related services and topics on our site, visit the services and topics sections linked below.