Which medication class can be used to manage symptoms in atrial fibrillation aside from rate control?

Atrial fibrillation (AF) is a common arrhythmia characterized by irregular and often rapid heart rate. While the primary objectives in managing AF include controlling the heart rate and preventing thromboembolic events, certain medications can also help manage symptoms associated with this condition.

Calcium channel blockers are commonly used in the management of AF, particularly those with rapid ventricular response. These medications help by reducing the conductivity through the atrioventricular (AV) node, which in turn slows down the ventricular response during episodes of AF. Additionally, they can provide symptom relief by improving exercise tolerance and reducing palpitations.

While aspirin may be used for stroke prevention in certain patients with AF, it does not directly control symptoms of the arrhythmia itself. ACE inhibitors and statins also play roles in cardiovascular health but are not specifically aimed at managing AF symptoms. ACE inhibitors typically address hypertension and heart failure, while statins primarily lower cholesterol levels. Thus, calcium channel blockers stand out as a class of medications that can directly influence both heart rate and symptom management in patients with atrial fibrillation.