The Living Guidelines: Diagnosis and Management of Atrial Fibrillation

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Atrial Fibrillation Microchapters

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Patient Information

Overview

Historical Perspective

Classification

Pathophysiology

Causes

Differentiating Atrial Fibrillation from other Diseases

Epidemiology and Demographics

Risk Factors

Screening

Natural History, Complications and Prognosis

Special Groups

Postoperative AF
Acute Myocardial Infarction
Wolff-Parkinson-White Preexcitation Syndrome
Hypertrophic Cardiomyopathy
Hyperthyroidism
Pulmonary Diseases
Pregnancy
ACS and/or PCI or valve intervention
Heart failure

Diagnosis

History and Symptoms

Physical Examination

Laboratory Findings

Electrocardiogram

EKG Examples
A-Fib with LBBB

Chest X Ray

Echocardiography

Holter Monitoring and Exercise Stress Testing

Cardiac MRI

Treatment

Rate and Rhythm Control

Cardioversion

Overview
Electrical Cardioversion
Pharmacological Cardioversion

Anticoagulation

Overview
Warfarin
Converting from or to Warfarin
Converting from or to Parenteral Anticoagulants
Dabigatran

Maintenance of Sinus Rhythm

Surgery

Catheter Ablation
AV Nodal Ablation
Surgical Ablation
Cardiac Surgery

Specific Patient Groups

Primary Prevention

Secondary Prevention

Supportive Trial Data

Cost-Effectiveness of Therapy

Case Studies

Case #1

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]

Associate Editor-In-Chief: Cafer Zorkun, M.D., Ph.D. [2]

Any recommendations found on these pages are for education use only. WikiDoc is not a substitute for a licensed healthcare provider. Please see the disclaimers page for important information regarding limitations of the information found here. In suggesting edits to the guidelines, WikiDoc suggests that the following classification scheme be used. Read more about the classification scheme used by the ACC / AHA Guidelines Committee here.

Recommendations for pharmacological rate control during atrial fibrillation [1]

Class I

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Class III

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Recommendations for preventing thromboembolism [1]

Class I

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Class IIa

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Class III

Long-term anticoagulation with a vitamin K antagonist is not recommended for primary prevention of stroke in patients below the age of 60 y without heart disease. [1]

Recommendations for pharmacological cardioversion of atrial fibrillation [1]

Class I

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Class IIa

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Class IIb

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Class III

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Recommendation for direct-current cardioversion of atrial fibrillation and atrial flutter [1]

Class I

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Class III

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Recommendation for pharmacological enhancement of direct-current cardioversion [1]

Class IIa

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Class IIb

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Recommendation for prevention of thromboembolism in patients with atrial fibrillation undergoing cardioversion [1]

Class I

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Class IIa

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Recommendations for maintenance of sinus rhythm [1]

Class I

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Class IIa

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Class III

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Recommendations for patients with postoperative atrial fibrillation [1]

Class I

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Class IIa

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Class IIb

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Recommendations for patients with acute myocardial infarction [1]

Class I

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Recommendations for patients with Wolff Parkinson White syndrome (WPW) [1]

Class I

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Class IIb

[Atrial fibrillation Wolff-Parkinson-White preexcitation syndromes|View the Current Guidelines]]

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Class III

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Recommendations for patients with hyperthyroidism [1]

Class I

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Recommendations for pregnant patients [1]

Class I

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Class IIb

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Recommendations for patients with Hypertrophic Cardiomyopathy [1]

Class I

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Class IIa

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Recommendations for patients with Pulmonary Hypertension [1]

Class I

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References

  1. 1.00 1.01 1.02 1.03 1.04 1.05 1.06 1.07 1.08 1.09 1.10 1.11 1.12 1.13 1.14 Fuster V, Ryden LE, Cannom DS, Crijns HJ, Curtis AB, Ellenbogen KA, Halperin JL, Le Heuzey JY, Kay GN, Lowe JE, Olsson SB, Prystowsky EN, Tamargo JL, Wann S. ACC/AHA/ESC 2006 Guidelines for the Management of Patients With Atrial Fibrillation- Executive Summary: executive summary: A Report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines and the European Society of Cardiology Committee for Practice Guidelines (Writing Committee to Revise the 2001 Guidlines for the Management of Patients With Atrial Fibrillation): Developed in Collaboration With the European Heart Rhythm Association and the Heart Rhythm Society. Circulation. 2006; 114: 700-752. PMID 16908781

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