Atrial fibrillation classification: Difference between revisions

Jump to navigation Jump to search
m (Robot: Changing Category:Up-To-Date Cardiology to Category:Up-To-Date cardiology)
No edit summary
Line 1: Line 1:
__NOTOC__
{{Atrial fibrillation}}
{{Atrial fibrillation}}
{{CMG}}
{{CMG}}

Revision as of 17:03, 4 October 2012

Atrial Fibrillation Microchapters

Home

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

Atrial fibrillation classification On the Web

Most recent articles

Most cited articles

Review articles

CME Programs

Powerpoint slides

Images

Ongoing Trials at Clinical Trials.gov

US National Guidelines Clearinghouse

NICE Guidance

FDA on Atrial fibrillation classification

CDC on Atrial fibrillation classification

Atrial fibrillation classification in the news

Blogs on Atrial fibrillation classification

Directions to Hospitals Treating Atrial fibrillation classification

Risk calculators and risk factors for Atrial fibrillation classification

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

Overview

Although several clinical classification plans and protocols have been proposed, none of them fully account for all aspects of atrial fibrillation. The American Heart Association, American College of Cardiology, and the European Society of Cardiology have proposed the following classification system based on simplicity and clinical relevance:[1]

AF Category Defining Characteristics
  First detected   Only one diagnosed episode
  Paroxysmal   Recurrent episodes that self-terminate in less than 7 days (most episodes are brief and last < 24 hours)
  Persistent   Recurrent episodes that last more than 7 days and may require pharmacologic or electrical intervention
  Permanent   An ongoing long-term episode that lasts for more than a year despite attempts at cardioversion

First Detected Atrial Fibrillation

Any patient with new diagnosed AF is in this category, as the exact onset and chronicity of the disease is often uncertain. The patient may have been symptomatic or asymptomatic.

Recurrent Atrial Fibrillation

Two or more identified episodes of atrial fibrillation are named as recurrent form of atrial fibrillation. This is further classified into paroxysmal and persistent based on when the episode terminates without therapy. Atrial fibrillation is said to be paroxysmal when it terminates spontaneously within 7 days, most commonly within 24 hours.

The term 'Persistent' or 'chronic' is used if diagnosis of atrial fibrillation established for more than seven days. Differentiation of paroxysmal from chronic or established AF is based on the history of recurrent episodes and the duration of the current AF episode.[1][2][3]

Persistent Atrial Fibrillation

Persistent atrial fibrillation is defined as episodes of atrial fibrillation of more than seven days duration.

Permanent Atrial Fibrillation

Permanent atrial fibrillation is defined as atrial fibrillation that persists for more than a year. Cardioversion has either failed in these patients were has not yet been attempted.

Lone Atrial Fibrillation (LAF)

Lone atrial fibrillation is defined as atrial fibrillation in the absence of clinical or echocardiographic findings of cardiopulmonary disease including hypertension.[1] Patients in this group are young individuals (less than 60 years old).

See Also

References

  1. 1.0 1.1 1.2 Fuster V, Rydén LE, Cannom DS; et al. (2006). "ACC/AHA/ESC 2006 Guidelines for the Management of Patients with Atrial Fibrillation: 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 Guidelines for the Management of Patients With Atrial Fibrillation): developed in collaboration with the European Heart Rhythm Association and the Heart Rhythm Society". Circulation. 114 (7): e257–354. doi:10.1161/CIRCULATIONAHA.106.177292. PMID 16908781.
  2. Levy S (1998). "Epidemiology and classification of atrial fibrillation". J Cardiovasc Electrophysiol. 9 (8 Suppl): S78–82. PMID 9727680
  3. Levy S (2000). "Classification system of atrial fibrillation". Curr Opin Cardiol. 15 (1): 54–7. PMID 10666661

de:Vorhofflimmern it:Fibrillazione atriale nl:Boezemfibrilleren no:Atrieflimmer fi:Eteisvärinä


Template:WikiDoc Sources