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* The clinical type of AF (first episode, paroxysmal, persistent, or permanent).
* The clinical type of AF (first episode, paroxysmal, persistent, or permanent).
* The onset of the first symptomatic attack or date of discovery of AF.
* The onset of the first symptomatic attack or date of discovery of AF.
* The frequency, duration, precipitating factors, and modes of termination (e.g vagal maeuvers) of AF,
* The frequency, duration, precipitating factors, and modes of termination (e.g vagal maeuvers) of AF.
* The response to any pharmacological agents that have been administered or history of ablation.
* The response to any pharmacological agents that have been administered or history of ablation.
* The presence of any underlying heart disease or other reversible conditions (e.g., [[hypertension]], recent [[CABG]],[[hyperthyroidism]] or [[alcohol]] consumption).
* The presence of any underlying heart disease or other reversible conditions (e.g., [[hypertension]], recent [[CABG]],[[hyperthyroidism]] or [[alcohol]] consumption).

Revision as of 21:31, 7 January 2013

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 history and symptoms On the Web

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Risk calculators and risk factors for Atrial fibrillation history and symptoms

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

Overview

Approximately 90% of episodes of atrial fibrillation are asymptomatic. Indeed, it is not uncommon to identify atrial fibrillation on a routine physical examination or electrocardiogram (ECG/EKG), as it may be asymptomatic in many cases.[1]The section below describes the constellation of symptoms (usually palpitations and exercise intolerance) when they do occur.

History

It is important to gather the following information from the patient:

  • The presence and nature of symptoms if any associated with AF. Patients can be grouped into two broad classes:
  1. Those who are entirely asymptomatic when they are in atrial fibrillation (in which case the atrial fibrillation is found as an incidental finding on an electrocardiogram or physical examination).
  2. Those who have clear symptoms and can pinpoint the time at which an episode of atrial fibrillation begins and when they revert to normal sinus rhythm.
  • The clinical type of AF (first episode, paroxysmal, persistent, or permanent).
  • The onset of the first symptomatic attack or date of discovery of AF.
  • The frequency, duration, precipitating factors, and modes of termination (e.g vagal maeuvers) of AF.
  • The response to any pharmacological agents that have been administered or history of ablation.
  • The presence of any underlying heart disease or other reversible conditions (e.g., hypertension, recent CABG,hyperthyroidism or alcohol consumption).

Symptoms

When symptoms are present, they often include symptoms related to the rapid heart rate:

More serious symptoms include the following:

References

  1. Fuster V, Rydén LE, Cannom DS, Crijns HJ, Curtis AB, Ellenbogen KA; 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.

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