Template:Afib background: Difference between revisions

(Created page with "===Categories=== *First detected episode *Recurrent (after 2 or more episodes) *Paroxysmal (if recurrent AF terminates spontaneously) *Persistent (if sustained beyond 7 days)...")
 
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*Paroxysmal (if recurrent AF terminates spontaneously)
*Paroxysmal (if recurrent AF terminates spontaneously)
*Persistent (if sustained beyond 7 days)
*Persistent (if sustained beyond 7 days)
{| {{table}}
| align="center" style="background:#f0f0f0;"|'''Atrial Fibrillation Category'''
| align="center" style="background:#f0f0f0;"|'''Definition'''
|-
|Paroxysmal||
*AF that terminates spontaneously or with intervention within 7 d of onset.
*Episodes may recur with variable frequency.
|-
|Persistent||
*Continuous AF that is sustained >7 d.
|-
|Long-standing persistent AF||
*Continuous AF >12 mo in duration.
|-
|Permanent||
*The term “permanent AF” is used when the patient and clinician make a joint decision to stop further attempts to restore and/or maintain sinus rhythm.
*Acceptance of AF represents a therapeutic attitude on the part of the patient and clinician rather than an inherent pathophysiological attribute of AF.
*Acceptance of AF may change as symptoms, efficacy of therapeutic interventions, and patient and clinician preferences evolve.
|-
|Nonvalvular||
*AF in the absence of rheumatic mitral stenosis, a mechanical or bioprosthetic heart valve, or mitral valve repair.
|}


===Causes===
===Causes===

Revision as of 02:44, 20 March 2016

Categories

  • First detected episode
  • Recurrent (after 2 or more episodes)
  • Paroxysmal (if recurrent AF terminates spontaneously)
  • Persistent (if sustained beyond 7 days)
Atrial Fibrillation Category Definition
Paroxysmal
  • AF that terminates spontaneously or with intervention within 7 d of onset.
  • Episodes may recur with variable frequency.
Persistent
  • Continuous AF that is sustained >7 d.
Long-standing persistent AF
  • Continuous AF >12 mo in duration.
Permanent
  • The term “permanent AF” is used when the patient and clinician make a joint decision to stop further attempts to restore and/or maintain sinus rhythm.
  • Acceptance of AF represents a therapeutic attitude on the part of the patient and clinician rather than an inherent pathophysiological attribute of AF.
  • Acceptance of AF may change as symptoms, efficacy of therapeutic interventions, and patient and clinician preferences evolve.
Nonvalvular
  • AF in the absence of rheumatic mitral stenosis, a mechanical or bioprosthetic heart valve, or mitral valve repair.

Causes

  • Cardiac (atrial enlargement)
  • Noncardiac (increased automaticity)
    • Thyrotoxicosis
    • Chronic lung disease
    • Pericarditis
    • Ethanol ("holiday heart")
    • PE
    • Drugs (cocaine, TCA)