Template:Afib background: Difference between revisions

Revision as of 02:46, 20 March 2016

Categories

Atrial Fibrillation Category	Definition
Paroxysmal	Terminates spontaneously or with intervention within 7 days of onset. Episodes may recur with variable frequency.
Persistent	Continuous sustained >7 days
Long-standing persistent	Continuous >12 mo in duration.
Permanent	Used when the patient and clinician make a joint decision to stop further attempts to restore and/or maintain sinus rhythm. Acceptance represents a therapeutic attitude on the part of the patient and clinician rather than an inherent pathophysiological attribute. May change as symptoms, efficacy of therapeutic interventions, and patient and clinician preferences evolve.
Nonvalvular	In the absence of rheumatic mitral stenosis, a mechanical or bioprosthetic heart valve, or mitral valve repair.

Causes

Cardiac (atrial enlargement)
- Hypertension
- Ischemic heart disease
- Rheumatic heart disease
  - Valvular heart disease (any lesion that leads to significant stenosis or regurgitation)
Noncardiac (increased automaticity)
- Thyrotoxicosis
- Chronic lung disease
- Pericarditis
- Ethanol ("holiday heart")
- PE
- Drugs (cocaine, TCA)

@@ Line 1: / Line 1: @@
 ===Categories===
-*First detected episode
-*Recurrent (after 2 or more episodes)
-*Paroxysmal (if recurrent AF terminates spontaneously)
-*Persistent (if sustained beyond 7 days)
 {| {{table}}
 | align="center" style="background:#f0f0f0;"|'''Atrial Fibrillation Category'''
@@ Line 10: / Line 5: @@
 |-
 |Paroxysmal||
-*AF that terminates spontaneously or with intervention within 7 d of onset.
+*Terminates spontaneously or with intervention within 7 days of onset.
 *Episodes may recur with variable frequency.
 |-
 |Persistent||
-*Continuous AF that is sustained >7 d.
+*Continuous sustained >7 days
 |-
-|Long-standing persistent AF||
+|Long-standing persistent||
-*Continuous AF >12 mo in duration.
+*Continuous >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.
+*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 represents a therapeutic attitude on the part of the patient and clinician rather than an inherent pathophysiological attribute.
-*Acceptance of AF may change as symptoms, efficacy of therapeutic interventions, and patient and clinician preferences evolve.
+*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.
+*In the absence of rheumatic mitral stenosis, a mechanical or bioprosthetic heart valve, or mitral valve repair.
 |}