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===Categories===
===Categories<ref>2014 AHA/ACC/HRS Guideline for the Management of Patients With Atrial Fibrillation: Executive Summary. J Am Coll Cardiol. 2014;64(21):2246-2280.  doi:10.1016/j.jacc.2014.03.021</ref>===
{| {{table}}
{| {{table}}
| align="center" style="background:#f0f0f0;"|'''Atrial Fibrillation Category'''
| align="center" style="background:#f0f0f0;"|'''Atrial Fibrillation Category'''

Revision as of 02:48, 20 March 2016

Categories[1]

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)
  • Noncardiac (increased automaticity)
    • Thyrotoxicosis
    • Chronic lung disease
    • Pericarditis
    • Ethanol ("holiday heart")
    • PE
    • Drugs (cocaine, TCA)
  1. 2014 AHA/ACC/HRS Guideline for the Management of Patients With Atrial Fibrillation: Executive Summary. J Am Coll Cardiol. 2014;64(21):2246-2280. doi:10.1016/j.jacc.2014.03.021