Atrial fibrillation

Conduction
Sinus rhythm	Atrial fibrillation

Atrial fibrillation
The P waves, which represent depolarization of the atria, are irregular or absent during atrial fibrillation.
ICD-10	I48
ICD-9	427.31
DiseasesDB	1065
MedlinePlus	000184
eMedicine	med/184  emerg/46

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Evidence Based Medicine
Cochrane Collaboration on Atrial fibrillation Bandolier on Atrial fibrillation TRIP on Atrial fibrillation
Clinical Trials
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Definitions of Atrial fibrillation
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Synonyms and related keywords: AF, Afib, fib, PAF, paroxysmal afib, Lone fibrillator

Overview

Overview | Historical background | Pathophsyiology | Epidemiology | Classification system (Paroxysmal vs lone vs permanent etc)

Diagnosis

Overview | Symptoms | Etiology and Differential Diagnosis of Underlying Causes | Signs and Symptoms | Screening and Primary Care Considerations | History and physical | Routine blood work | Electrocardiogram | Chest X-ray | Echocardiography | Transthoracic echocardiography (TTE) | Transesophageal echocardiography (TEE) | Ambulatory Holter monitoring | Exercise stress testing

Risk Stratification

CHADS₂ Score | CHA₂DS₂-VASC Score | HAS-BLED Score

Treatment

Overview and General Treatment Strategies

Anticoagulation

Atrial fibrillation anticoagulation Warfarin

Dabigatran | Dosing | Converting from or to Warfarin | Converting from or to Parenteral Anticoagulants | Discontinuation for Surgery and Interventions | Warnings and Precautions | Adverse Reactions | Use in Specific Populations Such as Pregnancy | Overdosage | Clinical Pharmacology | FDA Review of the RE-LY Data | A comparison of the RE-LY and Rocket AF Trials | Estimates of Cost Per Year of Life Saved for Dabigatran

Rate Control

Maintenance of Sinus Rhythm | Rate Control | Cardioversion | Invasive Treatment | Surgical Treatment

Special Considerations

Postoperative AF | Acute Myocardial Infarction | Wolff-Parkinson-White Preexcitation Syndromes | Hyperthyroidism | Pregnancy | Hypertrophic Cardiomyopathy | Pulmonary Diseases

External links

• American Heart Association's page on atrial fibrillation
• Atrial fibrillation
• Bandolier: Evidence-based medicine resource on atrial fibrillation
• Cleveland Clinic Webchat - Atrial Fibrillation Webchat with Dr. Jennifer Cummings

See also

• Atrial flutter
• Ashman phenomenon

Further Readings

• 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.
• Estes NAM 3rd, Halperin JL, Calkins H, Ezekowitz MD, Gitman P, Go AS, McNamara RL, Messer JV, Ritchie JL, Romeo SJW, Waldo AL, Wyse DG. ACC/AHA/Physician Consortium 2008 clinical performance measures for adults with non valvular atrial fibrillation or atrial flutter: a report of the American College of Cardiology/American Heart Association Task Force on Performance Measures and the Physician Consortium for Performance Improvement (Writing Committee to Develop Performance Measures for Atrial Fibrillation). Circulation 2008; 117:1101–1120

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