Atrial fibrillation causes

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Atrial Fibrillation Microchapters

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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 causes On the Web

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FDA on Atrial fibrillation causes

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Directions to Hospitals Treating Atrial fibrillation causes

Risk calculators and risk factors for Atrial fibrillation causes

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

Overview

The most common cause of atrial fibrillation is atrial dilation associated with hypertension. Approximately 1/3 of patients have familial atrial fibrillation which is due to an underlying genetic disorder. Given the number of patients who undergo coronary artery bypass grafting in the developed world, this is an increasing underlying cause of atrial fibrillation. Other general causes include the advancing age of the population this hemodynamic stress of heart failure and valvular heart disease, myocardial ischemia, a variety of inflammatory disorders, pulmonary diseases, alcohol and drug abuse, and endocrine disorders.

Differential Diagnosis of the Underlying Causes of Atrial Fibrillation

(By organ system)

Cardiovascular Atrial ischemia or atrial infarction, Atrial myxoma, Atrial septal defect, Cardiac tumors, Cardiomyopathy, Channelopaties particularly abnormalities in the sodium channels, Congestive heart failure, Constrictive pericarditis, Coronary Artery Bypass Graft Surgery, Coronary Artery Disease, Dilated cardiomyopathy, Endocarditis, Familial atrial fibrillation type 1, Familial atrial fibrillation type 3, HOCM, Hypertension, Left ventricular hypertrophy, Lutembacher's syndrome, Mitral regurgitation, Mitral stenosis, Myocardial infarction, Myocarditis, Pericarditis, Rheumatic fever, ST elevation myocardial infarction (STEMI), Tricuspid regurgitation, Tricuspid stenosis, Unstable angina, Valvular heart disease
Chemical / poisoning Alcohol, Alcohol withdrawal, Breath spray which contains alcohol [1], Caffeine,
Dermatologic No underlying causes
Drug Side Effect Alcohol, Alcohol withdrawal, Cocaine, Conivaptan, Methamphetamines, Porfimer sodium, Tea
Ear Nose Throat No underlying causes
Endocrine Hyperthyroidism, Hypothyroidism, Pheochromocytoma
Environmental Hypothermia
Gastroenterologic Esophageal surgery
Genetic Atherosclerosis, Channelopaties particularly abnormalities in the sodium channels, Familial atrial fibrillation type 1, Familial atrial fibrillation type 3, HOCM
Hematologic No underlying causes
Iatrogenic Esophageal surgery
Infectious Disease Endocarditis, Myocarditis, Pericarditis, Pneumonia, Rheumatic fever
Musculoskeletal / Ortho Collagen vascular disease
Neurologic Stroke, Subarachnoid hemorrhage
Nutritional / Metabolic Diabetes, Hypothyroidism, Obesity
Obstetric/Gynecologic No underlying causes
Oncologic Atrial myxoma, Bronchogenic carcinoma, Cardiac tumors, Lung cancer, Pheochromocytoma, Porfimer sodium
Opthalmologic No underlying causes
Overdose / Toxicity Alcohol, Alcohol withdrawal, Breath spray which contains alcohol [1], Caffeine, Cocaine, Tea
Psychiatric No underlying causes
Pulmonary Bronchogenic carcinoma, Hypoxia, Lung cancer, Pneumonia, Porfimer sodium, Pulmonary embolism, Pulmonary hypertension, Sarcoidosis
Renal / Electrolyte Albuminuria, Electrolyte disturbances, Renal insufficiency
Rheum / Immune / Allergy Collagen vascular disease, Interleukin 11, Rheumatic fever, Sarcoidosis
Sexual No underlying causes
Trauma Myocardial contusion
Urologic No underlying causes
Miscellaneous Channelopaties particularly abnormalities in the sodium channels, Hypoxia, Interleukin 11

Complete List of Underlying Causes of Atrial Fibrillation

(In alphabetical order)

Lone Atrial Fibrillation

In about 10% of patients no underlying cause is identified. This condition is called lone atrial fibrillation.

References

  1. 1.0 1.1 1.2 Ridker PM, Gibson CM, Lopez R (1989). "Atrial fibrillation induced by breath spray". N Engl J Med. 320 (2): 124. PMID 2914028.

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