Sandbox/00001
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Resident Survival Guide |
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Atrial Fibrillation Microchapters | |
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Special Groups | |
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Diagnosis | |
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Anticoagulation | |
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Sandbox/00001 On the Web | |
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Vendhan Ramanujam M.B.B.S [2]
Overview
Atrial fibrillation may be classified based on the duration of episodes. In 2014, AHA/ACC/HRS published a simplified scheme revised from the classification in 2006 ACC/AHA/ESC guideline.
Classification
2014 AHA/ACC/HRS Atrial Fibrillation Classification
- A simplified classification scheme revised from the 2006 ACC/AHA/ESC guideline is given in the table below:[1]
| Term | Definition |
| Paroxysmal AF | ▸ AF that terminates spontaneously or with intervention within 7 d of onset. ▸ Episodes may recur with variable frequency. |
| Persistent AF | ▸ Continuous AF that is sustained >7 d. |
| Longstanding Persistent AF | ▸ Continuous AF of >12 mo duration. |
| Permanent AF | ▸ Permanent AF is used when there has been a joint decision by the patient and clinician to cease 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 the AF. ▸ Acceptance of AF may change as symptoms, the efficacy of therapeutic interventions, and patient and clinician preferences evolve. |
| Nonvalvular AF | ▸ AF in the absence of rheumatic mitral stenosis, a mechanical or bioprosthetic heart valve, or mitral valve repair. |
References
- ↑ January, Craig T.; Wann, L. Samuel; Alpert, Joseph S.; Calkins, Hugh; Cleveland, Joseph C.; Cigarroa, Joaquin E.; Conti, Jamie B.; Ellinor, Patrick T.; Ezekowitz, Michael D.; Field, Michael E.; Murray, Katherine T.; Sacco, Ralph L.; Stevenson, William G.; Tchou, Patrick J.; Tracy, Cynthia M.; Yancy, Clyde W. (2014). "2014 AHA/ACC/HRS Guideline for the Management of Patients With Atrial Fibrillation: Executive Summary". Journal of the American College of Cardiology. doi:10.1016/j.jacc.2014.03.021. ISSN 0735-1097.