Management of atrial fibrillation

Med Clin North Am. 2015 Jul;99(4):781-94. doi: 10.1016/j.mcna.2015.02.007. Epub 2015 Apr 11.

Abstract

Atrial fibrillation is a very common clinical problem with a high prevalence that is expected to rise over time because of increasing risk factors (eg, age, obesity, hypertension). This high prevalence is also associated with high cost, because atrial fibrillation represents about 1% of overall health care spending. The management of atrial fibrillation involves multiple facets: (1) management of underlying disease if present and the management of atrial fibrillation risk factors, (2) prevention of thromboembolism, (3) control of the ventricular rate during atrial fibrillation, and (4) restoration and maintenance of normal sinus rhythm.

Keywords: Antiarrhythmic drugs; Atrial fibrillation; Catheter ablation; Sinus rhythm; Thromboembolism; Ventricular rate.

Publication types

  • Review

MeSH terms

  • Age Factors
  • Anti-Arrhythmia Agents / administration & dosage
  • Anti-Arrhythmia Agents / adverse effects
  • Anti-Arrhythmia Agents / therapeutic use*
  • Anticoagulants / administration & dosage*
  • Atrial Fibrillation / complications
  • Atrial Fibrillation / surgery
  • Atrial Fibrillation / therapy*
  • Cardiovascular Diseases / complications
  • Catheter Ablation / adverse effects
  • Catheter Ablation / methods*
  • Diabetes Complications
  • Disease Management
  • Drug Interactions
  • Humans
  • Hypertension / complications
  • Risk Factors
  • Thromboembolism / prevention & control*

Substances

  • Anti-Arrhythmia Agents
  • Anticoagulants