Atrial fibrillation in clinical practice by Gregory Y. H. Lip

By Gregory Y. H. Lip

Atrial traumatic inflammation is the most common sustained cardiac rhythm sickness which confers major mortality and morbidity from stroke, thromboembolism and middle failure. Atrial traumatic inflammation is encountered in a wide selection of medical settings, together with ischaemic middle illness, valve disorder, high blood pressure, thyroid illness and publish operatively. there were new and dramatic advancements in atrial traumatic inflammation, with reference to non-pharmacological administration options and antithrombotic remedy. This booklet units out a logical method of the sensible and medical administration of this universal cardiac arrhythmia. Illustrated with 86 ECGs and line drawings, and broadly referenced, it's a designated consultant and resource of data for everybody handling sufferers with atrial traumatic inflammation, either generally perform and in hospitals.

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Increased beta-adrenergic tone may be in part responsible for the development of AF, and may also contribute to the rapid ventricular response in this disorder. Attempted electric or pharmacological cardioversion should not therefore be attempted whilst the patient remains thyrotoxic, as AF usually recurs. Nevertheless, spontaneous reversion to sinus rhythm often occurs within 6 weeks in younger patients who are rendered euthyroid; whilst older patients show less spontaneous reversion which is age-related.

Guidelines on anticoagulant treatment in atrial fibrillation in Great Britain: variation in content and implications for treatment. BMJ 1998; 316: 509–13. Wolf PA, Mitchell JB, Baker CS et al. Impact of atrial fibrillation on mortality, stroke, and medical costs. Arch Intern Med 1998; 158: 229–34. II Aetiology 4 Common causes of atrial fibrillation Introduction Atrial fibrillation (AF) may be paroxysmal or chronic, and is commonly associated with the common cardiovascular disorders. The latter are often associated with atrial enlargement, an elevation in atrial pressure, or even infiltration or inflammation of the atria.

East Afr Med J 1997; 74: 3–5. Psalty BM, Manolio TA, Kuller LH et al. Incidence of and risk factors for atrial fibrillation in older adults. Circulation 1997; 96: 2455. Rose G, Baxter PJ, Reid DD, McCartney P. Prevalence and prognosis of electrocardiography findings in middle-aged men. Br Heart J 1978; 40: 636–43. 24 Stewart FM, Singh Y, Persson S et al. Atrial fibrillation: prevalence and management in an acute general medical unit. Aust N Z J Med 1999; 29: 51–8. Sudlow CM, Rodgers H, Kenny RA, Thomson RG.

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