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3 Cards in this Set

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classifications of AF

paroxysmal (self-terminating, usually <48h), persistent (>7d), permanent (>1y, when cardioversion has failed or is foregone)



valvular (e.g. rheumatic MV dz, prosthetic or repaired valve) v. nonvalvular



lone AF: <60y, no other cardiac dz (including HTN)

etiologies of AF

cardiac: HF, myo/pericarditis, ischemia, HTN crisis, cardiac surgery


pulmonary: acute dz or hypoxia (e.g. COPD flare, PNA), PE, OSA


metabolic: high catecholamine states (stress, infection, postop, pheo), thyrotoxicosis


drugs: EtOH ("holiday heart"), cocaine, amphetamines, theophylline, caffeine


neurogenic: SAH, ischemic stroke


chronic: old age, HTN, ischemia, valve disease, CMP, hyperthyroid, obesity

approach to acute AF