Atrial fibrillation: Natural history, complications, and management

Joseph S Alpert, P. Petersen, J. Godtfredsen

Research output: Contribution to journalArticle

104 Citations (Scopus)

Abstract

Atrial fibrillation is a clinically important arrhythmia that carries important prognostic and therapeutic implications. Hypertension, ischemic heart disease, and rheumatic valvular disease are the commonest causes of atrial fibrillation. The presence of chronic or paroxysmal atrial fibrillation places the patient at increased risk for embolic stroke and/or death. When atrial fibrillation develops, there is loss of the atrial transport factor ('atrial kick'), with consequent decrease of cardiac output. Stroke output declines by 20-30% in normal individuals with loss of atrial kick; the decline in stroke output is considerably larger in patients with heart disease. Atrial fibrillation can be electrically or pharmacologically reverted to sinus rhythm. Even patients with refractory atrial fibrillation can be reverted to sinus rhythm with amiodarone.

Original languageEnglish (US)
Pages (from-to)41-52
Number of pages12
JournalAnnual Review of Medicine
Volume39
StatePublished - 1988
Externally publishedYes

Fingerprint

Natural History
Atrial Fibrillation
Amiodarone
Stroke
Refractory materials
Rheumatic Diseases
Cardiac Output
Myocardial Ischemia
Cardiac Arrhythmias
Heart Diseases
Hypertension

ASJC Scopus subject areas

  • Cell Biology
  • Medicine(all)

Cite this

Atrial fibrillation : Natural history, complications, and management. / Alpert, Joseph S; Petersen, P.; Godtfredsen, J.

In: Annual Review of Medicine, Vol. 39, 1988, p. 41-52.

Research output: Contribution to journalArticle

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