Afib

Question 1

What are the types of Afib?

Answer 1

Valvular
Non-Valvular

New onset: Not previously documented

Paroxysmal: Continuous AFib episode lasting longer than 30 seconds but terminates spontaneously or with intervention within 7 days

Persistent: lasting more than 7 days but less than a year

Longstanding persistent: more than a year in whom rhythm control is being pursued

Permanent: Continuous Afib more than a year- Joint decision with patient to cease further attempts to restore sinus rhythm

Primary: Afib is an established pathophysiological process
Secondary: Caused by a self-limited- reversible precipitant
Reversible: Limited future risk (eg hyperT4)
Provoked: unmasked by a trigger but ongoing risk for recurrence

Question 2

What are the RF of Afib?

Answer 2

Non modifiable: Age, male
Cardiac: HTN, HFrEF, Valvular dz, congenital heart dz, CMP
Non Cardiac: Thyroid dz, OSA, Obesity, excessive alcohol
Secondary Afib: Sx, MI, myo-pericarditis, COPD, PE, pneumonia, thyrotoxicosis, infection, sepsis, acute alcohol consumption, cocaine
Sleep deprivation, stress, physical exertion