ADVANCES IN UNDERSTANDING ATRIAL FIBRILLATION: A NARRATIVE REVIEW

Abstract

Atrial brillation (AF) risk factors are multifaceted, encompassing hypertensive heart disease, coronary heart disease, rheumatic heart disease, and more. Hypertension and CHD are prevalent in developed nations, with hypertension notably increasing AF risk. Classication of AF distinguishes paroxysmal, persistent, long-standing persistent, and permanent forms, highlighting the progressive nature of the condition. Subclinical or occult AF may lack apparent symptoms. A comprehensive evaluation of AF includes medical history, associated conditions, and reversible causes, followed by physical examination and diagnostic tests. Initial management with the ABC pathway involves anticoagulation, symptom management, and assessing cardiovascular risk. Long-term management includes early follow-up, thromboembolism prevention, addressing AF recurrence, and rate or rhythm control decisions. Regular follow-up and monitoring complete the care for AF patients.