Last reviewed: November 2017
Last updated: November  2017

Summary

Definition

History and exam

Key diagnostic factors

  • presence of risk factors
  • irregular pulse rate

Other diagnostic factors

  • palpitations
  • hypotension
  • elevated jugular venous pressure
  • added heart sounds
  • dizziness
  • dyspnoea
  • rales
  • evidence of stroke

Risk factors

  • increasing age
  • diabetes mellitus
  • hypertension
  • congestive heart failure (CHF)
  • valvular heart disease
  • coronary artery disease (CAD)
  • other atrial arrhythmias
  • cardiac or thoracic surgery
  • hyperthyroidism
  • hypoxic pulmonary conditions
  • alcohol intoxication
  • obesity

Diagnostic investigations

1st investigations to order

  • ECG
  • serum electrolytes
  • cardiac biomarkers
  • thyroid function tests
  • CXR
  • transthoracic echocardiogram
  • transoesophageal echocardiogram (TOE)
Full details

Investigations to consider

  • electrophysiological study
  • exercise stress tests
Full details

Treatment algorithm

Contributors

Authors VIEW ALL

Director

Cardiac Electrophysiology

Elmhurst Hospital Center

Elmhurst

Assistant Professor of Medicine

Mount Sinai School of Medicine

New York

NY

Disclosures

ANS is an author of a number of references cited in this monograph.

Cardiovascular and Heart Rhythm Consultant

Attending and Consultant Cardiac Electrophysiologist

Mount Sinai Hospitals

New York Methodist Hospital

New York

NY

West Houston Medical Center

Memorial Hermann Hospital

Houston

TX

Disclosures

BKK is an author of a number of references cited in this monograph.

Peer reviewers VIEW ALL

Professor of Medicine (Cardiology)

Westchester Medical Center

Valhalla

NY

Disclosures

DJ declares that he has no competing interests.

Assistant Professor of Medicine

Hahnemann University Hospital

Woodbury

NJ

Disclosures

FAP declares that he has no competing interests.

Consultant Cardiologist and Electrophysiologist

Cardiac Department

John Radcliffe Hospital

Oxford

UK

Disclosures

KR declares that she has no competing interests.

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