Summary
Definition
History and exam
Other diagnostic factors
- palpitations
- hypotension
- elevated jugular venous pressure
- added heart sounds
- dizziness
- dyspnea
- rales
- evidence of stroke
Risk factors
- increasing age
- diabetes mellitus
- hypertension
- congestive heart failure
- valvular heart disease
- coronary artery disease (CAD)
- other atrial arrhythmias
- cardiac or thoracic surgery
- hyperthyroidism
- hypoxic pulmonary conditions
- alcohol intoxication
- obesity
- smoking
- inflammatory disorders
Diagnostic investigations
1st investigations to order
- ECG
- serum electrolytes
- cardiac biomarkers
- thyroid function tests
- CXR
- transthoracic echocardiogram
- transesophageal echocardiogram (TEE)
Investigations to consider
- electrophysiologic study
- exercise stress tests
Treatment algorithm
Contributors
Authors
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 topic.
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 topic.
Peer reviewers
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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