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Fibrilación auricular de inicio reciente

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  • Descripción general
  • Teoría
  • Diagnóstico
  • Manejo
  • Seguimiento
  • Recursos
Última revisión: 15 Nov 2025
Última actualización: 06 Aug 2024

Resumen

Definición

Anamnesis y examen

Principales factores de diagnóstico

  • presencia de factores de riesgo
  • pulso irregular
Todos los datos

Otros factores de diagnóstico

  • palpitaciones
  • hipotensión
  • aumento de la presión venosa yugular
  • ruidos cardíacos adicionales
  • mareos
  • disnea
  • estertores
  • evidencia de accidente cerebrovascular
Todos los datos

Factores de riesgo

  • mayor edad
  • hipertensión
  • hipotensión ortostática
  • diabetes mellitus
  • insuficiencia cardíaca.
  • cardiopatía valvular y cardiopatía estructural
  • arteriopatía coronaria y síndrome coronario agudo
  • otras arritmias auriculares
  • sepsis y enfermedades críticas
  • cirugía cardíaca o torácica
  • obesidad
  • hipertiroidismo
  • enfermedades pulmonares hipóxicas
  • consumo de alcohol
  • tabaquismo
  • trastornos inflamatorios
  • ejercicio excesivo
  • estatura
  • cáncer y quimioterapia
Todos los datos

Pruebas diagnósticas

Primeras pruebas diagnósticas para solicitar

  • electrocardiograma (ECG)
  • electrolitos séricos
  • biomarcadores cardíacos
  • pruebas de función tiroidea
  • radiografía del tórax (RT)
  • ecocardiograma transtorácico
  • ecocardiograma transesofágico (ETE)
Todos los datos

Pruebas diagnósticas que deben considerarse

  • estudio electrofisiológico
  • pruebas de esfuerzo con ejercicio
Todos los datos

Algoritmo de tratamiento

Inicial

hemodinámicamente inestable

Agudo

hemodinámicamente estable con trombo en la aurícula izquierda, o presencia de trombo desconocida/duración de la FA desconocida

hemodinámicamente estables sin trombo en la aurícula izquierda: inicio de síntomas <48 horas

hemodinámicamente estables sin trombo en la aurícula izquierda: inicio de síntomas ≥48 horas

hemodinámicamente estables sin trombo en la aurícula izquierda: asintomático

Colaboradores

Autores

Arti N. Shah, MS, MD

Director

Cardiac Electrophysiology

Elmhurst Hospital Center

Elmhurst

Assistant Professor of Medicine

Mount Sinai School of Medicine

New York

NY

Disclosures

ANS declares that she has no competing interests.

Bharat K. Kantharia, MD, FRCP, FAHA, FACC, FESC, FHRS

Clinical Professor of Medicine

Icahn School of Medicine at Mount Sinai

President

Cardiovascular and Heart Rhythm Consultants

Attending and Consultant Cardiac Electrophysiologist

Mount Sinai Hospitals

New York Methodist Hospital

New York

NY

Disclosures

BKK declares that he has no competing interests.

Peer reviewers

Diwakar Jain, MD, FACC, FRCP, FASNC

Professor of Medicine (Cardiology)

Westchester Medical Center

Valhalla

NY

Disclosures

DJ declares that he has no competing interests.

Farooq A. Padder, MD, MRCP, FACC

Assistant Professor of Medicine

Hahnemann University Hospital

Woodbury

NJ

Disclosures

FAP declares that he has no competing interests.

Kim Rajappan, MA, MD, MRCP

Consultant Cardiologist and Electrophysiologist

Cardiac Department

John Radcliffe Hospital

Oxford

UK

Disclosures

KR declares that she has no competing interests.

Peer reviewer acknowledgements

BMJ Best Practice topics are updated on a rolling basis in line with developments in evidence and guidance. The peer reviewers listed here have reviewed the content at least once during the history of the topic.

Disclosures

Peer reviewer affiliations and disclosures pertain to the time of the review.

References

Our in-house evidence and editorial teams collaborate with international expert contributors and peer reviewers to ensure that we provide access to the most clinically relevant information possible.

Key articles

Joglar JA, Chung MK, Armbruster AL, et al. 2023 ACC/AHA/ACCP/HRS guideline for the diagnosis and management of atrial fibrillation: a report of the American College of Cardiology/American Heart Association Joint Committee on clinical practice guidelines. Circulation. 2024 Jan 2;149(1):e1-156.Full text  Abstract

Hindricks G, Potpara T, Dagres N, et al. 2020 ESC Guidelines for the diagnosis and management of atrial fibrillation developed in collaboration with the European Association for Cardio-Thoracic Surgery (EACTS). Eur Heart J. 2021 Feb 1;42(5):373-498.Full text

Reference articles

A full list of sources referenced in this topic is available to users with access to all of BMJ Best Practice.
  • Fibrilación auricular de inicio reciente images

  • Differentials

    • Aleteo auricular
    • Síndrome de Wolff-Parkinson-White
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  • Diretrizes

    • 2023 ACC/AHA/ACCP/HRS guideline for the diagnosis and management of atrial fibrillation: a report of the American College of Cardiology/American Heart Association Joint Committee on clinical practice guidelines
    • 2023 ACC/AHA/ACCP/HRS guideline for the diagnosis and management of atrial fibrillation: a report of the American College of Cardiology/American Heart Association Joint Committee on clinical practice guidelines
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