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Catheter Ablation in Combination With Left Atrial Appendage Closure for Atrial Fibrillation
Published on: February 26, 2013
Prevalence, pathogenesis, and impact of atrial fibrillation
1Department of Pharmacy Practice, Jefferson School of Pharmacy, Thomas Jefferson University, Philadelphia, PA 19107-5233, USA. cynthia.sanoski@jefferson.edu
Insights
Atrial fibrillation (AF), an age-related heart rhythm disorder, is increasing in prevalence and causing significant health issues. Understanding its causes and risks helps in managing AF and preventing complications like stroke.
Area of Science:
- Cardiology
- Gerontology
- Public Health
Background:
- Atrial fibrillation (AF) is a prevalent cardiac arrhythmia, particularly in aging populations.
- AF contributes significantly to morbidity and mortality, with increasing rates of hospitalization and treatment costs.
- Structural heart disease, including coronary heart disease, hypertension, heart failure, and valvular heart disease, is closely linked to AF development.
Observation:
- The prevalence of AF is rising, presenting a growing public health challenge.
- AF is associated with substantial morbidity and mortality, impacting patient outcomes.
- Risk factors for AF are diverse, involving structural heart disease and other contributing elements.
Findings:
- The incidence of atrial fibrillation (AF) is increasing, especially in older adults.
- Structural heart conditions are primary risk factors and comorbidities for AF.
- Risk stratification tools can estimate the likelihood of AF and associated ischemic stroke.
Implications:
- Effective management of AF requires a thorough understanding of its pathogenesis and risk factors.
- Utilizing risk-scoring systems can aid in personalized treatment strategies for AF.
- Minimizing the morbidity, mortality, and economic burden of AF is achievable through informed clinical practice.
Purpose:
To describe the prevalence, pathophysiology, and consequences of atrial fibrillation (AF) and the risk factors for the rhythm disturbance.
Summary:
The prevalence of AF, a common age-related disorder that causes substantial morbidity and mortality, is increasing. Structural heart disease (e.g., coronary heart disease, hypertension, heart failure, valvular heart disease) is a common comorbidity of and risk factor for AF, although various other factors have been shown to play a role in the pathogenesis of this disorder. The risk for AF and ischemic stroke, a major complication of AF, can be estimated using risk-scoring systems. The rate of hospitalization for AF and the costs of treating AF are increasing in the United States.
Conclusion:
Understanding the pathogenesis of and risk factors for AF and using risk-scoring systems to estimate the risk for AF and stroke can facilitate treatment of this rhythm disorder and potentially minimize its morbidity, mortality, and costs.
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