Management of patients with atrial fibrillation: diagnosis and treatment

Ellen Berry1, Helen Padgett

  • 1Nottingham University Hospitals NHS Trust. ellen.berry@nuh.nhs.uk

Nursing Standard (Royal College of Nursing (Great Britain) : 1987)
|June 23, 2012
PubMed

Insights

This article explains atrial fibrillation (AF), a heart rhythm disorder. It covers how AF disrupts normal heart electrical activity, its diagnosis, and available patient treatments.

Area of Science:

  • Cardiology
  • Electrophysiology

Background:

  • Atrial fibrillation (AF) is a common arrhythmia characterized by irregular and often rapid heartbeats.
  • Understanding normal cardiac electrical conduction is crucial for identifying AF pathophysiology.

Purpose of the Study:

  • To provide a comprehensive overview of atrial fibrillation (AF).
  • To detail the diagnostic approaches for identifying AF.
  • To outline the spectrum of therapeutic interventions for AF management.

Main Methods:

  • Review of normal cardiac electrical conduction pathways.
  • Description of electrophysiological changes during AF.
  • Summary of current diagnostic modalities for AF.
  • Overview of established and emerging AF treatments.

Main Results:

  • AF results from abnormal electrical activity in the atria, leading to disorganized contractions.
  • Diagnosis relies on electrocardiogram (ECG) and patient history.
  • Treatment strategies aim to restore normal rhythm, control heart rate, and prevent stroke.

Conclusions:

  • Effective diagnosis and management of atrial fibrillation are essential for patient outcomes.
  • A multi-faceted approach combining rhythm control, rate control, and anticoagulation is key.
  • Ongoing research continues to refine AF treatment options.

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