Challenges in the classification of atrial fibrillation

被引:39
作者
Lubitz, Steven A. [2 ]
Benjamin, Emelia J. [3 ]
Ruskin, Jeremy N. [1 ]
Fuster, Valentin [4 ,5 ]
Ellinor, Patrick T. [1 ]
机构
[1] Massachusetts Gen Hosp, Cardiac Arrhythmia Serv, Boston, MA 02114 USA
[2] Massachusetts Gen Hosp, Cardiovasc Res Ctr, Boston, MA 02129 USA
[3] Framingham Heart Dis Epidemiol Study, Framingham, MA 01702 USA
[4] Mt Sinai Sch Med, Zena & Michael Wiener Cardiovasc Inst, New York, NY 10029 USA
[5] Mt Sinai Sch Med, Marie Josee & Henry R Kravis Cardiovasc Hlth Ctr, New York, NY 10029 USA
关键词
QUALITY-OF-LIFE; RANDOMIZED CONTROLLED-TRIALS; RISK STRATIFICATION SCHEMES; ASSOCIATION TASK-FORCE; VON-WILLEBRAND-FACTOR; 30-YEAR FOLLOW-UP; CATHETER ABLATION; EMBOLIC COMPLICATIONS; STOCKHOLM COHORT; AMERICAN-COLLEGE;
D O I
10.1038/nrcardio.2010.86
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
The incidence and prevalence of atrial fibrillation (AF) are increasing worldwide. AF is of public health importance because it accounts for substantial morbidity, mortality, and health-care costs. AF may be transient initially, but many patients have progressive disease marked by increasing frequency and duration of episodes. Various classification schemes for AF have been proposed, although current guidelines are based on temporal rhythm-based patterns. We discuss existing schemes for the classification of AF, focusing on the advantages and limitations of the pattern-based scheme, in the context of new knowledge about AF pathophysiology, AF patterns, and clinical outcomes. Furthermore, we address gaps in knowledge that present opportunities to re-examine the current pattern-based classification of AF. A future classification scheme should ideally combine elements such as the risk of stroke, an assessment of symptoms, and the degree of impairment of the atrial substrate.
引用
收藏
页码:451 / 459
页数:10
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