DOI: 10.36106/gjra/1405514 ISSN:

A COMPREHENSIVE NARRATIVE REVIEW OF ATRIAL FIBRILLATION: CURRENT INSIGHTS AND FUTURE DIRECTIONS

Karen Lucia Julio Torres
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The exploration of risk factors in atrial brillation (AF) reveals hypertensive heart disease and coronary heart disease (CHD) as major contributors. Rheumatic heart disease maintains a link, especially in developing nations. Hypertensive heart disease's signicance is emphasized by a 1.42-fold AF risk increase in those with hypertension history. CHD's connection emerges with acute myocardial infarction or heart failure. Valvular heart disease, mitral valve prolapse, rheumatic heart disease, and obstructive sleep apnea correlate with AF. AF classication includes paroxysmal, persistent, and long-standing persistent forms. Subclinical AF lacks symptoms. Valvular AF occurs in moderate-severe mitral stenosis. Evaluation involves history, physical exams, ECGs, and echocardiograms. The Atrial Fibrillation Better Care pathway guides initial management. Long-term care involves early follow-up, thromboembolism prevention, addressing AF recurrence, rate or rhythm control, and regular follow-up.

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