What is the focus of the history for atrial fibrillation (Afib) (AF)?

Updated: Nov 18, 2019
  • Author: Lawrence Rosenthal, MD, PhD, FACC, FHRS; Chief Editor: Jeffrey N Rottman, MD  more...
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Answer

Initial history includes the following:

Documentation of clinical type of AF (paroxysmal, persistent, long-standing persistent, or permanent) (See Diagnostic Considerations.)

  • Assessment of type, duration, and frequency of symptoms

  • Assessment of precipitating factors (eg, exertion, sleep, caffeine, alcohol use)

  • Assessment of modes of termination (eg, vagal maneuvers)

  • Documentation of prior use of antiarrhythmics and rate-controlling agents

  • Assessment of presence of underlying heart disease

Documentation of any previous surgical or percutaneous AF ablation procedures


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