Errors and pitfalls in the non-invasive management of atrial fibrillation

Atrial fibrillation (AF) is the most common arrhythmia encountered in clinical practice while it has a significant impact on morbidity and mortality. The errors and pitfalls in the management of AF patients are not uncommon. These include errors in detection and management of the underlying conditio...

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Bibliographic Details
Published in:International journal of cardiology 2005-09, Vol.104 (2), p.125-130
Main Authors: Korantzopoulos, Panagiotis, Kolettis, Theofilos M., Goudevenos, John A., Siogas, Konstantinos
Format: Article
Language:English
Subjects:
Anticoagulation
Atrial fibrillation
Atrial Fibrillation - complications
Atrial Fibrillation - diagnosis
Atrial Fibrillation - etiology
Atrial Fibrillation - physiopathology
Atrial Fibrillation - therapy
Biological and medical sciences
Cardiac dysrhythmias
Cardiology. Vascular system
Cardioversion
Drug therapy
Evidence-Based Medicine
Heart
Heart Rate
Humans
Medical Errors
Medical sciences
Problem-Based Learning
Rate control
Rhythm control
Risk Reduction Behavior
Secondary Prevention
Thromboembolism - etiology
Thromboembolism - prevention & control
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Summary:Atrial fibrillation (AF) is the most common arrhythmia encountered in clinical practice while it has a significant impact on morbidity and mortality. The errors and pitfalls in the management of AF patients are not uncommon. These include errors in detection and management of the underlying conditions that promote and perpetuate the arrhythmia, in the selection and monitoring of antithrombotic treatment, in the selection of appropriate strategy for arrhythmia management (rate or rhythm control), in the cardioversion procedure, in the prevention of recurrence after cardioversion, in the acute or chronic control of heart rate, and in the monitoring of drug toxicities. The heterogeneity of the disease along with the diversity of current treatment options mainly account for these problems. Nevertheless, deep knowledge of the evidence-based therapeutic approaches, as well as the development of individualized therapeutic strategies, can substantially improve the effective management of such patients.
ISSN:0167-5273
1874-1754
DOI:10.1016/j.ijcard.2004.11.014