Atrial fibrillation

di Capucci • 2020 • dettagli prodotto

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DESCRIZIONE

Atrial fibrillation is a common cardiac arrhythmia that has been already described many centu¬ries ago but whose scientific knowledge was mainly improved in the last three decades. Until that time AF was considered benign with concerns limited to possible thromboembolisms related to external cardioversion procedures. In the last decades there were developments and expanding knowledge on electrophysiologic, histologic and hemodynamic mechanisms leading to AF together with a possible influence of substratum and arrhythmia duration on prognosis at follow-up. The concept of tachycar¬diomyopathy and of reciprocal AF/HF influence has been better enlightened. Moreover, a specific clinical classification of the AF patients fully entered our practice specifically in order to decide when and how to hypocoagulate. A new concept of atrial cardiomyopathy is therefore coming out to better explain thromboembolism.