ALD n° 5 - Fibrillation auriculaire - ALD n° 5 - Atrial Fibrillation

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Posted on Aug 01 2007 The aim of this guide for medical practitioners is to describe the optimal theorical care and the clinical pathway for a patient entering the ALD [Long-term condition] scheme: atrial fibrillation (AF). The aim of this guide for medical practitioners is to describe the optimal theorical care and the clinical pathway for a patient entering the ALD [Long-term condition] scheme: atrial fibrillation (AF). Posted on Aug 01 2007

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haute-autorite-sante-maladies-cardiaques

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GUIDE FOR DOCTORS LONG-TERM CONDITIONS

Atrial Fibrillation

May 2007

This physician’s guide may be downloaded from www.has-sante.fr

Haute Autorité de santé Communication Department 2 avenue du Stade de France - F 93218 Saint-Denis La Plaine Cedex Phone: +33 (0)1 55 93 70 00 - Fax: +33 (0)1 55 93 74 00

Contents

List of abbreviations.....................................................................................5

Introduction...................................................................................................6

Atrial Fibrillation...........................................................................................7 Definition.........................................................................................................7

1. altiniI.....noitaulave ........8..................................................................... 1.1 ..................................8........................bjecOs...tive................................ 1.2 Professionals involved .......................................................................... 8 1.3 .8............................................................................................iDgaonis.s Medical history and risk factors.......................................................................8 Physical examination......................................................................................8 Paraclinical tests.............................................................................................9 Blood tests......................................................................................................9 Transthoracic echocardiography TTE ............................................................. 9 1.4 ....9........melpatnet yrstseomC................................................................ 1.5 Thromboembolic risk assessment......................................................... 10 1.6 Detection of underlying heart disease and reversible predisposing conditions.............................................................................................10

2. Therapeutic management .................................................................. 10 2.1 Ob................................................ivesject............0.1................................ 2.2 .......................................................................... 11Professionals involved 2.3 ................................................................. 11Self management education 2.4 Prevention of thromboembolism ........................................................... 12 2.5 edsrsiromhd hrty................f ontmeatreT......41........................................ Rate control....................................................................................................15 Rhythm control................................................................................................17

3. 3.1 3.2 3.3 3.4 3.5

Follow-up.............................................................................................22 Objectives.............................................................................................22 Professionals involved .......................................................................... 22 Clinical follow-up...................................................................................23 Additional examinations........................................................................24 Monitoring of medical devices and follow-up of cardiac surgery or the endovascular procedure ....................................................................... 24

Monitoring of CV RF