Atrial Fibrillation: Causes, Diagnosis and Treatment Options

Luís Cunha (Editor)
Neurology Department, Coimbra University and Hospital Centre, Coimbra, Portugal

Series: Cardiology Research and Clinical Developments
BISAC: MED010000

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Atrial fibrillation is rapidly assuming a predominant role in current vascular medicine. Parallel to its escalating prevalence, due mainly to the global aging of the population, physicians worldwide and across different medical fields have joined efforts producing dramatic breakthroughs in diagnostics and the multidimensional therapeutic arsenal to this common arrhythmia.

In this endeavor, we aim to cover an updated and practical overview of the whole spectrum of this disturbing hurdle. Firstly, this publication will encompass different perspectives for the same entity: atrial fibrillation, encompassing the first line approach of Internal Medicine and the mindset of cardiologists and neurologists. Thereafter, an updated look on the epidemiology that has been exponentiating the awareness on this arrhythmia with a special scrutiny to the impact on stroke units worldwide is discussed. In the next section, the main advances in the diagnostic area will be presented, ranging from the anatomical viewpoint to rhythm disturbances and embolic complications. The medical and interventional treatment will follow with critical reviews of the therapeutic outbreaks and achievements into a practical modern-day care.

In summary, we designed a flow of contents from the burden of the disease to its approach, with the intent to provide an updated, comprehensive overview of all major current dilemmas in atrial fibrillation conceptualized for physicians from all specialties addressing patients with this contemporary clinical challenge. (Imrint: Nova Biomedical) (Imprint: Nova Biomedical )

Preface

A. One Disease, Different Perspectives

Chapter 1. Atrial Fibrillation in the Neurologist’s Clinical Practice
(Luís Cunha and Cristina Duque, Neurology Department, Coimbra’s Hospital and University Center, Portugal)

Chapter 2. Atrial Fibrillation in the Cardiologist’s Clinical Practice
(Lino Gonçalves and Rui Providência, Faculty of Medicine, and Cardiology Department, University of Coimbra, Portugal)

Chapter 3. Atrial Fibrillation in Internal Medicine
(Nuno Silva and Armando Carvalho, Internal Medicine Department, Coimbra’s Hospital and University Center, Portugal)

B. Dimension of the Problem

Chapter 4. The Growing Prevalence of Atrial Fibrillation, Especially on Stroke Units
(João Sargento-Freitas and Luís Cunha, Stroke Unit, Coimbra’s University and Hospital Centre, Portugal)

Chapter 5. Epidemiology of Atrial Fibrillation
(Manuel Correia, Rui Magalhães, Gabriela Lopes and Emanuel Araújo, Neurology Department, Porto’s Hospital Center, Portugal and others)

C. Diagnosing Atrial Fibrillation

Chapter 6. From the Pulse to Implantable Recording: Revisiting Diagnostic Approaches to Atrial Fibrillation
(Rui Providência, Lino Gonçalves, Faculty of Medicine, and Cardiology Department, University of Coimbra, Portugal and others)

Chapter 7. Clinical Application of Strain Imaging to Atrial Fibrillation
(Mohammadtokir Mujtaba and David Silverman, Division of Cardiology, Henry Low Heart Center, Hartford Hospital, CT, USA)

Chapter 8. N-Terminal Probrain Natriuretic Peptide as a Biomarker of Cardioembolic Stroke
(Ana Catarina Fonseca and José M. Ferro, Department of Neurosciences (Neurology) Hospital de Santa Maria, Lisbon, Portugal)

Chapter 9. Atrial Fibrillation and Cognitive Impairment
(Catarina Cunha, Sandra Freitas and Isabel Santana, Faculty of Psychology and Educational Sciences, University of Coimbra, Portugal and others)

Chapter 10. Neurosonology in Atrial Fibrillation
(Elsa Azevedo and João Sargento-Freitas, Neurology Department, S. João Hospital, Porto, Portugal and others)

Chapter 11. From Cryptogenic Stroke to Paroxysmal Atrial Fibrillation
(Gustavo Cordeiro, Cristina Duque and Luís Cunha, Neurology Department, Coimbra’s Hospital and University Center, Portugal)

D. Treating Rate/Rhythm in Atrial Fibrillation

Chapter 12. What is the Role of Rhythm/Rate Control in Managing Atrial Fibrillation?
(Ioanna Koniari and George Hahalis, Cardiology Department, University Hospital of Patras, Patras, Greece)

Chapter 13. Fluoroscopy-Based Guidance for Atrial Fibrillation Ablation Procedures
(Alexander Brost, Pattern Recognition Lab, Friedrich-Alexander-University Erlangen-Nuremberg, Erlangen, Germany)

Chapter 14. Complications of Atrial Fibrillation Ablation
(Sadip Pant, Alex P. Rodriguez, Sagar Mallikethi Lepakshi Reddy, Apurva Badheka, Abhishek Deshmukh and Hakan Paydak, University of Arkansas for Medical Sciences, USA and others)

Chapter 15. The Effect of Long-Term Amiodarone Therapy of Thyroid Function with a Low-Dose Approach
(Nicholas Z. Kerin and Iris Kerin Orbuch, Wayne State University Medical School Department of Medicine, Section of Cardiology, Detroit, Michigan, USA and others)

Chapter 16. Rethinking Cardioversion in Atrial Fibrillation
(Andrea Tampieri, Anna Maria Rusconi, Lorenzo Cristoni and Tiziano Lenzi, Emergency Department, Ospedale Civile. S.M. della Scaletta, Imola, Italy)

Chapter 17. Postoperative Atrial Fibrillation
(Takeshi Omae and Yuichi Kanmura, Departments of Anesthesiology, Fujimoto Hayasuzu Hospital, Miyakonojo, Miyazaki, Japan and others)

E. Preventing Cardioembolic Events

Chapter 18. How Low is “Low Risk” in Atrial Fibrillation?
(João Sargento-Freitas and António Freire-Gonçalves, Neurology Department, Coimbra’s Hospital and University Center, Portugal)

Chapter 19. Novel Oral Anticoagulants for Stroke Prevention in Atrial Fibrillation
(Vassilis Vassiliou, Cardiology Department, The Royal Brompton Hospital, London and Imperial College, London, UK)

Chapter 20. New Oral Anticoagulants: Where Does the Treating Neurologist Stand?
(Rita Miguel and Miguel Viana-Baptista, CEDOC Faculdade de Ciências Médicas da Universidade Nova de Lisboa, Lisbon, Portugal and others)

Chapter 21. Oral Anticoagulants and Intracranial Hemorrhage
(Fernando A. Silva, Joana A. Ribeiro and Orlando Galego, Neurology Department, and Radiology Department, Coimbra’s Hospital and University Center, Portugal)

Chapter 22. The Transcatheter Patch - A Wireless Absorbable Device for Left Atrial Appendage Obliteration: Advantages and Disadvantages of the Different Models
(S. Toumanides, E. Sideris, T. Agricola, S. Chatzidou, B. Sideris and S. Moulopoulos, Department of Clinical Therapeutics, University of Athens, Greece and others)

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