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Acute Atrial Fibrillation

 Syn. AF

Signs & Symptoms

 Postoperative thoracic surgery
Note: Strong Factors
Ref: Harrison [ 1746] Epocrates [ https://online.epocrates.com/diseases/3/Acute-atrial-fibrillation]
Sympathetic activity and inflammation
Note: Weak Factors
Ref: Harrison [ 1746] Epocrates [ https://online.epocrates.com/diseases/3/Acute-atrial-fibrillation]
Left ventricular diastolic dysfunction
Note: Weak Factors
Ref: Harrison [ 1746] Epocrates [ https://online.epocrates.com/diseases/3/Acute-atrial-fibrillation]
Postoperative cardiac surgery
Note: Strong Factors
Ref: Harrison [ 1746] Epocrates [ https://online.epocrates.com/diseases/3/Acute-atrial-fibrillation]

Physical Examination

 Fourth heart sound (negative symptom)
Ref: Epocrates [ https://online.epocrates.com/diseases/3/Acute-atrial-fibrillation]
Irregular pulse rate
Ref: Epocrates [ https://online.epocrates.com/diseases/3/Acute-atrial-fibrillation]
Fluttering in the chest
Ref: Epocrates [ https://online.epocrates.com/diseases/3/Acute-atrial-fibrillation]

Lab / Serology

 Elevated free T3
Note: due to Thyrotoxicosis
Ref: Epocrates [ https://online.epocrates.com/diseases/3/Acute-atrial-fibrillation]
Elevated free T4
Note: due to Thyrotoxicosis
Ref: Epocrates [ https://online.epocrates.com/diseases/3/Acute-atrial-fibrillation]
Suppressed TSH
Note: due to Thyrotoxicosis
Ref: Epocrates [ https://online.epocrates.com/diseases/3/Acute-atrial-fibrillation]

Imagin Study

 Absent P waves
Ref: Epocrates [ https://online.epocrates.com/diseases/3/Acute-atrial-fibrillation]
Irregularly irregular QRS complexes
Ref: Epocrates [ https://online.epocrates.com/diseases/3/Acute-atrial-fibrillation]
Fibrillatory waves vary in size
Ref: Epocrates [ https://online.epocrates.com/diseases/3/Acute-atrial-fibrillation]

Complication

Risk Factors

 Age > 60
Ref: Harrison [ 1746]
Elder
Ref: Epocrates [ https://online.epocrates.com/diseases/3/Acute-atrial-fibrillation]
Diabetic
Ref: Epocrates [ https://online.epocrates.com/diseases/3/Acute-atrial-fibrillation]

Cause

 Elevated neck vein
Note: Signs of the underlying, due to heart failure
Ref: Epocrates [ https://online.epocrates.com/diseases/3/Acute-atrial-fibrillation]
Bibasilar crepitations
Note: Signs of the underlying, due to heart failure
Ref: Epocrates [ https://online.epocrates.com/diseases/3/Acute-atrial-fibrillation]
Tremor
Note: Signs of the underlying cause of AF, due to hyperthyroidism
Ref: Epocrates [ https://online.epocrates.com/diseases/3/Acute-atrial-fibrillation]

Other