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Atrial fibrillation

Prevalence
Causes
Clinical features
Investigations
Therapy
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Prognosis

Atrial fibrillation increases the risk of peripheral thromboembolism. b  

The risk is increased with

  • younger age at onset of AF b
  • peripheral atheroscelosis b

 

Note:

  • Around one in fifty patients with atrial fibrillation diagnosed in hospital go onto have a peripheral thromboembolism within 10 years (2.1%: 95% CI: 1.9% to 2.2%). b  

Common sites of peripheral thromboembolism in AF are limbs and the gut 

Site of thromboembolism b %
upper and lower extremities 61%
mesenteric arteries 29%
pelvic arteries 9%
aorta 7%
renal arteries 2%

Expiry date: February 2003
Levels of Evidence used in grading these guides

Authors   CM   Ball , N   Shenker
Reviewer   R G   Hart
CAT Writers   CM   Ball , N   Shenker , CJ   Wotton