Tuesday, March 2, 2010

Atrial Fibrillation Causes and Risk Factors

Mnemonic: ASI PIRATES



A lcohol(HH)
Increases Secretion of epinephrine and norepinephrine and increases sympathetic output.



S moking
Smoking causes fibrosis of atrial walls via nicotine. CS also promotes endothelial dysfunction and atherosclerosis is vascular bed.




I nfection (pneumonia and sepsis)





P ulmonary: PE, COPD



I atrogenic
Previous history of cardiac surgery and administration of drugs.



R heumatic heart disease: mitral regurgitation
Mitral =bicuspid. Backflow of blood from left ventricle to left atrium. Heart must work harder to pump blood to body.



A therosclerotic: MI, CAD




T hyroid: Thyrotoxicosis(Hypo and hyperthyroidism)
Hypo: When not enough thyroid hormone is present neither the heart nor the blood vessels function normally. heart muscle is weakened in both its contraction phase, and also its relaxation phase.




E ndocarditis
Inflammation of endocardium. Impulse transmission disrupted.








S ick sinus syndrome
A collection of heart rhythm disorders which include bradycardia, tachycardia or alternating.
Tachycardia that starts at the upper chamber=A-fib.

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