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Clinical Management of Atrial FibrillationPatient-Centered Approach to Atrial Fibrillation: Need for a Comprehensive Patient-Centered Approach

Giuseppe Boriani, MD, PhD; Elena Cervi, MD; Igor Diemberger, MD, PhD; Cristian Martignani, MD, PhD; Mauro Biffi, MD
Author and Funding Information

From the Institute of Cardiology, University of Bologna.

Correspondence to: Giuseppe Boriani, MD, PhD, Institute of Cardiology, University of Bologna, Policlinico S. Orsola-Malpighi, via Massarenti 9, 40138 Bologna, Italy; e-mail: giuseppe.boriani@unibo.it


Financial/nonfinancial disclosures: The authors have reported to CHEST that no potential conflicts of interest exist with any companies/organizations whose products or services may be discussed in this article.

Reproduction of this article is prohibited without written permission from the American College of Chest Physicians (http://www.chestpubs.org/site/misc/reprints.xhtml).


© 2011 American College of Chest Physicians


Chest. 2011;140(4):843-845. doi:10.1378/chest.11-0857
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Extract

Atrial fibrillation (AF) is a complex clinical entity. As a matter of fact, clinicians have to deal with a wide range of clinical scenarios related to AF. It is a common observation in daily practice that AF may be the disease itself (recurrent paroxysmal “lone” AF in a healthy patient) or may be associated with minor diseases (high normal thyroid function, subclinical atherosclerosis), with facilitating factors (alcohol abuse, smoking, etc), or with another condition that facilitates its occurrence (hypertension, diabetes, obesity, etc). In other cases, AF may present as the complication of another heart disease (coronary heart disease, valvular diseases, various abnormalities leading to heart failure, etc) or may occur in a patient with a major extracardiac disease (neoplasm, cognitive impairment, renal insufficiency, etc) that dominates the clinical picture and strongly influences the patient’s outcome.1

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