Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
Review
. 2021 Mar;13(1):113-122.
doi: 10.1016/j.ccep.2020.11.007.

Atrial Fibrillation in Valvular Heart Disease

Bobby John  1 , Chu-Pak Lau  2
Affiliations
Review

Atrial Fibrillation in Valvular Heart Disease

Bobby John et al. Card Electrophysiol Clin. 2021 Mar.

Abstract

Rheumatic heart disease results in significant remodeling of the atria that provides the milieu for maintaining atrial fibrillation. Some electrical remodeling is reversible and hence early intervention may prove useful. Active screening for atrial fibrillation in high-risk subset and instituting anticoagulation may reduce the devastating complications that follow. Age older than 50 years, NYHA functional class II symptoms, left atrial dimension >4.0 cm on echocardiogram in parasternal long-axis view, and gradients across the mitral valve >10 mm Hg are clinical indicators that identify the high-risk subset. Ablation strategy in this population may differ compared with the nonvalvular group.

Keywords: Atrial fibrillation; Embolism; Remodeling; Rheumatic heart disease.

PubMed Disclaimer

Conflict of interest statement

Disclosure This study was supported in part by Grant-in-Aid (G.08A.3646) from National Heart foundation of Australia and Indo-Australian strategic research grant (DBT/Indo-Aus/03/16/08); Ministry of Science and Technology, India.

Publication types

LinkOut - more resources