Causas de FA

causas da fa image

A fibrilação atrial se desenvolve como resultado de alterações estruturais do coração. As causas de FA nem sempre estão claras e podem ser complexas.1,2

As possíveis causas de fibrilação atrial são amplamente variáveis, com cardiopatia, idade, histórico familiar, pressão arterial alta, consumo de álcool, obesidade e outras condições crônicas sendo, todos, fatores que podem aumentar o seu risco de desenvolver FA.1,4

Outras condições crônicas

Fatores do estilo de vida

Outros fatores (fatores não modificáveis)

  • Coronariopatia e outras cardiopatias5,6
  • Diabetes14,8
  • Insuficiência cardíaca1, 9, 10, 11, 12, 13
  • Pressão arterial alta14
  • Histórico de ataque cardíaco5, 15
  • Cirurgia anterior16,17
  • Distúrbio respiratório do sono (p. ex., apneia obstrutiva do sono)7,18
  • Nível de atividade19, 1, 7
  • Consumo de álcool1, 7, 20
  • Obesidade3, 6, 21, 14
  • Riscos para doença cardiovascular: tabagismo, estresse, cafeína e outros estimulantes1
  • Defeitos cardíacos congênitos8
  • Histórico familiar ou outros fatores genéticos5, 22, 23
  • Sexo masculino1, 5, 24
  • Idade mais avançada1, 24

 

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Saiba mais a respeito das causas e dos fatores de risco de fibrilação atrial.

Referências

1. Kirchhof P, Benussi S, Kotecha D, Ahlsson A, Atar D et al. (2016) 2016 ESC Guidelines for the management of atrial fibrillation developed in collaboration with EACTS. Eur Heart J 37 (38): 2893-2962.
2. Cedars-Sinai, https://www.cedars-sinai.org/.
3. Naser N, Dilic M, Durak A, Kulic M, Pepic E et al. (2017) The Impact of Risk Factors and Comorbidities on The Incidence of Atrial Fibrillation. Mater Sociomed 29 (4): 231-236.
4. Lip GY, Fauchier L, Freedman SB et al. (2016) Atrial Fibrillation Nat Rev Dis Primers. Mar 31;2:16016.
5. Lloyd-Jones DM, Wang TJ, Leip EP, Larson MG, Levy D et al. (2004) Lifetime risk for development of atrial fibrillation: the Framingham Heart Study. Circulation 110 (9): 1042-104.
6. Allan V et al (2017) Are cardiovascular risk factors also associated with the incidence of atrial fibrillation? A systematic review and field synopsis of 23 factors in 32 population-based cohorts of 20 million participants. Thromb Haemost. May 3;117(5):837-850.
7. Boriani G, Proietti M (2017) Atrial fibrillation prevention: an appraisal of current evidence. Heart (0):1–6.
8. Andrade J, Khairy P, Dobrev D, Nattel S (2014) The clinical profile and pathophysiology of atrial fibrillation: relationships among clinical features, epidemiology, and mechanisms. Circ Res 114 (9): 1453-1468.
9. Zoni-Berisso M, Lercari F, Carazza T, Domenicucci S (2014) Epidemiology of atrial fibrillation: European perspective. Clin Epidemiol 6 213-220.
10. Ziff OJ, Carter PR, McGowan J, Uppal H, Chandran S et al. (2018) The interplay between atrial fibrillation and heart failure on long-term mortality and length of stay: Insights from the, United Kingdom ACALM registry International Journal of Cardiology , Volume 252 , 117 - 121.
11. Batul SA, Gopinathannair (2017) Atrial Fibrillation in Heart Failure: a Therapeutic Challenge of Our Times Korean Circ J. 2017 Sep;47(5):644-662.
12. Masarone D, Limongelli G, Rubino M, Valente F, Vastarella R et al. (2017) Management of Arrhythmias in Heart Failure. J Cardiovasc Dev Dis 4 (1): 
13. Wang TJ, Larson MG, Levy D, Vasan RS, Leip EP et al. (2003) Temporal relations of atrial fibrillation and congestive heart failure and their joint influence on mortality: the Framingham Heart Study. Circulation 107 (23): 2920-2925.
14. Boriani G, Laroche C, Diemberger I, Fantecchi E, Popescu MI et al. (2015) Asymptomatic atrial fibrillation: clinical correlates, management, and outcomes in the EORP-AF Pilot General Registry. Am J Med 128 (5): 509-518 e502.
15. Violi F, Soliman EZ, Pignatelli P, Pastori D (2016) Atrial Fibrillation and Myocardial Infarction: A Systematic Review and Appraisal of Pathophysiologic Mechanisms. J Am Heart Assoc 5 (5).
16. Omae T, Inada E (2018) New-onset atrial fibrillation: an update. J Anesth Jun;32(3):414-424.
17. Chebbout R, Heywood EG, Drake TM, Wild JRL, Lee J et al. (2018) A systematic review of the incidence of and risk factors for postoperative atrial fibrillation following general surgery. Anaesthesia 73 (4): 490-498.
18. Marulanda-Londono E, Chaturvedi S (2017) The Interplay between Obstructive Sleep Apnea and Atrial Fibrillation. Front Neurol 8:668.
19. Calkins H, Hindricks G, Cappato R, Kim YH, Saad EB et al. (2017) 2017 HRS/EHRA/ECAS/APHRS/SOLAECE expert consensus statement on catheter and surgical ablation of atrial fibrillation. Heart Rhythm 14 (10): e275-e444.
20. Ruigomez A, Johansson S, Wallander MA, Garcia Rodriguez LA (2005) Predictors and prognosis of paroxysmal atrial fibrillation in general practice in the UK. BMC Cardiovasc Disord 5:20.
21. Nystrom PK, Carlsson AC, Leander K, de Faire U, Hellenius ML et al. (2015) Obesity, metabolic syndrome and risk of atrial fibrillation: a Swedish, prospective cohort study. PLoS One 10 (5): e0127111.
22. Paludan-Muller C, Svendsen JH, Olesen MS (2016) The role of common genetic variants in atrial fibrillation. J Electrocardiol 49 (6): 864-870.
23. Gundlund A, Fosbol EL, Kim S, Fonarow GC, Gersh BJ et al. (2016) Family history of atrial fibrillation is associated with earlier-onset and more symptomatic atrial fibrillation: Results from the Outcomes Registry for Better Informed Treatment of Atrial Fibrillation (ORBIT-AF) registry. Am Heart J 175 28-35.
24. Zulkifly H, Lip GYH, Lane DA (2018) Epidemiology of atrial fibrillation. Int J Clin Pract e13070;

Disclaimer: The information featured here is not intended as medical advice, or to be used for medical diagnosis or treatment. Please talk to your doctor if you have any questions.

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