The Correct Answer is B!
A 66 year-old man is being followed for moderate asymptomatic aortic stenosis. He developed atrial fibrillation 2 years ago. He initially received several antiarrhythmic agents and two attempts at cardioversion. He is now treated with rate control.
Which category of AF does he represent?
A. Lone AF
B. Permanent AF
C. Longstanding persistent AF
D. Valvular AF
The answer is permanent AF. The characterization of patients with AF by the duration of their AF episode has relevance to outcomes of therapy. Permanent AF is used when there has been a joint decision by the patient and physician to cease further attempts to restore NSR. Valvular AF is in the presence of rheumatic mitral stenosis, a prosthetic heart valve, or prior valve repair. Aortic stenosis is not considered as valvular aortic stenosis. Lone AF should not be used due to its confusion in definition.
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