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Diagnostikk ved hjertearytmi

For å stille diagnosen hjertearytmi, må legen spørre om og undersøke hva som kan utløse den uregelmessige hjerterytmen, for eksempel om du har hjertesykdom eller en unormalt fungerende skjoldkjertel.

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Referanser

Dette dokumentet er basert på det profesjonelle dokumentet Atrieflimmer og -flutter. Referanselisten for dette dokumentet vises nedenfor.

  1. Hindricks G, Potpara T, Dagres N, et al. 2020 ESC Guidelines for the diagnosis and management of atrial fibrillation developed in collaboration with the European Association for Cardio-Thoracic Surgery (EACTS). Eur Heart J 2021; 42: 373-498. pmid:32860505 PubMed 
  2. Kjerpeseth LJ, Igland J, Selmer R, Ellekjær H, et al. Prevalence and incidence rates of atrial fibrillation in Norway 2004–2014 . Heart 2020; 107: 201-7. pmid:32820014 PubMed 
  3. Berge T, Lyngbakken MN, Ihle-Hansen H, et al. Prevalence of atrial fibrillation and cardiovascular risk factors in a 63-65 years old general population cohort: the Akershus Cardiac Examination (ACE) 1950 Study. BMJ Open 2018. pmid: 30068617 PubMed 
  4. Schnabel RB, Yin X, Larson MG, et al. 50 year trends in atrial fibrillation prevalence, incidence, risk factors, and mortality in the Framingham Heart Study: A cohort study. Lancet 2015. doi: 10.1016/S0140-6736(14)61774-8 DOI 
  5. Kaireviciutre A, Aidietis A, Lip GY. Atrial fibrillation following cardiac surgery: clinical features and preventative strategies. Eur Heart J 2009; 30: 410-25. European Heart Journal 
  6. Fuster V, Rydén LE, Cannom DS, et al. Task force report. ACC/AHA/ESC guide-lines for the management of patients with atrial fibrillation. Europace 2006;8:651-745. PubMed 
  7. Huxley RR, Lopez FL, Folsom AR, et al. Absolute and attributable risks of atrial fibrillation in relation to optimal and borderline risk factors: The Atherosclerosis Risk in Communities (ARIC) study. Circulation 2011; 123: 1501-8. Circulation 
  8. Morseth B, Geelhoed B, Linneberg A, et al. Age-specific atrial fibrillation incidence, attributable risk factors and risk of stroke and mortality: results from the MORGAM Consortium. Open Heart 2021; 8: e001624. pmid:PMID: 34341095 PubMed 
  9. Boriani G, Proietti M. Atrial fibrillation prevention: an appraisal of current evidence. Heart 2017. pmid:29191806 PubMed 
  10. Chamberlain AM, Agarwal SK, Folsom AR, et al. A clinical risk score for atrial fibrillation in a biracial prospective cohort (from the ARIC study) . Am J Cardiol 2011; 107: 85-91. PubMed 
  11. January CT, Wann LS, Calkins H, et al 2019 AHA/ACC/HRS focused update of the 2014 AHA/ACC/HRA guideline for the management of patients with atrial fibrillation. A report of the American College of Cardiology/American Heart Association Task Force on Clinical Practice Guidelines and the Heart Rhythm Society. Circulation 2019. doi: 10.1161/CIR.0000000000000665Circulation. 2019;0
  12. Heitmann KA, Løchen M.L, Stylidis M, et al. Associations between physical activity, left atrial size and incident atrial fibrillation: the Tromsø Study 1994–2016. Open Heart 2022; 9: e001823. pmid:35074937 PubMed 
  13. Frost L, Vestergaard P, Mosekilde L. Hypertyroidisme og risiko for atrieflimren eller atrieflagren - sekundærpublikation. Ugeskr Læger 2005; 167: 3305-7. Ugeskrift for Læger 
  14. Marcus GM, Vittinghoff E, Whitman IR, et al. Acute Consumption of Alcohol and Discrete Atrial Fibrillation Events. Ann Intern Med 2021; 174: 1503-9. pmid:34461028 PubMed 
  15. Lubitz SA, Yin X, Fontes JD, et al. Association between familial atrial fibrillation and risk of new-onset atrial fibrillation. JAMA 2010; 304: 2263-9. Journal of the American Medical Association 
  16. Malmo V, Nes BM, Amundsen BH, et al. Aerobic Interval Training Reduces the Burden of Atrial Fibrillation in the Short Term: A Randomized Trial. Circulation 2016; 133: 466-73. pmid:26733609 PubMed 
  17. Kwok CS1, Anderson SG2, Myint PK3, et al.. Physical activity and incidence of atrial fibrillation: a systematic review and meta-analysis. Int J Cardiol 2014. pmid:25443248 PubMed 
  18. Svedberg N, Sundström J, James S, et al. Long-term incidence of atrial fibrillation and stroke among cross-country skiers. Circulation2019;140:910–20. PMID: 31446766 PubMed 
  19. Johansen KR, Ranhoff AH, Sørensen E, et al. Risk of atrial fibrillation and stroke among older men exposed to prolonged endurance sport practice: a 10-year follow-up. The Birkebeiner Ageing Study and the Tromsø Study. Open Heart 2022; 9: e002154. pmid:36396296 PubMed 
  20. Bilal Iqbal M, Taneja AK, Lip GYH, Flather M. Recent developments in atrial fibrillation. BMJ 2005; 330: 238-43. PubMed 
  21. Haissaguerre M, Jais P, Shah DC, Takahashi A, Hocini M, Quiniou G, et al. Spontaneous initiation of atrial fibrillation by ectopic beats originating in the pulmonary veins. N Engl J Med 1998; 339: 659-66. New England Journal of Medicine 
  22. Haissaguerre M, Jais P, Shah DC et al. Electrophysiological end point for catheter ablation of atrial fibrillation initiated from multiple pulmonary venous foci. Circulation 2000;101:1409-17. PubMed 
  23. Chen SA, Hsieh MH, Tai CT et al. Initiation of atrial fibrillation by ectopic beats originating from the pulmonary veins: electrophysiological characteristics, pharmacological responses, and effects of radiofrequency ablation. Circulation 1999;100:1879-6. PubMed 
  24. Tsai CF, Tai CT, Hsieh MH, Lin WS, Yu WC, Ueng KC, et al. Initiation of atrial fibrillation by ectopic beats originating from the superior vena cava: electrophysiological characteristics and results of radiofrequency ablation. Circulation 2000; 102: 67-74. Circulation 
  25. Nattel S, Burstein B, Dobrev D. Atrial remodeling and atrial fibrillation: mechanisms and implications. Circ Arrhytm Electrophysiol 2008; 1: 62-73. PubMed 
  26. Lip GYH. Does atrial fibrillation confer a hypercoagulable state? Lancet 1995; 346: 1313-4. PubMed 
  27. Gutierrez C, Blanchard DG. Atrial fibrillation: diagnosis and treatment. Am Fam Physician 2011; 83: 61-8. American Family Physician 
  28. Frost L, Vestergaard P. Alkohol og risiko for atrieflimren eller atrieflagren - sekundærpublikation. Ugeskr Læger 2005; 167: 3308-10. Ugeskrift for Læger 
  29. Voskoboinik A, Kalman JM, De Silva A, et al. Alcohol Abstinence in Drinkers With Atrial Fibrillation. N Engl J Med 2020. pmid:31893513 PubMed 
  30. Siontis KC, Gersh BJ, Weston SA, et al. Associations of Atrial Fibrillation After Noncardiac Surgery With Stroke, Subsequent Arrhythmia, and Death A Cohort Study. Ann Intern Med 2020. pmid:35878404 PubMed 
  31. Kim E et al. Coffee consumption and incident tachyarrhythmias reported behavior, Mendelian randomization, and their interactions. JAMA Intern Med 2021. PMID: 34279564 PubMed 
  32. Marcus GM, Modrow MF, Schmid CH, et al. Individualized Studies of Triggers of Paroxysmal Atrial Fibrillation The I-STOP-AFib Randomized Clinical Trial. JAMA Cardiol 2021. pmid:34775507 PubMed 
  33. Jonas DE, Kahwati LC, Yun JDY, et al. Screening for Atrial Fibrillation With Electrocardiography: Evidence Report and Systematic Review for the US Preventive Services Task Force. JAMA 2018; 320: 485-98. pmid:30088015 PubMed 
  34. Svendsen JH, Diederichsen SZ, Højberg S, et al. Implantable loop recorder detection of atrial fibrillation to prevent stroke (The LOOP Study): a randomised controlled trial. Lancet 2021. pmid:34469766 PubMed 
  35. Lubitz SA, Faranesh AZ, Selvaggi C, et al. Detection of atrial fibrillation in a large population using wearable devices: The Fitbit Heart Study. Circulation 2022. PMID: 36148649 PubMed 
  36. Boriani G, Botto GL, Padeletti L, et al. Improving stroke risk stratification using the CHADS2 and CHADS2-VASc risk scores in paroxysmal atrial fibrillation patients by continous arrhythmia burden monitoring. Stroke 2011; 42: 1768-70. Stroke 
  37. Halligan SC, Gersh BJ, Brown RD, et al. The natural history of lone atrial flutter. Ann Intern Med 2004; 140: 265-68. Annals of Internal Medicine 
  38. Reddy VY, Sievert H, Halperin J, PROTEC AF, et al. Percutaneous left atrial appendage closure vs warfarin for atrial fibrillation: A randomized clinical trial. JAMA. 2014; 312: 1988-98. doi: 10.1001/jama.2014.15192 DOI 
  39. Kirchhof P, Camm J, Goette A, et al. Early Rhythm-Control Therapy in Patients with Atrial Fibrillation. N Engl J Med 2020. pmid:32865375 PubMed 
  40. Kim D, Yang P-S, You SC, et al. Early rhythm control therapy for atrial fibrillation in low-risk patients: A nationwide propensity score–weighted study. Ann Intern Med 2022. PMID: 36063552 PubMed 
  41. Kaplan RM, Koehler J, Ziegler PD, et al. Stroke Risk as a Function of Atrial Fibrillation Duration and CHA2DS2-VASc Score. Circulation 2019. pmid:31564126 PubMed 
  42. Lau WCY, Torre CO, Man KKC, et al. Comparative Effectiveness and Safety Between Apixaban, Dabigatran, Edoxaban, and Rivaroxaban Among Patients With Atrial Fibrillation A Multinational Population-Based Cohort Study. Ann Intern Med 2022. pmid:36315950 PubMed 
  43. Guimarães HP, Lopes RD, de Barros E Silva PGM, et al. Rivaroxaban in Patients with Atrial Fibrillation and a Bioprosthetic Mitral Valve. N Engl J Med 2020. pmid:33196155 PubMed 
  44. Nguyen B-O, Weberndorfer V, Crijns HJGM, et al. Prevalence and determinants of atrial fibrillation progression in paroxysmal atrial fibrillation. Heart 2022. pmid:35858774 PubMed 
  45. Lafuente-Lafuente C, Valembois L, Bergmann JF, et al. Antiarrhythmics for maintaining sinus rhythm after cardioversion of atrial fibrillation. Cochrane Database Syst Rev. 2015 Mar 28;3:CD005049. Cochrane (DOI) 
  46. Andrade JG, Deyell MW, Macle L, et al. Progression of Atrial Fibrillation after Cryoablation or Drug Therapy. N Engl J Med 2022. pmid:36342178 PubMed 
  47. Pluymaekers NAHA, Dudink EAMP, Luermans JGLM, et al. Early or Delayed Cardioversion in Recent-Onset Atrial Fibrillation. N Engl J Med 2019. pmid:30883054 PubMed 
  48. Bouida W, Beltaief K, Msolli MA, et al. Low-dose Magnesium Sulfate Versus High Dose in the Early Management of Rapid Atrial Fibrillation: Randomized Controlled Double-blind Study (LOMAGHI Study). Acad Emerg Med. 2018 PMID: 30025177 PubMed 
  49. Norsk legemiddelhåndbok. Paroksystisk atrieflimmer. Oslo: Hentet ut 8. august 2008..
  50. Andrade JG, Wazni OM, Kuniss M, et al. Cryoballoon Ablation as Initial Treatment for Atrial Fibrillation: JACC State-of-the-Art Review. J Am Coll Cardiol. 2021 Aug 31;78(9):914-930. PMID: 34446164 PubMed 
  51. Dobrev D, Nattel S. New antiarrhythmic drug for treatment of atrial fibrillation. Lancet 2010; 375: 1212-23. PubMed 
  52. Orning OM. Kan atrieflimmer helbredes?. Tidsskr Nor Lægeforen 2004; 124: 614. PubMed 
  53. Carnicelli AP, Hong H, Connolly SJ, et al. Direct Oral Anticoagulants Versus Warfarin in Patients With Atrial Fibrillation: Patient-Level Network Meta-Analyses of Randomized Clinical Trials With Interaction Testing by Age and Sex. Circulation 2022; 145: 242-255. pmid:34985309 PubMed 
  54. Bruins Slot KM, Berge E. Factor Xa inhibitors versus vitamin K antagonists for preventing cerebral or systemic embolism in patients with atrial fibrillation. Cochrane Database Syst Rev 2018; 3: CD008980. pmid:29509959 PubMed 
  55. Kimachi M, Furukawa TA, Kimachi K, Goto Y, Fukuma S. Direct oral anticoagulants versus warfarin for preventing stroke and systemic embolic events among atrial fibrillation patients with chronic kidney disease. Cochrane Database Syst Rev. 2017; 11: CD011373. PMID: 29105079 PubMed 
  56. Amgad M, Ghanshyam S, Pulkit C, MD1, et al. Assessment of Outcomes of Treatment With Oral Anticoagulants in Patients With Atrial Fibrillation and Multiple Chronic Conditions A Comparative Effectiveness Analysis. JAMA Network Open 2018. doi:10.1001/jamanetworkopen.2018.2870 DOI 
  57. Fralick M, Colacci M, Schneeweiss S, et al. Effectiveness and Safety of Apixaban Compared With Rivaroxaban for Patients With Atrial Fibrillation in Routine Practice: A Cohort Study. Ann Intern Med 2020. doi:10.7326/M19-2522 DOI 
  58. Lv M, Wu T, Jiang S, et al. Risk of Intracranial Hemorrhage Caused by Direct Oral Anticoagulants for Stroke Prevention in Patients With Atrial Fibrillation (from a Network Meta-Analysis of Randomized Controlled Trials). Am J Cardiol. 2021. PMID: 34756593 PubMed 
  59. Aguilar M, Hart R. Oral anticoagulants for preventing stroke in patients with non-valvular atrial fibrillation and no previous history of stroke or transient ischemic attacks. Cochrane Database Syst Rev 2005; 3: CD001927 Doi: 10.1002/14651858.CD001927.pub2. DOI 
  60. Connolly SJ, Karthikeyan G, Ntsekhe M, et al. Rivaroxaban in Rheumatic Heart Disease–Associated Atrial Fibrillation. N Engl J Med 2022. doi:10.1056/NEJMoa2209051 DOI 
  61. Connoly SJ, Camm AJ, Halperin JL, et al. Dronedarone in high-risk permanent atrial fibrillation. N Engl J Med 2011; 365: 2268-76. New England Journal of Medicine 
  62. Dahm AEA, Fetveit A, Berntsen CF. Retningslinjer for antitrombotisk behandling og profylakse-2020. app.magicapp.org 
  63. Maheshwari A, Norby FL, Roetker NS, et al. Refining Prediction of Atrial Fibrillation–Related Stroke Using the P2 -CHA2 DS2 -VASc Score. Circulation 2019; 139: 180-91. doi: 10.1161/CIRCULATIONAHA.118.035411 DOI 
  64. van Doorn S, Debray TPA, Kaasenbrood F, et al. Predictive performance of the CHA2DS2-VASc rule in atrial fibrillation: a systematic review and meta-analysis. J Thromb Haemost. 2017; 15: 1065-77. pmid:28375552 PubMed 
  65. Hernandez I, HeM, Brooks MM, et al. Adherence to Anticoagulation and Risk of Stroke Among Medicare Beneficiaries Newly Diagnosed with Atrial Fibrillation. Am J Cardiovasc Drugs 2019. pmid: 31523759 PubMed 
  66. Abdel-Quadir H, Singh SM, Pang A, et al. Evaluation of the Risk of Stroke Without Anticoagulation Therapy in Men and Women With Atrial Fibrillation Aged 66 to 74 Years Without Other CHA2DS2-VASc Factors. JAMA Cardiol 2021. pmid:34009232 PubMed 
  67. Wang W, Lessard D, Kiefe CI, et al. Differential effect of anticoagulation according to cognitive function and frailty in older patients with atrial fibrillation. J Am Geriatr Soc 2023; 71: 394-403. pmid:36273408 PubMed 
  68. Kunneman M, Branda ME, Hargraves IG, et al. Assessment of shared decision-making for stroke prevention in patients with atrial fibrillation: A randomized clinical trial. JAMA Intern Med 2020. doi: 10.1001/jamainternmed.2020.2908 DOI 
  69. Hicks T, Stewart F, Eisinga A. NOACs versus warfarin for stroke pevention inpatients with AF: a systematic review and meta-analysis. Open Heart 2016. doi:10.1136/openhrt-2015-000279 DOI 
  70. Carnicelli AP, Hong H, Connolly SJ, et al. Direct Oral Anticoagulants versus Warfarin in Patients with Atrial Fibrillation: Patient-Level Network Meta-Analyses of Randomized Clinical Trials with Interaction Testing by Age and Sex. Circulation 2022. pmid:34985309 PubMed 
  71. Ray WA, Chung CP, Stein CM, et al. Association of Rivaroxaban vs Apixaban With Major Ischemic or Hemorrhagic Events in Patients With Atrial Fibrillation. JAMA 2021; 326: 2395-2404. pmid:34932078 PubMed 
  72. Steffel J, Ruff CT, Yin O, et al. Randomized, Double-Blind Comparison of Half-Dose Versus Full-Dose Edoxaban in 14,014 Patients With Atrial Fibrillation. J Am Coll Cardiol. 2021 Mar 9;77(9):1197-1207. PMID: 33663737 PubMed 
  73. Hernandez I, Baik SH, Piñera A, Zhang Y. Risk of bleeding with dabigatran in atrial fibrillation. JAMA Intern Med 2015; 175: 18-24. doi:10.1001/jamainternmed.2014.5398 DOI 
  74. Ionescu R, Abrahamowicz M, Jackevicius CA, et al. Comparative effectiveness of rhythm control vs rate control drug treatment effect on mortality in patients with atrial fibrillation. Arch Intern Med 2012. doi:10.1001/archinternmed.2012.2266 DOI 
  75. Rahman AA, He N, Rej S, et al. Concomitant Use of Selective Serotonin Reuptake Inhibitors and Oral Anticoagulants and Risk of Major Bleeding: A Systematic Review and Meta-analysis. Thromb Haemost. 2022. PMID: 36037829 PubMed 
  76. Lundgaard H, Dyrkorn R, Stokes CL, Molden E, Spigset O. Tryggere behandling med serumkonsentrasjonsmåling av de nye antikoagulasjonsmidlene. Tidsskr Nor Legeforen 2016; 136: 1556-60. doi:10.4045/tidsskr.16.0255 DOI 
  77. Rutherford OW, Jonasson C, Ghanima W, Holst R, Halvorsen S. New score for assessing bleeding risk in patients with atrial fibrillation treated with NOACs. Open Heart 2018; 5: e000931. pmid:30613418 PubMed 
  78. Yasuda S, Kaikita K, Akao M, et al. Antithrombotic Therapy for Atrial Fibrillation with Stable Coronary Disease. N Engl J Med 2019. pmid:31475793 PubMed 
  79. Lopes RD, Heozer G, Aronson R, et al. Antithrombotic Therapy after Acute Coronary Syndrome or PCI in Atrial Fibrillation. N Engl J Med 2019; 380: 1509-24. pmid:30883055 PubMed 
  80. Schaefer JK, Errickson J, Li Y, et al. Adverse Events Associated With the Addition of Aspirin to Direct Oral Anticoagulant Therapy Without a Clear Indication. JAMA Intern Med 2021. pmid:33871544 PubMed 
  81. Naito R, Miyauchi K, Yasuda S, et al. Rivaroxaban Monotherapy vs Combination Therapy With Antiplatelets on Total Thrombotic and Bleeding Events in Atrial Fibrillation With Stable Coronary Artery Disease A Post Hoc Secondary Analysis of the AFIRE Trial. JAMA Cardiol 2022. pmid:35704345 PubMed 
  82. Kirchhof P, Benussi S, Kotecha D, et al. 2016 ESC guidelines for the management of atrial fibrillation developed in collaboration with EACTS. Heart 2016; 37: 2893-962. doi:10.1093/eurheartj/ehw210 DOI 
  83. Koldenhof T, Van Gelder IC, Crijns HJGM, et al. Rate control in atrial fibrillation, calcium channel blockers versus beta-blockers. Heart 2023. pmid:37433659 PubMed 
  84. Washam JB, Stevens SR, Lokhnygina Y, et al. Digoxin use in patients with atrial fibrillation and adverse cardiovascular outcomes: A retrospective analysis of the Rivaroxaban Once Daily Oral Direct Factor Xa Inhibition Compared with Vitamin K Antagonism for Prevention of Stroke and Embolism Trial in Atrial Fibrillation (ROCKET AF). Lancet 2015. DOI: 10.1016/S0140-6736(14)61836-5 DOI 
  85. Lopes RD, Rordorf R, De Ferrari GM, et al. Digoxin and Mortality in Patients With Atrial Fibrillation. J Am Coll Cardiol. 2018 Mar 13;71(10):1063-1074. PMID: 29519345 PubMed 
  86. Lip GYH, Kamath S. Acute atrial fibrillation. Clinical Evidence 2001; 6: 1-7. PubMed 
  87. Bahnson TD, Giczewska A, Mark DB, et al. Association Between Age and Outcomes of Catheter Ablation Versus Medical Therapy for Atrial Fibrillation: Results From the CABANA Trial. Circulation. 2022; 145:796-804. PMID: 34933570 PubMed 
  88. Packer DL, Mark DB, Robb RA, et al. Effect of Catheter Ablation vs Antiarrhythmic Drug Therapy on Mortality, Stroke, Bleeding, and Cardiac Arrest Among Patients With Atrial Fibrillation The CABANA Randomized Clinical Trial. JAMA 2019; 321: 1261-74. pmid:30874766 PubMed 
  89. Mark DB, Anstrom KJ, Sheng S, et al. Effect of Catheter Ablation vs Medical Therapy on Quality of Life Among Patients With Atrial Fibrillation The CABANA Randomized Clinical Trial. JAMA 2019; 321: 1275-85. pmid:30874716 PubMed 
  90. Ganesan AN, Nandal S, Lüker J, et al. Catheter ablation of atrial fibrillation in patients with concomitant left ventricular impairment: a systematic review of efficacy and effect on ejection fraction. Heart Lung Circ. 2015 Mar;24(3):270-80. doi: 10.1016/j.hlc.2014.09.012 DOI 
  91. Mulder BA, Rienstra M, Van Gelder IC, Blaauw Y. Update un management of atrial fibrillation in heart failure: a focus on ablation. Heart 2022; 108: 422-428. pmid:34088767 PubMed 
  92. Chen S, Purerfellner H, Meyer C, et al. Rhythm control for patients with atrial fibrillation complicated with heart failure in the contemporary era of catheter ablation: a stratified pooled analysis of randomized data. Eur Heart J. 2019. PMID: 31298266 PubMed 
  93. Turagam MK, Musikantow D, Whang W, et al. Assessment of Catheter Ablation or Antiarrhythmic Drugs for First-line Therapy of Atrial Fibrillation A Meta-analysis of Randomized Clinical Trials. JAMA Cardiol 2021. pmid:33909022 PubMed 
  94. Anselmino M, Matta M, D'Ascenzo F, et al. Catheter ablation of atrial fibrillation in patients with left ventricular systolic dysfunction: a systematic review and meta-analysis. Circ Arrhythm Electrophysiol. 2014 Dec;7(6):1011-8. doi: 10.1161/CIRCEP.114.001938. DOI 
  95. Passman R. Atrial fibrillation: Catheter ablation. UpToDate 2021. www.uptodate.com 
  96. Wynn GJ, El-Kadri M, Haq I, et al. Long-term outcomes after ablation of persistent atrial fibrillation: an observational study over 6 years. Open Heart 2016. doi:10.1136/openhrt-2015-000394 DOI 
  97. Voskoboinik A, Moskovitch JT, Harel N, et al. Revisiting pulmonary vein isolation alone for persistent atrial fibrillation: a systematic review and meta-analysis. Heart Rhythm. 2017;14(5):661-667. PMID: 28434446 PubMed 
  98. Sundt TM, Gersh BJ. Making sense of the maze. Which patients with atrial fibrillation will benefit?. JAMA 2005; 294: 2357-9. PubMed 
  99. Anfinsen O-G. Ikke-farmakologisk behandling av atrieflimmer. Tidsskr Nor Lægeforen 2000; 120: 2884-9. Tidsskrift for Den norske legeforening 
  100. Berti S, Pastomerlo LE, Rezzaghi M, et al. Left atrial appendage occlusion in high-risk patients with non-valvular atrial fibrillation. Heart 2016; 102: 1969-73. doi:10.1136/heartjnl-2015-309150 DOI 
  101. Freeman JV, Varosy P, Price MJ, et al. The NCDR Left Atrial Appendage Occlusion Registry. J Am Coll Cardiol 2020; 75: 1503-18. doi:10.1016/j.jacc.2019.12.040 DOI 
  102. Holmes DR Jr, Doshi SK, Kar S, et al. Left atrial appendage closure as an alternative to warfarin for stroke prevention in atrial fibrillation: A patient-level meta-analysis. J Am Coll Cardiol. 2015 Jun 23;65(24):2614-23. PMID: 26088300 PubMed 
  103. Reddy VY, Doshi SK, Kar S, et al. 5-Year Outcomes After Left Atrial Appendage Closure: From the PREVAIL and PROTECT AF Trials. J Am Coll Cardiol. 2017; 70: 2964-75. PMID: 29103847 PubMed 
  104. Sahay S, Nombela-Franco L, Rodes-Cabau J, et al. Efficacy and safety of left atrial appendage closure versus medical treatment in atrial fibrillation: a network meta-analysis from randomised trials . Heart 2017; 103: 139-47. pmid:27587437 PubMed 
  105. Masoud A, Bartoletti S, Fairbairn T, et al. Outcome of left atrial appendage occlusion in high-risk patients. Heart 2017. pmid:29122931 PubMed 
  106. Pathak RK, Middeldorp ME, Meredtih M, et al . Long-Term Effect of Goal Directed Weight Management in an Atrial Fibrillation Cohort: A Long-term Follow-Up StudY (LEGACY Study). J Am Coll Cardiol 2015. doi:10.1016/j.jacc.2015.03.002 DOI 
  107. Abed HS, Wittert GA, Leong DP, et al. Effect of weight reduction and cardiometabolic risk factor management on symptom burden and severity in patients with atrial fibrillation: a randomized clinical trial. JAMA 2013; 310:2050. PMID: 24240932 PubMed 
  108. Healey JS, Baranchuk A, Crystal E, et al. Prevention of atrial fibrillation with angiotensin-converting enzyme inhibitors and angiotensin receptor blockers: a meta-analysis. J Am Coll Cardiol 2005; 45: 1832-9. PubMed 
  109. Rahimi K, Emberson J, McGale P, et al. Effect of statins on atrial fibrillation: collaborative meta-analysis of published and unpublished evidence from randomised controlled trials. BMJ 2011; 342: d1250. BMJ (DOI) 
  110. Martínez-González MÁ, Toledo E, Arós F, et al. Extravirgin olive oil consumption reduces risk of atrial fibrillation: the PREDIMED (Prevención con Dieta Mediterránea) trial. Circulation 2014; 130:18. PMID: 24787471 PubMed 
  111. Sposato LA, Cipriano LE, Saposnik G, et al. Diagnosis of atrial fibrillation after stroke and transient ischaemic attack: a systematic review and meta-analysis. Lancet Neurol. 2015;14:377-87 . pmid:25748102 PubMed 
  112. Darghosian L, Free M, Li J, et al. Effect of Omega-three polyunsaturated fatty acids on Inflammation, oxidative stress, and recurrence of atrial fibrillation. Am J Cardiol. 2014. PMID: 25465932 PubMed 
  113. Ganesan AN, Chew DP, Hartshorne T, et al. The impact of atrial fibrillation type on the risk of thromboembolism, mortality, and bleeding: a systematic review and meta-analysis. Eur Heart J 2016; 37: 1591-602. pmid:26888184 PubMed 
  114. Kapłon-Cieślicka A, Budnik M, Gawałko M, et al. Atrial fibrillation type and renal dysfunction as important predictors of left atrial thrombus. Heart 2019. pmid:31040170 PubMed 
  115. Singer DE, Ziegler PD, Koehler JL, et al. Temporal Association Between Episodes of Atrial Fibrillation and Risk of Ischemic Stroke. JAMA Cardiol 2021; 6: 1364-9. pmid:34586356 PubMed 
  116. Bardai A, Blom MT, van Hoeijen DA, van Deutekom HW, Brouwer HJ, Tan HL. Atrial fibrillation is an independent risk factor for ventricular fibrillation: a large-scale population-based case-control study. Circ Arrhythm Electrophysiol. 2014 Dec;7(6):1033-9. Epub 2014 Sep 18. PMID: 25236735. PubMed 
  117. Frausing MHJP, Van De Lande ME, Maass AH, et al. Brady- and tachyarrhythmias detected by continuous rhythm monitoring in paroxysmal atrial fibrillation. Heart 2023. pmid:36948572 PubMed 
  118. Wasilewska M, Gosk-Bierska I. Thromboembolism Associated With Atrial Fibrillation as a Cause of Limb and Organ Ischemia. Adv Clin Exp Med 2013; 22(6): 865-73. pmid:24431317 PubMed 
  119. Gomez-Outes A, Lagunar-Ruiz J, Terleira-Fernandez AI, et al. Causes of Death in Anticoagulated Patients With Atrial Fibrillation. J Am Coll Cardiol. 2016; 68:2508-21. PMID: 27931607 PubMed 
  120. Miyasaka Y, Barnes ME, Bailey KR, et al. Mortality trends in patients diagnosed with first atrial fibrillation a 21-year community-based study. J Am Coll Cardiol 2007; 49: 986-92.
  121. Macchia A, Grancelli H, Varini S, et al. Omega-3 fatty acids for the prevention of recurrent symptomatic atrial fibrillation: results of the FORWARD (Randomized Trial to Assess Efficacy of PUFA for the Maintenance of Sinus Rhythm in Persistent Atrial Fibrillation) trial.. J Am Coll Cardiol 2013; 61: 463-8. doi:10.1016/j.jacc.2012.11.021 DOI 
  122. US Preventive Services Task Force. Screening for Atrial Fibrillation US Preventive Services Task Force Recommendation Statement. JAMA 2022; 327: 360-367. pmid:35076659 PubMed