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Europace 2003 5(2):119-122; doi:10.1053/eupc.2002.0300
© 2003 by European Society of Cardiology
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International consensus on nomenclature and classification of atrial fibrillation

A collaborative project of the Working Group on Arrhythmias and the Working Group on Cardiac Pacing of the European Society of Cardiology and the North American Society of Pacing and Electrophysiology

S. Lévy, A. J. Camm, S. Saksena, E. Aliot, G. Breithardt, H. Crijns, W. Davies, N. Kay, E. Prystowsky, R. Sutton, A. Waldo and D. G. Wyse*

*For the Study Group on Nomenclature and Classification of AF of the European Society of Cardiology and the North American Society of Pacing and Electrophysiology.

Key Words: Atrial arrhythmias, antiarrhythmic therapy, anticoagulation, atrial flutter


Correspondence: Professeur Samuel Lévy, Hôpital Nord, Division of Cardiology, 13015, Marseille, France. Tel.: +33 491968682; Fax: +33 491962162; E-mail: samuel{at}samuel-levy.com


[1] Lévy S. Classification system of atrial fibrillation. Curr Opin Cardiol 2000; 15: 54–57.[CrossRef][Web of Science][Medline]

[2] Fuster V, Ryden L, Asinger RW, Cannom DS, Crijns HJ, Frye RL, Halperin JL, Kay GN, Klein WW, Lévy S, Mc Namara RL, Prystowsky EN, Wann LS, Wyse DG. ACC/AHA/ESC guidelines for the management of patients with atrial fibrillation. A Report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines and the European Society of Cardiology for Practice Guidelines and Policy Conferences. Eur Heart J 2001; 22: 1852–1923.[Free Full Text]

[3] Haïssaguerre M, Jaïs P, Shah DC, Takahashi A, Hocini M, Quiniou G, Garrigue S, Lemouroux A, Le Métayer P, Clémenty J. Spontaneous initiation of atrial fibrillation by ectopic beats originating from the pulmonary veins. N Engl J Med 1998; 339: 659–666.[Abstract/Free Full Text]

[4] Allessie MA, Konings K, Kirchhof C. Mapping of atrial fibrillation. In Olsson SB, Allessie MA, Campbell RWF (Eds.). Atrial Fibrillation: Mechanisms and Therapeutic Strategies 1994; Armonk, NY Futura Pub pp. 37–49.

[5] Saksena S, Shankar A, Prakash A, Krol RB. Catheter mapping of spontaneous and induced atrial fibrillation in man. J Int Cardiac Electrophysiol 2000; 4: 21–28.

[6] Hoffman E, Nimmerman P, Reithmann C, Elser F, Remp T, Steinbeck G. New mapping technology for atrial tachycardias. J Int Cardiac Electrophysiol 2000; 4: 117–120.

[7] Lévy S, Breithardt G, Campbell RWF, Camm AJ, Daubert JC, Allessie M, Aliot E, Capucci A, Cosio F, Crijns H, Jordaens L, Hauer RNW, Lombardi F, Lüderitz B. Atrial fibrillation: current knowledge and recommendations for management. Eur Heart J 1998; 19: 1294–1320.[Abstract/Free Full Text]

[8] Bellet S. Clinical Disorders of the Heart Beat. 1971; Philadelphia Lea and Febiger 223–233.

[9] Prystowsky E and Katz A. Atrial fibrillation. In Topol EJ (Ed.). Textbook of Cardiovascular Medicine 1998; Philadelphia Lippincott-Raven pp. 1661–1689.

[10] Saoudi N, Cosio F, Waldo A, Chen SA, Iesaka Y, Lesh M, Saksena S, Salerno J, Shoels W. A classification of atrial flutter and regular atrial tachycardia according to electrophysiologic mechanisms and anatomical bases: a Statement from a Joint Expert Group from the Working Group of Arrhythmias of the European Society of Cardiology and the North American Society of Pacing and Electrophysiology. Eur Heart J 2001; 22: 1162–1182.[Free Full Text]

[11] Jaïs P, Haïssaguerre M, Shah DC, Chouairi S, Gencel L, Hocini M, Clémenty J. A focal source of atrial fibrillation treated by discrete radiofrequency ablation. Circulation 1997; 95: 572–576.[Abstract/Free Full Text]

[12] Lévy S, Maarek M, Coumel P, Guize L, Lekieffre J, Medvedowsky JL, Sebaoun A. Characterization of different subsets of atrial fibrillation in general practice in France: The Alfa Study. Circulation 1999; 99: 3028–3035.[Abstract/Free Full Text]

[13] Lévy S, Novella P, Ricard P, Paganelli F. Paroxysmal atrial fibrillation: A need for classification. J Cardiovasc Electrophysiol 1995; 6: 69–74.[Web of Science][Medline]

[14] Sopher SM and Camm AJ. Therapy for atrial fibrillation: control of the ventricular response and prevention of recurrence. Coronary Artery Disease 1995; 6: 106–114.[Web of Science][Medline]

[15] Gallagher MM and Camm AJ. Classification of atrial fibrillation. Am J Cardiol 1998; 82: 18N–28N.[CrossRef][Web of Science][Medline]

[16] Evans W and Swann P. Lone auricular fibrillation. Br Heart J 1954; 16: 194.

[17] Wyse DG. for the AFFIRM Investigators. Survival in patients presenting with atrial fibrillation: the atrial fibrillation follow-up investigation of rhythm management (AFFIRM) study. American College of Cardiology 51st Annual Meeting; March 17–20, 2002; Atlanta, Georgia, Abstract 405–1.


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