What are the causes of atrial fibrillation?

Remember the mnemonic PIRATES for the causes of atrial fibrillation. This is quite a comprehensive list:

  • Pulmonary embolism, Pulmonary disease, Post-operative
  • Ischemic heart disease, Idiopathic (“lone atrial fibrillation”), IV central line (irritating the right atrium)
  • Rheumatic valvular disease (mitral stenosis or regurgitation)
  • Anemia, alcohol (“holiday heart”), Age, Autonomic tone (vagal atrial fibrillation)
  • Thyroid disease (hyperthyroidism)
  • Elevated blood pressure (hypertension), Electrocution
  • Sleep apnea, Sepsis, Surgery