Why the study?
Atrial fibrillation is increasingly common in Australia's ageing population and carries significant morbidity and mortality, presenting complex clinical issues upon detection.
This review provides a practical framework for primary care physicians to manage atrial fibrillation, emphasizing early rhythm control for symptomatic patients and appropriate anticoagulation.
Provides a practical AF management framework for primary care; leaves open need for updated randomized data on screening and anticoagulation.
BACKGROUND: Atrial fibrillation (AF) is increasingly common among Australia's ageing population and carries significant morbidity and mortality. Its detection through screening, cardiac device interrogation and/or symptoms of AF brings with it a number of significant clinical issues. OBJECTIVE: The aim of this article is to outline a systematic approach to the management of patients with AF, including the initial investigations required, rhythm versus rate control, anticoagulation for stroke prevention, and the interplay between AF and heart failure. DISCUSSION: Most patients with AF can be managed safely and effectively in the primary care setting. Rhythm control is pursued early in certain patients with AF who are at risk of decompensated heart failure. Specialist cardiology input is important in the treatment of AF coinciding with clinical heart failure, and for patients with medically refractory symptoms or slow/rapid heart rates.
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Verma et al. (2019) studied this question.
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