Atrial Fibrillation: Guideline Update for Primary Care

madman

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I'm Dr Neil Skolnik. Today we are going to talk about the 2023 American College of Cardiology/American Heart Association guidelines for atrial fibrillation (AF). AF is common and is often first identified in the primary care office. AF substantially increases the risk for stroke, dementia, myocardial infarction, and heart failure.

When AF is detected, three areas of care need to be addressed: symptoms, stroke risk, and modifiable lifestyle factors. Patients with AF should have an echocardiogram done as well as laboratory tests (CBC, CMP, and TSH). Stress testing is not routinely needed unless the patient has other indications for a stress test.
 

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