Articles Submitted / Medical Links

Read articles, papers and guidelines submitted to the AFA by Medical Professionals.


Atrial Flutter Associated with Carboplatin Administration

by Sammy Zakaria, Kit Yu Lu, Veronique Nussenblatt, and Ilene Browner



Ethnic Differences in Patient Perceptions of Atrial Fibrillation and Anticoagulation Therapy

by Gregory Y.H. Lip, Sridhar Kamath, Marian Jafri, Afzal Mohammed, and David Bareford



Leading cardiologists call for further randomized trials

Different ways to handle anticoagulated AF patients in need of a stent – experts publish consensus document.

Read article


Heart Rhythm Disorders: Tips
'My patient has paroxysmal AF. What is the best strategy?'

by Dr Adam Fitzpatrick, Manchester Heart Centre



Primary Care Cardiovascular Journal: The only UK journal written specifically for GPs (primary care physicians) managing patients with cardiovascular disease, diabetes and related diseases.



Health Options CVD software, supporting diagnosis and management.

View Health Options demo

Research and Development: The Role of the Arrhythmia Nurse in supporting AF management in Primary Practice

Read more


Detection of Atrial Fibrillation Using a Modified Microlife Blood Pressure Monitor

Diagnostic Accuracy
Detection of AF

NHS Choices website, Heart rhythm problems?

Read more, including case studies and support materials:
Case Study
Seeking Diagnosis


How to run a low cost, high impact AF screening at flu-jab clinics

Dr Shane Gordon GP discusses,
Read more

Changing clinical practice in AF

Michelle Bennett BHF Arrhythmia Nurse Specialist, Wrexham Maelor Hospital.
Read more

New tissue-hugging implant

A new tissue-hugging implantmaps heart electrical activity in unprecedented detail, next-generation devices pave way for applications in cardiology, neurology
PHILADELPHIA – A team of cardiologists, materials scientists, and bioengineers have created and tested a new type of implantable device for measuring the heart's electrical output that they say is a vast improvement over current devices. The new device represents the first use of flexible silicon technology for a medical application.



Contact Karen Kreeger:
email: [email protected]
view: University of Pennsylvania School of Medicine



Read more

Stroke Prevention - Getting to the heart of the matter

A summary by Professor Norrving published in the Lancet Neurology Feb 2010
Read more

How can we avoid a stroke crisis?

An article published in Cardiac Nursing Journal ( by AFA to highlight the need of why action on stroke prevention is needed and the some of the many initiatives AFA is supporting.
Download/view Article

Guidance on Risk Assessment and Stroke Prevention for Atrial FibrillationGRASP-AF

The GRASP-AF tool is now available via the NHS Improvement website.
Visit the website »

While attending a Stoke Network event in Surrey to discuss the role of Atrial Fibrillation and The importance of anti-coagulation in Atrial Fibrillation in the moderate and high risk groups; a consultation aid for discussion with appropriate patients.
This has been prepared by Liz Patroe and Dr Carl Lang at the Surrey Cardiovascular Network.

Pulse Check as a Screen for Atrial Fibrillation
by Hazel Madoc-Sutton, Eileen Pearson and Jane Upton

. . as published in 'Practise Nursing'
Download/View article

Pulse Palpation Abstract

Research summary into pulse palpation by practice nurses, compiled by E. Pearson, BA¹, H. Madoc-Sutton, BSc¹, J. Upton, PhD1 ¹Education for Health, Warwick, UK
View poster

Management of Atrial Fibrillation

Dr Richard Schilling , St Bartholomew's, outines the management of Atrial Fibrillation and Atrial Flutter in line with the standards highlighted in NSF Chapter 8.
Read the Article

How To Establish Rapid Access Clinics

View booklet - How to Establish Rapid Access Clinics

Establishing A Rapid Access AF Clinic

Guidelines drawn up by Shona Holding
BHF arrythmia nurse in Leeds


Data, and guidance on diagnosis and treatment of Atrial Flutter. Considers long term cost efficiency.

What is Atrial Fibrillation?

Data, including references inforamtion from the Department of Health


by Dr Adam Fitzpatrick
Consultant Cardiologist and Electrophysiologist
Manchester Royal Infirmary

Paroxysmal AF, (PAF), lasts less than 7 days, with the majority of episodes terminating within 48 hours. AF lasting for more than 7 days is "persistent AF" 1. The natural history is for PAF to become persistent.

Persistent AF becomes less likely to revert to sinus rhythm the longer it persists. The longer persistent AF persists the lower the chances of a return to sinus rhythm, and the more likely that chronic AF will result.

Cardioversion for Atrial Arrhythmias

by Dr Adam Fitzpatrick
Consultant Cardiologist and Electrophysiologist
Manchester Royal Infirmary


Patients presenting for the first time with persistent AF will usually be considered for a direct current cardioversion, (DCV). Cardioversion is also possible with intravenous infusion of certain drugs.

Persistent AF is defined as being of more than seven days duration and is considered chronic if restoration of sinus rhythm is considered impossible or undesirable.

To avoid the increased mortality, morbidity and high cost of AF, restoring sinus rhythm is desirable whenever possible.

However, recent data in asymptomatic elderly patients with established AF suggest that there is no mortality benefit to striving for sinus rhythm 1 2. Data are lacking on younger, fitter patients who naturally have a longer and greater exposure to stroke risk if they remain in AF.

Diagnosis of Chronic Atrial Fibrillation

by Dr Adam Fitzpatrick, Consultant Cardiologist and Electrophysiogist
Manchester Royal Infirmary


Atrial fibrillation (AF) exists in approximately 500,000 people in the UK.· It is growing in incidence, consumes 1% of the NHS budget, reduces longevity and greatly increases healthcare consumption.

AF is defined as persistent if it has been present for more than seven days duration and permanent (or chronic) if the rhythm has been accepted and restoration of sinus rhythm is considered unlikely, impossible or undesirable.

Treatment strategies for chronic AF are "rate control", aiming to control the ventricular rate, and "rhythm control", attempting to restore and maintain sinus rhythm.

Prevention of cardiac thromboembolism is a key consideration no matter which strategy is pursued 1.


Return to Clinicians menu