Tag Archives: 10 steps
September 2009 Br J Cardiol 2009;16:242-5
10 Steps before you refer for: Lipids
Jonathan Morrell, Tony Wierzbicki
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July 2009 Br J Cardiol 2009;16:182-6
10 steps before your refer for palpitations
Andreas Wolff, Campbell Cowan
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January 2009 Br J Cardiol 2009;16:30–35
10 steps before you refer for heart failure
Ann Marie Johnson, Paul Brooksby
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November 2008 Br J Cardiol 2008;15:302–5
10 steps before you refer for atrial fibrillation
Rosie Heath, Gregory Y H Lip
1. Diagnose AF Many patients with AF remain asymptomatic and undetected, and AF is usually suspected when a patient is found to have an irregular pulse. At fast or slow rates the irregularity can be hard to detect. Confirmation of a diagnosis of AF must be obtained by undertaking an electrocardiogram (ECG).2 Automatic reporting software is not very effective at diagnosing AF and can over diagnose when the baseline is indistinct or, alternatively, may miss cases. The characteristic ECG findings are irregularly irregular QRS complexes and the absence of consistent P waves. Practice nurses and GPs should take advantage of scenarios for opportun
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