Atrial fibrillation and flutter

Harrogate and District NHS Foundation Trust

Definition/Description

For patients with a new diagnosis of atrial fibrillation or atrial flutter

Red Flag Symptoms

DO NOT REFER PATIENTS WITH:

  • Haemodynamic compromise
  • Acute HF features
  • Syncope
  • Acute/severe CP
  • Acute Stroke

Discuss patients with above features with Clinical Assessment Team or refer to Emergency Department as appropriate.

Consider admission for recent AF onset especially if within 48 hours - for consideration of early cardioversion.

Guidelines on Management

None provided

Referral Criteria/Information

AF/Flutter clinic referral form
 

Mandatory information for referral:

  • Confirm AF/Flutter by ECG (please attach to referral as it will NOT be accepted if missing)
  • Holter
  • Pacemaker/ILR Interrogation* (for referrals from Pacemaker/ ILR clinics)
  • Brief summary of presenting symptoms
  • Past medical history / drug history / allergies
  • Bloods (FBC/UE/LFT/Clotting/TFT/HbA1c/Lipids) - either requested (available on ICE or attached) 

Associated Policies

There are no associated policies.

Specialties

Cardiology North Yorkshire

Places covered by

  • North Yorkshire

Hospital Trusts

  • Harrogate and District