New guidance for GPs on managing atrial fibrillation

Untreated atrial fibrillation has been linked to one in 10 deaths, with some 45% of high-risk patients missing out on potentially life-saving anticoagulant therapy, new research suggest.


The research, published in the Australian Journal of General Practice, coincides with the launch of a free, comprehensive program designed to improve atrial fibrillation treatment and stroke prevention through better anticoagulant use.

It forms part of the work of the Quality Use of Medicines Alliance.

Atrial fibrillation is an irregular, fast heartbeat that increases stroke risk. It accounts for more than 200,000 hospitalisations each year, yet nearly half of high-risk patients are not prescribed anticoagulants and 43% stop their therapy within two-and-a-half years.

Prof Nigel Stocks, Head of Discipline of General Practice at the University of Adelaide and RACGP spokesperson contributed to the program.

“It is in the realm of GPs to identify and manage patients with atrial fibrillation which can be missed, particularly if it is intermittent or doesn’t cause symptoms,” he said.

“GPs should take any opportunity to screen for AF in at risk populations. Once diagnosed, patients may be reluctant to take anticoagulants, so it is important that they fully understand their individual stroke and bleeding risk so they can make informed decisions about future care.”

RELATED: An overview of atrial fibrillation, what you need to know

The program aims to increase awareness of atrial fibrillation and stroke and encourage patients to take preventative action.

It provides GPs with the tools to assess stroke and bleeding risks, support shared decision-making, and manage complex situations. Resources include:

  • Educational visits and peer group learning
  • Interactive webinars and online clinical cases
  • Practice audits and point-of-care tools.

It has been welcomed by the Stroke Foundation, Heart Foundation, Heart Support Australia and Hearts4heart.

You can access the program here.


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