Having discussed the new diagnosis with Dillon, the GP writes up his notes.
The GP types Dillon’s information into his computer
Name: Dillon Robson
Diagnosis: Paroxysmal AF
Plan: 1. Advice given regarding alcohol intake and other healthy lifestyle advise.
2. Bisoprolol 5mg OD
3. CHADS2 = 0; CHA2DS2-VASc = 0; no anti-coagulant required
BP: 117 / 79
Height: 182cm
Weight: 76kg
BMI category: 22.9
Smoking status: Never smoked
Consultation notes: Review in 6 weeks time. Patient advised if he does not feel better or if he starts to feel worse to get back in touch.
Pulse point
Dillon’s well-being will need to be reassessed on a regular basis. If the episodes of AF change in frequency or there are test results that highlight an abnormality, this would in turn change his medical management.
Some patients with symptomatic paroxysmal AF should be referred onto a specialist cardiologist if symptoms persist, despite simple measures such as lifestyle adjustment and beta blockade.
2012 focused update of the ESC Guidelines for the management of atrial fibrillation
Page last reviewed: 29 Jul 2020
