Atrial Fibrillation

Availability

North South North West Statewide

Pre-referral work-up

History

All referrals should comply to the referral standards and also include:

  • Heart rate
  • Frequency of symptoms
  • Assessment of thrombo-embolic risk (CHADS2 or CHADS-VASC score)
  • Associated symptoms – angina, SOB
  • Current and past medications
  • Cardiac risk factors

Tests

  • FBE
  • U&Es, creatinine
  • Thyroid function
  • ECG

Interim/GP management

To refer a patient with this condition, please see the Cardiology clinic page for the full referral process and templates.

Consider the use of anti-coagulant therapy.

Direct link to Health Pathways Atrial Fibrillation (AF) page.

For more information please see the Tasmanian Health Pathways website.

Emergency

Acute symptomatic AF
Signs of TIA or stroke

Urgent / category 1

Difficulties with rate control (HR>100)

Semi-urgent / category 2

Difficulties with anti-coagulation management
Symptomatic paroxysmal AF

Red flags are clinical indicators of possible serious underlying conditions requiring further medical intervention. They may or may not indicate an emergency.

Additional Resources

Article - Initial Management of Cardiac Arrhythmias

Emergency:

Proceed to Emergency Department (ED). Please contact ED Medical Officer in Charge:
LGH ED – Phone: (03) 6777 6405  Fax: (03) 6348 7382
MCH ED – Phone: (03) 6478 5120  Fax: (03) 6441 5923
NWRH
ED – Phone: (03) 6493 6340  Fax: (03) 6464 1926
RHH ED - Phone: (03) 6166 6100  Fax: (03) 6173 0489

Urgent:

Urgent referrals should be accompanied by a phone call to the Consultant/Registrar to organise urgent review and the referral must be faxed.

We will endeavour to see these patients within one week, or sooner if clinically indicated.

Semi-urgent:

We will endeavour to see these patients within four weeks

Routine:

Next available appointment usually within eight weeks