Atrial fibrillation in a primary care population: how close to NICE guidelines are we?
- PMID: 19634382
- PMCID: PMC4953606
- DOI: 10.7861/clinmedicine.9-3-219
Atrial fibrillation in a primary care population: how close to NICE guidelines are we?
Abstract
The National Institute for Health and Clinical Excellence (NICE) guidelines for the management of atrial fibrillation were published in June 2006. It was anticipated that they would potentially lead to increased demand for echocardiography (ECHO), increased access to secondary care services (for example for cardioversion), and require additional resources for monitoring anticoagulation. A primary care survey was therefore initiated in South Devon, in advance of publication of the guidelines as a snapshot of existing practice, to determine any additional resources and education required to meet the new standards. The main aim was to determine what proportion of patients were managed exclusively in primary care, how frequently patients were investigated by ECHO and whether anticoagulation was being appropriately targeted at patients at high risk of thromboembolic events.
Figures




Comment in
-
Can the NICE guidelines on the management of atrial fibrillation improve its management?Clin Med (Lond). 2009 Jun;9(3):207-9. doi: 10.7861/clinmedicine.9-3-207. Clin Med (Lond). 2009. PMID: 19634378 Free PMC article. No abstract available.
Similar articles
-
Can the NICE guidelines on the management of atrial fibrillation improve its management?Clin Med (Lond). 2009 Jun;9(3):207-9. doi: 10.7861/clinmedicine.9-3-207. Clin Med (Lond). 2009. PMID: 19634378 Free PMC article. No abstract available.
-
Atrial fibrillation in New Zealand primary care: Prevalence, risk factors for stroke and the management of thromboembolic risk.Eur J Prev Cardiol. 2017 Feb;24(3):311-319. doi: 10.1177/2047487316674830. Epub 2016 Oct 22. Eur J Prev Cardiol. 2017. PMID: 27798365
-
[Patients' characteristics and clinical management of atrial fibrillation in primary healthcare in Spain: FIATE Study].Med Clin (Barc). 2013 Oct 5;141(7):279-86. doi: 10.1016/j.medcli.2012.12.023. Epub 2013 May 15. Med Clin (Barc). 2013. PMID: 23683967 Spanish.
-
Screening and management of atrial fibrillation in primary care.BMJ. 2021 Apr 12;373:n379. doi: 10.1136/bmj.n379. BMJ. 2021. PMID: 33846159 Review.
-
[Anticoagulation in cardioversion of atrial fibrillation. Current status and outlook for the future].Med Klin (Munich). 2003 Feb 15;98(2):91-5. doi: 10.1007/s00063-003-1231-7. Med Klin (Munich). 2003. PMID: 12601533 Review. German.
Cited by
-
Can the NICE guidelines on the management of atrial fibrillation improve its management?Clin Med (Lond). 2009 Jun;9(3):207-9. doi: 10.7861/clinmedicine.9-3-207. Clin Med (Lond). 2009. PMID: 19634378 Free PMC article. No abstract available.
-
Evaluating the effect of inequalities in oral anti-coagulant prescribing on outcomes in people with atrial fibrillation.Eur Heart J Open. 2024 Mar 5;4(2):oeae016. doi: 10.1093/ehjopen/oeae016. eCollection 2024 Mar. Eur Heart J Open. 2024. PMID: 38572087 Free PMC article.
-
The role of contraindications in prescribing anticoagulants to patients with atrial fibrillation: a cross-sectional analysis of primary care data in the UK.Br J Gen Pract. 2017 Sep;67(662):e588-e597. doi: 10.3399/bjgp17X691685. Epub 2017 Jun 19. Br J Gen Pract. 2017. PMID: 28630059 Free PMC article.
References
-
- MacIntyre K, Capewell S, Stewart S. et al Evidence of improving prognosis in heart failure: trends in case fatalities in 66547 hospitalised patients between 1986 and 1995. Circulation 2000; 102:1126–31. - PubMed
Publication types
MeSH terms
Substances
LinkOut - more resources
Full Text Sources
Medical