REFERRAL CRITERIA FOR PATIENTS
WITH NEW ONSET ATRIAL FIBRILLATION/FLUTTER.
A Rapid Access Service has been
developed providing a prompt service to initiate anticoagulation,
further investigations, including echocardiography and to reach an
appropriate decision regarding defibrillation for patients with NEW
ONSET Atrial Fibrillation or Flutter [AF].
This service is provided by a
hospital based specialist nurse, cardiologist and technician in
order to provide rapid, evidence based, treatment and
follow-up.
Patients with newly diagnosed AF,
confirmed by 12 lead ECG, can be referred using the criteria
below.
General Practitioners [GP] can
either post or fax FULLY completed referral
forms.
12 Lead ECG can also be faxed for
confirmation, prior to referral, if diagnosis
required.
Criteria for Referral to
Rapid Access AF Clinic
-
New Onset Atrial Fibrillation or Flutter,
confirmed with 12 lead ECG.
-
FBC / U/E, LFT and TFT to be requested by
DOCTOR prior to referral.
-
Ventricular Rate Control to be initiated, by
DOCTOR, prior to referral, with a suggested dose of 125MCg
[0.125mg] Digoxin OD.
Exclusion
Criteria to Rapid Access AF Clinic
PLEASE DO NOT REFER THE FOLLOWING GROUP OF
PATIENTS:
-
Patients with Chronic Atrial
Fibrillation.
2.Patients
found not suitable for Cardioversion during previous hospital
assessment.
Please FAX or POST this form to
Sister Debbie Sevant – Cardiac and Medical
Daystay
Southend Hospital
Telephone : 01702
221981
Fax – 01702
224903
Nov 03 V2