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Atrial fibrillation: the detect, protect, perfect programme
The ‘Detect, Protect and Perfect’ pathway initiatives aim to identify people with atrial fibrillation and move them on to effective and appropriate treatment. Professor Ahmet Fuat, GP and Honorary Professor of Primary Care Cardiology, Durham University, looks at its role in primary care.
The ‘Detect, Protect and Perfect’ pathway initiatives aim to identify people with atrial fibrillation and move them on to effective and appropriate treatment. Professor Ahmet Fuat, GP and Honorary Professor of Primary Care Cardiology, Durham University, looks at its role in primary care.
Atrial fibrillation (AF) is the most common sustained cardiac arrhythmia1 and is a major cause of stroke. One in every five strokes in the UK is due to known AF.2 Compared with non-AF strokes, AF-related strokes are associated with higher mortality rates3, greater disability, longer hospital stays4 and a lower rate of discharge back home. Progression of atrial fibrillation is thought to be driven by structural changes in the atria, including electrical, contractile changes, known as atrial remodelling.5 AF tends to progress from paroxysmal (self-terminating, usually within 48 hours) to persistent (non-self-terminating or requiring cardioversion), long-standing persistent (lasting longer than
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