Guideline-based Management of Patients With Atrial Fibrillation

Published:November 20, 2018DOI:


      • In 2010, 33.5 million people worldwide diagnosed AF predicted to rise by 5% annually.
      • Symptomatic AF patients report increase in quality of life and exercise tolerance in sinus rhythm.
      • For patients on DOACs, renal function needs to be monitored routinely for change in dose requirement
      • NP-run cardioversion program found high success rates and expedited access to care.
      • Understand lifestyle modifications that can decrease the burden of AF


      Atrial fibrillation (AF) has become a significant public health concern. An epidemiologic study conducted in 2010 estimated there are over 33.5 million people worldwide diagnosed with AF with that number predicted to rise by 5% annually. In the United States, AF is the primary diagnosis in over 500,000 hospital admissions annually. Guideline-based knowledge of treatment options is imperative in decreasing stroke risk, prevention of worsening heart function, and maintaining quality of life. It is also important for nurse practitioners to have this knowledge to make educated treatment recommendations to keep our patients safe and to help them to set realistic expectations.


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      Christine Tacklind, MS, ACNP-BC, works at Stanford Cardiac Arrhythmia Service, Stanford Hospital and Clinics in Stanford, CA. She is available at [email protected].