Atrial Fibrillation

Evidence Based Reports

Rivaroxaban (Xarelto) for stroke prevention in atrial fibrillation (2009)[National Horizon Scanning Centre]NEW

Dronedarone is less effective, but safer than amiodarone in atrial fibrillation (2009)[NPC On the Horizon Rapid Review] NEW

Is clopidogrel ACTIVE for atrial fibrillation? (2009)[NPC On the Horizon Rapid Review] NEW

Percutaneous (non-thoracoscopic)epicardial catheter radiofrequency ablation for atrial fibrillation (2009)[NICE] NEW

Thoracoscopic epicardial radiofrequency ablation for atrial fibrillation (2009)[NICE] NEW

Comparative effectiveness of radiofrequency catheter ablation for atrial fibrillation(2009)[DARE] NEW


A systematic review of randomized trials comparing radiofrequency ablation with antiarrhythmic medications in patients with atrial fibrillation (2009)[DARE] NEW

Thoracoscopic epicardial radiofrequency ablation for atrial fibrillation (2009)[NICE]

Intravenous magnesium sulphate and sotalol for prevention of atrial fibrillation after coronary artery bypass surgery: a systematic review and economic evaluation (2008) [NCCHTA]

Curative catheter ablation in atrial fibrillation and typical atrial flutter: systematic review and economic evaluation (2008)[NCCHTA]

Antiarrhythmic effect of statin therapy and atrial fibrillation: a meta-analysis of randomized controlled trials (2008)[DARE]

Catheter ablation vs antiarrhythmic drug therapy for atrial fibrillation: a systematic review (2008)[DARE]

Dabigatran etexilate (Pradaxa) for stroke prevention in atrial fibrillation (2008)[National Horizon Scanning Centre]

Clopidogrel (Plavix) in combination with aspirin for prevention of vascular events in patients with atrial fibrillation (2008) [National Horizon Scanning Centre]

Irbesartan (Aprovel) for prevention of cardiovascular complications in patients with persistent atrial fibrillation (2008)[National Horizon Scanning Centre]

Oral anticoagulants for preventing stroke in patients with non-valvular atrial fibrillation and no previous history of stroke or transient ischemic attacks (2007) [Cochrane]

Antiarrhythmics for maintaining sinus rhythm after cardioversion of atrial fibrillation (2007) [Cochrane]

Atrial fibrillation (acute onset) (2006) [BMJ Clinical Evidence] Athens Log-in required

Is pulse palpation helpful in detecting atrial fibrillation: a systematic review (2006) [DARE]

Percutaneous radiofrequency ablation for atrial fibrillation (2006) [NICE]

Percutaneous occlusion of the left atrial appendage for atrial fibrillation (2006) [NICE]

High-intensity focused ultrasound for atrial fibrillation in association with other cardiac surgery (2006) [NICE]

Radiofrequency ablation for atrial fibrillation in association with other cardiac surgery (2005) [NICE]

Microwave ablation for atrial fibrillation in association with other cardiac surgery (2005) [NICE]

Cryoablation for atrial fibrillation in association with other cardiac surgery (2005) [NICE]

Pharmacological cardioversion for atrial fibrillation and flutter (2005) [Cochrane]

Electrical cardioversion for atrial fibrillation and flutter (2005) [Cochrane]

Antiplatelet therapy for preventing stroke in patients with non-valvular atrial fibrillation and no previous history of stroke or transient ischemic attacks (2005) [Cochrane]

Anticoagulants for preventing stroke in patients with nonrheumatic atrial fibrillation and a history of stroke or transient ischaemic attack (2004) [Cochrane]

Anticoagulants versus antiplatelet therapy for preventing stroke in patients with nonrheumatic atrial fibrillation and a history of stroke or transient ischemic attack (2004) [Cochrane]




Clinical Guidelines

Atrial Fibrillation (AF)(2009)[Map of Medicine]

Atrial Fibrillation (2007) [CKS]

Atrial Fibrillation: The management of Atrial fibrillation (2006) [NICE]



Recent articles in core journals

Effect of age on stroke prevention therapy in patients with atrial fibrillation: the atrial fibrillation investigators (2009) [Evidence Updates] NEW

Development of a risk score for atrial fibrillation (Framingham Heart Study): a community-based cohort study (2009) [Lancet] NEW

Risks and benefits of oral anticoagulation compared with clopidogrel plus aspirin in patients with atrial fibrillation according to stroke risk: the atrial fibrillation clopidogrel trial with irbesartan for prevention of vascular events (ACTIVE-W) (2008)[Stroke]

Rhythm control versus rate control for atrial fibrillation and heart failure (2008) [NEJM]

Obesity as a risk factor for the progression of paroxysmal to permanent atrial fibrillation: a longitudinal cohort study of 21 years (2008) [Eur Heart J]

Independent predictors of stroke in patients with atrial fibrillation: a systematic review (2007) [Neurology]

Meta-analysis of magnesium therapy for the acute management of rapid atrial fibrillation (2007) [Am J Cardiol]

Prevention of atrial fibrillation onset by beta-blocker treatment in heart failure: a meta-analysis (2007) [Eur Heart Journal]



eTextbooks

Atrial fibrillation: diagnosis and management (2007)[BMJ Learning]

Management of atrial fibrillation : Multiple choice questionnaire (2007)[BMJ Learning]

Communicating uncertainty and risk of stroke to patients with atrial fibrillation (2007) [BMJ Learning]

Catheter and surgical ablation of atrial fibrillation (2007) [BMJ Learning]

Atrial Fibrillation (2007) [eMedicine]


Clinical Queries

What is the incidence of Atrial fibrillation (AF) in children under 15. Can AF be familial? (2009)[ATTRACT] NEW

What is the evidence for an alternative anticoagulation e.g. dipyridamole in a patient with AF, who is allergic to aspirin and that warfarin is contra-indicated? (2008) [TRIP Answers]

What is the clinical evidence that a patient under 65 years of age with persistant AF would benefit from long term antithrombotic therapy? (2008) [TRIP Answers]

Is there any evidence or guidance available on the most appropriate way to initiate Warfarin in patients newly diagnosed with chronic AF in the community? (2008)[ATTRACT]

Once someone has been diagnosed with atrial fibrillation what tests should we carry out? (2008) [TRIP Answers]

How long should you continue warfarin in a patient with paroxysmal atrial fibrillation? (2007) [TRIP Answers]




Patient Information

Atrial Fibrillation (2008)[BMJ Best Treatments] NEW

Atrial Fibrillation and Warfarin (2008)[Patient UK]

Atrial Fibrillation (2008) [Patient UK]

Atrial Fibrillation (2007) [NHS Choices]


Important

1. If you are a Welsh Primary Care Professional with a clinical query send it to ATTRACT online or email us at questions@attract.wales.nhs.uk or call 01495 332343.

2. If you would like to comment on this CME topic, or suggest a new topic for ATTRACTcme, go to the comments hyperlink below.