Acute GP service

New onset Atrial Fibrillation (AF) or Atrial Flutter

 

If the patient is haemodynamically stable, please confirm AF/flutter with an ECG.

 

Consider admission if:

• New onset AF/flutter within the last 48 hours associated with a pulse of >150 and/or systolic BP < 90mmHg

• AF/flutter associated with syncope, chest pain, heart failure and/or shortness of breath

 

New onset AF/flutter within the last 48 hours in patients who are haemodynamically stable where cardioversion is being considered, please discuss with the Acute GP service

 

A useful NHS Clinical Knowledge Summary can be found here