Medical Forum 2020 - Atrial Fibrillation

The Heart Rhythm Association Singapore (HRAS) will bring to you a series of education programs targeted at family physicians, physicians or scientists, whose careers demonstrate a commitment to cardiac electrophysiology, pacing and/or the treatment of patients with heart rhythm disorders.

ATRIAL FIBRILLATION (AF) is the most common sustained arrhythmia and is associated with significant morbidity and mortality. Its incidence increases tremendously in countries with rapidly aging population like Singapore and most Asia Pacific countries. It is important to detect AF early as stroke and heart failure may be the first manifestation. Symptoms can often be atypical or even absent but may still be associated with complications. Hence early detection is important.

The use of wearables and home bp monitors can help the lay person to detect AF. This however will need to be confirmed with an ECG. Once detected, AF management includes risk stratification for stroke and need for anticoagulation. Subsequent management includes assessing the need for conversion back to sinus rhythm or rhythm control with antiarrhythmic drugs or catheter ablation. Importantly, the precipitating factors and risk factors should be managed to prevent further recurrence of AF.