Illustrating: ECG access; advisory AF elements; risk assessment of anticoagulation

Illustrating: ECG access; advisory AF elements; risk assessment of anticoagulation

Mr JR is a 73 years old man who presents to his GP with symptoms of an irregular and fast heart beat which made him feel unwell and rather light-headed. This causes him to sit down until the feelings subsided. These symptoms have been present for 10 months and are getting worse. He had an electrocardiogram (ECG) 2 years ago which was normal.

GP Diagnosis
The GP confirms that his heart rate is over 160 beats per minute and is very irregular. A diagnosis of atrial fibrillation is made and then confirmed on an ECG (below).

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Prescribed treatment
The GP uses the atrial fibrillation advisory components within HeliconHeart to determine the best approach to treatment. He would normally have prescribed digoxin but the system guides to recommend bisoprolol  because the patient also suffered from heart failure and has a high heart rate on mild exertion.

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How HeliconHeart helps

  • The use of HeliconHeart – Shared care for Atrial fibrillation and stroke prevention services in conjunction with the GP systems enables all the relevant details about the patient to be collected together seamlessly so the patient receives the optimal treatment.
  • The information and advice about new drugs is particularly useful as it always up-to-date. It also guides the clinician to more sources of information if required
  • The GP or other clinician is guided to identify the signs and symptoms of a high-risk patient that needs early referral to the local specialist. It is not necessary in this case but if this changes, the whole record can be shared easily and securely.