Atrial fibrillation (AF) is the commonest arrhythmia associated with a significant cardiovascular disease burden, with increased risk of a number of comorbidities; of particular concern is the five-fold increased risk of stroke. The management of the condition consists of effective symptom control and adequate protection from associated adverse events. A combination of different therapeutic agents can be used to achieve these goals, tailored to the needs of the individual. The cardiologist’s input may only be relatively small, concerned with managing acute presentations and performing certain procedural interventions. The role of the primary care physician is arguably more significant, delivering a holistic package of care that considers the broad needs of a person with AF.
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