Video: Management of Atrial Fibrillation Update on the new NICE Guidelines by Professor Richard Schilling

[netpi]

pakavideos.com/atrial-fibri...

[Spiritji]

Excellent U Tube on AF with very up to date data from the field....thank you for sharing

[Barry24]

Hi Netpi

Many thanks for this, will have a look at the video when I get home.

Best Wishes

Barry

[CDreamer]

Good talk, I assume to GPs. Interesting point about asprin - higher bleed risk with no antidote!

[Hidden]

Thank you, much appreciated, he's one of the 'Premier Division' EP's I believe.

[BobD Volunteer]

I have always enjoyed listening to Richard and this talk is no exception. If all members and newly diagnosed patients watched this there would be no need for this forum!

[stix in reply to BobD]

A lot depends on a patients IQ because i just watched that and i am even more confused than ever

[voyagersprit]

Excellent video

[Finvola]

Thank you for posting the link. If only that video had been available when I was diagnosed . . .

Interesting information about cyro ablation and the relative risks of aspirin bleeds versus anticoagulants.

[Hidden]

Thank you so much for sharing this...quite the best talk and explanation I've heard in my 23 years AF history . I shall watch this again and again !!

Sandra

[ET12345]

This is an extremely helpful video. Thank you for recommending it

[MarkS]

Very interesting, my take home points were:

- only worth switching to an NOAC if TTR (Time in Therapeutic Range) on warfarin is less than 65%

- rate control drugs (beta/calcium channel blockers) have less mortality overall than rhythm control (i.e. flecainide, amiodarone)

- for ablations, combined RF & cryo give the best results followed by cryo only with RF only at the bottom

- cardioversions only have a 25% success rate unless they are accompanied by a rhythm control drug and even then its only 40%

[PeterWh in reply to MarkS]

I was suprised that cardioversion success rate was as high as that as I have seen numbers much lower and that cardioversion is not a cure.

I was suprised that cardioversion success rate was as high as that as I have seen numbers much lower and that cardioversion is not a cure. I suspect that both maybe correct because of the basis used!!!

I was told if someone is in persistent AF then in order to be given an ablation they had to have a cardioversion to (a) see that they could return to sinus rthythm and (b) they felt better in sinus rthythm. The vast majority in this category go back into AF.

[Marion62]

A very interesting video - just wondering what good my small dose of digoxin does as I am active and walk 3 miles most days.

Thanks for sharing

[dedeottie]

Excellent. Thank you.

[jennydog]

Very worthwhile video.

I was interested in him commenting about patients not knowing they were in AF because it occurred at night. This ties in with what we discussed on this site yesterday.

Also, he would not use flecainide as a pill in the pocket without also using bisoprolol. This has also been mentioned here but many of us have no clear instructions about using a pip.,

[dmac4646 in reply to jennydog]

just to how we are all different -I cannot take any form of Beta Blocker with Flecanaide without totally collapsing and hospitalised twice , they blamed atenenol and give bisoporol - same result. !

[Hidden in reply to dmac4646]

I questioned my cardiologist as I am just on Flecainide 200mgs/day and he said due to low pulse, 55, another drug would make me unwell.

[dmac4646 in reply to Hidden]

based on my experience that would be correct - I too have a an RPR of+/-50 just on Flecanaide.

[PeterWh in reply to jennydog]

I knew about night time AF because my EP told me although by the time I saw him I was in persistent AF.

[PeterWh in reply to PeterWh]

That's why I have mentioned it in quite a few posts.

[Craggy]

Very informative and many thanks for posting this. It gives a valuable structured and succinct presentation of upto date and relevant information.

Essential viewing for everyone on this forum!

[Blooto]

Thanks netpi for the link to a very interesting video , all the best blooto

[dommydops]

Yes, that was a very good video: many thanks for posting it.