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My GP to do annual AF tests to detect asymptomatic patients

Omniscient1 profile image
15 Replies

I've just had a letter from my local surgery saying following my suggestion they will now take the pulse of people who attend for annual exams (blood pressure, diabetes etc) to see if they are asymptomatic AF sufferers. A positive result to then be referred for ECG etc.

A small victory.

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Omniscient1
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15 Replies
BobD profile image
BobDVolunteer

Well done. We have said for years this could be added to flu jab as well.

BrotherThomas profile image
BrotherThomas

Well done! I'm asymptomatic and my AF was discovered through me asking for my BP to be checked the old-fashioned way rather than with the usual automatic machine. Let's hope a few more GP's adopt a similar approach.

Espeegee profile image
Espeegee

Our surgery takes a pulse reading during wellness checks, decided hubby had an irregular beat, sent him for an ECG and he never heard any more! Took mine, said it was regularly irregular, no other checks done and I have Afib. I'm afraid I no longer hold our medics in much regard.

Omniscient1 profile image
Omniscient1 in reply to Espeegee

You don't surprise me. It's taken a while for them to take this onboard.

JOY2THEWORLD49 profile image
JOY2THEWORLD49

Hi

But best is by the stethoscope or physically not be BP machine.

AF is an irregular heart beat.

BP machines do not register pulse then accurately or sometimes gives an ERR message.

cherio JOY. 75. (NZ)

At the clinic prior we all were weighed, temp and BP taken. My current one does not.

Omniscient1 profile image
Omniscient1 in reply to JOY2THEWORLD49

Some BP machines do accurately flag up AF but not the ones my surgery uses! My original suggestion was that a stethoscope was used as that was how mine was detected, but they said that practice nurses are not trained to listen to the heart so said a pulse check would do. I'm not 100% convinced but any initiative to try and detect it is welcome.

TracyAdmin profile image
TracyAdminPartner

That is truly wonderful news 👍 thank you for sharing this positive breakthrough!

baba profile image
baba

Well done!

Let’s hope they actually check the pulse manually and not rely on gadgets - unless it’s an ECG.

I’ve had mine recorded as regular even though I’m in permanent AFib.

mjames1 profile image
mjames1

I've had my pulse snd/or ekg taken during my annual physical exam for as long as I can remember. They not only note the HR, but whether the pulse is regular or irregular. I'm from the US.

Are you sure this isn't fairly standard practice in the UK as well? They may not call it an atrial fibrillation check, but if they're checking your pulse with their finger or a stethoscope, they should be noting any irregularities and referring those for a follow up EKG.

Jim

Omniscient1 profile image
Omniscient1 in reply to mjames1

Hi, no it's not standard practice here, they check your pulse rate to see if you're ok, not too slow or fast, but that's it.

baba profile image
baba in reply to Omniscient1

It used to be that every time you were seen by a doctor or trained registered nurse there would be a pulse check. Nowadays it doesn't happen. So much information available from a manual pulse check not just rate but rhythm, volume etc.

Linley profile image
Linley

👍

frazeej profile image
frazeej

I find it hard to believe that during an exam no one takes a pulse or listens to the heart!! I guess listening to the lungs would be way too much to ask! I believe both could be done in less than a minute!

JimF

Omniscient1 profile image
Omniscient1 in reply to frazeej

My surgery gets heart rate from the BP machine, and says that the nurses aren't qualified to listen to the heart. At this point I just said to them that how they do it is up to them, but please just do it!

Rosie0202 profile image
Rosie0202

I find it staggering that nurses do not use basic methods to listen to the heart and therefore are not qualified. All that training and no basics. It's a disgrace.

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