The Initial Evaluation of Atrial Fibrillation From 2014 AHA Guidelines With Links To Other AF Posts

I have a number of posts on atrial fibrillation (see all the links in Resources below) because it is a common arrhythmia with potentially life threatening consequences – stroke. And with appropriate therapy the risk of stroke from atrial fibrillation can be markedly reduced.

Reference (6) below is 2016 ACC/AHA Clinical Performance and Quality Measures for Adults With Atrial Fibrillation or Atrial Flutter. The following quote is from this reference: [Please note, I have included Table 1 in this post after Reference(6).]

All the measures included in the clinical performance and quality measure set are briefly summarized in Table 1, which provides information on the measure number, measure title, and care setting. The detailed measure specifications (available in Appendix A) provide not only the information included in Table 1 but also more detailed information, including the measure description, numerator, denominator (including denominator exclusions and exceptions), rationale for the measure, guidelines that support the measure, measurement period, source of data, and attribution.

In this post I include the initial evaluation of atrial fibrillation from Appendix 3 of 2014 AHA/ACC/HRS Guideline for the Management of Patients With Atrial Fibrillation: Executive Summary.



It is important to verify rate control with mild to moderate exercise and the six minute walk is a nice inexpensive alternative to treadmill or bicycle stress testing. See Reference (4) for how to do it.


(1) Atrial Fib + “Use of the CHA2DS2-VASc and HAS-BLED Scores to Aid Decision Making”
Posted on March 13, 2016 by Tom Wade MD

(2) Atrial Fibrillation – Help From EMC Cases 20 + 57 With Update Resources
Posted on March 11, 2016 by Tom Wade MD

(3) 2014 Atrial Fibrillation AHA Guidelines – Figures, Link, and Resources
Posted on March 10, 2016 by Tom Wade MD

(4) Resources for the Six Minute Walk Fitness Test
Posted on July 5, 2015 by Tom Wade MD

(5) Atrial Fibrillation Guidelines from the European Society of Cardiology
Posted on June 13, 2014 by Tom Wade MD

(6) 2016 ACC/AHA Clinical Performance and Quality Measures for Adults With Atrial Fibrillation or Atrial Flutter

Table 1 From Reference (6)



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