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Refer Red Flags immediately.
See rhythm control section above for those who should be considered for referral for specialist opinion.
Refer patients promptly at any stage if treatment fails to control the symptoms of atrial fibrillation and more specialised management is needed.
An ECG must be attached to the referral.
Please ensure that co-morbidities such as hypertension and obesity are being managed at the same time as referral.
GHNHSFT team of specialist cardiologists provide a full range of cardiac (heart) care for patients in the treatment and prevention of heart conditions.
Please see Cardiovascular: general and other page for Cardiology contact details including the ‘Hot Advice Line’ and referral information.
Healthy Lifestyles Gloucestershire is an integrated service which provides people with lifestyle support through one single point of access for:
Healthy Lifestyle Coaches don’t write diet plans or exercise programmes, instead it works with patients to collaboratively identify small changes that can be made in lifestyle and provides motivational support to achieve their lifestyle goals.
Please click here for further information and referral details.
Please see Substance Misuse pages for further information and referral details.
For patients who are not taking an anticoagulant, review stroke risk when they reach 65 years of age or if they develop any of the following at any age:
For people who are not taking an anticoagulant due to bleeding risk or other factors, review stroke and bleeding risks annually.
For people who are taking an anticoagulant, review the need for and quality of anticoagulation at least annually or more frequently if indicated.
When reassessing anticoagulation, take into account the following factors: