Bad medicine: atrial fibrillation
BMJ 2013; 347 doi: https://doi.org/10.1136/bmj.f4910 (Published 07 August 2013) Cite this as: BMJ 2013;347:f4910- Des Spence, general practitioner, Glasgow
- destwo{at}yahoo.co.uk
General practitioners are the canaries of epidemiology, monitoring large cohorts of patients over many decades and observing changes in illness trends long before research does. Consider atrial fibrillation (AF), with a reported lifetime risk of 25% for men and 17% for women, the Framingham study found.1 And this is an underestimate for paroxysmal AF, which apparently carries the same risk of stroke but is often missed.⇑
The annual risk of stroke in people with AF is 3-4%.2 As AF is so prevalent, it follows that a large proportion of the population will have a stroke. …
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