Intended for healthcare professionals


Non-paroxysmal atrial fibrillation and other stories . . .

BMJ 2016; 352 doi: (Published 23 March 2016) Cite this as: BMJ 2016;352:i1456

Constant AF is riskier

Using words like “thromboembolism,” “paroxysmal,” and “fibrillation” in daily life is one of the pleasures of medicine. Nobody else gets to do it. In risk scores for arterial thromboembolism, paroxysmal atrial fibrillation (PAF) is often lumped with non-paroxysmal atrial fibrillation (NPAF), but a new meta-analysis shows clearly that NPAF carries a higher risk (Eur Heart J doi:10.1093/eurheartj/ehw007). In 12 studies of nearly 100 000 patients, the overall multivariable adjusted hazard ratio for thromboembolism in NPAF versus PAF was 1.384 (95% CI 1.191 to 1.60), and this order of difference was similar whether or not patients were taking anticoagulants.

Self harm in UK primary care

The Clinical Practice Research Datalink has been used to carry out the first survey of self harm in the primary care patient populations of the UK …

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