Atrial fibrillation attack

You have just gone into atrial fibrillation: what do you do? This article considers your options.

Cardiomyopathy routine follow up

Heart enlargement or 'Cardiomyopathy' is a common reason for specialist follow up. In stable cases follow up can be shared with a GP who has access to BNP blood testing and an 'open access' Echocardiography service. The protocol I use is described here fo…

Amiodarone 'surveillance'

Amiodarone is a potentially toxic drug so it is important that once started on the drug, the GP and Hospital teams collaborate in monitoring for adverse events. A few protocols are discussed in this article.


Many of our patients who suffer from paroxysmal atrial fibrillation take medication only when 'attacks' of atrial fibrillation occur. The technique is discussed here, along with links to 'the evidence'

Living with pill in the pocket

Intermittent or paroxysmal atrial fibrillation is very common. The experience of one sufferer that uses all the latest techniques makes life bearable

Why and how to feel your pulse

Roger Taylor may beat in Rhythm, but do you? Our campaign is directed at anyone over 65 years of age- since many more strokes can occur in those affected by atrial fibrillation over this age.

How blood clots

Read about how mammalian clotting systems work and it becomes easier to understand why such processes can go wrong as we age, and together with atherosclerosis can cause heart attacks, stroke, deep vein thrombosis and pulmonary embolism.

Why 'thin your Blood'

Numerous medical conditions are caused or complicated by 'blood clots' so if your suffer from circulatory condition or have a heart condition, it is obvious that 'blood thinners' may be a good idea, but which one? International opinion and medical guidan…

Your risk of stroke in AF

Not everyone in atrial fibrillation is at high risk of stroke caused by a blood Clot moving from the heart to the brain. The risk can be partly determined using simple characteristics such as age, gender, presence of medical conditions such as diabetes,…

Research: Detecting AF in pacemaker patients

We will recruit patients fitted with a pacemaker that provides continuous rhythm monitoring (the gold standard), and assess whether a hand held heart rhythm monitor can be used to detect prolonged episodes

Primary Percutaneous Coronary Intervention or PPCI

PPCI within a few hours of onset of symptoms is now increasingly considered to be the most effective treatment for ST elevation Myocardial infraction or heart attack. A recent case is illustrated in this story.

Heart or Brain attack resembles Aircrash

Most people are familiar with the term "he was an accident waiting to happen" but few will understand just how close the analogy is to real life disasters such as a train or plane crash.. In this article the idea is floated that a Stroke or Heart attack i…

How Atrial Fibrillation causes a stroke

About 20% of strokes are caused by passage of a blood clot from the heart. In this blog I describe, in layman terms, the mechanism by which this common heart disorder causes a blood clot to be formed and then pass to the brain