Insights from the RCPE UK Consensus Conference on approaching the comprehensive management of atrial fibrillation.

This article provides some insights from the Royal College of Physicians of Edinburgh UK Consensus Conference on approaching the comprehensive management of atrial fibrillation. The four key questions addressed by the conference were: how can we best detect atrial fibrillation (AF)? Should the treatment of AF be targeted towards control of rhythm, rate or both? What is the most effective and safest delivery of thromboprophylaxis in AF? And what are the differences between physician and patient expectations with regard to the management of AF? The key recommendations from the consensus conference were that detection of AF must be improved; a national screening programme should be introduced; uptake of oral anticoagulants must be increased and methods of engaging patients in their AF management should be improved; aspirin should not be used for stroke prevention in AF; and in relation to rate and rhythm control for AF, relief of symptoms should be the goal of treatment. The Consensus Statement and its background papers are recommended reading for the development of local guidelines for management, and for the management of individual patients.