Seek referral to a heart rhythm specialist for atrial fibrillation

Outrage expressed by patients that arrhythmia was completely ignored by the national service framework for coronary artery disease led to the addition of a single arrhythmia chapter. 2 The Arrhythmia Alliance is an excellent example of patients and healthcare professionals successfully collaborating to improve care. Life changing interventions such as catheter ablation and improved understanding of existing drugs (warfarin is as safe as aspirin and better at preventing atrial fibrillation related stroke 3 ) have had much more impact than newer drugs.