Silent AF has loud message for GPs

Data from primary care patients provides a strong case for annual opportunistic atrial fibrillation screening by GPs for all patients over 65, a leading cardiologist says.

Asymptomatic AF detected by GPs has the same poor prognosis for stroke as symptomatic AF that is managed in hospital, according to Professor Ben Freedman (pictured), from the University of Sydney’s Charles Perkins Centre.

In an analysis of mortality rates from more than 20,000 patients with AF, Professor Freedman showed that those with asymptomatic ambulatory AF had a 4%