Atrial Fibrillation Checklist

Form Template

The Atrial Fibrillation Checklist mobile app is intended for patients that have been diagnosed as suffering from Atrial Fibrillation or Atrial Flutter, it would be very useful to the doctor if the patient would fill out the checklist which is designed to provide the doctor with some of the information that may be needed to choose the best treatment for you.

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Atrial Fibrillation and Atrial Flutter are common heart rhythm disturbances which may produce symptoms such as palpitations, breathlessness, chest pain and tiredness. In some patients the rhythm disturbances may result in complications such as heart failure (sluggish beating of the heart) or sometimes stroke. There are many different and important treatments for atrial fibrillation and atrial flutter which are very effective, preventing the symptoms and the complications of the condition. The right choice of treatment depends in part on accurate information from the patient.

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