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Explain ECG — new AF

PLAB 2 & PRES 3 · cardiology · medium · 10 minutes

Candidate brief

Mr O'Leary, 65, had an ECG showing atrial fibrillation (irregularly irregular, no P waves). He has palpitations. Explain the finding and next steps.

What examiners look for

NICE NG196 AF: risk stratify, DOAC first line, consider rhythm control within 48h or if symptomatic.

Guideline references

• https://www.nice.org.uk/guidance/ng196
• https://cks.nice.org.uk/topics/atrial-fibrillation/

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