Case scenario

Mr Jones, a 59-year-old man, was recently discharged from hospital following an admission for breathlessness and palpitations. His 12-lead electrocardiogram (ECG) confirmed fast atrial fibrillation, and a transthoracic echocardiogram showed a dilated left atrium and mitral stenosis. His past medical history includes hypertension treated with amlodipine 5 mg daily. He also currently takes aspirin 75 mg daily and simvastatin 40 mg daily.

He presents to your community pharmacy with new prescriptions for:

  • metoprolol 50 mg twice daily
  • warfarin 1 mg and 3 mg tablets as per international normalised ratio (INR)
  • simvastatin 40 mg at night.

He asks you about the changes in his medication.

Learning objectives

After successful completion of this CPD activity, pharmacists should be able to:

  • Discuss the prevalence and sequelae of atrial fibrillation
  • Describe key steps in the diagnosis of atrial fibrillation
  • Discuss key features of latest evidence-based guidelines for the management of atrial fibrillation
  • Discuss the importance of pharmacist-led patient education on atrial fibrillation.

Competencies (2016) addressed: 1.1, 1.5, 3.1, 3.2, 3.5.

Accreditation code: CAP1811A

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