Bayside Referral Assist

Eligibility

At least one must be met for the patient to be eligible for referral.

Clinically suspected or confirmed atrial fibrillation with initial primary-care work-up completed

Red flags

Indicate urgent (Category 1) referral or emergency assessment.

Recent onset atrial fibrillation with any of the following:

haemodynamic instability

shortness of breath

chest pain

heart failure

current syncope or pre-syncope

sustained heart rate greater than 150 beats per minute

known Wolff-Parkinson-White syndrome

Routine referral criteria

Determine Category 2 or 3 urgency.

Recurrent paroxysmal atrial fibrillation

Atrial fibrillation where anticoagulation is contraindicated

Atrial fibrillation with reduced left ventricular function or moderate valvular disease

Atrial fibrillation that is unresponsive to medical management and that requires further advice on, or review of, the current management plan

Usually managed in primary care

Isolated event of atrial fibrillation that has resolved (e.g. post-infection)
Patients that are stable (that is heart rate is stable and the patient is on anticoagulation) and not for further active management
Patients that are already under the care of a cardiologist