Patient Information
Name: _________________
Date: _________________
Cardiologist: _________________
Understanding Your Condition
Atrial Fibrillation (AF) is an irregular heart rhythm that requires ongoing management and monitoring.
Treatment Goals
- Prevent blood clots and stroke
- Control heart rate
- Restore normal rhythm (if appropriate)
- Manage symptoms
- Address underlying conditions
Medications
Anticoagulation
- Prescribed medication: _________________
- Dosage: _________________
- Schedule: _________________
Rate Control
- Prescribed medication: _________________
- Dosage: _________________
- Schedule: _________________
Rhythm Control (if applicable)
- Prescribed medication: _________________
- Dosage: _________________
- Schedule: _________________
Monitoring Plan
Heart Rate Monitoring
- Target resting heart rate: 60-100 beats per minute
- Check pulse: ____ times per day
- Record in symptom diary
INR Monitoring (if on warfarin)
- Target INR range: _________________
- Next INR check: _________________
Lifestyle Modifications
- Limit alcohol intake
- Maintain healthy weight
- Regular physical activity as approved
- Manage stress
- Control blood pressure
- Follow heart-healthy diet
Emergency Plan
Contact Your Doctor If:
- Heart rate > 100 at rest
- Increased shortness of breath
- Unusual fatigue
- Dizziness or lightheadedness
Seek Immediate Care If:
- Chest pain
- Severe shortness of breath
- Fainting
- Stroke symptoms (FAST)
Follow-up Schedule
- Next appointment: _________________
- Cardiology review: Every ____ months
- ECG monitoring: Every ____ months
Additional Notes
Contact Information
- Clinic: _________________
- After hours: _________________
- Emergency: 911