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Preparing for your appointment
By Mayo Clinic staffIf you think you may have atrial fibrillation, it is critical that you make an appointment with your family doctor. If atrial fibrillation is found early, your treatment may be easier and more effective. Eventually, however, you may be referred to a heart specialist (cardiologist).
Because appointments can be brief, and because there's often a lot of ground to cover, it's a good idea to be prepared for your appointment. Here's some information to help you get ready for your appointment, and what to expect from your doctor.
What you can do
- Be aware of any pre-appointment restrictions. At the time you make the appointment, be sure to ask if there's anything you need to do in advance, such as restrict your dietary intake. You may need to do this if your doctor orders blood tests.
- Write down any symptoms you're experiencing, including any that may seem unrelated to atrial fibrillation.
- Write down key personal information, including any family history of heart disease, stroke, high blood pressure or diabetes, and any major stresses or recent life changes.
- Make a list of all medications, as well as any vitamins or supplements, that you're taking.
- Take a family member or friend along, if possible. Sometimes it can be difficult to understand and remember all the information provided to you during an appointment. Someone who accompanies you may remember something that you missed or forgot.
- Write down questions to ask your doctor.
Your time with your doctor is limited, so preparing a list of questions will help you make the most of your time together. List your questions from most important to least important, in case time runs out. For atrial fibrillation, some basic questions to ask your doctor include:
- What is likely causing my symptoms or condition?
- What are other possible causes for my symptoms or condition?
- What kinds of tests will I need?
- What's the best treatment?
- What foods should I eat or avoid?
- What's an appropriate level of physical activity?
- How often should I be screened for heart disease or other complications of atrial fibrillation?
- What are the alternatives to the primary approach that you're suggesting?
- I have other health conditions. How can I best manage them together?
- Are there any restrictions that I need to follow?
- Should I see a specialist? What will that cost, and will my insurance cover seeing a specialist? (You may need to ask your insurance provider directly for information about coverage.)
- Is there a generic alternative to the medicine you're prescribing?
- Are there any brochures or other printed material that I can take home with me? What websites do you recommend visiting?
In addition to the questions that you've prepared to ask your doctor, don't hesitate to ask questions during your appointment at any time that you don't understand something.
What to expect from your doctor
Your doctor is likely to ask you a number of questions. Being ready to answer them may save time to go over any points you want to spend more time on. Your doctor may ask:
- When did you first begin experiencing symptoms?
- Have your symptoms been continuous or occasional?
- How severe are your symptoms?
- What, if anything, seems to improve your symptoms?
- What, if anything, appears to worsen your symptoms?
- Atrial fibrillation and flutter. Heart Rhythm Society. http://www.hrspatients.org/patients/heart_disorders/atrial_fibrillation/default.asp. Accessed Dec. 8, 2010.
- Atrial fibrillation. National Heart Lung and Blood Institute. http://www.nhlbi.nih.gov/health/dci/Diseases/af/af_all.html. Accessed Dec. 8, 2010.
- Thomas MC, et al. Blood pressure control and the risk of incident atrial fibrillation. American Journal of Hypertension. 2008;21:1111.
- ACC/AHA/ESC Writing Committee members. 2006 guidelines for the management of patients with atrial fibrillation. Europace. 2006;8:651.
- Singer DE, et al. Antithrombotic therapy in atrial fibrillation: American College of Chest Physicians Evidence-Based Clinical Practice Guidelines (8th Edition). Chest. 2008;133:546S.
- Connolly S, et al. Dabigatran versus warfarin in patients with atrial fibrillation. New England Journal of Medicine. 2009;361:1139.
- FDA approves Pradaxa to prevent stroke in people with atrial fibrillation. U.S. Food and Drug Administration. http://www.fda.gov/NewsEvents/Newsroom/PressAnnouncements/ucm230241.htm. Accessed Dec. 8, 2010.
- Cardioversion. National Heart, Lung, and Blood Institute. http://www.nhlbi.nih.gov/health/dci/Diseases/crv/crv_all.html. Accessed Dec. 8, 2010.
- Catheter ablation. National Heart, Lung, and Blood Institute. http://www.nhlbi.nih.gov/health/dci/Diseases/ablation/ablation_all.html. Accessed Dec. 8, 2010.
- Cheng J, et al. Surgical approaches to prevent recurrent atrial fibrillation. http://www.uptodate.com/index. Accessed Dec. 8, 2010.
- Maze procedure for treatment of atrial fibrillation. University of Southern California Keck School of Medicine. http://www.cts.usc.edu/mazeprocedure.html. Accessed Dec. 1, 2010.
- Arrhythmia medications. American Heart Association. http://americanheart.org/presenter.jhtml?identifier=18. Accessed Nov. 30, 2010.
- Wann LS, et al. 2011 ACCF/AHA/HRS focused update on the management of patients with atrial fibrillation (updating the 2006 guideline): A report of the American College of Cardiology Foundation/American Heart Association Task Force on Practice Guidelines. Circulation. 2010; In press. Accessed Dec. 20, 2010.
- FDA approves Xarelto to prevent stroke in people with common type of abnormal heart rhythm. U.S. Food and Drug Administration. http://www.fda.gov/NewsEvents/Newsroom/PressAnnouncements/ucm278646.htm. Accessed Dec. 1, 2011.
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