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Atrial fibrillation in the military patient: a review
  1. Alys H Hunter1,
  2. AT Cox2,3,
  3. J D'Arcy4,
  4. M Rooms5 and
  5. AJ Camm3
  1. 1MDHU Portsmouth, Queen Alexandra Hospital, Portsmouth, UK
  2. 2Royal Centre Defence Medicine (Birmingham), Queen Elizabeth Hospital, Birmingham, UK
  3. 3Cardiovascular Sciences Research Centre, St George's University of London, London, UK
  4. 4Department of Cardiology, Royal Centre Defence Medicine (Oxford), John Radcliffe Hospital, Oxford, UK
  5. 5Department of Occupational Medicine, Regional Occupational Health Team (North), Duchess of Kent Barracks, Catterick Garrison, UK
  1. Correspondence to Flt Lt Alys Hamilton Hunter, MDHU Portsmouth, Queen Alexandra Hospital, Portsmouth PO6 1LY, UK; alys.maconie{at}doctors.org.uk

Abstract

Atrial fibrillation (AF) is the most common sustained atrial arrhythmia, and increases an individual's risk of morbidity and mortality from cardiovascular and thromboembolic events. In this article, we review the pathophysiology and clinical presentations of AF and describe appropriate investigations and management likely to be appropriate for a military population, in line with current National Institute for Health and Care Excellence and European Society of Cardiology guidelines. The implications for the individual's Medical Employment Standard in the UK Armed Forces, with specific reference to specific military occupational activities such as aviation, diving and driving occupationally, are also reviewed.

  • OCCUPATIONAL & INDUSTRIAL MEDICINE
  • AVIATION MEDICINE
  • Accepted June 29, 2015.

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