Screen for Afib in CABG Patients – ACT against Afib

Screen for Afib in CABG Patients

In a population of more than 79,000 Medicare patients, 20% of CABG patients had an admission for Afib within 3 years before the CABG, but the Afib diagnosis was often unknown during referral.3

Possible Ways to Identify Patients with Afib when Referred for Heart Surgery:

  • Include screening questions at referral in the surgical intake process, such as:
  • Have you ever been told you have an irregular heart beat?
  • Have you ever had heart palpitations?
  • Have you ever taken blood thinners?
  • Have you ever taken medicines to manage your heart rate?
  • Review chart history for a past Afib diagnosis, Holter monitoring, cardioversion, or catheter ablation.
  • Contact primary physician, such as the General Cardiologist or Heart Failure Specialist, to ask about any history of Afib.
  • Implement screening and a follow-up process for patients who present to the ED with Afib.
  • Discuss concomitant surgical Afib treatment during the referral process with the referring physician, as well as the primary physician.
  • Consider active navigation of Afib patients with a Nurse Navigator to guide the patient through the referral, treatment, and follow-up management.

Did you know?

Patients who are managed by a Nurse Navigator have:58
  • Higher satisfaction

  • Fewer readmissions and ED visits

  • Improved outcomes

  • Higher retention in the same system for other care needs

  • Reduced length of stay in the ICU

SA: Surgical Ablation
ED: Emergency Department
ICU: Intensive Care Unit

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