AFib APCM Care Plan Documentation Checklist

Update score annually or after new diagnoses like hypertension or diabetes to justify anticoagulation therapy.

Use AI-automated calls to confirm daily DOAC intake or track recent Warfarin INR results for therapeutic range.

Evaluate and document bleeding risk factors to balance the benefit of anticoagulation against potential hemorrhage.

Note any documented reasons for avoiding specific anticoagulants, such as severe renal impairment or recent surgery.

Document that the patient has been educated on FAST symptoms and when to seek emergency care for TIA or stroke.

Document current resting heart rate and whether the patient is in sinus rhythm or persistent AFib.

List all beta-blockers, calcium channel blockers, or anti-arrhythmic drugs (AADs) and their current dosages.

Categorize AFib symptoms using the EHRA scale to track the impact on daily quality of life and activities.

Specifically document the absence or presence of QT prolongation or bradycardia for patients on Sotalol or Amiodarone.

Log dates of previous procedures and the success of maintaining sinus rhythm post-intervention.

Automate check-ins during the 3-month 'blanking period' to identify early episodes of tachycardia or palpitations.

Check for dysphagia or chest pain post-ablation to rule out rare but serious atrio-esophageal fistula complications.

Document the resolution of hematomas or pain at the catheter insertion site during initial post-op calls.

Log data from wearable devices or insertable cardiac monitors (ICMs) to confirm the absence of silent AFib.

If applicable, document the criteria and timeline for potentially stopping anticoagulants post-successful ablation.

Review NYHA class and fluid status, as AFib and heart failure frequently exacerbate one another.

Document STOP-BANG scores or CPAP compliance, as untreated OSA is a major driver of AFib recurrence.

Log recent BP readings to ensure they are within the target range to reduce left atrial stretch and remodeling.

Document discussions regarding alcohol reduction and weight loss, which are key to AFib burden reduction.

Update GFR and Creatinine levels to ensure appropriate dosing for DOACs and other renal-cleared medications.