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Atrial Fibrillation Assessment

Atrial fibrillation is serious condition. It's a leading cause of stroke and other complication. Common symptoms for atrial fibrillation is fatigue, palpitations, dizziness, shortness of breath and chest pain. To get a clear understanding on this use this assessment tool. Our interactive tool helps determine whether atrial fibrillation is indicated for you.

Is Atrial Fibrillation a serious condition for you? The tool asks you several simple questions, considers your answers, and tells you whether ICD therapy is indicated for you.

  • Enter your information

    This assessment should take no more than 3 minutes to complete

    Your First Name
    Family/Last Name
    Email Address
    COUNTRY OF RESIDENCE
    I would like to receive information from the Cleveland Clinic Abu Dhabi in the future. (We value your privacy.)

  • When were you diagnosed with atrial fibrillation?

  • Do you have persistent (continuous) atrial fibrillation?

  • How frequent are your atrial fibrillation episodes?

  • How long do your episodes last?

  • Do you have any of these symptoms?

    • Heart palpitations - Sudden pounding, fluttering or racing sensation in the chest
    • Lack of energy - Feeling over-tired or decreased ability to perform your daily activities
    • Shortness of breath - Having difficulty breathing during normal activities and even at rest
    • Chest discomfort - Pain, pressure or discomfort in the chest
    • Dizziness - Feeling light-headed or faint

  • Do you take medication for atrial fibrillation?

  • Have you ever had a cardioversion?

  • Have you ever had an ablation for atrial fibrillation?

  • Have you ever had surgery (i.e. Maze) for atrial fibrillation?

  • Do you have any of the following?

    • Coronary artery disease
    • Diabetes
    • Heart failure
    • History of stroke/TIA
    • Hypertension
    • Hypertrophic cardiomyopathy
    • ICD/Pacemaker
    • Open heart surgery
    • Valve disease
    • Congenital heart disease

  • Is your ejection fraction normal?

    Please Note:

    • Yes - it is greater .60 or 60% and/or my doctor said it was normal
    • No - it is less than .60 or 60% and/or my doctor said it was not normal (or reduced)

  • Has your doctor talked to you about anticoagulation (blood thinner) medication?

Thank you for taking the atrial fibrillation assessment. Your responses will be sent to your registered email address, Please speak to your Cardiologist to discuss your test results.

Retake Assessment Review & Print Questions

Disclaimer: Please note that we cannot provide treatment recommendations or diagnose your condition. This Atrial Fibrillation Assessment is NOT intended to replace the medical advice, treatment or diagnosis of your physician or health care provider. Please consult your health care provider for advice about a specific medical condition. This Atrial Fibrillation Assessment must be considered at all times as an educational, convenience service only and shall not be relied upon nor designed to replace or substitute a physician's independent judgment about the appropriateness or risks of a procedure for a given patient. Cleveland Clinic Abu Dhabi does not endorse, guarantee the accuracy, adequacy, completeness or availability of any information and is not responsible for any errors or omissions or for the results obtained from the use of this service. Cleveland Clinic Abu Dhabi does not guarantee the availability or ability to use this service.

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