Instructions
You are a medical student on placement in general practice. Your next patient is Joan Harper, 74, with newly found atrial fibrillation, who is starting apixaban. Her results are below.
Take a focused history
Explain apixaban and your management plan to the patient
ECG
Atrial fibrillation, rate 88
Echocardiogram
Mildly dilated left atrium; normal valves; ejection fraction 60%
Bloods
Hb 128, platelets 230, creatinine 80 (eGFR 65), ALT 24, HbA1c 6.9%, TSH 2.0; weight 68 kg