Western Mail

‘Hundreds of thousands unaware they have irregular heartbeat’

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AS MANY as 500,000 people could be unaware that they have an irregular heartbeat, dramatical­ly increasing their risk of stroke, according to the British Heart Foundation

Research suggests that one in six people will develop an irregular heartbeat, known as atrial fibrillati­on (AF), during their lifetime.

Around 1.2 million people with AF have been diagnosed but the BHF says there are hundreds of thousands more with the condition, which can increase a person’s risk of stroke by up to five times if untreated.

Estimates suggest that around a third of people with AF are not yet diagnosed.

NHS and AF-related stroke costs the UK economy over £2bn each year.

There are a number of causes of AF, including high blood pressure, heart disease, thyroid disease and diabetes.

It can easily be detected with pulse checks and other tools available to patients and GPs.

But, worryingly, research has shown that the majority (54%) of people with AF aren’t taking medication to reduce their risk of a potentiall­y fatal stroke.

It is estimated that 12,000 deaths from AF-related stroke could be prevented every year if patients were managed effectivel­y with medication.

The most common presenting symptoms of AF are palpitatio­ns, breathless­ness and dizziness, although as many as 25-30% do not have symptoms.

Therefore, many people may fail to present for assessment and treatment, despite having an elevated risk of stroke.

Dr Mike Knapton, associate medical director at the British Heart Foundation, said: “Thousands of people with atrial fibrillati­on are needlessly dying of stroke every year because they are not being identified, and adequately managed.

“There are still hundreds of thousands of people undiagnose­d with AF, putting them at significan­t increased risk of suffering a stroke.

“Research is helping us understand the links between AF and stroke, but there is still much more to do.

“We need to detect people with an irregular heartbeat and then ensure they are getting the right care and treatment to reduce their risk of having a stroke.”

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