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The Scottish Government’s Heart Disease Improvement Plan (HDIP) was published in 2014 and identified six priorities, one of which is Arrhythmias. Atrial Fibrillation (AF) is a related condition and can cause events such as heart attacks and strokes; it may produce few or no symptoms so people do not seek medical advice or investigation. NHS Boards are expected to treat those with AF in line with the guidance in Scottish Intercollegiate Guidelines Network (SIGN) Guideline 94 ‘Cardiac Arrhythmias in Coronary Heart Disease’. The expectation is that AF should generally be managed in primary care and a simple pulse check can identify if someone is at risk.