Population-Based Screening for Atrial Fibrillation

Atrial fibrillation (AF) is a common and morbid arrhythmia. Stroke is a major hazard of AF and may be preventable with oral anticoagulation. Yet since AF is often asymptomatic, many individuals with AF may be unaware and do not receive treatment that could prevent a stroke. Screening for AF has gain...

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Bibliographic Details
Published in:Circulation research Vol. 127; no. 1; p. 143
Main Authors: Khurshid, Shaan, Healey, Jeffrey S, McIntyre, William F, Lubitz, Steven A
Format: Journal Article
Language:English
Published: United States 19.06.2020
Subjects:
Atrial Fibrillation - diagnosis
Atrial Fibrillation - epidemiology
Electrocardiography - methods
Electrocardiography - standards
Heart Rate Determination - methods
Heart Rate Determination - standards
Humans
Mass Screening - methods
Mass Screening - standards
Practice Guidelines as Topic
attention
atrial fibrillation
technology
stroke
atrial flutter
ISSN:1524-4571, 1524-4571
Online Access:Get more information
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Summary:Atrial fibrillation (AF) is a common and morbid arrhythmia. Stroke is a major hazard of AF and may be preventable with oral anticoagulation. Yet since AF is often asymptomatic, many individuals with AF may be unaware and do not receive treatment that could prevent a stroke. Screening for AF has gained substantial attention in recent years as several studies have demonstrated that screening is feasible. Advances in technology have enabled a variety of approaches to facilitate screening for AF using both medical-prescribed devices as well as consumer electronic devices capable of detecting AF. Yet controversy about the utility of AF screening remains owing to concerns about potential harms resulting from screening in the absence of randomized data demonstrating effectiveness of screening on outcomes such as stroke and bleeding. In this review, we summarize current literature, present technology, population-based screening considerations, and consensus guidelines addressing the role of AF screening in practice.
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ISSN:1524-4571
1524-4571
DOI:10.1161/CIRCRESAHA.120.316341