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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| Vydáno v: | Circulation research Ročník 127; číslo 1; s. 143 |
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| Hlavní autoři: | , , , |
| Médium: | Journal Article |
| Jazyk: | angličtina |
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United States
19.06.2020
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| ISSN: | 1524-4571, 1524-4571 |
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| Abstract | 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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| AbstractList | 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.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. 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. |
| Author | McIntyre, William F Lubitz, Steven A Khurshid, Shaan Healey, Jeffrey S |
| Author_xml | – sequence: 1 givenname: Shaan surname: Khurshid fullname: Khurshid, Shaan organization: Broad Institute of Harvard University, Massachusetts Institute of Technology, Cambridge (S.K., S.A.L.) – sequence: 2 givenname: Jeffrey S surname: Healey fullname: Healey, Jeffrey S organization: Population Health Research Institute, McMaster University, Hamilton, ON, CA (J.S.H., W.F.M.) – sequence: 3 givenname: William F surname: McIntyre fullname: McIntyre, William F organization: Population Health Research Institute, McMaster University, Hamilton, ON, CA (J.S.H., W.F.M.) – sequence: 4 givenname: Steven A surname: Lubitz fullname: Lubitz, Steven A organization: Broad Institute of Harvard University, Massachusetts Institute of Technology, Cambridge (S.K., S.A.L.) |
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| Snippet | 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... |
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| SubjectTerms | 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 |
| Title | Population-Based Screening for Atrial Fibrillation |
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