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Mant, J, Modi, RN, Charlton, P, Dymond, A, Massou, E, Brimicombe, J, Freedman, B, Griffin, SJ, Hobbs, FDR, Lip, GYH, McManus, RJ and Williams, K (2024) The feasibility of population screening for paroxysmal atrial fibrillation using hand-held electrocardiogram devices. EP Europace, 26 (3). pp. 1-9. ISSN 1099-5129
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The feasibility of population screening for paroxysmal atrial fibrillation using hand-held electrocardiogram devices.pdf - Published Version Available under License Creative Commons Attribution. Download (348kB) | Preview |
Abstract
Background and Aims There are few data on the feasibility of population screening for paroxysmal AF using hand-held ECG devices outside a specialist setting or in people over the age of 75. We investigated the feasibility of screening when conducted without face-to-face contact (‘remote’) or via in-person appointments in primary care, and explored impact of age on screening outcomes. Methods People aged ≥65 years from 13 general practices in England participated in screening during 2019-20. This involved attending a practice nurse appointment (10 practices) or receiving an ECG device by post (3 practices). Participants were asked to use a handheld ECG for 1-4 weeks. Screening outcomes included: uptake, quality of ECGs, AF detection rates, and uptake of anticoagulation if AF was detected. Results Screening was carried out by 2,141 (87.5%) of people invited to practice nurse-led screening and by 288 (90.0%) invited to remote screening. At least 56 interpretable ECGs were provided by 98.0% of participants who participated for 3 weeks, with no significant differences by setting or age, except people aged 85 or over (91.1%). Overall, 2.6% (64/2,429) screened participants had AF, with detection rising with age (9.2% in people aged 85 or over). 53/64 (82.8%) people with AF commenced anticoagulation. Uptake of anticoagulation did not vary by age. Conclusion Population screening for paroxysmal AF is feasible in general practice and without face-to-face contact, and in all ages over 64 years, including in people aged 85 and over.
| Item Type: | Article |
|---|---|
| Uncontrolled Keywords: | 1103 Clinical Sciences; Cardiovascular System & Hematology |
| Subjects: | R Medicine > RA Public aspects of medicine R Medicine > RA Public aspects of medicine > RA0421 Public health. Hygiene. Preventive Medicine |
| Divisions: | Nursing & Allied Health |
| Publisher: | Oxford University Press (OUP) |
| SWORD Depositor: | A Symplectic |
| Date Deposited: | 12 Mar 2024 11:41 |
| Last Modified: | 26 Mar 2024 11:45 |
| DOI or ID number: | 10.1093/europace/euae056 |
| URI: | https://researchonline.ljmu.ac.uk/id/eprint/22780 |
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