Screening of unknown atrial fibrillation through handheld device in the elderly
Francesco Rivezzi1
Riccardo Vio1
Claudio Bilato2
Leopoldo Pagliani3
Giampaolo Pasquetto4
Salvatore Saccà5
Roberto Verlato6
Federico Migliore1
Sabino Iliceto1
Vito Bossone7
Emanuele Bertaglia1
1.Department of Cardio-Thoraco-Vascular Sciences and Public Health, University of Padova, Padova, Italy2.Division of Cardiology, West Vicenza General Hospitals, Arzignano, Vicenza, Italy3.ORAS Rehabilitation Hospital, Motta di Livenza, Treviso, Italy4.Division of Cardiology, "Riuniti Hospitals Padova Sud", Monselice, Padova, Italy5.Department of Cardiology, General Hospital, Mirano, Venezia, Italy6.Division of Cardiology, Pietro Cosma Hospital, Camposampiero, Padova, Italy7.Keiron As.Me.G., Italy
摘要：Objective To estimate the prevalence of unknown atrial fibrillation (AF) in the elderly population of the Veneto Region,Italy.Methods 1820 patients aged ≥ 65 years with no history of AF and not anticoagulated were enrolled in primary-care settings.They underwent an opportunistic electrocardiogram screening with a handheld device (MyDiagnostick) designed to specifically detect AE The electrocardiogram recordings were reviewed by the researchers,who confirmed the presence of AF.Results The device detected an arrhythmia in 143 patients,which was confirrned as AF in 101/143 (70.6％),with an overall prevalence of AF of 5.5％ (101/1820).Prevalence of unknown AF resulted in 3.6％ in patients aged 65-74 years,and 7.5％ in patients age 75 or older,and increased according to CHA2DS2-VASc score: 3.5％ in patients with a score of 1 or 2,5.6％ in patients with a score of 3,7.0％ in patients with a score of 4,and 7.2％ in patients with a score ≥ 5.The detection rate was significantly higher in patients with mild symptoms compared to asymptomatic counterparts (24.1％ vs.4.0％,P ＜ 0.0001).At multivariate analysis,congestive heart failure and age ≥ 75 years-old were independent predictors for screen-detected AF.Conclusions An opportunistic screening with handheld device revealed an unexpectedly high prevalence of unknown AF in elderly patients with mild symptoms.Prevalence increased with age and CHA2DS2-VASc score.
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论文发表日期：2020-08-28
在线出版日期：2025-08-15（本平台首次上网日期，不代表文献的发表时间）
页数：7( 495-501 )
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