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Updated: May 31, 2025
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Catheter Ablation in Combination With Left Atrial Appendage Closure for Atrial Fibrillation
Published on: February 26, 2013
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Evidence Gaps and Lessons in the Early Detection of Atrial Fibrillation: A Prospective Study in a Primary Care
Josep L Clua-Espuny1,2, Alba Hernández-Pinilla3, Delicia Gentille-Lorente4
1Ebrictus Research Group, Research Support Unit Terres de l'Ebre, Institut Universitari d'Investigació en Atenció Primària Jordi Gol (IDIAP Jordi Gol), 43500 Tortosa, Spain.
Biomedicines
|January 25, 2025
Summary
Device-detected atrial fibrillation (DDAF) screening is feasible in primary care. Early detection using FibriCheck shows promise, but guidelines need refinement for better AF management.
Area of Science:
- Cardiology
- Primary Care Medicine
- Digital Health
Background:
- Atrial fibrillation (AF) prevalence is rising, increasing stroke risk.
- Early detection in high-risk populations is crucial.
- The PREFATE project addresses evidence gaps in primary care AF screening.
Purpose of the Study:
- Estimate prevalence of device-detected AF (DDAF) in high-risk patients.
- Assess feasibility and impact of systematic AF screening in primary care.
- Identify predictors of new AF diagnoses.
Main Methods:
- Prospective cohort study of 149 high-risk patients (65-85 years).
- 14-day cardiac rhythm monitoring via FibriCheck app.
- Standard ECG and transthoracic echocardiography.
Main Results:
- 12.08% tested positive for possible DDAF; 13 new AF cases diagnosed.
- FibriCheck-positive individuals had a 71.4-fold higher probability of confirmed AF.
- Reduced left atrial strain and MVP ECG scores predicted new AF.
Conclusions:
- AF screening in primary care is feasible and useful.
- Gaps exist in diagnostic criteria, anticoagulation thresholds, and guidelines.
- Further research needed to refine AF screening protocols and management.
Keywords:
ambulatory/standardsarrhythmiasatrial fibrillationcardiac/diagnosisclinical risk scoresdevice detected atrial fibrillationdiagnostic techniques and proceduresechocardiography/statistics and numerical dataelectrocardiographyheart rate determinationischemic strokeMore Related Videos
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