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Catheter Ablation in Combination With Left Atrial Appendage Closure for Atrial Fibrillation

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Published on: February 26, 2013

Screening for atrial fibrillation with or without general practice involvement: a controlled study.

Rakesh N Modi¹, Efthalia Massou², Peter H Charlton²

¹Department of Public Health and Primary Care, Primary Care Unit, University of Cambridge, Strangeways Research Laboratory, 2 Worts' Causeway, Cambridge, CB1 8RN, UK. rnm30@medschl.cam.ac.uk.

BMC Primary Care

|May 26, 2025

Summary

Remote atrial fibrillation (AF) screening is effective outside general practice. This study found that administrator-led screening with minimal support successfully detected AF, demonstrating a viable alternative to traditional methods.

Keywords:

Atrial fibrillation Feasibility study Primary care Remote deliver Screening

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Area of Science:

Cardiology
Public Health
Health Services Research

Background:

Increasing the detection of atrial fibrillation (AF) in primary care is a priority.
Opportunistic, one-off testing may miss paroxysmal AF and is resource-intensive.
Remote screening methods and required participant support levels for AF detection are not well-defined.

Purpose of the Study:

To investigate the feasibility of remote atrial fibrillation (AF) screening delivered by a centralized administrator instead of general practice.
To determine the level of support required for participants undergoing remote AF screening.

Main Methods:

A controlled comparator study with secondary randomization was conducted in three English general practices.
Participants aged 70 years and older used a hand-held ECG device four times daily for three weeks.
Participants were allocated to practice-led or administrator-led screening, with administrator-led support randomized to three levels.

Main Results:

Most participants (97.2%) recorded the target number of adequate-quality ECGs.
The proportion of participants achieving the target did not significantly differ between practice-led and administrator-led screening or between support levels.
Practice-led screening yielded slightly more adequate-quality ECGs (mean 83.9 vs. 78.3).

Conclusions:

Remote atrial fibrillation (AF) screening can be successfully implemented outside of general practice settings.
Minimal participant support is sufficient for effective remote AF screening.
This approach offers a scalable and potentially resource-efficient method for AF detection.