Key result
Early atrial fibrillation detection using mHealth approaches should be integrated into a comprehensive care pathway to facilitate prompt initiation of management and symptom evaluation.
Why the study?
Early detection of AF allows early initiation of management, but detection strategies must be linked to comprehensive integrated care pathways to guide treatment in newly detected patients.
Strategies for early AF detection using mHealth approaches should be linked to integrated care pathways to allow early initiation of comprehensive AF treatment.
May support mHealth AF detection integration into pathways; leaves open prospective validation before practice change.
Current atrial fibrillation (AF) guidelines recommend screening for AF in individuals above 65 years or with other characteristics suggestive of increased stroke risk. Several mobile health (mHealth) approaches are available to identify AF. Although most wearables or ECG machines include algorithms to detect AF, an ECG confirmation of AF is necessary to establish a suspected diagnosis of AF. Early detection of AF is important to allow early initiation of AF management, and early rhythm control therapy lowered risk of adverse cardiovascular outcomes among patients with early AF aged >75 or with a CHA2DS2-VASc score ≥2 and cardiovascular conditions in the EAST-AFNET 4 study. Strategies for early AF detection should be always linked to a comprehensive work-up infrastructure organized within an integrated care pathway to allow early initiation and guidance of AF treatment in newly detected AF patients. In this review article, we summarize strategies and mHealth approaches for early AF detection and the transition to early AF management including AF symptoms evaluation and assessment of AF progression as well as AF risk factors.
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Linz et al. (2020) conducted a review in Atrial fibrillation. mHealth approaches for early AF detection was evaluated. Early atrial fibrillation detection using mHealth approaches should be integrated into a comprehensive care pathway to facilitate prompt initiation of management and symptom evaluation.
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