Key result
Differential underascertainment of atrial fibrillation among racial and ethnic groups may explain the paradox of lower reported AF burden but higher stroke rates in Black populations.
This perspective highlights the need for more sensitive AF detection methods across diverse racial and ethnic groups to address potential underascertainment of AF in non-White populations.
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May warrant caution interpreting lower AF rates in Black patients; leaves open whether enhanced detection narrows stroke disparities.
Soliman et al. (2009) conducted a review in Atrial Fibrillation. Differential underascertainment of atrial fibrillation among racial and ethnic groups may explain the paradox of lower reported AF burden but higher stroke rates in Black populations.
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