Why the study?
Does single-lead ECG screening detect a higher prevalence of atrial fibrillation in patients with diabetes compared to the general population?
Does single-lead ECG screening detect a higher prevalence of atrial fibrillation in patients with diabetes compared to the general population?
Single-lead ECG screening in patients with diabetes identified a 5.3% prevalence of atrial fibrillation, which is significantly higher than the general population, supporting targeted screening in this high-risk group, particularly older patients.
May support targeted AF screening in diabetes; extends prior associations but remains hypothesis-generating.
device, along with physiological measurements and details relating to risk factor variables. There were 300 participants recruited and 16 patients identified with AF (5.3% prevalence). This demonstrated a significantly greater likelihood of AF than the background population (p=0.043). People with diabetes and AF were significantly older than those who only had diabetes. More people with type 2 diabetes had AF than people with type 1. Prediction of AF diagnosis by age, sex, diabetes type, diabetes duration and level of control revealed only age as a significant predictor. In conclusion, these findings add to existing data around the association of these chronic conditions, supporting AF screening in this high-risk group, particularly in those of older age. This can contribute to appropriate management of both conditions in combination, not least with regards to stroke prevention.
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Hall et al. (2022) studied this question.
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