Fully digital self-screening for atrial fibrillation with patch electrocardiogram
Key result
Fully digital self-screening for atrial fibrillation using a patch ECG was highly feasible and detected unrecognized AF in 2.2% of at-risk older adults, with a number needed to screen of 45.
Why the study?
Guidelines recommend screening people at risk for atrial fibrillation, but screening methods and organization still need clarification.
Does a fully digital self-screening procedure using a patch ECG effectively detect unrecognized atrial fibrillation in individuals ≥65 years old with stroke risk factors?
Comparison
Fully digital self-screening with a patch ECG device
Authors
Discussion
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Implication
Patch-based digital AF self-screening is feasible; leaves open whether implementation improves outcomes in at-risk populations.
Study Design
Type
Cross-Sectional (n=2,118)
Structured PICO
Does a fully digital self-screening procedure using a patch ECG effectively detect unrecognized atrial fibrillation in individuals ≥65 years old with stroke risk factors?
P
Population
2,118 individuals ≥65 years old with at least one additional stroke risk factor from Norway who underwent fully digital self-screening for atrial fibrillation.
E
Exposure
Fully digital continuous self-screening for atrial fibrillation using a patch ECG device (ECG247 Smart Heart Sensor) with digital feedback.
O
Outcome
Feasibility of the fully digital self-screening procedure and prevalence of undetected atrial fibrillation.
Main Result
Number Needed to Treat: 45
Number Needed to Treat: 45
A fully digital self-screening procedure using a patch ECG is highly feasible and detects unrecognized atrial fibrillation in 2.2% of at-risk older adults.
Limitations
- Randomized studies with long-term follow-up are needed to assess whether self-screening for AF can reduce the incidence of AF-related complications.
Cite This Study
Sandberg et al. (2023) conducted a cross-sectional in Atrial fibrillation (n=2,118). Fully digital continuous self-screening for AF using a patch ECG device was evaluated on Prevalence of undetected atrial fibrillation (NNS 45). Fully digital self-screening for atrial fibrillation using a patch ECG was highly feasible and detected unrecognized AF in 2.2% of at-risk older adults, with a number needed to screen of 45.