March 28, 2025Age and AgeingOpen Access

The screening strategy yielded 20 (2.7%) new cases of AF confirmed by ECG, with an additional 16 (2%) suspected cases on PPG lacking confirmatory ECG.

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Why the study?

Frailty increases the risk of AF and its complications, prompting an investigation into the feasibility and diagnostic yield of an eHealth screening strategy to detect new AF in frail older patients.

Does opportunistic eHealth screening using baseline ECG and smartphone PPG detect new atrial fibrillation in frail older patients?

Design

Screening study

Follow-up

6 months

Authors

LZL A R Zwart JSJocelyn R Spruit RJR.W.M.M. Jansen

Discussion

Member takes

Overview

Feasible eHealth AF screening in frail outpatients yields 2.7% new diagnoses; leaves open outcome impact before clinical adoption.

Structured PICO

Does opportunistic eHealth screening using baseline ECG and smartphone PPG detect new atrial fibrillation in frail older patients?

Population

952 older patients referred to Geriatric Medicine outpatient clinics, median age 79 years, 33% frail (mean Frailty Index 0.16), 79% with sinus rhythm at baseline.

Intervention

Opportunistic screening for atrial fibrillation using baseline electrocardiograms (ECGs) and a smartphone photoplethysmography (PPG) application over 6 months.

Outcome

Feasibility and diagnostic yield of new atrial fibrillation detectionsurrogate

Opportunistic screening using baseline ECG and smartphone PPG over 6 months is feasible in frail older patients and yields a 2.7% detection rate for new atrial fibrillation.

Limitations

Non-binding approach of the strategy might be disadvantageous
Lack of confirmatory ECG for suspected cases on PPG recordings

Cite This Study

Zwart et al. (2025) studied this question.

synapsesocial.com/papers/6a73a3f35cf601c089279f83 https://doi.org/10.1093/ageing/afaf105

View Full Paper

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March 28, 2025Age and AgeingOpen Access

The screening strategy yielded 20 (2.7%) new cases of AF confirmed by ECG, with an additional 16 (2%) suspected cases on PPG lacking confirmatory ECG.

View Full Paper

Ask AI

Bookmark

Why the study?

Frailty increases the risk of AF and its complications, prompting an investigation into the feasibility and diagnostic yield of an eHealth screening strategy to detect new AF in frail older patients.

Does opportunistic eHealth screening using baseline ECG and smartphone PPG detect new atrial fibrillation in frail older patients?

Design

Screening study

Follow-up

6 months

Authors

LZL A R Zwart JSJocelyn R Spruit RJR.W.M.M. Jansen

Discussion

Member takes

Overview

Feasible eHealth AF screening in frail outpatients yields 2.7% new diagnoses; leaves open outcome impact before clinical adoption.

Structured PICO

Does opportunistic eHealth screening using baseline ECG and smartphone PPG detect new atrial fibrillation in frail older patients?

Population

952 older patients referred to Geriatric Medicine outpatient clinics, median age 79 years, 33% frail (mean Frailty Index 0.16), 79% with sinus rhythm at baseline.

Intervention

Opportunistic screening for atrial fibrillation using baseline electrocardiograms (ECGs) and a smartphone photoplethysmography (PPG) application over 6 months.

Outcome

Feasibility and diagnostic yield of new atrial fibrillation detectionsurrogate

Opportunistic screening using baseline ECG and smartphone PPG over 6 months is feasible in frail older patients and yields a 2.7% detection rate for new atrial fibrillation.

Limitations

Non-binding approach of the strategy might be disadvantageous
Lack of confirmatory ECG for suspected cases on PPG recordings

Cite This Study

Zwart et al. (2025) studied this question.

synapsesocial.com/papers/6a73a3f35cf601c089279f83 https://doi.org/10.1093/ageing/afaf105

View Full Paper

Ask AI

Bookmark