Key result
General practitioners perceive a strong need for standardized atrial fibrillation screening (rated 82.7 out of 100), with 59.3% feeling confident in ruling out AF on a single-lead ECG strip despite 88.0% reporting no established screening program in their region.
Why the study?
There is no clear guidance on how to implement opportunistic AF screening in daily clinical practice.
Cross-Sectional (n=659)
Yes
General practitioners across Europe perceive a strong need for standardized AF screening but face barriers such as lack of education, staff, and equipment that require additional resources and integrated software systems to overcome.
GPs perceive strong need for standardized opportunistic AF screening yet lack programs and single-lead devices; leaves open optimal primary-care implementation strategies.
Background: There is no clear guidance on how to implement opportunistic atrial fibrillation (AF) screening in daily clinical practice. Objectives: This study evaluated the perception of general practitioners (GPs) about value and practicalities of implementing screening for AF, focusing on opportunistic single-time point screening with a single-lead electrocardiogram (ECG) device. Methods: A descriptive cross-sectional study was conducted with a survey developed to assess overall perception concerning AF screening, feasibility of opportunistic single-lead ECG screening and implementation requirements and barriers. Results: A total of 659 responses were collected (36.1% Eastern, 33.4% Western, 12.1% Southern, 10.0% Northern Europe, 8.3% United Kingdom & Ireland). The perceived need for standardized AF screening was rated as 82.7 on a scale from 0 to 100. The vast majority (88.0%) indicated no AF screening program is established in their region. Three out of four GPs (72.1%, lowest in Eastern and Southern Europe) were equipped with a 12-lead ECG, while a single-lead ECG was less common (10.8%, highest in United Kingdom & Ireland). Three in five GPs (59.3%) feel confident ruling out AF on a single-lead ECG strip. Assistance through more education (28.7%) and a tele-healthcare service offering advice on ambiguous tracings (25.2%) would be helpful. Preferred strategies to overcome barriers like insufficient (qualified) staff, included integrating AF screening with other healthcare programs (24.9%) and algorithms to identify patients most suitable for AF screening (24.3%). Conclusion: GPs perceive a strong need for a standardized AF screening approach. Additional resources may be required to have it widely adopted into clinical practice.
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Vermunicht et al. (2023) conducted a cross-sectional in General practitioners' perceptions on atrial fibrillation screening (n=659). Opportunistic single-time point screening for atrial fibrillation was evaluated on Perceived need for standardized AF screening (scale 0-100). General practitioners perceive a strong need for standardized atrial fibrillation screening (rated 82.7 out of 100), with 59.3% feeling confident in ruling out AF on a single-lead ECG strip despite 88.0% reporting no established screening program in their region.
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