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Europace : European pacing, arrhythmias, and cardiac electrophysiology : journal of the working groups on cardiac pacing, arrhythmias, and cardiac cellular electrophysiology of the European Society of v.18 no.12, 2016년, pp.1779 - 1786   SCIE
본 등재정보는 저널의 등재정보를 참고하여 보여주는 베타서비스로 정확한 논문의 등재여부는 등재기관에 확인하시기 바랍니다.

A population screening programme for atrial fibrillation: a report from the Belgian Heart Rhythm Week screening programme

Proietti, Marco ; Mairesse, Georges H. ; Goethals, Peter ; Scavee, Christophe ; Vijgen, Johan ; Blankoff, Ivan ; Vandekerckhove, Yves ; Lip, Gregory Y.H. ;
  • 초록  

    Aims Despite the increased prevalence of atrial fibrillation (AF), data for the implementation of nationwide screening programmes are limited. The aim of this national screening study was to increase nationwide awareness about AF and stroke risk, to determine the prevalence of AF in Belgian general population using an ECG handheld machine and its feasibility to identify new AF cases. Methods and results We analysed data obtained from 5 years of the ‘Belgian Heart Rhythm Week’ screening programme. All subjects were screened using a one-lead ECG handheld machine. Among 65 747 subjects screened, AF was recorded in 911, with an overall prevalence of 1.4% [95% confidence interval (CI) 1.2–1.6%]. High thrombo-embolic risk, as assessed by CHA 2 DS 2 -VASc score ≥2, was recorded in 69% of AF subjects. In subjects with high thrombo-embolic risk, only 5.4% were treated with oral anticoagulant (OAC) and 5.8% were treated with OAC and antiplatelet drugs. Among recorded AF cases, the use of the ECG handheld machine allowed identification of 603 new AF patients (1.1%, 95% CI 0.9–1.3%). Factors associated with incident AF were chronic heart failure ( P < 0.001), age ( P < 0.001), diabetes mellitus ( P < 0.001), previous stroke ( P < 0.001), vascular disease ( P < 0.001), and male sex ( P < 0.001). Conclusion In this Belgian national screening programme, prevalence of AF was 1.4%. The use of an ECG handheld machine is feasible to identify a significant number of new AF cases, most with a high thrombo-embolic risk. Given the low OAC use recorded, greater efforts in AF detection and treatment are urgently needed to reduce the burden of stroke associated with this common arrhythmia.


  • 주제어

    Atrial fibrillation .   Prevalence .   Screening .   Risk factors.  

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