Atrial fibrillation screening: Difference between revisions
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== | ==Overview== | ||
[[Screening (medicine)|Screening]] for atrial fibrillation is not | [[Screening (medicine)|Screening]] for atrial fibrillation is generally not performed, although a study of routine pulse checks or [[electrocardiograms]] during routine office visits found that the annual rate of detection of atrial fibrillation in elderly patients improved from 1.04% to 1.63%<ref name="pmid17673732">{{cite journal |author=Fitzmaurice DA, Hobbs FD, Jowett S, ''et al'' |title=Screening versus routine practice in detection of atrial fibrillation in patients aged 65 or over: cluster randomized controlled trial |journal= |volume= |issue= |pages= |year=2007 |pmid=17673732 |doi=10.1136/bmj.39280.660567.55}}</ref>. Identification of such patients for prophylactic [[anticoagulation]] might in turn reduce the risk of [[stroke]] in that age category. | ||
The estimated [[sensitivity (tests)|sensitivity]] of the routine primary care visit in the detection of atrial fibrillation is 64%. This low sensitivity probably reflects the fact that the pulse is not being checked routinely or carefully.<ref name="pmid17673732">{{cite journal |author=Fitzmaurice DA, Hobbs FD, Jowett S, ''et al'' |title=Screening versus routine practice in detection of atrial fibrillation in patients aged 65 or over: cluster randomized controlled trial |journal= |volume= |issue= |pages= |year=2007 |pmid=17673732 |doi=10.1136/bmj.39280.660567.55}}</ref> | |||
==References== | ==References== | ||
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[[Category:Emergency medicine]] | [[Category:Emergency medicine]] | ||
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[[Category: Up-To-Date Cardiology]] | |||
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Revision as of 00:31, 28 October 2011
Atrial Fibrillation Microchapters | |
Special Groups | |
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Diagnosis | |
Treatment | |
Cardioversion | |
Anticoagulation | |
Surgery | |
Case Studies | |
Atrial fibrillation screening On the Web | |
Directions to Hospitals Treating Atrial fibrillation screening | |
Risk calculators and risk factors for Atrial fibrillation screening | |
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]
Overview
Screening for atrial fibrillation is generally not performed, although a study of routine pulse checks or electrocardiograms during routine office visits found that the annual rate of detection of atrial fibrillation in elderly patients improved from 1.04% to 1.63%[1]. Identification of such patients for prophylactic anticoagulation might in turn reduce the risk of stroke in that age category.
The estimated sensitivity of the routine primary care visit in the detection of atrial fibrillation is 64%. This low sensitivity probably reflects the fact that the pulse is not being checked routinely or carefully.[1]