Atrial fibrillation screening: Difference between revisions
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==Screening== | ==Screening== | ||
[[Screening (medicine)|Screening]] for atrial fibrillation is generally not performed, although a [[systematic review]] of studies by the [[Cochrane Collaboration]] found increased detection from screening.<ref name="pmid23633374">{{cite journal| author=Moran PS, Flattery MJ, Teljeur C, Ryan M, Smith SM| title=Effectiveness of systematic screening for the detection of atrial fibrillation. | journal=Cochrane Database Syst Rev | year= 2013 | volume= 4 | issue= | pages= CD009586 | pmid=23633374 | doi=10.1002/14651858.CD009586.pub2 | pmc= | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=23633374 }} </ref> For example, 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, | [[Screening (medicine)|Screening]] for atrial fibrillation is generally not performed, although a [[systematic review]] of studies by the [[Cochrane Collaboration]] found increased detection from screening.<ref name="pmid23633374">{{cite journal| author=Moran PS, Flattery MJ, Teljeur C, Ryan M, Smith SM| title=Effectiveness of systematic screening for the detection of atrial fibrillation. | journal=Cochrane Database Syst Rev | year= 2013 | volume= 4 | issue= | pages= CD009586 | pmid=23633374 | doi=10.1002/14651858.CD009586.pub2 | pmc= | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=23633374 }} </ref> For example, 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, Mant J, Murray ET, Holder R et al.| title=Screening versus routine practice in detection of atrial fibrillation in patients aged 65 or over: cluster randomised controlled trial. | journal=BMJ | year= 2007 | volume= 335 | issue= 7616 | pages= 383 | pmid=17673732 | doi=10.1136/bmj.39280.660567.55 | pmc=PMC1952508 | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=17673732 }} [http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=18375698 Review in: Evid Based Med. 2008 Apr;13(2):45] </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, | 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, Mant J, Murray ET, Holder R et al.| title=Screening versus routine practice in detection of atrial fibrillation in patients aged 65 or over: cluster randomised controlled trial. | journal=BMJ | year= 2007 | volume= 335 | issue= 7616 | pages= 383 | pmid=17673732 | doi=10.1136/bmj.39280.660567.55 | pmc=PMC1952508 | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=17673732 }} [http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=18375698 Review in: Evid Based Med. 2008 Apr;13(2):45] </ref> | ||
A young patient with [[lone atrial fibrillation]] should be assessed for [[short QT syndrome]]. | A young patient with [[lone atrial fibrillation]] should be assessed for [[short QT syndrome]]. | ||
Revision as of 14:14, 30 August 2013
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Resident Survival Guide |
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Sinus rhythm  |
Atrial fibrillation  |
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Atrial Fibrillation Microchapters | |
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Special Groups | |
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Diagnosis | |
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Treatment | |
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Cardioversion | |
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Anticoagulation | |
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Surgery | |
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Case Studies | |
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Atrial fibrillation screening On the Web | |
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Directions to Hospitals Treating Atrial fibrillation screening | |
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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]
Screening
Screening for atrial fibrillation is generally not performed, although a systematic review of studies by the Cochrane Collaboration found increased detection from screening.[2] For example, 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]
A young patient with lone atrial fibrillation should be assessed for short QT syndrome.
References
- ↑ 1.0 1.1 1.2 Fitzmaurice DA, Hobbs FD, Jowett S, Mant J, Murray ET, Holder R; et al. (2007). "Screening versus routine practice in detection of atrial fibrillation in patients aged 65 or over: cluster randomised controlled trial". BMJ. 335 (7616): 383. doi:10.1136/bmj.39280.660567.55. PMC 1952508. PMID 17673732. Review in: Evid Based Med. 2008 Apr;13(2):45
- ↑ Moran PS, Flattery MJ, Teljeur C, Ryan M, Smith SM (2013). "Effectiveness of systematic screening for the detection of atrial fibrillation". Cochrane Database Syst Rev. 4: CD009586. doi:10.1002/14651858.CD009586.pub2. PMID 23633374.