Early atrial fibrillation detection and the transition to comprehensive management
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Early atrial fibrillation detection and the transition to comprehensive management. / Linz, Dominik; Hermans, Astrid; Tieleman, Robert G.
I: Europace, Bind 23, 2021, s. II46-II51.Publikation: Bidrag til tidsskrift › Tidsskriftartikel › Forskning › fagfællebedømt
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TY - JOUR
T1 - Early atrial fibrillation detection and the transition to comprehensive management
AU - Linz, Dominik
AU - Hermans, Astrid
AU - Tieleman, Robert G.
PY - 2021
Y1 - 2021
N2 - Current atrial fibrillation (AF) guidelines recommend screening for AF in individuals above 65 years or with other characteristics suggestive of increased stroke risk. Several mobile health (mHealth) approaches are available to identify AF. Although most wearables or ECG machines include algorithms to detect AF, an ECG confirmation of AF is necessary to establish a suspected diagnosis of AF. Early detection of AF is important to allow early initiation of AF management, and early rhythm control therapy lowered risk of adverse cardiovascular outcomes among patients with early AF aged >75 or with a CHA2DS2-VASc score ≥2 and cardiovascular conditions in the EAST-AFNET 4 study. Strategies for early AF detection should be always linked to a comprehensive work-up infrastructure organized within an integrated care pathway to allow early initiation and guidance of AF treatment in newly detected AF patients. In this review article, we summarize strategies and mHealth approaches for early AF detection and the transition to early AF management including AF symptoms evaluation and assessment of AF progression as well as AF risk factors.
AB - Current atrial fibrillation (AF) guidelines recommend screening for AF in individuals above 65 years or with other characteristics suggestive of increased stroke risk. Several mobile health (mHealth) approaches are available to identify AF. Although most wearables or ECG machines include algorithms to detect AF, an ECG confirmation of AF is necessary to establish a suspected diagnosis of AF. Early detection of AF is important to allow early initiation of AF management, and early rhythm control therapy lowered risk of adverse cardiovascular outcomes among patients with early AF aged >75 or with a CHA2DS2-VASc score ≥2 and cardiovascular conditions in the EAST-AFNET 4 study. Strategies for early AF detection should be always linked to a comprehensive work-up infrastructure organized within an integrated care pathway to allow early initiation and guidance of AF treatment in newly detected AF patients. In this review article, we summarize strategies and mHealth approaches for early AF detection and the transition to early AF management including AF symptoms evaluation and assessment of AF progression as well as AF risk factors.
KW - Atrial fibrillation
KW - Integrated care
KW - Management
KW - Mobile health
KW - Screening
UR - http://www.scopus.com/inward/record.url?scp=85104209434&partnerID=8YFLogxK
U2 - 10.1093/europace/euaa424
DO - 10.1093/europace/euaa424
M3 - Journal article
C2 - 33837752
AN - SCOPUS:85104209434
VL - 23
SP - II46-II51
JO - Europace
JF - Europace
SN - 1099-5129
ER -
ID: 280178717