In a report of the AF-SCREEN International Collaboration, several afib.no network members have co-authored a “State of the art” article on screening for atrial fibrillation in Circulation.
An extensive review of relevant current evidence is provided, and future directions are suggested. Six “Key Points” are given.
The authors suggest that single-timepoint screening of people ≥65 years of age in the clinic or community appears justified, whereas two weeks of twice-daily intermittent screening may be warranted in those ˃75 years of age or in younger age groups at high risk of atrial fibrillation or stroke.
The authors conclude that there is a need for large randomized controlled studies of strategies for screening, using hard end points (including stroke, systemic embolism, and death).