Screening for atrial fibrillation in 65-year-olds (the ACE 1950 Study)

Screening for unknown or subclinical atrial fibrillation has received increased attention lately. People at 65 years, or above, with additional risk factors, have been suggested as a possible target population for screening.

Screening in this age group has been investigated as a sub-study of the ACE 1950 Study. network member Trygve Berge, and several co-authors from the network, have now published the results of this study in Europace.

A total of 1510 men and women aged 65 years, with hypertension, diabetes or other risk factors for stroke, were screened by 2-week intermittent ECGs. Undiagnosed AF was identified in 0.9%. The total prevalence, including previously known and validated AF, was rather high; 10.0% in men and 4.3% in women.

The authors conclude that the yield of such screening might be lower in populations with a high degree of health awareness and well-controlled risk factors, such as hypertension or diabetes. In line with other studies, screening in this age group is probably only warranted in high-risk patients.

Categories: NEWS

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