Screening for Atrial Fibrillation A Report of the AF-SCREEN International Collaboration

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Freedman, BenUniversity of Sydney, Australia; University of Sydney, Australia (author)

Screening for Atrial Fibrillation A Report of the AF-SCREEN International Collaboration

Article/chapterEnglish2017

Publisher, publication year, extent ...

LIPPINCOTT WILLIAMS & WILKINS,2017
printrdacarrier

Numbers

LIBRIS-ID:oai:DiVA.org:liu-137834
https://urn.kb.se/resolve?urn=urn:nbn:se:liu:diva-137834URI
https://doi.org/10.1161/CIRCULATIONAHA.116.026693DOI
http://kipublications.ki.se/Default.aspx?queryparsed=id:135756094URI

Supplementary language notes

Language:English
Summary in:English

Part of subdatabase

SwePubSwePub

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Subject category:ref swepub-contenttype
Subject category:art swepub-publicationtype

Notes

Funding Agencies|Bayer HealthCare; Bristol-Myers Squibb/Pfizer; Daiichi Sankyo; Medtronic; C-SPIN (Canadian Stroke Prevention Intervention Network); Zenicor; iRhythm
Approximately 10% of ischemic strokes are associated with atrial fibrillation (AF) first diagnosed at the time of stroke. Detecting asymptomatic AF would provide an opportunity to prevent these strokes by instituting appropriate anticoagulation. The AF-SCREEN international collaboration was formed in September 2015 to promote discussion and research about AF screening as a strategy to reduce stroke and death and to provide advocacy for implementation of country-specific AF screening programs. During 2016, 60 expert members of AF-SCREEN, including physicians, nurses, allied health professionals, health economists, and patient advocates, were invited to prepare sections of a draft document. In August 2016, 51 members met in Rome to discuss the draft document and consider the key points arising from it using a Delphi process. These key points emphasize that screen-detected AF found at a single timepoint or by intermittent ECG recordings over 2 weeks is not a benign condition and, with additional stroke factors, carries sufficient risk of stroke to justify consideration of anticoagulation. With regard to the methods of mass screening, handheld ECG devices have the advantage of providing a verifiable ECG trace that guidelines require for AF diagnosis and would therefore be preferred as screening tools. Certain patient groups, such as those with recent embolic stroke of uncertain source (ESUS), require more intensive monitoring for AF. Settings for screening include various venues in both the community and the clinic, but they must be linked to a pathway for appropriate diagnosis and management for screening to be effective. It is recognized that health resources vary widely between countries and health systems, so the setting for AF screening should be both country-and health system-specific. Based on current knowledge, this white paper provides a strong case for AF screening now while recognizing that large randomized outcomes studies would be helpful to strengthen the evidence base.

Subject headings and genre

MEDICIN OCH HÄLSOVETENSKAP Klinisk medicin Allmänmedicin hsv//swe
MEDICAL AND HEALTH SCIENCES Clinical Medicine General Practice hsv//eng
atrial fibrillation; screening; stroke

Added entries (persons, corporate bodies, meetings, titles ...)

Camm, JohnSt George Hospital, England (author)
Calkins, HughJohns Hopkins University, MD USA (author)
Healey, Jeffrey S.McMaster University, Canada,Scripps Translat Science Institute, CA USA (author)
Rosenqvist, MartenKarolinska Institutet,Karolinska Institute, Sweden (author)
Wang, JiguangJiaotong University, Peoples R China (author)
Albert, Christine M.Harvard Medical Sch, MA USA (author)
Anderson, Craig S.George Institute Global Heatlh, Australia (author)
Antoniou, SotirisBarts Health NHS Trust, England (author)
Benjamin, Emelia J.NHLBI, MA USA; Boston University, MA 02215 USA (author)
Boriani, GiuseppeUniversity of Modena and Reggio Emilia, Italy (author)
Brachmann, JohannesKlinikum Coburg, Germany (author)
Brandes, AxelOdense University Hospital, Denmark (author)
Chao, Tze-FanNational Yang Ming University, Taiwan (author)
Conen, DavidMcMaster University, Canada; University Hospital, Switzerland (author)
Engdahl, JohanKarolinska Institutet,Karolinska Institute, Sweden (author)
Fauchier, LaurentKarolinska Institute, Sweden; University of Tours, France (author)
Fitzmaurice, David A.University of Birmingham, England (author)
Friberg, LeifKarolinska Institutet,Karolinska Institute, Sweden (author)
Gersh, Bernard J.Mayo Clin, MN USA (author)
Gladstone, David J.University of Toronto, Canada (author)
Glotzer, Taya V.Hackensack University, NJ USA (author)
Gwynne, KylieUniversity of Sydney, Australia (author)
Hankey, Graeme J.University of Western Australia, Australia (author)
Harbison, JosephTrinity Coll Dublin, Ireland (author)
Hillis, Graham S.University of Western Australia, Australia (author)
Hills, Mellanie T.StopAfib Org, TX USA (author)
Kamel, HoomanWeill Cornell Medical Coll, NY USA (author)
Kirchhof, PaulusUniversity of Birmingham, England; SWBH and UHB NHS trusts, England; AFNET, Germany (author)
Kowey, Peter R.Lankenau Institute Medical Research, OK USA (author)
Krieger, DerkUniversity Hospital Zurich, Switzerland (author)
Lee, Vivian W. Y.Chinese University of Hong Kong, Peoples R China (author)
Levin, Lars-ÅkeLinköpings universitet,Avdelningen för hälso- och sjukvårdsanalys,Medicinska fakulteten(Swepub:liu)larle77 (author)
Lip, Gregory Y. H.University of Birmingham, England; Aalborg University, Denmark (author)
Lobban, TrudieArrhythmia Alliance, England (author)
Lowres, NicoleUniversity of Sydney, Australia (author)
Mairesse, Georges H.Clin Sud Luxembourg, Belgium (author)
Martinez, CarlosInstitute Epidemiol Stat and Informat, Germany (author)
Neubeck, LisEdinburgh Napier University, Scotland (author)
Orchard, JessicaUniversity of Sydney, Australia (author)
Piccini, Jonathan P.Duke University, NC USA (author)
Poppe, KatrinaUniversity of Auckland, New Zealand (author)
Potpara, Tatjana S.University of Belgrade, Serbia (author)
Puererfellner, HelmutOrdensklinikum Linz, Austria (author)
Rienstra, MichielUniversity of Groningen, Netherlands (author)
Sandhu, Roopinder K.University of Alberta, Canada (author)
Schnabel, Renate B.University of Heart Centre, Germany (author)
Siu, Chung-WahUniversity of Hong Kong, Peoples R China (author)
Steinhubl, StevenScripps Translat Science Institute, CA USA (author)
Svendsen, Jesper H.University of Copenhagen, Denmark (author)
Svennberg, EmmaKarolinska Institutet,Karolinska Institute, Sweden (author)
Themistoclakis, SakisOsped Angelo Venice Mestre, Italy (author)
Tieleman, Robert G.Martini Hospital, Netherlands (author)
Turakhia, Mintu P.Stanford University, CA 94305 USA; VA Palo Alto Health Care Syst, CA USA (author)
Tveit, ArnljotBaerum Hospital, Norway (author)
Uittenbogaart, Steven B.Academic Medical Centre, Netherlands (author)
Van Gelder, Isabelle C.University of Groningen, Netherlands (author)
Verma, AtulUniversity of Toronto, Canada (author)
Wachter, RolfUniversity of Gottingen, Germany (author)
Yan, Bryan P.Chinese University of Hong Kong, Peoples R China (author)
Brachmann, H (author)
University of Sydney, Australia; University of Sydney, AustraliaSt George Hospital, England (creator_code:org_t)

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In:Circulation: LIPPINCOTT WILLIAMS & WILKINS135:19, s. 1851-+0009-73221524-4539

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By the author/editor: Freedman, Ben; Camm, John; Calkins, Hugh; Healey, Jeffrey ...; Rosenqvist, Mart ...; Wang, Jiguang; show more...; Albert, Christin ...; Anderson, Craig ...; Antoniou, Sotiri ...; Benjamin, Emelia ...; Boriani, Giusepp ...; Brachmann, Johan ...; Brandes, Axel; Chao, Tze-Fan; Conen, David; Engdahl, Johan; Fauchier, Lauren ...; Fitzmaurice, Dav ...; Friberg, Leif; Gersh, Bernard J ...; Gladstone, David ...; Glotzer, Taya V.; Gwynne, Kylie; Hankey, Graeme J ...; Harbison, Joseph; Hillis, Graham S ...; Hills, Mellanie ...; Kamel, Hooman; Kirchhof, Paulus; Kowey, Peter R.; Krieger, Derk; Lee, Vivian W. Y ...; Levin, Lars-Åke; Lip, Gregory Y. ...; Lobban, Trudie; Lowres, Nicole; Mairesse, George ...; Martinez, Carlos; Neubeck, Lis; Orchard, Jessica; Piccini, Jonatha ...; Poppe, Katrina; Potpara, Tatjana ...; Puererfellner, H ...; Rienstra, Michie ...; Sandhu, Roopinde ...; Schnabel, Renate ...; Siu, Chung-Wah; Steinhubl, Steve ...; Svendsen, Jesper ...; Svennberg, Emma; Themistoclakis, ...; Tieleman, Robert ...; Turakhia, Mintu ...; Tveit, Arnljot; Uittenbogaart, S ...; Van Gelder, Isab ...; Verma, Atul; Wachter, Rolf; Yan, Bryan P.; Brachmann, H; show less...

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MEDICAL AND HEALTH SCIENCES: MEDICAL AND HEAL ...; and Clinical Medicin ...; and General Practice

Articles in the publication: Circulation

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