3.8 Article

Patient-Led Mass Screening for Atrial Fibrillation in the Older Population Using Handheld Electrocardiographic Devices Integrated With a Clinician-Coordinated Remote Central Monitoring System: Protocol for a Randomized Controlled Trial and Process Evaluation

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Screening for Atrial Fibrillation in the Older Population A Randomized Clinical Trial

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Summary: In this study, home-based AF screening with a wearable cECG monitor significantly increased AF detection and anticoagulant therapy initiation, especially in older community-dwelling individuals with hypertension. Intermittent oscillometric screening with a BP monitor was found to be less effective for detecting paroxysmal AF compared to continuous ECG monitoring. Further large trials are needed to evaluate the benefits and risks of AF screening with hard clinical outcomes.

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