Screening and detection of atrial fibrillation in primary care: current practice and future perspectives.

IF 1.7 4区 医学 Q3 CARDIAC & CARDIOVASCULAR SYSTEMS
European Heart Journal Supplements Pub Date : 2024-07-31 eCollection Date: 2024-07-01 DOI:10.1093/eurheartjsupp/suae074
Tessa Brik, Ralf E Harskamp, Jelle C L Himmelreich
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引用次数: 0

Abstract

Atrial fibrillation (AF) is a common arrhythmia associated with an increased risk of stroke, which can be effectively reduced by prophylaxis initiation and integrated care to reduce cardiovascular risk and AF-related complications. Screening for AF has the potential to improve long-term clinical outcomes through timely AF detection in asymptomatic patients. With the central role of primary care in most European healthcare systems in terms of disease detection, treatment, as well as record keeping, primary care is ideally situated as a setting for AF screening efforts. In this review, we provide an overview of evidence relating to AF screening in primary care. We discuss current practices of AF detection and screening, evidence from AF screening trials conducted in primary care settings, stakeholder views on barriers and facilitators for AF screening in primary care, and important aspects that will likely shape routine primary care AF detection as well as AF screening efforts. Finally, we present a potential outline for a primary care-centred AF screening trial coupled to integrated AF care that could further improve the benefit of AF screening.

初级保健中心房颤动的筛查和检测:当前实践与未来展望。
心房颤动(房颤)是一种常见的心律失常,与中风风险增加有关,通过开始预防性治疗和综合护理可有效降低心血管风险和房颤相关并发症。通过对无症状患者及时发现房颤,房颤筛查有可能改善长期临床预后。在大多数欧洲医疗保健系统中,初级保健在疾病检测、治疗和记录保存方面发挥着核心作用,因此初级保健是心房颤动筛查工作的理想场所。在本综述中,我们概述了与初级医疗中心房颤动筛查相关的证据。我们讨论了心房颤动检测和筛查的现行做法、在初级医疗机构进行的心房颤动筛查试验的证据、利益相关者对初级医疗机构心房颤动筛查的障碍和促进因素的看法,以及可能影响常规初级医疗机构心房颤动检测和心房颤动筛查工作的重要方面。最后,我们提出了以初级医疗为中心的心房颤动筛查试验的潜在纲要,该试验与心房颤动综合治疗相结合,可进一步提高心房颤动筛查的效益。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
European Heart Journal Supplements
European Heart Journal Supplements 医学-心血管系统
CiteScore
3.00
自引率
0.00%
发文量
575
审稿时长
12 months
期刊介绍: The European Heart Journal Supplements (EHJs) is a long standing member of the ESC Journal Family that serves as a publication medium for supplemental issues of the flagship European Heart Journal. Traditionally EHJs published a broad range of articles from symposia to special issues on specific topics of interest. The Editor-in-Chief, Professor Roberto Ferrari, together with his team of eminent Associate Editors: Professor Francisco Fernández-Avilés, Professors Jeroen Bax, Michael Böhm, Frank Ruschitzka, and Thomas Lüscher from the European Heart Journal, has implemented a change of focus for the journal. This entirely refreshed version of the European Heart Journal Supplements now bears the subtitle the Heart of the Matter to give recognition to the focus the journal now has. The EHJs – the Heart of the Matter intends to offer a dedicated, scientific space for the ESC, Institutions, National and Affiliate Societies, Associations, Working Groups and Councils to disseminate their important successes globally.
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