Seven-Day Patch ECG Monitoring During National Insurance Health Checkup Efficiently Detected Silent Atrial Fibrillation in Individuals Aged 75 Years and Older

IF 1.1 4区医学 Q4 CARDIAC & CARDIOVASCULAR SYSTEMS

Annals of Noninvasive Electrocardiology Pub Date : 2025-06-03 DOI:10.1111/anec.70092

Miho Miyoshi, Nozomi Kodama, Hiroki Sato, Kazuhiro Masutomo, Hitoshi Kamiunten, Tetsuji Shinohara, Naohiko Takahashi

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Abstract

Background

It is unclear to what extent silent atrial fibrillation (AF) is present in subjects previously undiagnosed with AF. The recently popular 7-day patch electrocardiography (ECG) monitoring may help answer this question.

Methods

In the Kitsuki and Usuki cities in Oita Prefecture, Japan, a study was conducted among subjects who underwent 7-day patch ECG monitoring (Heartnote) for silent AF screening during the national insurance health checkup between June and November 2023. Subjects were (1) 65–74 years old and have ≥ 1 of the following risk factors: hypertension, diabetes mellitus, stroke, transient ischemic attack, and underlying heart disease (heart failure and/or previous myocardial infarction) and (2) 75 years and older.

Results

A total of 571 subjects (307 females and 264 males, mean age 75.3 ± 5.4 years) were analyzed. Silent AF was detected in 16 out of 571 subjects (2.8%). Among those aged 75 years or older, silent AF was detected in 15 out of 291 subjects (5.2%). In multivariate analysis, among age, body mass index (BMI), hypertension, diabetes, stroke, and underlying heart disease, only age was the independent predictor of silent AF detection (odds ratio: 1.16, 95% confidence interval: 1.06–1.28, p < 0.01).

Conclusions

Seven-day patch ECG monitoring during the national insurance health checkup efficiently detected silent AF in individuals aged 75 years and older.

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国民保险健康检查期间7天贴片心电图监测可有效检测75岁及以上人群无症状心房颤动

背景目前尚不清楚未确诊房颤的无症状性心房颤动（AF）在多大程度上存在。最近流行的7天贴片心电图（ECG）监测可能有助于回答这个问题。方法在日本大分县的木月市和臼月市，对2023年6月至11月国民保险健康体检期间接受7天贴片心电图监测（Heartnote）进行无症状房颤筛查的受试者进行研究。受试者为：(1)65-74岁，有以下危险因素≥1项：高血压、糖尿病、中风、短暂性脑缺血发作和潜在心脏病（心力衰竭和/或既往心肌梗死）；(2)75岁及以上。结果共纳入571例患者，其中女性307例，男性264例，平均年龄75.3±5.4岁。571例受试者中有16例（2.8%）检测到无症状心房颤动。在75岁及以上的291名受试者中，有15名（5.2%）检测到无症状房颤。在多变量分析中，在年龄、体重指数（BMI）、高血压、糖尿病、中风和潜在心脏病中，只有年龄是无症状房颤检测的独立预测因子（优势比：1.16,95%可信区间：1.06-1.28,p < 0.01）。结论医保体检时7天贴片心电图监测对75岁及以上人群隐匿性房颤有较好的检测效果。

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

Annals of Noninvasive Electrocardiology 医学-心血管系统

CiteScore

3.40

自引率

0.00%

发文量

审稿时长

6-12 weeks

期刊介绍： The ANNALS OF NONINVASIVE ELECTROCARDIOLOGY (A.N.E) is an online only journal that incorporates ongoing advances in the clinical application and technology of traditional and new ECG-based techniques in the diagnosis and treatment of cardiac patients. ANE is the first journal in an evolving subspecialty that incorporates ongoing advances in the clinical application and technology of traditional and new ECG-based techniques in the diagnosis and treatment of cardiac patients. The publication includes topics related to 12-lead, exercise and high-resolution electrocardiography, arrhythmias, ischemia, repolarization phenomena, heart rate variability, circadian rhythms, bioengineering technology, signal-averaged ECGs, T-wave alternans and automatic external defibrillation. ANE publishes peer-reviewed articles of interest to clinicians and researchers in the field of noninvasive electrocardiology. Original research, clinical studies, state-of-the-art reviews, case reports, technical notes, and letters to the editors will be published to meet future demands in this field.