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

Autor:	Ben Freedman, John Camm, Hugh Calkins, Jeffrey S. Healey, Mårten Rosenqvist, Jiguang Wang, Christine M. Albert, Craig S. Anderson, Sotiris Antoniou, Emelia J. Benjamin, Giuseppe Boriani, Johannes Brachmann, Axel Brandes, Tze-Fan Chao, David Conen, Johan Engdahl, Laurent Fauchier, David A. Fitzmaurice, Leif Friberg, Bernard J. Gersh, David J. Gladstone, Taya V. Glotzer, Kylie Gwynne, Graeme J. Hankey, Joseph Harbison, Graham S. Hillis, Mellanie T. Hills, Hooman Kamel, Paulus Kirchhof, Peter R. Kowey, Derk Krieger, Vivian W. Y. Lee, Lars-Åke Levin, Gregory Y. H. Lip, Trudie Lobban, Nicole Lowres, Georges H. Mairesse, Carlos Martinez, Lis Neubeck, Jessica Orchard, Jonathan P. Piccini, Katrina Poppe, Tatjana S. Potpara, Helmut Puererfellner, Michiel Rienstra, Roopinder K. Sandhu, Renate B. Schnabel, Chung-Wah Siu, Steven Steinhubl, Jesper H. Svendsen, Emma Svennberg, Sakis Themistoclakis, Robert G. Tieleman, Mintu P. Turakhia, Arnljot Tveit, Steven B. Uittenbogaart, Isabelle C. Van Gelder, Atul Verma, Rolf Wachter, Bryan P. Yan, A Al Awwad, F Al-Kalili, T Berge, G Breithardt, G Bury, WR Caorsi, NY Chan, SA Chen, I Christophersen, S Connolly, H Crijns, S Davis, U Dixen, R Doughty, X Du, M Ezekowitz, M Fay, V Frykman, M Geanta, H Gray, N Grubb, A Guerra, J Halcox, R Hatala, H Heidbuchel, R Jackson, L Johnson, S Kaab, K Keane, YH Kim, G Kollios, ML Løchen, C Ma, J Mant, M Martinek, I Marzona, K Matsumoto, D McManus, P Moran, N Naik, T Ngarmukos, D Prabhakaran, D Reidpath, A Ribeiro, A Rudd, I Savalieva, R Schilling, M Sinner, S Stewart, N Suwanwela, N Takahashi, E Topol, S Ushiyama, N Verbiest van Gurp, N Walker, T Wijeratne
Přispěvatelé:	Freedman, Ben [0000-0002-3809-2911], Albert, Christine M [0000-0002-2081-1121], Benjamin, Emelia J [0000-0003-4076-2336], Brandes, Axel [0000-0001-9145-6887], Engdahl, Johan [0000-0002-1677-7215], Friberg, Leif [0000-0002-7453-0157], Gwynne, Kylie [0000-0002-6897-4528], Hankey, Graeme J [0000-0002-6044-7328], Kirchhof, Paulus [0000-0002-1881-0197], Lee, Vivian WY [0000-0001-5802-8899], Lowres, Nicole [0000-0001-9061-3406], Martinez, Carlos [0000-0001-6498-6428], Orchard, Jessica [0000-0002-5702-7277], Rienstra, Michiel [0000-0002-2581-070X], Wachter, Rolf [0000-0003-2231-2200], Apollo - University of Cambridge Repository, Cardiovascular Centre (CVC), ACS - Heart failure & arrhythmias, APH - Personalized Medicine, Graduate School
Rok vydání:	2017
Předmět:	Benign condition Internationality Cost effectiveness ANTITHROMBOTIC THERAPY Delphi method Review 030204 cardiovascular system & hematology law.invention ARTERY-BYPASS GRAFT COST-EFFECTIVENESS 03 medical and health sciences 0302 clinical medicine White paper 616 Diseases Randomized controlled trial law Risk Factors Physiology (medical) Atrial Fibrillation Journal Article Medicine ORAL ANTICOAGULATION atrial fibrillation screening stroke Cardiology and Cardiovascular Medicine Humans Mass Screening 030212 general & internal medicine HIGH-RISK PATIENTS Stroke Mass screening CRYPTOGENIC STROKE business.industry LONG-TERM MORTALITY STROKE PREVENTION Atrial fibrillation AF Atrial Fibrillation screening stroke RANDOMIZED CONTROLLED-TRIAL medicine.disease 3. Good health TRANSIENT ISCHEMIC ATTACK Health RC Internal medicine Medical emergency business
Zdroj:	Circulation, 135(19), 1851-1867. LIPPINCOTT WILLIAMS & WILKINS Circulation, 135(19), 1851-1867. Lippincott Williams and Wilkins Freedman, B, Camm, A J, Calkins, H, Healey, J S, Rosenqvist, M, Wang, J, Albert, C M, Anderson, C S, Antoniou, S, Benjamin, E J, Boriani, G, Brachmann, J, Brandes, A, Chao, T-F, Conen, D, Engdahl, J, Fauchier, L, Fitzmaurice, D A, Friberg, L, Gersh, B J, Gladstone, D J, Glotzer, T V, Gwynne, K, Hankey, G J, Harbison, J, Hillis, G S, Hills, M T, Kamel, H, Kirchhof, P, Kowey, P R, Krieger, D, Lee, V W Y, Levin, L-Å, Lip, G Y H, Lobban, T, Lowres, N, Mairesse, G H, Largarcha-Martinez, C, Neubeck, L, Orchard, J, Piccini, J P, Poppe, K K, Potpara, T S, Puererfellner, H, Rienstra, M, Sandhu, R K, Schnabel, R B, Siu, C-W, Steinhubl, S R, Svendsen, J H, Svennberg, E, Themistoclakis, S, Tieleman, R G, Turakhia, M P, Tveit, A, Uittenbogaart, S B, Van Gelder, I C, Verma, A, Wachter, R & Yan, B P 2017, ' Screening for Atrial Fibrillation : A Report of the AF-SCREEN International Collaboration ', Circulation, vol. 135, no. 19, pp. 1851-1867 . https://doi.org/10.1161/CIRCULATIONAHA.116.026693 Freedman, B, Camm, J, Calkins, H, Healey, J S, Rosenqvist, M, Wang, J, Albert, C M, Anderson, C S, Antoniou, S, Benjamin, E J, Boriani, G, Brachmann, J, Brandes, A, Chao, T-F, Conen, D, Engdahl, J, Fauchier, L, Fitzmaurice, D A, Friberg, L, Gersh, B J, Gladstone, D J, Glotzer, T V, Gwynne, K, Hankey, G J, Harbison, J, Hillis, G S, Hills, M T, Kamel, H, Kirchhof, P, Kowey, P R, Krieger, D, Lee, V W Y, Levin, L-Å, Lip, G Y H, Lobban, T, Lowres, N, Mairesse, G H, Martinez, C, Neubeck, L, Orchard, J, Piccini, J P, Poppe, K, Potpara, T S, Puererfellner, H, Rienstra, M, Sandhu, R K, Schnabel, R B, Siu, C-W, Steinhubl, S, Svendsen, J H, Svennberg, E, Themistoclakis, S, Tieleman, R G, Turakhia, M P, Tveit, A, Uittenbogaart, S B, Van Gelder, I C, Verma, A, Wachter, R & Yan, B P 2017, ' Screening for Atrial Fibrillation : A Report of the AF-SCREEN International Collaboration ', Circulation, vol. 135, no. 19, pp. 1851-1867 . https://doi.org/10.1161/CIRCULATIONAHA.116.026693
ISSN:	1524-4539 0009-7322
DOI:	10.1161/CIRCULATIONAHA.116.026693
Popis:	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.
Databáze:	OpenAIRE
Externí odkaz:	https://explore.openaire.eu/search/publication?articleId=doi_dedup___::d31b90e47dfa50bbbee155be0e4ea335 https://pubmed.ncbi.nlm.nih.gov/28483832 Zobrazit plný text záznamu