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- W4313444889 abstract "In a recent position paper, the European Heart Rhythm Association (EHRA) of the ESC clarifies the use of digital devises to detect and manage arrhythmias. For patients with a prior stroke, a systematic screening approach for atrial fibrillation (AF) should always be implemented, preferably immediately after the event. As age is the most important risk factor for stroke, suggestions are based on age, with individuals at or above 75 deemed to be at highest risk. For younger individuals, screening might still be warranted based on their risk factors as per the CHA2DS2-VASc score, and in addition for individuals at higher risk such as patients with CKD (chronic kidney disease), COPD (chronic obstructive pulmonary disease), obesity and sleep apnoea. From the French administrative hospital discharge database (PMSI), the objective of our study was the modeling of the results in terms of incident AF according to this new algorithm. Yearly incidence of AF was calculated in subgroup of interest listed in the EHRA algorithm for adult patients seen in French hospitals in 2013 with at least 5-year FU (or dying earlier). AF and comorbidities were identified using ICD-10 codes. In 2013, 2,921,407 patients with no history of AF were seen in French hospitals and then had at least 5 years of follow-up. Among them, 1.4% had a history of stroke, 19.9% were aged 65–74 and 23.6% were ≥ 75 yo. There were 327,012 patients with incident AF during follow-up (yearly incidence 2.4% in the overall population). The yearly incidence of AF in each subgroup is presented on the Fig. 1 below. These results in a contemporary analysis at a nationwide level show the relevance of the suggested workflow by EHRA. Of note, patients aged > 75 (regardless of comorbidities) had a higher incidence of AF than those with prior ischemic stroke, a population for which implantable loop recorder is widely indicated for AF screening. Other studies are still needed to optimize the place of new digital tools for AF screening in patients seen in daily practice and above all to confirm their interest in reducing major cardiovascular events." @default.
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- W4313444889 date "2023-01-01" @default.
- W4313444889 modified "2023-09-26" @default.
- W4313444889 title "Modeling the impact of the new European Heart Rhythm Association algorithm for atrial fibrillation screening using new digital tools" @default.
- W4313444889 doi "https://doi.org/10.1016/j.acvdsp.2022.10.171" @default.
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