Published final recommendations for screening of atrial fibrillation with ECG

The working group on disease prevention in the United States (USPSTF) issued final recommendations on screening for atrial fibrillation (AF) in adult patients. Medscape reported, citing a statement published on official organization’s website and in the journal JAMA.

In accordance with the final recommendations of the USPSTF experts come to the conclusion that the available data are insufficient to determine the balance of benefits and harms of screening for AF using electrocardiography (ZKG) in asymptomatic adult patients (recommendation I). “Evidence is not available, and the balance of benefits and harms cannot be determined”, – said in a statement.

It is noted that the experts the USPSTF conducted a detailed review of the evidence of benefits and harms of screening for AF using an ECG in patients over 65 years. They also evaluated the effectiveness of screening with ECG to detect previously undiagnosed AF in comparison with standard treatment and determined the balance of harms and benefits of anticoagulant or antiplatelet therapy for treatment of identified AF in older adults.

As you know, atrial fibrillation is the most common disturbance of heart rhythm. The prevalence of AF increases with age, affecting about 3% of men and 2% of women 65-69 years, and approximately 10% of adults older than 85 years. FP remains a major risk factor of ischemic stroke, increasing the risk of disease by 5 times. With approximately 20% of patients with stroke associated with AF, for the first time, atrial fibrillation is diagnosed at the time of stroke or shortly thereafter.

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