| Atrial fibrillation : Clinical usefulness of systematic screening | ||||
| DISEASE | INTERVENTION | COMPARISON | RESULTS | |
| Lancet. 2021 Aug 27:S0140-6736(21)01698-6. doi: 10.1016/S0140-6736(21)01698-6 | Randomized Controlled Trial, Multicenter Study | |||
| IN atrial fibrillation, asymptomatic, older people, previous stroke, ischemic, embolic, or at risk of stroke |
The Use of
systematic screening for atrial fibrillation at 75 years, using an implantable loop recorder, followed by oral anticoagulation if AF detected As Diagnostic Tool |
Is better Than
screening for atrial fibrillation only if symptoms |
To modify, at 5 years, stroke or systemic embolism: 4.5% loop recorder VS 5.6% controls, p=0.11 | |
| Lancet. 2021 Aug 27:S0140-6736(21)01637-8. doi: 10.1016/S0140-6736(21)01637-8 | Randomized Controlled Trial | |||
| IN atrial fibrillation, asymptomatic, older people, primary prevention of stroke, ischemic, embolic |
The Use of
systematic screening for atrial fibrillation at 75 years, using intermittent ECGs for 14 days, followed by oral anticoagulation if AF detected As Diagnostic Tool |
Is better Than
screening for atrial fibrillation only if symptoms |
To slighty reduce, at 7 years, combined embolic events, severe bleeding or death: 5.5 events VS 5.7 per 100 person-years | |