Cost-effectiveness of mass screening for untreated atrial fibrillation using intermittent ECG recording
Abstract
AIMS: The aim of this study was to estimate the cost-effectiveness of 2 weeks of intermittent screening for asymptomatic atrial fibrillation (AF) in 75/76-year-old individuals. METHODS AND RESULTS: The cost-effectiveness analysis of screening in 75-year-old individuals was based on a lifelong decision analytic Markov model. In this model, 1000 hypothetical individuals, who matched the population of the STROKESTOP study, were simulated. The population was analysed for different parameters such as prevalence, AF status, treatment with oral anticoagulation, stroke risk, utility, and costs. In the base-case scenario, screening of 1000 individuals resulted in 263 fewer patient-years with undetected AF. This implies eight fewer strokes, 11 more life-years, and 12 more quality-adjusted life years (QALYs) per 1000 screened individuals. The screening implies an incremental cost of €50 012, resulting in a cost of €4313 per gained QALY and €6583 per avoided stroke. CONCLUSIONS: With the use of a decision analytic simulation model, it has been shown that screening for asymptomatic AF in 75/76-year-old individuals is cost-effective.
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Similar effects have been reported using single-lead ECG screening in other at-risk populations.
“Opportunistic screening for silent AF seems cost-effective in elderly populations (e.g.> 65 years), 131 and similar effects have been reported using single-lead ECG screening in other at-risk populations.132,133”
From 2016 ESC Guidelines for the management of atrial fibrillation developed in collaboration with EACTS (2016) · cites this paper as [132]
Cites
Dabigatran versus warfarin in patients with atrial fibrillation
Connolly, S. J., Ezekowitz, M. D., Yusuf, S., Eikelboom, J., Oldgren, J., Parekh, A., Pogue, J., Reilly, P. A., Themeles, E., Varrone, J., et al. (2009) · New England Journal of Medicine · doi:10.1056/nejmoa0905561 · Cited by 11,215 · see citing works
Rivaroxaban versus warfarin in nonvalvular atrial fibrillation
Patel, M. R., Mahaffey, K. W., Garg, J., Pan, G., Singer, D. E., Hacke, W., Breithardt, G., Halperin, J. L., Hankey, G. J., Piccini, J. P., et al. (2011) · New England Journal of Medicine · doi:10.1056/nejmoa1009638 · Cited by 9,430 · see citing works
Apixaban versus warfarin in patients with atrial fibrillation
Granger, C. B., Alexander, J. H., McMurray, J. J. V., Lopes, R. D., Hylek, E. M., Hanna, M., Al-Khalidi, H. R., Ansell, J., Atar, D., Avezum, A., et al. (2011) · New England Journal of Medicine · doi:10.1056/nejmoa1107039 · Cited by 8,943 · see citing works
Atrial fibrillation as an independent risk factor for stroke: the Framingham study
Wolf, P. A., Abbott, R. D., & Kannel, W. B. (1991) · Stroke · doi:10.1161/01.str.22.8.983 · Cited by 7,388 · see citing works
Guidelines for the management of atrial fibrillation
Authors/Task Force Members, Camm, A. J., Kirchhof, P. F., Lip, G. Y. H., Schotten, U., Savelieva, I., Ernst, S., Gelder, I. C. V., Al‐Attar, N., Hindricks, G., et al. (2010) · European Heart Journal · doi:10.1093/eurheartj/ehq278 · Cited by 5,875 · see citing works
Hart, R. G., Pearce, L. A., & Aguilar, M. I. (2007) · Annals of Internal Medicine · doi:10.7326/0003-4819-146-12-200706190-00007 · Cited by 4,793 · see citing works
2012 focused update of the ESC Guidelines for the management of atrial fibrillation
Authors Task Force Members, Camm, A. J., Lip, G. Y. H., Caterina, R. D., Savelieva, I., Atar, D., Hohnloser, S. H., Hindricks, G., Kirchhof, P. F., Bax, J. J., et al. (2012) · EP Europace · doi:10.1093/europace/eus305 · Cited by 3,814 · see citing works
Cryptogenic stroke and underlying atrial fibrillation
Sanna, T., Diener, H.-C., Passman, R. S., Di Lazzaro, V., Bernstein, R. A., Morillo, C. A., Rymer, M. M., Thijs, V., Rogers, T., Beckers, F., et al. (2014) · New England Journal of Medicine · doi:10.1056/nejmoa1313600 · Cited by 2,161 · see citing works
Subclinical atrial fibrillation and the risk of stroke
Healey, J. S., Connolly, S. J., Gold, M. R., Israel, C. W., Van Gelder, I. C., Capucci, A., Lau, C. P., Fain, E., Yang, S., Bailleul, C., et al. (2012) · New England Journal of Medicine · doi:10.1056/nejmoa1105575 · Cited by 2,100 · see citing works
Prevalence, incidence and lifetime risk of atrial fibrillation: the Rotterdam study
Heeringa, J., van der Kuip, D. A. M., Hofman, A., Kors, J. A., van Herpen, G., Stricker, B. H. C., Stijnen, T., Lip, G. Y. H., & Witteman, J. C. M. (2006) · European Heart Journal · doi:10.1093/eurheartj/ehi825 · Cited by 1,939 · see citing works
Guidelines for the management of atrial fibrillation
Authors/Task Force Members, Camm, A. J., Kirchhof, P. F., Lip, G. Y. H., Schotten, U., Savelieva, I., Ernst, S., Gelder, I. C. V., Al‐Attar, N., Hindricks, G., et al. (2010) · EP Europace · doi:10.1093/europace/euq350 · Cited by 1,749 · see citing works
Wann, L. S., Curtis, A. B., January, C. T., Ellenbogen, K. A., Lowe, J. E., Estes, N. A. M., Page, R. L., Ezekowitz, M. D., Slotwiner, D. J., Jackman, W. M., et al. (2010) · Circulation · doi:10.1161/cir.0b013e3181fa3cf4 · Cited by 1,338 · see citing works
Friberg, L., Rosenqvist, M., & Lip, G. Y. H. (2012) · European Heart Journal · doi:10.1093/eurheartj/ehr488 · Cited by 1,192 · see citing works
Self-citationFuster, V., Rydén, L., Cannom, D. S., Crijns, H. J. G. M., Curtis, A. B., Ellenbogen, K. A., Halperin, J. L., Kay, G. N., Huezey, J.-Y. L., Lowe, J. E., et al. (2011) · Journal of the American College of Cardiology · doi:10.1016/j.jacc.2010.09.013 · Cited by 921 · see citing works
Fuster, V., Rydén, L. E., Cannom, D. S., Crijns, H. J., Curtis, A. B., Ellenbogen, K. A., Halperin, J. L., Kay, G. N., Le Huezey, J.-Y., Lowe, J. E., et al. (2011) · Circulation · doi:10.1161/cir.0b013e318214876d · Cited by 859 · see citing works
[Principles and practice of mass screening for disease].
Wilson, J. M., & Jungner, Y. G. (1968) · PubMed · Cited by 785 · see citing works
Quality of life in patients with atrial fibrillation: a systematic review
Thrall, G., Lane, D., Carroll, D., & Lip, G. Y. H. (2006) · The American Journal of Medicine · doi:10.1016/j.amjmed.2005.10.057 · Cited by 697 · see citing works
Barrett, P. M., Komatireddy, R., Haaser, S., Topol, S., Sheard, J., Encinas, J., Fought, A. J., & Topol, E. J. (2014) · The American Journal of Medicine · doi:10.1016/j.amjmed.2013.10.003 · Cited by 498 · see citing works
Lowres, N., Neubeck, L., Salkeld, G., Krass, I., McLachlan, A. J., Redfern, J., Bennett, A. A., Briffa, T., Bauman, A., Martinez, C., et al. (2014) · Thrombosis and Haemostasis · doi:10.1160/th14-03-0231 · Cited by 458 · see citing works
Hobbs, F., Fitzmaurice, D., Mant, J., Murray, E., Jowett, S., Bryan, S., Raftery, J., Davies, M., & Lip, G. (2005) · Health Technology Assessment · doi:10.3310/hta9400 · Cited by 437 · see citing works
Fitzmaurice, D. A., Hobbs, F. D. R., Jowett, S., Mant, J., Murray, E. T., Holder, R., Raftery, J. P., Bryan, S., Davies, M., Lip, G. Y. H., et al. (2007) · BMJ · doi:10.1136/bmj.39280.660567.55 · Cited by 405 · see citing works
Atrial fibrillation prevalence revisited
Friberg, L., & Bergfeldt, L. (2013) · Journal of Internal Medicine · doi:10.1111/joim.12114 · Cited by 256 · see citing works
Engdahl, J., Andersson, L., Mirskaya, M., & Rosenqvist, M. (2013) · Circulation · doi:10.1161/circulationaha.112.126656 · Cited by 233 · see citing works
Wallentin, L. C., Lópes, R. D., Hanna, M., Thomas, L. E., Hellkamp, A. S., Nepal, S., Hylek, E. M., Al‐Khatib, S. M., Alexander, J. H., Alings, M., et al. (2013) · Circulation · doi:10.1161/circulationaha.112.142158 · Cited by 216 · see citing works
Lópes, R. D., Al‐Khatib, S. M., Wallentin, L. C., Yang, H., Ansell, J., Bahit, M. C., Caterina, R. D., Dorian, P., Easton, J. D., Erol, Ç., et al. (2012) · The Lancet · doi:10.1016/s0140-6736(12)60986-6 · Cited by 207 · see citing works
Trends in the incidence and prevalence of atrial fibrillation in Iceland and future projections
Stefansdottir, H., Aspelund, T., Gudnason, V. G., & Arnar, D. O. (2011) · EP Europace · doi:10.1093/europace/eur132 · Cited by 182 · see citing works
Costs and Effectiveness of Ximelagatran for Stroke Prophylaxis in Chronic Atrial Fibrillation
O’Brien, C. L. (2005) · JAMA · doi:10.1001/jama.293.6.699 · Cited by 149 · see citing works
Friberg, L., Hammar, N., Pettersson, H., & Rosenqvist, M. (2007) · European Heart Journal · doi:10.1093/eurheartj/ehm308 · Cited by 146 · see citing works
Usefulness of Continuous Electrocardiographic Monitoring for Atrial Fibrillation
Camm, A. J., CORBUCCI, G., & Padeletti, L. (2012) · The American Journal of Cardiology · doi:10.1016/j.amjcard.2012.03.021 · Cited by 141 · see citing works
Cost of stroke in Sweden: An incidence estimate
Ghatnekar, O., Persson, U., Glader, E., & Terént, A. (2004) · International Journal of Technology Assessment in Health Care · doi:10.1017/s0266462304001217 · Cited by 136 · see citing works
Survival after stroke — The impact of CHADS2 score and atrial fibrillation
Henriksson, K. M., Farahmand, B. Y., Johansson, S., Åsberg, S., Terént, A., & Edvardsson, N. G. (2009) · International Journal of Cardiology · doi:10.1016/j.ijcard.2008.11.122 · Cited by 135 · see citing works
Burström, K., Johannesson, M., & Diderichsen, F. (2005) · Health Policy · doi:10.1016/j.healthpol.2005.06.011 · Cited by 127 · see citing works
FOWLER, C. G., McAllister, W. J., Plail, R. O., Karim, O. M. A., & Yang, Q. (2005) · Health Technology Assessment · doi:10.3310/hta9040 · Cited by 121 · see citing works
Lee, H.-Y., Hwang, J., Jeng, J., & Wang, J. (2010) · Stroke · doi:10.1161/strokeaha.109.573543 · Cited by 114 · see citing works
Improved screening for silent atrial fibrillation after ischaemic stroke
Doliwa Sobocinski, P., Anggardh Rooth, E., Frykman Kull, V., von Arbin, M., Wallen, H., & Rosenqvist, M. (2012) · Europace · doi:10.1093/europace/eur431 · Cited by 112 · see citing works
Short-term ECG for out of hospital detection of silent atrial fibrillation episodes
Doliwa, P. S., Frykman, V., & Rosenqvist, M. (2009) · Scandinavian Cardiovascular Journal · doi:10.1080/14017430802593435 · Cited by 105 · see citing works
Screening for atrial fibrillation in primary care
Wheeldon, N. M., Tayler, D. I., Anagnostou, E., Cook, D. J., Wales, C., & Oakley, G. D. (1998) · Heart · doi:10.1136/hrt.79.1.50 · Cited by 104 · see citing works
Roche, F., Gaspoz, J., Costa, A. D., Isaaz, K., Duverney, D., Pichot, V., Costes, F., Lacour, J.-R., & Barthélemy, J. (2002) · Pacing and Clinical Electrophysiology · doi:10.1046/j.1460-9592.2002.01587.x · Cited by 101 · see citing works
Friberg, L., Engdahl, J., Frykman, V., Svennberg, E., Levin, L.-Å., & Rosenqvist, M. (2013) · EP Europace · doi:10.1093/europace/eus217 · Cited by 100 · see citing works
Marfella, R., Sasso, F. C., Siniscalchi, M., Cirillo, M., Paolisso, P., Sardu, C., Barbieri, M., Rizzo, M. R., Mauro, C., & Paolisso, G. (2013) · Journal of the American College of Cardiology · doi:10.1016/j.jacc.2013.02.091 · Cited by 96 · see citing works
The diagnostic accuracy of the MyDiagnostick to detect atrial fibrillation in primary care
Vaes, B., Stalpaert, S., Tavernier, K., Thaels, B., Lapeire, D., Mullens, W., & Degryse, J. (2014) · BMC Family Practice · doi:10.1186/1471-2296-15-113 · Cited by 81 · see citing works
Importance and management of chronic sleep apnoea in cardiology
Jaffe, L. M., Kjekshus, J., & Gottlieb, S. S. (2012) · European Heart Journal · doi:10.1093/eurheartj/ehs046 · Cited by 74 · see citing works
A cost-effectiveness analysis of screening for silent atrial fibrillation after ischaemic stroke
Levin, L.-A., Husberg, M., Sobocinski, P. D., Kull, V. F., Friberg, L., Rosenqvist, M., & Davidson, T. (2015) · Europace · doi:10.1093/europace/euu213 · Cited by 56 · see citing works
Hendrikx, T., Hörnsten, R., Rosenqvist, M., & Sandström, H. (2013) · BMC Cardiovascular Disorders · doi:10.1186/1471-2261-13-41 · Cited by 34 · see citing works
Engdahl, J., Holmén, A., Rosenqvist, M., & Strömberg, U. (2013) · BMC Public Health · doi:10.1186/1471-2458-13-715 · Cited by 12 · see citing works
Berger, S. M., Schou, M., Schmiegelow, M., Numé, A., Christensen, S., Koeber, L., Torp-Pedersen, C. T., & Gislason, G. (2013) · European Heart Journal · doi:10.1093/eurheartj/eht308.809 · Cited by 10 · see citing works
Svennberg, C. E., Engdahl, J., Frykman, V., Friberg, L., Levin, L., & Rosenqvist, M. (2013) · European Heart Journal · doi:10.1093/eurheartj/eht310.4382 · Cited by 4 · see citing works
Ghatnekar, O. (2013) · KTH Publication Database DiVA (KTH Royal Institute of Technology) · Cited by 3 · see citing works
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Hindricks, G., Potpara, T., Dagres, N., Arbelo, E., Bax, J. J., Blomström‐Lundqvist, C., Boriani, G., Castella, M., Dan, G.-A., Dilaveris, P., et al. (2020) · European Heart Journal · doi:10.1093/eurheartj/ehaa612 · Cited by 10,225 · see citing works
2016 ESC Guidelines for the management of atrial fibrillation developed in collaboration with EACTS
Kirchhof, P. F., Benussi, S., Kotecha, D., Ahlsson, A., Atar, D., Casadei, B., Castellà, M., Diener, H., Heidbüchel, H., Hendriks, J., et al. (2016) · EP Europace · doi:10.1093/europace/euw295 · Cited by 6,438 · see citing works
2016 ESC Guidelines for the management of atrial fibrillation developed in collaboration with EACTS
Kirchhof, P., Benussi, S., Kotecha, D., Ahlsson, A., Atar, D., Casadei, B., Castella, M., Diener, H.-C., Heidbuchel, H., Hendriks, J., et al. (2016) · European Heart Journal · doi:10.1093/eurheartj/ehw210 · Cited by 6,418 · see citing works
2016 ESC Guidelines for the management of atrial fibrillation developed in collaboration with EACTS
Kirchhof, P., Benussi, S., Kotecha, D., Ahlsson, A., Atar, D., Casadei, B., Castella, M., Diener, H.-C., Heidbuchel, H., Hendriks, J., et al. (2016) · European Journal of Cardio-Thoracic Surgery · doi:10.1093/ejcts/ezw313 · Cited by 1,403 · see citing works
Screening for Atrial Fibrillation
Freedman, B., Camm, A. J., Calkins, H. G., Healey, J. S., Rosenqvist, M., Wang, J., Albert, C. M., Anderson, C. S., Antoniou, S., Benjamin, E. J., et al. (2017) · Circulation · doi:10.1161/circulationaha.116.026693 · Cited by 548 · see citing works
Brieger, D. B., Amerena, J. V., Attia, J., Bajorek, B. V., Chan, K. H., Connell, C., Freedman, B., Ferguson, C., Hall, T. L., Haqqani, H. M., et al. (2018) · Heart Lung and Circulation · doi:10.1016/j.hlc.2018.06.1043 · Cited by 328 · see citing works
Mairesse, G., Moran, P., van Gelder, I. V., Elsner, C., Rosenqvist, M., Mant, J., Banerjee, A., Gorenek, B., Brachmann, J., Varma, N., et al. (2018) · Europace · doi:10.1093/europace/eux177 · Cited by 191 · see citing works
How useful is the smartwatch ECG?
Isakadze, N., & Martin, S. S. (2019) · Trends in Cardiovascular Medicine · doi:10.1016/j.tcm.2019.10.010 · Cited by 234 · see citing works
Carlo, A. D., Bellino, L., Consoli, D., Mori, F., Zaninelli, A., Baldereschi, M., Cattarinussi, A., D’Alfonso, M. G., Gradia, C., Sgherzi, B., et al. (2019) · EP Europace · doi:10.1093/europace/euz141 · Cited by 190 · see citing works
The future of atrial fibrillation management: integrated care and stratified therapy
Kirchhof, P. F. (2017) · The Lancet · doi:10.1016/s0140-6736(17)31072-3 · Cited by 179 · see citing works
Apple watch, wearables, and heart rhythm: where do we stand?
Raja, J. M., Elsakr, C., Roman, S., Cave, B., Pour-Ghaz, I., Nanda, A., Maturana, M., & Khouzam, R. N. (2019) · Annals of Translational Medicine · doi:10.21037/atm.2019.06.79 · Cited by 175 · see citing works
Desteghe, L., Raymaekers, Z., Lutin, M., Vijgen, J. M., Dilling-Boer, D. M., Koopman, P., Schurmans, J., Vanduynhoven, P., Dendale, P., & Heidbüchel, H. (2016) · EP Europace · doi:10.1093/europace/euw025 · Cited by 171 · see citing works
A deep learning approach to monitoring and detecting atrial fibrillation using wearable technology
Shashikumar, S. P., Shah, A. J., Qiao, L., Clifford, G. D., & Nemati, S. (2017) · IEEE-EMBS International Conference on Biomedical and Health Informatics (BHI ...) · doi:10.1109/bhi.2017.7897225 · Cited by 167 · see citing works
2018 Korean Guideline of Atrial Fibrillation Management
Joung, B., Lee, J., Lee, K. H., Kim, T., Choi, E., Lim, W., Kang, K., Uhm, J., Lim, H. E., Park, J., et al. (2018) · Korean Circulation Journal · doi:10.4070/kcj.2018.0339 · Cited by 154 · see citing works
Monitoring and detecting atrial fibrillation using wearable technology
Nemati, S., Ghassemi, M. M., Ambai, V., Isakadze, N., Levantsevych, O. M., Shah, A. J., & Clifford, G. D. (2016) · Annual International Conference of the IEEE Engineering in Medicine and Biology Society (EMBC) · doi:10.1109/embc.2016.7591456 · Cited by 144 · see citing works
Computational Diagnostic Techniques for Electrocardiogram Signal Analysis
Xie, L., Li, Z., Zhou, Y., He, Y., & Zhu, J. (2020) · Sensors · doi:10.3390/s20216318 · Cited by 147 · see citing works
Brasier, N., Raichle, C. J., Dörr, M., Becke, A., Nohturfft, V., Weber, S., Bulacher, F., Salomon, L., Noah, T., Birkemeyer, R., et al. (2018) · EP Europace · doi:10.1093/europace/euy176 · Cited by 146 · see citing works
Kirchhof, P. F., BREITHARDT, G. E., Bax, J. J., Benninger, G., Blomström‐Lundqvist, C., Boriani, G., Brandes, A., Brown, H., Brueckmann, M., Calkins, H. G., et al. (2015) · EP Europace · doi:10.1093/europace/euv304 · Cited by 141 · see citing works
Screening strategies for atrial fibrillation: a systematic review and cost-effectiveness analysis.
Welton, N., McAleenan, A., Thom, H., Davies, P., Hollingworth, W., Higgins, J., Okoli, G., Sterne, J., Feder, G., Eaton, D., et al. (2017) · Health Technology Assessment · doi:10.3310/hta21290 · Cited by 133 · see citing works
Gudmundsdottir, K. K., Fredriksson, T., Svennberg, E., Al‐Khalili, F., Friberg, L., Frykman, V., Hijazi, Z., Rosenqvist, M., & Engdahl, J. (2019) · EP Europace · doi:10.1093/europace/euz255 · Cited by 131 · see citing works
Lowres, N., Olivier, J., Chao, T., Chen, S.-A., Chen, Y., Diederichsen, A. C. P., Fitzmaurice, D. A., Gómez‐Doblas, J. J., Harbison, J. A., Healey, J. S., et al. (2019) · PLoS Medicine · doi:10.1371/journal.pmed.1002903 · Cited by 124 · see citing works
Lowres, N., Mulcahy, G., Jin, K., Gallagher, R. D., Neubeck, L., & Freedman, B. (2017) · Interactive Cardiovascular and Thoracic Surgery · doi:10.1093/icvts/ivx348 · Cited by 108 · see citing works
Atrial high-rate episodes and stroke prevention
Camm, A. J., SIMANTIRAKIS, E. N., Goette, A., Lip, G. Y. H., Vardas, P. E., Calvert, M., CHLOUVERAKIS, G. I., Diener, H., & Kirchhof, P. F. (2016) · EP Europace · doi:10.1093/europace/euw279 · Cited by 103 · see citing works
Li, Y., Bisson, A., Bodin, A., Herbert, J., Grammatico‐Guillon, L., Joung, B., Wang, Y., Lip, G. Y. H., & Fauchier, L. (2019) · Journal of the American Heart Association · doi:10.1161/jaha.119.012546 · Cited by 102 · see citing works
Heijman, J., Sutanto, H., Crijns, H. J. G. M., Nattel, S., & Trayanova, N. A. (2021) · Cardiovascular Research · doi:10.1093/cvr/cvab138 · Cited by 101 · see citing works
Accuracy of mHealth Devices for Atrial Fibrillation Screening: Systematic Review
Giebel, G. D., & Gissel, C. (2019) · JMIR mHealth and uHealth · doi:10.2196/13641 · Cited by 99 · see citing works
Jacobs, M. S., Kaasenbrood, F., Postma, M. J., van Hulst, M., & Tieleman, R. G. (2016) · EP Europace · doi:10.1093/europace/euw285 · Cited by 97 · see citing works
2019 Chinese guideline for the management of hypertension in the elderly.
Hua, Q., Fan, L. H., & Li, J. (2019) · PubMed Central · doi:10.11909/j.issn.1671-5411.2019.02.001 · Cited by 97 · see citing works
Himmelreich, J. C. L., Veelers, L., Lucassen, W. A. M., Schnabel, R. B., Rienstra, M., van Weert, H. C. P. M., & Harskamp, R. E. (2020) · EP Europace · doi:10.1093/europace/euaa005 · Cited by 100 · see citing works
Jensen, M. T., Treskes, R. W., Caiani, E. G., Casado-Arroyo, R., Cowie, M. R., Dilaveris, P., Duncker, D., Di Rienzo, M., Frederix, I., De Groot, N., et al. (2021) · European Heart Journal - Digital Health · doi:10.1093/ehjdh/ztab011 · Cited by 93 · see citing works
Chen, E., Jiang, J., Su, R., Gao, M., Zhu, S., Zhou, J., & Huo, Y. (2020) · Heart Rhythm · doi:10.1016/j.hrthm.2020.01.034 · Cited by 90 · see citing works
Ramkumar, S., Nerlekar, N., D’Souza, D., Pol, D. J., Kalman, J. M., & Marwick, T. H. (2018) · BMJ Open · doi:10.1136/bmjopen-2018-024178 · Cited by 86 · see citing works
Brandes, A., Stavrakis, S., Freedman, B., Antoniou, S., Boriani, G., Camm, A. J., Chow, C. K., Ding, E., Engdahl, J., Gibson, C. M., et al. (2022) · Circulation · doi:10.1161/circulationaha.121.058911 · Cited by 84 · see citing works
Mobile health applications for the detection of atrial fibrillation: a systematic review
Lopez Perales, C. R., Van Spall, H. G. C., Maeda, S., Jimenez, A., Laţcu, D. G., Milman, A., Kirakoya-Samadoulougou, F., Mamas, M. A., Muser, D., & Casado Arroyo, R. (2021) · EP Europace · doi:10.1093/europace/euaa139 · Cited by 77 · see citing works
Fan, Y.-Y., Li, Y.-G., Li, J., Cheng, W.-K., Shan, Z.-L., Wang, Y.-T., & Guo, Y.-T. (2019) · JMIR mHealth and uHealth · doi:10.2196/11437 · Cited by 81 · see citing works
Stroke as the Initial Manifestation of Atrial Fibrillation
Lubitz, S. A., Yin, X., McManus, D. D., Weng, L.-C. C., Aparicio, H. J., Walkey, A. J., Romero, J. R., Kase, C. S., Ellinor, P. T., Wolf, P. A., et al. (2017) · Stroke · doi:10.1161/strokeaha.116.015071 · Cited by 80 · see citing works
Emerging Technologies for Identifying Atrial Fibrillation
Ding, E., Marcus, G. M., & McManus, D. D. (2020) · Circulation Research · doi:10.1161/circresaha.119.316342 · Cited by 77 · see citing works
Cost-effectiveness of population screening for atrial fibrillation: the STROKESTOP study
Lyth, J., Svennberg, E., Bernfort, L., Aronsson, M., Frykman, V., Al‐Khalili, F., Friberg, L., Rosenqvist, M., Engdahl, J., & Levin, L. (2022) · European Heart Journal · doi:10.1093/eurheartj/ehac547 · Cited by 75 · see citing works
Prasitlumkum, N., Cheungpasitporn, W., Chokesuwattanaskul, A., Thangjui, S., Thongprayoon, C., Bathini, T. J., Vallabhajosyula, S., Kanitsoraphan, C., Leesutipornchai, T., & Chokesuwattanaskul, R. (2020) · Archives of cardiovascular diseases · doi:10.1016/j.acvd.2020.05.015 · Cited by 68 · see citing works
Cost-effectiveness of Screening for Atrial Fibrillation Using Wearable Devices
Chen, W., Khurshid, S. S., Singer, D. E., Atlas, S. J., Ashburner, J. M., Ellinor, P. T., McManus, D. D., Lubitz, S. A., & Chhatwal, J. (2022) · JAMA Health Forum · doi:10.1001/jamahealthforum.2022.2419 · Cited by 59 · see citing works
Safe automatic one-lead electrocardiogram analysis in screening for atrial fibrillation
Svennberg, E., Stridh, M., Engdahl, J., Al‐Khalili, F., Friberg, L., Frykman, V., & Rosenqvist, M. (2016) · EP Europace · doi:10.1093/europace/euw286 · Cited by 58 · see citing works
Effectiveness of screening for atrial fibrillation and its determinants. A meta-analysis
Petryszyn, P., Niewiński, P., Staniak, A., Piotrowski, P., Well, A. R., Well, M., Jęśkowiak, I., Lip, G., & Ponikowski, P. (2019) · PLoS ONE · doi:10.1371/journal.pone.0213198 · Cited by 50 · see citing works
Newer technologies for detection of atrial fibrillation
Zungsontiporn, N., & Link, M. S. (2018) · BMJ · doi:10.1136/bmj.k3946 · Cited by 53 · see citing works
Ding, E., Han, D., Whitcomb, C., Bashar, S. K., Adaramola, O., Soni, A., Saczynski, J. S., Fitzgibbons, T. P., Moonis, M., Lubitz, S. A., et al. (2019) · JMIR Cardio · doi:10.2196/13850 · Cited by 52 · see citing works
The influence of atrial high-rate episodes on stroke and cardiovascular death: an update
Toennis, T., Bertaglia, E., Brandes, A., Dichtl, W., Fluschnik, N., de Groot, J. R., Marijon, É., Mont, L., Blomström‐Lundqvist, C., Cabanelas, N., et al. (2023) · EP Europace · doi:10.1093/europace/euad166 · Cited by 52 · see citing works
Engdahl, J., Svennberg, E., Friberg, L., Al‐Khalili, F., Frykman, V., Gudmundsdottir, K. K., Fredriksson, T., & Rosenqvist, M. (2016) · EP Europace · doi:10.1093/europace/euw319 · Cited by 50 · see citing works
Atrial fibrillation in aging population
Chen, Q., Zhong, Y., & Cheng, J. (2018) · Aging Medicine · doi:10.1002/agm2.12015 · Cited by 41 · see citing works
Ding, E., Albuquerque, D., Winter, M. R., Binici, S., Piche, J., Bashar, S. K., Chon, K. H., Walkey, A. J., & McManus, D. D. (2019) · Journal of Intensive Care Medicine · doi:10.1177/0885066619866172 · Cited by 41 · see citing works
Ding, E., Svennberg, E., Wurster, C. J., Duncker, D., Manninger, M., Lubitz, S. A., Dickson, E. L., Fitzgibbons, T. P., AKOUM, N. W., Al‐Khatib, S. M., et al. (2020) · Cardiovascular Digital Health Journal · doi:10.1016/j.cvdhj.2020.06.002 · Cited by 41 · see citing works
Berge, T., Brynildsen, J., Larsen, H. K. N., Onarheim, S., Jenssen, G. R., Ihle‐Hansen, H., Christophersen, I. E., Myrstad, M., Røsjø, H. R., Smith, P., et al. (2017) · EP Europace · doi:10.1093/europace/eux293 · Cited by 39 · see citing works
A Paper-Based Flexible Tactile Sensor Array for Low-Cost Wearable Human Health Monitoring
Luo, W., Sharma, V., & Young, D. J. (2020) · Journal of Microelectromechanical Systems · doi:10.1109/jmems.2020.3011498 · Cited by 39 · see citing works
Hill, N. R., Sandler, B., Mokgokong, R., Lister, S., Ward, T., Boyce, R., Farooqui, U., & Gordon, J. (2020) · Journal of Medical Economics · doi:10.1080/13696998.2019.1706543 · Cited by 38 · see citing works
2025 Clinical practice guidelines for Atrial fibrillation and flutter
Golukhova, E. Z., Sp, G., Михайлов, Е. Н., Revishvili, A. S. H., Arakelyan, M. G., Vasilyeva, E. Y., Davtyan, K. V., Drapkina, O. M., Drozdova, L. Y., Станиславовна, К. Е., et al. (2026) · Russian Journal of Cardiology · doi:10.15829/1560-4071-2025-6668 · Cited by 44 · see citing works
Feasibility of Atrial Fibrillation Screening With Mobile Health Technologies at Pharmacies
Zaprutko, T., Zaprutko, J., Baszko, A., Sawicka, D., Szałek-Goralewska, A., Dymecka, M., Telec, W., Kopciuch, D., Ratajczak, P., Michalak, M., et al. (2019) · Journal of Cardiovascular Pharmacology and Therapeutics · doi:10.1177/1074248419879089 · Cited by 36 · see citing works
Prevalence of atrial fibrillation in Thai elderly.
Phrommintikul, A., Detnuntarat, P., Prasertwitayakij, N., & Wongcharoen, W. (2016) · PubMed Central · doi:10.11909/j.issn.1671-5411.2016.03.002 · Cited by 34 · see citing works
Echocardiographic Risk Assessment to Guide Screening for Atrial Fibrillation
Ramkumar, S., Ochi, A., Kawakami, H., Yang, H., Potter, E. L., D’Elia, N. W., Negishi, T., Negishi, K., & Marwick, T. H. (2019) · Journal of the American Society of Echocardiography · doi:10.1016/j.echo.2019.07.003 · Cited by 34 · see citing works
N-terminal pro B-type natriuretic peptide in systematic screening for atrial fibrillation
Svennberg, E., Henriksson, P., Engdahl, J., Hijazi, Z., Al‐Khalili, F., Friberg, L., & Frykman, V. (2017) · Heart · doi:10.1136/heartjnl-2016-310236 · Cited by 33 · see citing works
Marston, H. R., Hadley, R., Banks, D., & Miranda-Duro, M. D. C. (2019) · Healthcare · doi:10.3390/healthcare7030096 · Cited by 33 · see citing works
The changing circumstance of atrial fibrillation ‐ progress towards precision medicine
Camm, A. J., Savelieva, I., Potpara, T., Hindriks, G., Pison, L., & Blomström‐Lundqvist, C. (2016) · Journal of Internal Medicine · doi:10.1111/joim.12478 · Cited by 30 · see citing works
Ballatore, A., Matta, M., Saglietto, A., Desalvo, P., Bocchino, P. P., Gaïta, F., Ferrari, G. M. D., & Anselmino, M. (2019) · Medicina · doi:10.3390/medicina55080497 · Cited by 32 · see citing works
(2023) · Australian Prescriber · doi:10.18773/austprescr · Cited by 30 · see citing works
Necklace‐embedded electrocardiogram for the detection and diagnosis of atrial fibrillation
Santala, O. E., Lipponen, J. A., Jäntti, H., Rissanen, T. T., Halonen, J., Kolk, I., Pohjantähti‐Maaroos, H., Tarvainen, M. P., Väliaho, E., Hartikainen, J. E. K., et al. (2021) · Clinical Cardiology · doi:10.1002/clc.23580 · Cited by 29 · see citing works
Proietti, M., Farcomeni, A., Goethals, P., Scavée, C., Vijgen, J. M., Blankoff, I., Vandekerckhove, Y. R., Lip, G. Y. H., Mairesse, G. H., & on behalf of Belgian Heart Rhythm Week Investigators (2019) · European Journal of Preventive Cardiology · doi:10.1177/2047487319839184 · Cited by 29 · see citing works
Nadarajah, R., Wu, J., Frangi, A. F., Hogg, D., Cowan, C., & Gale, C. P. (2021) · BMJ Open · doi:10.1136/bmjopen-2021-052887 · Cited by 30 · see citing works
Duarte, R., Stainthorpe, A., Mahon, J., Greenhalgh, J., Richardson, M., Nevitt, S., Kotas, E., Boland, A., Thom, H., Marshall, T., et al. (2019) · PLOS ONE · doi:10.1371/journal.pone.0226671 · Cited by 28 · see citing works
Hindricks, G., Potpara, T., Dagres, N., Arbelo, E., Bax, J. J., Blomström‐Lundqvist, C., Boriani, G., Castellà, M., Dan, G., Dilaveris, P., et al. (2021) · Revista Española de Cardiología · doi:10.1016/j.recesp.2020.10.022 · Cited by 28 · see citing works
Quinn, F. R., Gladstone, D. J., Ivers, N. M., Sandhu, R. K., Dolovich, L. R., Ling, A. L. H., Nakamya, J., Ramasundarahettige, C. F., Frydrych, P. A., Henein, S., et al. (2018) · CMAJ Open · doi:10.9778/cmajo.20180001 · Cited by 26 · see citing works
Cost-Effectiveness of a National Opportunistic Screening Program for Atrial Fibrillation in Ireland
Moran, P. S., Teljeur, C., Harrington, P., Smith, S. M., Smyth, B., Harbison, J. A., Normand, C. E. M., & Ryan, M. (2016) · Value in Health · doi:10.1016/j.jval.2016.07.007 · Cited by 26 · see citing works
Screening for atrial fibrillation in Canadian pharmacies: an economic evaluation
Tarride, J., Dolovich, L., Blackhouse, G., Guertin, J. R., Burke, N., Manja, V., Grinvalds, A., Lim, T., Healey, J. S., & Sandhu, R. K. (2017) · CMAJ Open · doi:10.9778/cmajo.20170042 · Cited by 26 · see citing works
Duarte, R. V., Stainthorpe, A., Greenhalgh, J., Richardson, M., Nevitt, S. J., Mahon, J., Kotas, E., Boland, A., Thom, H. H. Z., Marshall, T. P., et al. (2020) · Health Technology Assessment · doi:10.3310/hta24030 · Cited by 25 · see citing works
Jacobs, M. S., van Hulst, M., Adeoye, A. M., Tieleman, R. G., Postma, M. J., & Owolabi, M. O. (2019) · Global Heart · doi:10.1016/j.gheart.2019.04.003 · Cited by 25 · see citing works
Oguz, M., Lanitis, T., Li, X., Wygant, G. D., Singer, D. E., Friend, K. E., Hlavacek, P. R., Nikolaou, A., & Mattke, S. (2019) · Applied Health Economics and Health Policy · doi:10.1007/s40258-019-00542-y · Cited by 23 · see citing works
Smart watch applications in atrial fibrillation detection: Current state and future directions
Vyas, R., Jain, S., Thakre, A., Thotamgari, S. R., Raina, S., Brar, V., Sengupta, P. P., & Agrawal, P. K. (2024) · Journal of Cardiovascular Electrophysiology · doi:10.1111/jce.16451 · Cited by 22 · see citing works
Birkemeyer, R., Müller, A., Wahler, S., & von der Schulenburg, J.-M. (2020) · Health Economics Review · doi:10.1186/s13561-020-00274-z · Cited by 21 · see citing works
Groenewegen, A., Zwartkruis, V. W., Rienstra, M., Hollander, M., Koffijberg, H., Cramer, M. J., van der Schouw, Y. T., Hoes, A. W., de Boer, R. A., & Rutten, F. H. (2021) · BMJ Open · doi:10.1136/bmjopen-2020-046330 · Cited by 21 · see citing works
Fay, M., Fitzmaurice, D. A., & Freedman, B. (2017) · European Journal of General Practice · doi:10.1080/13814788.2017.1374366 · Cited by 21 · see citing works
Aronsson, M., Svennberg, E., Rosenqvist, M., Engdahl, J., Al‐Khalili, F., Friberg, L., Frykman, V., & Levin, L. (2017) · EP Europace · doi:10.1093/europace/eux002 · Cited by 20 · see citing works
2023 Guideline for the management of hypertension in the elderly population in China
Hua, Q., Fan, L., Wang, Z., & Li, J. (2024) · 老年心脏病学杂志：英文版 · doi:10.26599/1671-5411.2024.06.001 · Cited by 20 · see citing works
Corica, B., Bonini, N., Imberti, J. F., Romiti, G. F., Vitolo, M., Attanasio, L., Basili, S., Freedman, B., Potpara, T., Boriani, G., et al. (2023) · European Heart Journal Open · doi:10.1093/ehjopen/oead031 · Cited by 19 · see citing works
Engdahl, J., Holmén, A., Svennberg, E., Friberg, L., Frykman, V., Al‐Khalili, F., Rosenqvist, M., & Strömberg, U. (2016) · International Journal of Cardiology · doi:10.1016/j.ijcard.2016.07.198 · Cited by 17 · see citing works
Cunha, S., Antunes, E., Antoniou, S., Tiago, S., Relvas, R., Fernández-Llimós, F., & da Costa, F. A. (2019) · Research in Social and Administrative Pharmacy · doi:10.1016/j.sapharm.2019.08.036 · Cited by 17 · see citing works
Johnson, L., Berntsson, J., Juhlin, T., Healey, J. S., Juul‐Möller, S., Wollmer, P., Nilsson, P. M., Hedblad, B., Rosenqvist, M., & Engström, G. (2017) · EP Europace · doi:10.1093/europace/eux032 · Cited by 15 · see citing works
Mutke, M. R., Brasier, N., Raichle, C. J., Ravanelli, F., Dörr, M., & Eckstein, J. (2020) · Telemedicine Journal and e-Health · doi:10.1089/tmj.2020.0036 · Cited by 16 · see citing works
To Screen or Not to Screen? Examining the Arguments Against Screening for Atrial Fibrillation
Neubeck, L., Orchard, J. J., Lowres, N., & Freedman, S. B. (2017) · Heart Lung and Circulation · doi:10.1016/j.hlc.2017.05.118 · Cited by 15 · see citing works
Use of mHealth Devices to Screen for Atrial Fibrillation: Cost-Effectiveness Analysis
Giebel, G. D. (2020) · JMIR mhealth and uhealth · doi:10.2196/20496 · Cited by 14 · see citing works
Systemic Embolic Events (SEE) in Atrial Fibrillation
Chatterjee, N. A., & Lubitz, S. A. (2015) · Circulation · doi:10.1161/circulationaha.115.018172 · Cited by 14 · see citing works
McIntyre, W. F., Yong, J. H. E., Sandhu, R. K., Gladstone, D. J., Simek, K. D., Liu, Y. Y., Quinn, F. R., Tytus, R. H., Zizzo, D., Henein, S., et al. (2019) · Journal of Electrocardiology · doi:10.1016/j.jelectrocard.2019.11.040 · Cited by 13 · see citing works
Saglietto, A., Ballatore, A., Xhakupi, H., Ferrari, G. M. D., & Anselmino, M. (2022) · Journal of Cardiovascular Development and Disease · doi:10.3390/jcdd9050140 · Cited by 13 · see citing works
Automated detection of atrial fibrillation based on vocal features analysis
Golovchiner, G., Glikson, M., Swissa, M., Sela, Y., Abelow, A., Morelli, O., & Beker, A. (2022) · Journal of Cardiovascular Electrophysiology · doi:10.1111/jce.15595 · Cited by 13 · see citing works
Atrial fibrillation: an update on management
McCallum, C., Raja, D. C., & Pathak, R. K. (2019) · Australian Prescriber · doi:10.18773/austprescr.2019.067 · Cited by 13 · see citing works
Screening for undiagnosed atrial fibrillation
Sandhu, R., & Healey, J. (2018) · Expert Review of Cardiovascular Therapy · doi:10.1080/14779072.2018.1496018 · Cited by 11 · see citing works
Cole, J. N., Torabi, P., Dostal, I., Homer, K., & Robson, J. P. (2018) · British Journal of General Practice · doi:10.3399/bjgp18x696605 · Cited by 12 · see citing works
Performance of an atrial fibrillation detection algorithm using continuous pulse wave monitoring
Kashiwa, A., Koyama, F., Miyamoto, K., Kamakura, T., Wada, M., Yamagata, K., Ishibashi, K., Inoue, Y. Y., Okamura, H., Nagase, S., et al. (2018) · Annals of Noninvasive Electrocardiology · doi:10.1111/anec.12615 · Cited by 12 · see citing works
Diekmann, S., Hörster, L., Evers, S., Hiligsmann, M., Gelbrich, G., Gröschel, K., Wachter, R., Hamann, G. F., Kermer, P., Liman, J., et al. (2019) · Current Medical Research and Opinion · doi:10.1080/03007995.2019.1646000 · Cited by 11 · see citing works
Screening for Atrial Fibrillation in American Indian Adults in a Tribal Primary Care Clinic
Stavrakis, S., Elkholey, K., Lofgren, M. M., Asad, Z. U. A., Stephens, L. D., & Freedman, B. (2021) · Journal of the American Heart Association · doi:10.1161/jaha.120.020069 · Cited by 11 · see citing works
Tonko, J., & Wright, M. J. (2021) · Journal of Clinical Medicine · doi:10.3390/jcm10173922 · Cited by 12 · see citing works
The incidence of atrial fibrillation and the added value of thumb ECG for detecting new cases
Mandalenakis, Z., Lennartsson, S. T., Fu, M. L. X., Lappas, G., Li, S., Rosengren, A., Dellborg, M., Thunström, E. Ö., Caidahl, K., & Hansson, P. (2018) · Scandinavian Cardiovascular Journal · doi:10.1080/14017431.2018.1509120 · Cited by 11 · see citing works
Khurshid, S. S., Chen, W., Singer, D. E., Atlas, S. J., Ashburner, J. M., Choi, J., Hur, C., Ellinor, P. T., McManus, D. D., Chhatwal, J., et al. (2021) · Journal of the American Heart Association · doi:10.1161/jaha.120.020330 · Cited by 11 · see citing works
Performance of pulse palpation compared to one‐lead ECG in atrial fibrillation screening
Gudmundsdottir, K. K., Fredriksson, T., Svennberg, E., Al‐Khalili, F., Friberg, L., Häbel, H., Frykman, V., & Engdahl, J. (2021) · Clinical Cardiology · doi:10.1002/clc.23595 · Cited by 10 · see citing works
Cost-Effectiveness of Screening to Identify Patients With Atrial Fibrillation: A Systematic Review
Halahakone, U., Senanayake, S. J., McCreanor, V., Parsonage, W. A., Kularatna, S., & Brain, D. (2023) · Heart Lung and Circulation · doi:10.1016/j.hlc.2023.03.014 · Cited by 9 · see citing works
- Authors
- Aronsson, M., Svennberg, E., Rosenqvist, M., Engdahl, J., Al-Khalili, F., Friberg, L., Frykman-Kull, V., & Levin, L.-Å.
- Affiliations
- Linköping University (SE)
- Danderyds sjukhus (SE)
- Hallands sjukhus Halmstad (SE)
- Corresponding author
- Aronsson, Mattias
- Venue
- Europace
- Publisher
- Oxford University Press (OUP)
- Published
- 2015-04-12
- Volume
- 17
- Issue
- 7
- Pages
- 1023-1029
- ISSN
- 1099-5129 (ISSN-L)
- 1532-2092
- OpenAlex
- W2160206914
- Cited by
- 154
- References
- 48
- Citations by year
- 2026: 2 · 2025: 8 · 2024: 7 · 2023: 9 · 2022: 13 · 2021: 21 · 2020: 15 · 2019: 28 · 2018: 14 · 2017: 16 · 2016: 19 · 2015: 2
- FWCI
- 12.36
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- EP Europace (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Atrial Fibrillation Management and Outcomes
- Social Sciences › Economics, Econometrics and Finance › Economics and Econometrics › Health Systems, Economic Evaluations, Quality of Life
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Health Promotion and Cardiovascular Prevention
- Keywords
- atrial fibrillation, mass screening, asymptomatic atrial fibrillation, cost-effectiveness, older adults, stroke prevention, oral anticoagulation, quality-adjusted life years
- MeSH terms
- Aged, Atrial Fibrillation, Cost-Benefit Analysis, Electrocardiography, Female, Humans, Male, Mass Screening, Quality of Life, Sweden, Prevalence, Survival Rate, Health Care Costs, Risk Assessment
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