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Heart, lung & circulation · Sep 2017
ReviewTo Screen or Not to Screen? Examining the Arguments Against Screening for Atrial Fibrillation.
- Lis Neubeck, Jessica Orchard, Nicole Lowres, and S Ben Freedman.
- School of Health and Social Care, Edinburgh Napier University, Edinburgh, Scotland, UK; School of Nursing and Midwifery, Faculty of Medicine, Nursing, and Health Sciences, Flinders University, Adelaide, SA, Australia; Sydney Nursing School, Charles Perkins Centre, University of Sydney, Sydney, NSW, Australia. Electronic address: l.neubeck@napier.ac.uk.
- Heart Lung Circ. 2017 Sep 1; 26 (9): 880-886.
AbstractAtrial fibrillation (AF) is the most common cardiac arrhythmia, with a lifetime risk of one in four of developing AF over the age of 40 years. Around 40% of patients are asymptomatic, which is of concern as AF is a major risk factor for stroke. Early detection and appropriate management reduces stroke risk by two-thirds. Atrial fibrillation screening is now recommended in international guidelines, but there are some common arguments against screening. Overall, to be of value any screening program must fulfil the World Health Organization (WHO) Wilson and Jungner criteria for screening programs. In this paper we address the common arguments, and determine if AF screening fulfils the WHO criteria.Copyright © 2017 Australian and New Zealand Society of Cardiac and Thoracic Surgeons (ANZSCTS) and the Cardiac Society of Australia and New Zealand (CSANZ). Published by Elsevier B.V. All rights reserved.
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