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Validation of MyDiagnostick tool to identify atrial fibrillation in a multi-ethnic Asian population.
- Colin Yeo, Aye Aye Mon, Vern Hsen Tan, and Kelvin Wong.
- Cardiology Department, Changi General Hospital, Singapore.
- Singap Med J. 2023 Jul 1; 64 (7): 430433430-433.
IntroductionMyDiagnostick is an atrial fibrillation (AF) screening tool that has been validated in the Caucasian population in the primary care setting.MethodsIn our study, we compared MyDiagnostick with manual pulse check for AF screening in the community setting.ResultsIn our cohort of 671 candidates from a multi-ethnic Asian population, AF prevalence was found to be 1.78%. Of 12 candidates, 6 (50.0%) had a previous history of AF and another 6 (50.0%) were newly diagnosed with AF. Candidates found to have AF during the screening were older (72.0 ± 11.7 years vs. 56.0 ± 13.0 years, P < 0.0001) and had a higher CHADSVASC risk score (2.9 ± 1.5 vs. 1.5 ± 1.1, P = 0.0001). MyDiagnostick had a sensitivity of 100.0% and a specificity of 96.2%. In comparison, manual pulse check had a sensitivity of 83.3% and a specificity of 98.9%.ConclusionMyDiagnostick is a simple AF screening device that can be reliably used by non-specialist professionals in the community setting. Its sensitivity and specificity are comparable and validated across various studies performed in different population cohorts.
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