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    Screening for Atrial Fibrillation: US Preventive Services Task Force Recommendation Statement

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    Authors
    Davidson, Karina W.
    Pbert, Lori
    US Preventive Services Task Force
    UMass Chan Affiliations
    Prevention Research Center
    Department of Population and Quantitative Health Sciences, Division of Preventive and Behavioral Medicine
    Document Type
    Journal Article
    Publication Date
    2022-01-25
    Keywords
    Cardiovascular Diseases
    Community Health and Preventive Medicine
    Nervous System Diseases
    Preventive Medicine
    
    Metadata
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    Link to Full Text
    https://doi.org/10.1001/jama.2021.23732
    Abstract
    Importance: Atrial fibrillation (AF) is the most common cardiac arrhythmia. The prevalence of AF increases with age, from less than 0.2% in adults younger than 55 years to about 10% in those 85 years or older, with a higher prevalence in men than in women. It is uncertain whether the prevalence of AF differs by race and ethnicity. Atrial fibrillation is a major risk factor for ischemic stroke and is associated with a substantial increase in the risk of stroke. Approximately 20% of patients who have a stroke associated with AF are first diagnosed with AF at the time of the stroke or shortly thereafter. Objective: To update its 2018 recommendation, the US Preventive Services Task Force (USPSTF) commissioned a systematic review on the benefits and harms of screening for AF in older adults, the accuracy of screening tests, the effectiveness of screening tests to detect previously undiagnosed AF compared with usual care, and the benefits and harms of anticoagulant therapy for the treatment of screen-detected AF in older adults. Population: Adults 50 years or older without a diagnosis or symptoms of AF and without a history of transient ischemic attack or stroke. Evidence Assessment: The USPSTF concludes that evidence is lacking, and the balance of benefits and harms of screening for AF in asymptomatic adults cannot be determined. Recommendation: The USPSTF concludes that the current evidence is insufficient to assess the balance of benefits and harms of screening for AF. (I statement).
    Source

    US Preventive Services Task Force, Davidson KW, Barry MJ, Mangione CM, Cabana M, Caughey AB, Davis EM, Donahue KE, Doubeni CA, Epling JW Jr, Kubik M, Li L, Ogedegbe G, Pbert L, Silverstein M, Stevermer J, Tseng CW, Wong JB. Screening for Atrial Fibrillation: US Preventive Services Task Force Recommendation Statement. JAMA. 2022 Jan 25;327(4):360-367. doi: 10.1001/jama.2021.23732. PMID: 35076659. Link to article on publisher's site

    DOI
    10.1001/jama.2021.23732
    Permanent Link to this Item
    http://hdl.handle.net/20.500.14038/44574
    PubMed ID
    35076659
    Notes

    Full author list omitted for brevity. For the full list of authors, see article.

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    Link to Article in PubMed

    ae974a485f413a2113503eed53cd6c53
    10.1001/jama.2021.23732
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    Prevention Research Center Publications
    Population and Quantitative Health Sciences Publications

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