• Login
    View Item 
    •   Home
    • UMass Chan Departments, Programs and Centers
    • UMass Center for Clinical and Translational Science
    • UMass Center for Clinical and Translational Science Supported Publications
    • View Item
    •   Home
    • UMass Chan Departments, Programs and Centers
    • UMass Center for Clinical and Translational Science
    • UMass Center for Clinical and Translational Science Supported Publications
    • View Item
    JavaScript is disabled for your browser. Some features of this site may not work without it.

    Browse

    All of eScholarship@UMassChanCommunitiesPublication DateAuthorsUMass Chan AffiliationsTitlesDocument TypesKeywordsThis CollectionPublication DateAuthorsUMass Chan AffiliationsTitlesDocument TypesKeywords

    My Account

    LoginRegister

    Help

    AboutSubmission GuidelinesData Deposit PolicySearchingAccessibilityTerms of UseWebsite Migration FAQ

    Statistics

    Most Popular ItemsStatistics by CountryMost Popular Authors

    Age-and-sex stratified prevalence of atrial fibrillation in rural Western India: Results of SMART-India, a population-based screening study

    • CSV
    • RefMan
    • EndNote
    • BibTex
    • RefWorks
    Thumbnail
    Name:
    Publisher version
    View Source
    Access full-text PDFOpen Access
    View Source
    Check access options
    Check access options
    Authors
    Soni, Apurv
    Karna, Sunil
    Fahey, Nisha
    Sanghai, Saket
    Patel, Harshil
    Raithatha, Shyamsundar
    Thanvi, Sunil
    Nimbalkar, Somashekhar
    Freedman, Ben
    Allison, Jeroan J.
    McManus, David D.
    Show allShow less
    UMass Chan Affiliations
    Division of Cardiovascular Medicine, Department of Medicine
    Department of Pediatrics
    Department of Quantitative Health Sciences
    Document Type
    Journal Article
    Publication Date
    2019-04-01
    Keywords
    Atrial fibrillation
    ECG screening
    Epidemiology
    India
    Mobile technology
    UMCCTS funding
    Cardiology
    Cardiovascular Diseases
    Epidemiology
    Health Services Administration
    Translational Medical Research
    Show allShow less
    
    Metadata
    Show full item record
    Link to Full Text
    https://doi.org/10.1016/j.ijcard.2018.12.016
    Abstract
    BACKGROUND: Early detection of Atrial Fibrillation (AF) is a public health priority across the globe because AF-related strokes are preventable. Despite an ongoing stroke epidemic in India, a public health strategy for AF screening and treatment is missing because the epidemiology of AF in India remains poorly defined. METHODS: This population-based study used mobile technology to derive age and sex-stratified AF prevalence by screening 7 participants in each of six age and sex strata (age 40-55, 56-65, 65+, and male and female) from 50 villages (2100 participants). A health worker from each village used a handheld digital electrocardiogram (iECG) device (Kardia) to screen for AF on 3 separate days, and administered a questionnaire. All abnormal (AF or unclassified) iECGs were reviewed by the Indian cardiologist and AF determination confirmed by a US-based cardiac electrophysiologist. RESULTS: Of the 2100 individuals enrolled, iECGs were collected from 2074 participants (98.8%) and 1947 (92.7%) participants responded to the questionnaire. AF was identified in 33 participants (1.6%), two-thirds on the first iECG. AF prevalence was higher among males (2.3% vs 1.0%, p=0.03) and in older people (0.6%, 0.9%, 2.1%, 5.6%; p < 0.01). CONCLUSIONS: The prevalence of AF observed in our population-based sample is comparable to rates found in studies from North America and Western Europe and increases similarly with age. AF screening using village health workers in rural India is feasible and presents an opportunity for a strategy to address the stroke epidemic in India through primary prevention.
    Source

    Int J Cardiol. 2019 Apr 1;280:84-88. doi: 10.1016/j.ijcard.2018.12.016. Epub 2018 Dec 6. Link to article on publisher's site

    DOI
    10.1016/j.ijcard.2018.12.016
    Permanent Link to this Item
    http://hdl.handle.net/20.500.14038/50335
    PubMed ID
    30551905
    Related Resources

    Link to Article in PubMed

    ae974a485f413a2113503eed53cd6c53
    10.1016/j.ijcard.2018.12.016
    Scopus Count
    Collections
    UMass Center for Clinical and Translational Science Supported Publications

    entitlement

    DSpace software (copyright © 2002 - 2023)  DuraSpace
    Lamar Soutter Library, UMass Chan Medical School | 55 Lake Avenue North | Worcester, MA 01655 USA
    Quick Guide | escholarship@umassmed.edu
    Open Repository is a service operated by 
    Atmire NV
     

    Export search results

    The export option will allow you to export the current search results of the entered query to a file. Different formats are available for download. To export the items, click on the button corresponding with the preferred download format.

    By default, clicking on the export buttons will result in a download of the allowed maximum amount of items.

    To select a subset of the search results, click "Selective Export" button and make a selection of the items you want to export. The amount of items that can be exported at once is similarly restricted as the full export.

    After making a selection, click one of the export format buttons. The amount of items that will be exported is indicated in the bubble next to export format.