Overview
Is It Atrial Fibrillation? Navigating Uncertainties on When and Whom to Screen in the Primary Care Setting
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Start ActivityAtrial fibrillation (AF) is the most common type of heart arrythmia and continues to contribute to over 454,000 hospitalizations and 158,000 deaths in the US every year. In addition, estimates suggests that there are at least 6.5 million Americans with AF, with projections reaching 12.1 million cases in 2030. .AF increases the risk of ischemic stroke 2.5-fold, and recent estimates show that 11% to 23% of cases are undiagnosed in the US Considering the prevalence of AF, and the fact that it is often asymptomatic, primary care providers (PCPs) need to better understand the burden and potential consequences of this condition to increase their urgency in detecting AF.
To enhance detection, PCPs must stay current with the latest recommendations and evidence for AF screening and need to be aware of the nuanced differences among a wide range of guideline recommendations. Moreover, it is critical for PCPs to know how to distinguish among the plethora of screening technologies currently available for AF.
• Describe recent evidence demonstrating the prevalence of undiagnosed NVAF
• Identify high-risk patients who are eligible for NVAF screening
• Introduce strategies to improve identification of undiagnosed NVAF to help reduce the risk of preventable stroke
Professor of Medicine
Boston University Chobanian and Avedisian School of Medicine
Director, Anticoagulation and Thrombosis Service
Boston Medical Center
Boston, MA
The following financial relationships have been provided:
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