Clinical Implications of Technological Advances in Screening for Atrial Fibrillation

Article ID	Journal	Published Year	Pages	File Type
8675263	Progress in Cardiovascular Diseases	2018	38 Pages	PDF

Abstract

The incidence of atrial fibrillation (AF) continues to increase worldwide as people live longer. AF is the leading cause of stroke among patients older than 75â¯years and is responsible for at least 15% of all strokes. Industry has responded to this problem with a plethora of monitoring devices. These include single lead ECG adhesive sensors, implantable loop recorders, smartphone attachments and wearables. This review will concentrate on clinical studies using these technologies. There are wearables including watches and watch-like devices that will be mentioned but these have not been validated for clinical use. This review will begin with a background regarding screening for AF and at the end present findings from Cardiac Implantable devices that could influence use of the new mobile health technologies.

Keywords

PSA CVA AMS ICD-9 EMR BNP ASCVD SVT TIA STE ILR PAC NSR CPAP PVI CIED FDA NIH ESUS PPG SVA AUC Implantable cardioverter defibrillator Supraventricular arrhythmia Atrial arrhythmia Prostate specific antigen obstructive sleep apnea p-value electrocardiogram ECG Pulmonary vein isolation Premature ventricular contraction premature atrial contraction Osa emergency department left ventricle bpm coronary artery disease Atherosclerotic cardiovascular disease Chronic obstructive pulmonary disease COPD Ventricular tachycardia Supraventricular tachycardia Alternating current Direct Current transient ischemic attack Relative risk cardiac implantable electronic device ICD Left atrium Normal sinus rhythm Food and Drug Administration AHRE Cerebrovascular accident embolic stroke of undetermined source body mass index BMI Implantable loop recorder beats per minute International Classification of Disease CAD Number Photoplethysmography Screening confidence interval Continuous positive airway pressure Blood pressure Ventricular fibrillation Atrial fibrillation Paroxysmal atrial fibrillation cardiovascular Ambulatory ECG monitoring electronic medical record Routine care DEAR area under the curve National Institute of Health PAF PVC brain natriuretic peptide SEAR