Wearable dynamic electrocardiogram monitor-based screening for atrial fibrillation in the community-dwelling elderly population
Background: Atrial fibrillation (AF) is a major public health problem with high rates of morbidity, disability and mortality, especially in the elderly population. This study explored the diagnosis and treatment status of AF in adults aged ≥65 years in the community through wearable dynamic electroc...
Saved in:
| Main Authors: | , , , , , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
KeAi Communications Co., Ltd.
2024-12-01
|
| Series: | Clinical eHealth |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2588914124000042 |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1850184152870027264 |
|---|---|
| author | Lili Wei Enyong Su Jianfang Xie Wangqiong Xiong Xiaoyue Song Junqiang Xue Chunyu Zhang Ying Hu Peng Yu Ming Liu Hong Jiang |
| author_facet | Lili Wei Enyong Su Jianfang Xie Wangqiong Xiong Xiaoyue Song Junqiang Xue Chunyu Zhang Ying Hu Peng Yu Ming Liu Hong Jiang |
| author_sort | Lili Wei |
| collection | DOAJ |
| description | Background: Atrial fibrillation (AF) is a major public health problem with high rates of morbidity, disability and mortality, especially in the elderly population. This study explored the diagnosis and treatment status of AF in adults aged ≥65 years in the community through wearable dynamic electrocardiogram (ECG) monitoring. Methods: We conducted a cross-sectional study in 4 random communities within the Qingpu district of Shanghai, China. Between January 1, 2020 and June 30, 2022, the ECGs of 3852 adults aged 65 years or older were examined through wearable dynamic ECG monitoring. Data from 3839 participants were ultimately analyzed. Multivariate logistic regression was used to determine the independent predictors of AF. Results: Wearable dynamic ECG monitoring detected AF in 360 elderly people, 78 of whom were diagnosed with AF for the first time. Multivariate logistic regression analysis revealed that snoring, renal dysfunction, coronary heart disease and high CHA2DS2-VASc score were independent risk factors for AF. Among patients with unknown AF, 68 (87.20 %) met the criteria for anticoagulant therapy based on the CHA2DS2-VASc score. Only 4 (5.88 %) patients were taking anticoagulants. Of the patients with a clear history of AF, 249 (84.98 %) needed an anticoagulant strategy, but only 18 (7.23 %) took oral anticoagulants. Conclusion: Many elderly people have silent AF, and wearable dynamic ECG monitoring can be used to screen for AF effectively. |
| format | Article |
| id | doaj-art-ab6ef35d91f64535b4c82d69dc908768 |
| institution | OA Journals |
| issn | 2588-9141 |
| language | English |
| publishDate | 2024-12-01 |
| publisher | KeAi Communications Co., Ltd. |
| record_format | Article |
| series | Clinical eHealth |
| spelling | doaj-art-ab6ef35d91f64535b4c82d69dc9087682025-08-20T02:17:08ZengKeAi Communications Co., Ltd.Clinical eHealth2588-91412024-12-017415010.1016/j.ceh.2024.03.001Wearable dynamic electrocardiogram monitor-based screening for atrial fibrillation in the community-dwelling elderly populationLili Wei0Enyong Su1Jianfang Xie2Wangqiong Xiong3Xiaoyue Song4Junqiang Xue5Chunyu Zhang6Ying Hu7Peng Yu8Ming Liu9Hong Jiang10Department of Cardiology, Zhongshan Hospital, Fudan University, Shanghai Institute of Cardiovascular Diseases, National Clinical Research Center for Interventional Medicine, Shanghai, China; Shanghai Xuhui Central Hospital, Zhongshan-Xuhui Hospital, Fudan University, Shanghai, China; Shanghai Engineering Research Center of AI Technology for Cardiopulmonary Diseases, Zhongshan Hospital, Fudan University, Shanghai, ChinaDepartment of Cardiology, Zhongshan Hospital, Fudan University, Shanghai Institute of Cardiovascular Diseases, National Clinical Research Center for Interventional Medicine, Shanghai, China; Shanghai Engineering Research Center of AI Technology for Cardiopulmonary Diseases, Zhongshan Hospital, Fudan University, Shanghai, ChinaDepartment of Scientific Research and Education, Qingpu Branch, Zhongshan Hospital, Fudan University, Shanghai, ChinaDepartment of Cardiology, Qingpu Branch, Zhongshan Hospital, Fudan University, Shanghai, ChinaDepartment of Cardiology, Zhongshan Hospital, Fudan University, Shanghai Institute of Cardiovascular Diseases, National Clinical Research Center for Interventional Medicine, Shanghai, ChinaDepartment of Cardiology, Zhongshan Hospital, Fudan University, Shanghai Institute of Cardiovascular Diseases, National Clinical Research Center for Interventional Medicine, Shanghai, ChinaDepartment of Cardiology, Zhongshan Hospital, Fudan University, Shanghai Institute of Cardiovascular Diseases, National Clinical Research Center for Interventional Medicine, Shanghai, ChinaShanghai Xuhui Central Hospital, Zhongshan-Xuhui Hospital, Fudan University, Shanghai, China; Shanghai Engineering Research Center of AI Technology for Cardiopulmonary Diseases, Zhongshan Hospital, Fudan University, Shanghai, ChinaDepartment of Endocrinology and Metabolism, Fudan Institute of Metabolic Diseases, Zhongshan Hospital, Fudan University, Shanghai, China; Corresponding authors.Shanghai Engineering Research Center of AI Technology for Cardiopulmonary Diseases, Zhongshan Hospital, Fudan University, Shanghai, China; Department of Health Management Center, Zhongshan Hospital, Fudan University, Shanghai, China; Corresponding authors.Department of Cardiology, Zhongshan Hospital, Fudan University, Shanghai Institute of Cardiovascular Diseases, National Clinical Research Center for Interventional Medicine, Shanghai, China; Shanghai Engineering Research Center of AI Technology for Cardiopulmonary Diseases, Zhongshan Hospital, Fudan University, Shanghai, China; Corresponding authors.Background: Atrial fibrillation (AF) is a major public health problem with high rates of morbidity, disability and mortality, especially in the elderly population. This study explored the diagnosis and treatment status of AF in adults aged ≥65 years in the community through wearable dynamic electrocardiogram (ECG) monitoring. Methods: We conducted a cross-sectional study in 4 random communities within the Qingpu district of Shanghai, China. Between January 1, 2020 and June 30, 2022, the ECGs of 3852 adults aged 65 years or older were examined through wearable dynamic ECG monitoring. Data from 3839 participants were ultimately analyzed. Multivariate logistic regression was used to determine the independent predictors of AF. Results: Wearable dynamic ECG monitoring detected AF in 360 elderly people, 78 of whom were diagnosed with AF for the first time. Multivariate logistic regression analysis revealed that snoring, renal dysfunction, coronary heart disease and high CHA2DS2-VASc score were independent risk factors for AF. Among patients with unknown AF, 68 (87.20 %) met the criteria for anticoagulant therapy based on the CHA2DS2-VASc score. Only 4 (5.88 %) patients were taking anticoagulants. Of the patients with a clear history of AF, 249 (84.98 %) needed an anticoagulant strategy, but only 18 (7.23 %) took oral anticoagulants. Conclusion: Many elderly people have silent AF, and wearable dynamic ECG monitoring can be used to screen for AF effectively.http://www.sciencedirect.com/science/article/pii/S2588914124000042Atrial fibrillationElectrocardiogramAnticoagulant therapyIschemic strokeElderly population |
| spellingShingle | Lili Wei Enyong Su Jianfang Xie Wangqiong Xiong Xiaoyue Song Junqiang Xue Chunyu Zhang Ying Hu Peng Yu Ming Liu Hong Jiang Wearable dynamic electrocardiogram monitor-based screening for atrial fibrillation in the community-dwelling elderly population Clinical eHealth Atrial fibrillation Electrocardiogram Anticoagulant therapy Ischemic stroke Elderly population |
| title | Wearable dynamic electrocardiogram monitor-based screening for atrial fibrillation in the community-dwelling elderly population |
| title_full | Wearable dynamic electrocardiogram monitor-based screening for atrial fibrillation in the community-dwelling elderly population |
| title_fullStr | Wearable dynamic electrocardiogram monitor-based screening for atrial fibrillation in the community-dwelling elderly population |
| title_full_unstemmed | Wearable dynamic electrocardiogram monitor-based screening for atrial fibrillation in the community-dwelling elderly population |
| title_short | Wearable dynamic electrocardiogram monitor-based screening for atrial fibrillation in the community-dwelling elderly population |
| title_sort | wearable dynamic electrocardiogram monitor based screening for atrial fibrillation in the community dwelling elderly population |
| topic | Atrial fibrillation Electrocardiogram Anticoagulant therapy Ischemic stroke Elderly population |
| url | http://www.sciencedirect.com/science/article/pii/S2588914124000042 |
| work_keys_str_mv | AT liliwei wearabledynamicelectrocardiogrammonitorbasedscreeningforatrialfibrillationinthecommunitydwellingelderlypopulation AT enyongsu wearabledynamicelectrocardiogrammonitorbasedscreeningforatrialfibrillationinthecommunitydwellingelderlypopulation AT jianfangxie wearabledynamicelectrocardiogrammonitorbasedscreeningforatrialfibrillationinthecommunitydwellingelderlypopulation AT wangqiongxiong wearabledynamicelectrocardiogrammonitorbasedscreeningforatrialfibrillationinthecommunitydwellingelderlypopulation AT xiaoyuesong wearabledynamicelectrocardiogrammonitorbasedscreeningforatrialfibrillationinthecommunitydwellingelderlypopulation AT junqiangxue wearabledynamicelectrocardiogrammonitorbasedscreeningforatrialfibrillationinthecommunitydwellingelderlypopulation AT chunyuzhang wearabledynamicelectrocardiogrammonitorbasedscreeningforatrialfibrillationinthecommunitydwellingelderlypopulation AT yinghu wearabledynamicelectrocardiogrammonitorbasedscreeningforatrialfibrillationinthecommunitydwellingelderlypopulation AT pengyu wearabledynamicelectrocardiogrammonitorbasedscreeningforatrialfibrillationinthecommunitydwellingelderlypopulation AT mingliu wearabledynamicelectrocardiogrammonitorbasedscreeningforatrialfibrillationinthecommunitydwellingelderlypopulation AT hongjiang wearabledynamicelectrocardiogrammonitorbasedscreeningforatrialfibrillationinthecommunitydwellingelderlypopulation |