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Prevalence of unknown and untreated arrhythmias in an older outpatient population screened by wireless long-term recording ECG

Lindberg, Terese LU ; Bohman, Doris M.; Elmståhl, Sölve LU ; Jogréus, Claes and Berglund, Johan Sanmartin (2016) In Clinical Interventions in Aging 11. p.1083-1090
Abstract

Purpose: With longer life expectancies, the prevalence of arrhythmias is increasing; thus, there is a need for new methods to screen the older outpatient population. This population-based study describes the prevalence of arrhythmias in 200 outpatients aged ≥66 years. We also investigated the feasibility of wireless long-term recording (LTR) using the ECG-BodyKom®. Methods: Two hundred elderly persons aged 66–93 years were recruited from the Swedish National Study on Aging and Care in 2010–2013, and data were collected via wireless LTR ECG-BodyKom. Results: Screening with the LTR ECG revealed that persistent atrial fibrillation (AF) occurred in 10% of the outpatient population aged ≥66 years. Paroxysmal AF occurred in 5.5% of the... (More)

Purpose: With longer life expectancies, the prevalence of arrhythmias is increasing; thus, there is a need for new methods to screen the older outpatient population. This population-based study describes the prevalence of arrhythmias in 200 outpatients aged ≥66 years. We also investigated the feasibility of wireless long-term recording (LTR) using the ECG-BodyKom®. Methods: Two hundred elderly persons aged 66–93 years were recruited from the Swedish National Study on Aging and Care in 2010–2013, and data were collected via wireless LTR ECG-BodyKom. Results: Screening with the LTR ECG revealed that persistent atrial fibrillation (AF) occurred in 10% of the outpatient population aged ≥66 years. Paroxysmal AF occurred in 5.5% of the population, with no difference between younger (60–80 years) and older (≥80 years) elderly participants. Furthermore, all patients with paroxysmal AF had a CHA2DS2VASc score of ≥2 and were therefore potential candidates for follow-up and medical examination. LTR ECG-BodyKom can be considered a feasible method to screen for arrhythmias in older outpatient populations. This simple method requires little of the user, and there was high satisfaction with the equipment and a good overall experience wearing it. Conclusion: The increasing occurrence of arrhythmias in the older population, as well as the high number of untreated cases of arrhythmias such as persistent AF and paroxysmal AF, poses a challenge for health care. Therefore, it is essential to develop effective strategies for their prevention and treatment.

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author
organization
publishing date
type
Contribution to journal
publication status
published
subject
keywords
Arrhythmia, Older people, Prevalence, Wireless long-term ECG
in
Clinical Interventions in Aging
volume
11
pages
8 pages
publisher
Dove Medical Press Ltd.
external identifiers
  • Scopus:84983353732
ISSN
1176-9092
DOI
10.2147/CIA.S110532
language
English
LU publication?
yes
id
ab44ec55-215f-4d81-af17-115dbd0746ec
date added to LUP
2016-09-21 23:04:12
date last changed
2016-09-22 03:00:02
@misc{ab44ec55-215f-4d81-af17-115dbd0746ec,
  abstract     = {<p>Purpose: With longer life expectancies, the prevalence of arrhythmias is increasing; thus, there is a need for new methods to screen the older outpatient population. This population-based study describes the prevalence of arrhythmias in 200 outpatients aged ≥66 years. We also investigated the feasibility of wireless long-term recording (LTR) using the ECG-BodyKom®. Methods: Two hundred elderly persons aged 66–93 years were recruited from the Swedish National Study on Aging and Care in 2010–2013, and data were collected via wireless LTR ECG-BodyKom. Results: Screening with the LTR ECG revealed that persistent atrial fibrillation (AF) occurred in 10% of the outpatient population aged ≥66 years. Paroxysmal AF occurred in 5.5% of the population, with no difference between younger (60–80 years) and older (≥80 years) elderly participants. Furthermore, all patients with paroxysmal AF had a CHA<sub>2</sub>DS<sub>2</sub>VASc score of ≥2 and were therefore potential candidates for follow-up and medical examination. LTR ECG-BodyKom can be considered a feasible method to screen for arrhythmias in older outpatient populations. This simple method requires little of the user, and there was high satisfaction with the equipment and a good overall experience wearing it. Conclusion: The increasing occurrence of arrhythmias in the older population, as well as the high number of untreated cases of arrhythmias such as persistent AF and paroxysmal AF, poses a challenge for health care. Therefore, it is essential to develop effective strategies for their prevention and treatment.</p>},
  author       = {Lindberg, Terese and Bohman, Doris M. and Elmståhl, Sölve and Jogréus, Claes and Berglund, Johan Sanmartin},
  issn         = {1176-9092},
  keyword      = {Arrhythmia,Older people,Prevalence,Wireless long-term ECG},
  language     = {eng},
  month        = {08},
  pages        = {1083--1090},
  publisher    = {ARRAY(0x9372f98)},
  series       = {Clinical Interventions in Aging},
  title        = {Prevalence of unknown and untreated arrhythmias in an older outpatient population screened by wireless long-term recording ECG},
  url          = {http://dx.doi.org/10.2147/CIA.S110532},
  volume       = {11},
  year         = {2016},
}