Atrial fibrillation is very common in people aged 65 or older. This condition increases the risk of death, congestive heart failure and thromboembolic conditions. Many patients with atrial fibrillation are asymptomatic and a cerebrovascular accident (CVA) is often the first clinical presentation. Guidelines concerning the prevention of CVA recommend monitoring the heart rate in patients aged 65 or older. Recently, the MyDiagnostick (Applied Biomedical Systems BV, Maastricht, The Netherlands) was introduced as a new screening tool which might serve as an alternative for the less accurate pulse palpation. This study was designed to explore the diagnostic accuracy of the MyDiagnostick for the detection of atrial fibrillation.
Pérula-de-Torres LuisÁ, , Martínez-Adell MiguelÁ, González-Blanco Virginia, Baena-Díez José M, Martín-Rioboó Enrique, Parras-Rejano Juan M, González-Lama Jesús, Martín-Alvarez Remedios, Ruiz-Moral Roger, Fernández-García JoséÁ, Pérez-Díaz Modesto, Ruiz-de-Castroviejo Joaquin, Pérula-de-Torres Carlos, Valero-Martín Antonio, Roldán-Villalobos Ana, Criado-Larumbe Margarita, Burdoy-Joaquín Emili, Coma-Solé Montserrat, Cervera-León Mercè, Cuixart-Costa Lluís, Opportunistic detection of atrial fibrillation in subjects aged 65 years or older in primare care: a randomised clinical trial of efficacy. DOFA-AP study protocol, 10.1186/1471-2296-13-106
Miyasaka Yoko, Barnes Marion E., Gersh Bernard J., Cha Stephen S., Bailey Kent R., Seward James B., Iwasaka Toshiji, Tsang Teresa S.M., Coronary Ischemic Events after First Atrial Fibrillation: Risk and Survival, 10.1016/j.amjmed.2006.06.042
Wang T. J., Temporal Relations of Atrial Fibrillation and Congestive Heart Failure and Their Joint Influence on Mortality: The Framingham Heart Study, 10.1161/01.cir.0000072767.89944.6e
Morgan S, Mant D: Randomised trial of two approaches to screening for atrial fibrillation in UK general practice. Br J Gen Pract. 2002, 373: 380-
Markides V., Atrial fibrillation: classification, pathophysiology, mechanisms and drug treatment, 10.1136/heart.89.8.939
, Camm A. J., Lip G. Y. H., De Caterina R., Savelieva I., Atar D., Hohnloser S. H., Hindricks G., Kirchhof P., Bax J. J., Baumgartner H., Ceconi C., Dean V., Deaton C., Fagard R., Funck-Brentano C., Hasdai D., Hoes A., Kirchhof P., Knuuti J., Kolh P., McDonagh T., Moulin C., Popescu B. A., Reiner Z., Sechtem U., Sirnes P. A., Tendera M., Torbicki A., Vahanian A., Windecker S., Vardas P., Al-Attar N., Alfieri O., Angelini A., Blomstrom-Lundqvist C., Colonna P., De Sutter J., Ernst S., Goette A., Gorenek B., Hatala R., Heidbuchel H., Heldal M., Kristensen S. D., Kolh P., Le Heuzey J.-Y., Mavrakis H., Mont L., Filardi P. P., Ponikowski P., Prendergast B., Rutten F. H., Schotten U., Van Gelder I. C., Verheugt F. W. A., , , 2012 focused update of the ESC Guidelines for the management of atrial fibrillation: An update of the 2010 ESC Guidelines for the management of atrial fibrillation * Developed with the special contribution of the European Heart Rhythm Association, 10.1093/eurheartj/ehs253
Gage Brian F., Waterman Amy D., Shannon William, Boechler Michael, Rich Michael W., Radford Martha J., Validation of Clinical Classification Schemes for Predicting Stroke : Results From the National Registry of Atrial Fibrillation, 10.1001/jama.285.22.2864
Lip Gregory Y.H., Nieuwlaat Robby, Pisters Ron, Lane Deirdre A., Crijns Harry J.G.M., Refining Clinical Risk Stratification for Predicting Stroke and Thromboembolism in Atrial Fibrillation Using a Novel Risk Factor-Based Approach, 10.1378/chest.09-1584
Wilson JMG, Jungner G: The principles and practice of screening for disease. 1968, WHO Public Health papers. Geneva: World Health Organization
Nieuwlaat Robby, Olsson S. Bertil, Lip Gregory Y.H., Camm A. John, Breithardt Günter, Capucci Alessandro, Meeder Joan G., Prins Martin H., Lévy Samuel, Crijns Harry J.G.M., Guideline-adherent antithrombotic treatment is associated with improved outcomes compared with undertreatment in high-risk patients with atrial fibrillation. The Euro Heart Survey on Atrial Fibrillation, 10.1016/j.ahj.2007.03.008
Harris K, Edwards D, Mant J: How can we best detect atrial fibrillation?. J R Coll Physicians Edinb. 2012, 42 (suppl 18): 5-22.
Carley S, Simple nomograms to calculate sample size in diagnostic studies, 10.1136/emj.2003.011148
Prineas R, Crow R, Blackburn H: The Minnesota Code Manual of Electrocardiographic Findings. 1982, John Wright – PSG, Inc: Littleton MA
Wiesel Joseph, Abraham Saji, Messineo Frank C., Screening for Asymptomatic Atrial Fibrillation While Monitoring the Blood Pressure at Home: Trial of Regular Versus Irregular Pulse for Prevention of Stroke (TRIPPS 2.0), 10.1016/j.amjcard.2013.01.331
Wiesel J., Fitzig L., Herschman Y., Messineo F. C., Detection of Atrial Fibrillation Using a Modified Microlife Blood Pressure Monitor, 10.1038/ajh.2009.98
Somerville S, Somerville J, Croft P, Lewis M: Atrial fibrillation: a comparison of methods to identify cases in general practice. Br J Gen Pract. 2000, 50: 727-729.
Lewis Malcolm, Parker Dawood, Weston Clive, Bowes Mark, Screening for atrial fibrillation: sensitivity and specificity of a new methodology, 10.3399/bjgp11x548956
Mant J., Fitzmaurice D. A, Hobbs F D R., Jowett S., Murray E. T, Holder R., Davies M., Lip G. Y H, Accuracy of diagnosing atrial fibrillation on electrocardiogram by primary care practitioners and interpretative diagnostic software: analysis of data from screening for atrial fibrillation in the elderly (SAFE) trial, 10.1136/bmj.39227.551713.ae
Référence bibliographique
Vaes, Bert ; Stalpaert, Silke ; Tavernier, Karen ; Thaels, Britt ; Lapeire, Daphne ; et. al. The diagnostic accuracy of the MyDiagnostick to detect atrial fibrillation in primary care.. In: BMC Family Practice, Vol. 15, no.1, p. 113 (2014)