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

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 feasib...

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Autores principales: Lindberg, Terese, Bohman, Doris M, Elmståhl, Sölve, Jogréus, Claes, Sanmartin Berglund, Johan
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Dove Medical Press 2016
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4986682/
https://www.ncbi.nlm.nih.gov/pubmed/27570450
http://dx.doi.org/10.2147/CIA.S110532
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author Lindberg, Terese
Bohman, Doris M
Elmståhl, Sölve
Jogréus, Claes
Sanmartin Berglund, Johan
author_facet Lindberg, Terese
Bohman, Doris M
Elmståhl, Sölve
Jogréus, Claes
Sanmartin Berglund, Johan
author_sort Lindberg, Terese
collection PubMed
description 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(2)DS(2)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.
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spelling pubmed-49866822016-08-26 Prevalence of unknown and untreated arrhythmias in an older outpatient population screened by wireless long-term recording ECG Lindberg, Terese Bohman, Doris M Elmståhl, Sölve Jogréus, Claes Sanmartin Berglund, Johan Clin Interv Aging Original Research 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(2)DS(2)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. Dove Medical Press 2016-08-10 /pmc/articles/PMC4986682/ /pubmed/27570450 http://dx.doi.org/10.2147/CIA.S110532 Text en © 2016 Lindberg et al. This work is published and licensed by Dove Medical Press Limited The full terms of this license are available at https://www.dovepress.com/terms.php and incorporate the Creative Commons Attribution – Non Commercial (unported, v3.0) License (http://creativecommons.org/licenses/by-nc/3.0/). By accessing the work you hereby accept the Terms. Non-commercial uses of the work are permitted without any further permission from Dove Medical Press Limited, provided the work is properly attributed.
spellingShingle Original Research
Lindberg, Terese
Bohman, Doris M
Elmståhl, Sölve
Jogréus, Claes
Sanmartin Berglund, Johan
Prevalence of unknown and untreated arrhythmias in an older outpatient population screened by wireless long-term recording ECG
title Prevalence of unknown and untreated arrhythmias in an older outpatient population screened by wireless long-term recording ECG
title_full Prevalence of unknown and untreated arrhythmias in an older outpatient population screened by wireless long-term recording ECG
title_fullStr Prevalence of unknown and untreated arrhythmias in an older outpatient population screened by wireless long-term recording ECG
title_full_unstemmed Prevalence of unknown and untreated arrhythmias in an older outpatient population screened by wireless long-term recording ECG
title_short Prevalence of unknown and untreated arrhythmias in an older outpatient population screened by wireless long-term recording ECG
title_sort prevalence of unknown and untreated arrhythmias in an older outpatient population screened by wireless long-term recording ecg
topic Original Research
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4986682/
https://www.ncbi.nlm.nih.gov/pubmed/27570450
http://dx.doi.org/10.2147/CIA.S110532
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