scholarly journals Intermittent vs continuous electrocardiogram event recording for detection of atrial fibrillation—Compliance and ease of use in an ambulatory elderly population

2020 ◽  
Vol 43 (4) ◽  
pp. 355-362
Author(s):  
Tove Fredriksson ◽  
Katrin Kemp Gudmundsdottir ◽  
Viveka Frykman ◽  
Leif Friberg ◽  
Faris Al‐Khalili ◽  
...  
Keyword(s):  
Atrial Fibrillation ◽  
Elderly Population ◽  
Ease Of Use ◽  
Event Recording

scholarly journals Rhythm-control vs rate-control in the elderly: When to do it and which drug to prefer?

2018 ◽  
Vol 88 (2) ◽  
Author(s):  
Giovanni Luca Botto ◽  
Carlo Piemontese ◽  
Giovanni Russo
Keyword(s):  
Atrial Fibrillation ◽  
Elderly Patient ◽  
Rate Control ◽  
Ischemic Cardiomyopathy ◽  
Elderly Population ◽  
Antiarrhythmic Drugs ◽  
Treatment Options ◽  
The Elderly ◽  
Rhythm Control ◽  
Abnormal Rate

Atrial fibrillation (AF) is a relevant cardiovascular condition that is more prevalent in the elderly patients aged over 65 years. AF, with abnormal rate and rhythm can cause symptoms directly or indirectly by exacerbating other frequently coexisting cardiac conditions such as valvular heart disease, hypertension, ischemic cardiomyopathy, dilated cardiomyopathy, and hypertrophic cardiomyopathy. Evidence suggests that aging-related cardiovascular changes predispose to the elderly to AF. Current therapeutic options such as antiarrhythmic drugs have not been extensively evaluated in the elderly population. Emerging pharmacological and non-pharmacological treatment options for the management of AF, such as dronedarone or catheter ablation, are of particular interest in the elderly. The present paper reviews the pathophysiology, diagnosis, and the management of AF in the elderly patient.

scholarly journals Association of proteinuria and hypertension with incident atrial fibrillation in an elderly population

2021 ◽  
Vol Publish Ahead of Print ◽  
Author(s):  
Yoon Jung Park ◽  
Pil-Sung Yang ◽  
Hee Tae Yu ◽  
Tae-Hoon Kim ◽  
Eunsun Jang ◽  
...  
Keyword(s):  
Atrial Fibrillation ◽  
Elderly Population

scholarly journals Prevalence and Characteristics of Subclinical Atrial Fibrillation in a Community-Dwelling Elderly Population

2019 ◽  
Vol 12 (10) ◽  
Author(s):  
Mary R. Rooney ◽  
Elsayed Z. Soliman ◽  
Pamela L. Lutsey ◽  
Faye L. Norby ◽  
Laura R. Loehr ◽  
...  
Keyword(s):  
Atrial Fibrillation ◽  
Black Women ◽  
Elderly Population ◽  
White Women ◽  
Diagnostic Yield ◽  
Community Dwelling ◽  
Ecg Monitoring ◽  
Community Based ◽  
Cross Sectional ◽  
Aric Study

Background: The prevalence of subclinical atrial fibrillation (AF) in the elderly general population is unclear. We sought to define the prevalence of subclinical AF in a community-based elderly population and to characterize subclinical AF and the incremental diagnostic yield of 4 versus 2 weeks of continuous ECG monitoring. Methods: We conducted a cross-sectional analysis within the community-based multicenter observational ARIC study (Atherosclerosis Risk in Communities) using visit 6 (2016–2017) data. The 2616 ARIC study participants who wore a leadless, ambulatory ECG monitor (Zio XT Patch) for up to 2 weeks were aged 79±5 years, 42% men, and 26% black. In a subset, 386 participants without clinically recognized AF wore the monitor twice, each time for up to 2 weeks. We characterized the prevalence of subclinical AF (ie, AF detected on the Zio XT Patch without clinically recognized AF) over 2 weeks of monitoring and the diagnostic yield of 4 versus 2 weeks of monitoring. Results: The prevalence of subclinical AF was 2.5%; the prevalence of subclinical AF was 3.3% among white men, 2.5% among white women, 2.1% among black men, and 1.6% among black women. Subclinical AF was mostly intermittent (75%). Among those with intermittent subclinical AF, 91% had AF burden ≤10% during the monitoring period. In a subset of 386 participants without clinical AF, 78% more subclinical AF was detected by 4 weeks versus 2 weeks of ECG monitoring. Conclusions: In our study, the prevalence of subclinical AF was lower than previously reported and monitoring beyond 2 weeks provided substantial incremental diagnostic yield. Future studies should focus on individuals with higher risk to increase diagnostic yield and consider continuous monitoring duration longer than 2 weeks.

scholarly journals P4471Age-related dynamics of atrial fibrillation during 12-year follow-up in elderly population sample

2018 ◽  
Vol 39 (suppl_1) ◽  
Author(s):  
M Shapkina ◽  
A Ryabikov ◽  
E Mazdorova ◽  
E Avdeeva ◽  
M Bobak ◽  
...  
Keyword(s):  
Atrial Fibrillation ◽  
Elderly Population ◽  
Population Sample

scholarly journals Prevalence and Incidence of Atrial Fibrillation and Other Arrhythmias in the General Older Population: Findings From the Swedish National Study on Aging and Care

2019 ◽  
Vol 5 ◽  
pp. 233372141985968 ◽  
Author(s):  
Terese Lindberg ◽  
Anders Wimo ◽  
Sölve Elmståhl ◽  
Chengxuan Qiu ◽  
Doris M. Bohman ◽  
...  
Keyword(s):  
Atrial Fibrillation ◽  
General Population ◽  
Cumulative Incidence ◽  
Elderly Population ◽  
National Study ◽  
Av Block ◽  
Multidisciplinary Study ◽  
Ventricular Premature Complexes ◽  
General Elderly Population

Aim: To study the prevalence and cumulative incidence of arrhythmias in the general population of adults aged 60 and older over a 6-year period. Study Design and Setting: Data were taken from the Swedish National Study on Aging and Care (SNAC), a national, longitudinal, multidisciplinary study of the general elderly population (defined as 60 years of age or older). A 12-lead resting electrocardiography (ECG) was performed at baseline and 6-year follow-up. Results: The baseline prevalence of atrial fibrillation (AF) was 4.9% (95% confidence interval [CI] = [4.5%, 5.5%]), and other arrhythmias including ventricular premature complexes (VPCs), supraventricular tachycardia (SVT), and supraventricular extrasystole (SVES) were seen in 8.4% (7.7%, 9.0%) of the population. A first- or second-degree atrioventricular (AV) block was found in 7.1% of the population (95% CI = [6.5%, 7.7%]), and there were no significant differences between men and women in baseline arrhythmia prevalence. The 6-year cumulative incidence of AF was 4.1% (95% CI = [3.5%, 4.9%]), or 6.9/1,000 person-years (py; 95% CI = [5.7, 8.0]). The incidence of AF, other arrhythmias, AV block, and pacemaker-induced rhythm was significantly higher in men in all cohorts except for the oldest. Conclusion: Our data highlight the prevalence and incidence of arrhythmias, which rapidly increase with advancing age in the general population.

scholarly journals Reliability of pulse palpation in the detection of atrial fibrillation in an elderly population

2017 ◽  
Vol 35 (3) ◽  
pp. 293-298 ◽  
Author(s):  
Jussi Jaakkola ◽  
Tuija Vasankari ◽  
Raine Virtanen ◽  
K. E. Juhani Airaksinen
Keyword(s):  
Atrial Fibrillation ◽  
Elderly Population ◽  
Pulse Palpation

scholarly journals P5803High yield of atrial fibrillation detected in patients with very short episodes of atrial fibrillation (micro-AF) using continuous event recording

2018 ◽  
Vol 39 (suppl_1) ◽  
Author(s):  
T Fredriksson ◽  
K Kemp Gudmundsdottir ◽  
F Al-Khalili ◽  
V Frykman ◽  
M Rosenqvist ◽  
...  
Keyword(s):  
Atrial Fibrillation ◽  
Event Recording
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