{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,30]],"date-time":"2026-08-30T22:41:54Z","timestamp":1788129714581,"version":"build-2803163510"},"reference-count":28,"publisher":"Oxford University Press (OUP)","issue":"3","license":[{"start":{"date-parts":[[2024,2,27]],"date-time":"2024-02-27T00:00:00Z","timestamp":1708992000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2024,3,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:sec>\n                  <jats:title>Aims<\/jats:title>\n                  <jats:p>There are few data on the feasibility of population screening for paroxysmal atrial fibrillation (AF) using hand-held electrocardiogram (ECG) devices outside a specialist setting or in people over the age of 75. We investigated the feasibility of screening when conducted without face-to-face contact (\u2018remote\u2019) or via in-person appointments in primary care and explored impact of age on screening outcomes.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Methods and results<\/jats:title>\n                  <jats:p>People aged \u226565 years from 13 general practices in England participated in screening during 2019\u201320. This involved attending a practice nurse appointment (10 practices) or receiving an ECG device by post (three practices). Participants were asked to use a hand-held ECG for 1\u20134 weeks. Screening outcomes included uptake, quality of ECGs, AF detection rates, and uptake of anticoagulation if AF was detected. Screening was carried out by 2141 (87.5%) of people invited to practice nurse-led screening and by 288 (90.0%) invited to remote screening. At least 56 interpretable ECGs were provided by 98.0% of participants who participated for 3 weeks, with no significant differences by setting or age, except people aged 85 or over (91.1%). Overall, 2.6% (64\/2429) screened participants had AF, with detection rising with age (9.2% in people aged 85 or over). A total of 53\/64 (82.8%) people with AF commenced anticoagulation. Uptake of anticoagulation did not vary by age.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Conclusion<\/jats:title>\n                  <jats:p>Population screening for paroxysmal AF is feasible in general practice and without face-to-face contact for all ages over 64 years, including people aged 85 and over.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1093\/europace\/euae056","type":"journal-article","created":{"date-parts":[[2024,2,27]],"date-time":"2024-02-27T15:48:59Z","timestamp":1709048939000},"source":"Crossref","is-referenced-by-count":17,"title":["The feasibility of population screening for paroxysmal atrial fibrillation using hand-held electrocardiogram devices"],"prefix":"10.1093","volume":"26","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-9531-0268","authenticated-orcid":false,"given":"Jonathan","family":"Mant","sequence":"first","affiliation":[{"name":"Primary Care Unit, Department of Public Health and Primary Care, Strangeways Research Laboratory, University of Cambridge , 2 Worts\u2019 Causeway , Cambridge CB1 8RN, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9651-6690","authenticated-orcid":false,"given":"Rakesh N","family":"Modi","sequence":"additional","affiliation":[{"name":"Primary Care Unit, Department of Public Health and Primary Care, Strangeways Research Laboratory, University of Cambridge , 2 Worts\u2019 Causeway , Cambridge CB1 8RN, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3836-8655","authenticated-orcid":false,"given":"Peter","family":"Charlton","sequence":"additional","affiliation":[{"name":"Primary Care Unit, Department of Public Health and Primary Care, Strangeways Research Laboratory, University of Cambridge , 2 Worts\u2019 Causeway , Cambridge CB1 8RN, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0764-3095","authenticated-orcid":false,"given":"Andrew","family":"Dymond","sequence":"additional","affiliation":[{"name":"Primary Care Unit, Department of Public Health and Primary Care, Strangeways Research Laboratory, University of Cambridge , 2 Worts\u2019 Causeway , Cambridge CB1 8RN, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0488-482X","authenticated-orcid":false,"given":"Efthalia","family":"Massou","sequence":"additional","affiliation":[{"name":"Primary Care Unit, Department of Public Health and Primary Care, Strangeways Research Laboratory, University of Cambridge , 2 Worts\u2019 Causeway , Cambridge CB1 8RN, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3443-3256","authenticated-orcid":false,"given":"James","family":"Brimicombe","sequence":"additional","affiliation":[{"name":"Primary Care Unit, Department of Public Health and Primary Care, Strangeways Research Laboratory, University of Cambridge , 2 Worts\u2019 Causeway , Cambridge CB1 8RN, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3809-2911","authenticated-orcid":false,"given":"Ben","family":"Freedman","sequence":"additional","affiliation":[{"name":"Heart Research Institute, University of Sydney , Room 3114, Level 3 East, D17 - Charles Perkins Centre , Sydney, NSW 2006, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2157-4797","authenticated-orcid":false,"given":"Simon J","family":"Griffin","sequence":"additional","affiliation":[{"name":"Primary Care Unit, Department of Public Health and Primary Care, Strangeways Research Laboratory, University of Cambridge , 2 Worts\u2019 Causeway , Cambridge CB1 8RN, UK"},{"name":"MRC Epidemiology Unit, School of Clinical Medicine, University of Cambridge, Cambridge Biomedical Campus , Cambridge CB2 0SL , UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7976-7172","authenticated-orcid":false,"given":"F D Richard","family":"Hobbs","sequence":"additional","affiliation":[{"name":"Nuffield Department of Primary Care Health Sciences, University of Oxford, Radcliffe Observatory Quarter , Woodstock Road , Oxford OX2 6GG, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7566-1626","authenticated-orcid":false,"given":"Gregory Y H","family":"Lip","sequence":"additional","affiliation":[{"name":"Liverpool Centre for Cardiovascular Science at University of Liverpool, Liverpool John Moores University and Liverpool Heart and Chest Hospital , Liverpool , UK"},{"name":"Danish Center for Health Services Research, Department of Clinical Medicine, Aalborg University , Aalborg , Denmark"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3638-028X","authenticated-orcid":false,"given":"Richard J","family":"McManus","sequence":"additional","affiliation":[{"name":"Nuffield Department of Primary Care Health Sciences, University of Oxford, Radcliffe Observatory Quarter , Woodstock Road , Oxford OX2 6GG, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6188-9363","authenticated-orcid":false,"given":"Kate","family":"Williams","sequence":"additional","affiliation":[{"name":"Primary Care Unit, Department of Public Health and Primary Care, Strangeways Research Laboratory, University of Cambridge , 2 Worts\u2019 Causeway , Cambridge CB1 8RN, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[2024,2,27]]},"reference":[{"key":"2024032716172057900_euae056-B1","doi-asserted-by":"crossref","first-page":"oead031","DOI":"10.1093\/ehjopen\/oead031","article-title":"Yield of diagnosis and risk of stroke with screening strategies for atrial fibrillation: a comprehensive review of current evidence","volume":"3","author":"Corica","year":"2023","journal-title":"Eur Heart J Open"},{"key":"2024032716172057900_euae056-B2","doi-asserted-by":"crossref","first-page":"373","DOI":"10.1093\/eurheartj\/ehaa612","article-title":"2020 ESC Guidelines for the diagnosis and management of atrial fibrillation developed in collaboration with the European Association for Cardio-Thoracic Surgery (EACTS): the task force for the diagnosis and management of atrial fibrillation of the European Society of Cardiology (ESC) developed with the special contribution of the European Heart Rhythm Association 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An EHRA position paper","volume":"25","author":"Kalarus","year":"2023","journal-title":"Europace"},{"key":"2024032716172057900_euae056-B9","doi-asserted-by":"crossref","first-page":"euad176","DOI":"10.1093\/europace\/euad176","article-title":"The digital journey: 25 years of digital development in electrophysiology from an Europace perspective","volume":"25","author":"Svennberg","year":"2023","journal-title":"Europace"},{"key":"2024032716172057900_euae056-B10","doi-asserted-by":"crossref","first-page":"1498","DOI":"10.1016\/S0140-6736(21)01637-8","article-title":"Clinical outcomes in systematic screening for atrial fibrillation (STROKESTOP): a multicentre, parallel group, unmasked, randomised controlled trial","volume":"398","author":"Svennberg","year":"2021","journal-title":"Lancet"},{"key":"2024032716172057900_euae056-B11","doi-asserted-by":"crossref","first-page":"558","DOI":"10.1001\/jamacardio.2021.0038","article-title":"Screening for atrial fibrillation in the older population: a 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