{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,8,2]],"date-time":"2025-08-02T18:54:26Z","timestamp":1754160866019,"version":"3.41.2"},"reference-count":16,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2025,6,3]],"date-time":"2025-06-03T00:00:00Z","timestamp":1748908800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Noninvasive Electrocardiol"],"published-print":{"date-parts":[[2025,7]]},"abstract":"<jats:title>ABSTRACT<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>It is unclear to what extent silent atrial fibrillation (AF) is present in subjects previously undiagnosed with AF. The recently popular 7\u2010day patch electrocardiography (ECG) monitoring may help answer this question.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>In the Kitsuki and Usuki cities in Oita Prefecture, Japan, a study was conducted among subjects who underwent 7\u2010day patch ECG monitoring (Heartnote) for silent AF screening during the national insurance health checkup between June and November 2023. Subjects were (1) 65\u201374\u2009years old and have \u2265\u20091 of the following risk factors: hypertension, diabetes mellitus, stroke, transient ischemic attack, and underlying heart disease (heart failure and\/or previous myocardial infarction) and (2) 75\u2009years and older.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>A total of 571 subjects (307 females and 264 males, mean age 75.3\u2009\u00b1\u20095.4\u2009years) were analyzed. Silent AF was detected in 16 out of 571 subjects (2.8%). Among those aged 75\u2009years or older, silent AF was detected in 15 out of 291 subjects (5.2%). In multivariate analysis, among age, body mass index (BMI), hypertension, diabetes, stroke, and underlying heart disease, only age was the independent predictor of silent AF detection (odds ratio: 1.16, 95% confidence interval: 1.06\u20131.28, <jats:italic>p<\/jats:italic>\u2009&lt;\u20090.01).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Seven\u2010day patch ECG monitoring during the national insurance health checkup efficiently detected silent AF in individuals aged 75\u2009years and older.<\/jats:p><\/jats:sec>","DOI":"10.1111\/anec.70092","type":"journal-article","created":{"date-parts":[[2025,6,3]],"date-time":"2025-06-03T03:29:07Z","timestamp":1748921347000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Seven\u2010Day Patch <scp>ECG<\/scp> Monitoring During National Insurance Health Checkup Efficiently Detected Silent Atrial Fibrillation in Individuals Aged 75\u2009Years and Older"],"prefix":"10.1111","volume":"30","author":[{"given":"Miho","family":"Miyoshi","sequence":"first","affiliation":[{"name":"Department of Cardiology and Clinical Examination Faculty of Medicine, Oita University  Oita Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nozomi","family":"Kodama","sequence":"additional","affiliation":[{"name":"Department of Cardiology and Clinical Examination Faculty of Medicine, Oita University  Oita Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6061-1511","authenticated-orcid":false,"given":"Hiroki","family":"Sato","sequence":"additional","affiliation":[{"name":"Department of Cardiology and Clinical Examination Faculty of Medicine, Oita University  Oita Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kazuhiro","family":"Masutomo","sequence":"additional","affiliation":[{"name":"Department of Cardiology Usuki Cosmos Hospital  Oita 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