{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,28]],"date-time":"2026-02-28T04:33:06Z","timestamp":1772253186870,"version":"3.50.1"},"reference-count":35,"publisher":"Sociedade Brasileira de Cardiologia","issue":"3","license":[{"start":{"date-parts":[[2025,3,1]],"date-time":"2025-03-01T00:00:00Z","timestamp":1740787200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2025,3,1]],"date-time":"2025-03-01T00:00:00Z","timestamp":1740787200000},"content-version":"am","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2025,3,1]],"date-time":"2025-03-01T00:00:00Z","timestamp":1740787200000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Arq. Bras. Cardiol."],"abstract":"<jats:p>Resumo  Fundamento  Os pacientes em hemodi\u00e1lise (HD) apresentam altas taxas de morbidade e mortalidade cardiovascular, com maior preval\u00eancia de arritmias. A fibrila\u00e7\u00e3o atrial (FA) \u00e9 um fator de risco independente para mortalidade e eventos tromboemb\u00f3licos em pacientes em di\u00e1lise. O entendimento e o manejo adequados da FA nesses pacientes dependem do conhecimento de sua preval\u00eancia. A utiliza\u00e7\u00e3o de um dispositivo port\u00e1til representaria uma abordagem pioneira para esse grupo de pacientes.  Objetivo  Realizar o rastreio de pacientes em HD em rela\u00e7\u00e3o \u00e0 FA utilizando um dispositivo port\u00e1til e avaliar sua efic\u00e1cia diagn\u00f3stica.  Metodologia  Pacientes em HD de um hospital terci\u00e1rio foram submetidos ao rastreio de FA durante sess\u00f5es de HD utilizando o MyDiagnostick\u00ae (da fabricante Applied Biomedical Systems). Foram coletados diversos dados para avaliar as poss\u00edveis associa\u00e7\u00f5es. A signific\u00e2ncia estat\u00edstica foi definida como p &lt; 0,05.  Resultados  Foram avaliados 388 pacientes (40,7% do sexo feminino; idade m\u00e9dia de 56,8 anos, DP \u00b1 14,7; tempo de HD de 27 meses, 10-57). O rastreio foi positivo em 16 pacientes (4,1%). A FA foi confirmada por meio de eletrocardiograma em 7 pacientes (1,8%). Pacientes do sexo masculino (p = 0,019), em idade mais avan\u00e7ada (p = 0,007), com altera\u00e7\u00e3o no eletrocardiograma basal (p &lt; 0,001), aumento nos n\u00edveis de pot\u00e1ssio s\u00e9rico (p = 0,021), redu\u00e7\u00e3o da press\u00e3o arterial sist\u00f3lica no in\u00edcio da HD (p = 0,007) e angina est\u00e1vel (p = 0,011) foram associados ao rastreio positivo para FA. O dispositivo apresentou uma especificidade de 91,74% (IC de 95%; 86,65% a 96,91%) e sensibilidade de 100% (IC de 95%; 100% a 100%), com um valor preditivo negativo de 100% (IC de 95%; 100% a 100%) para o rastreio da FA.  Conclus\u00e3o  O uso desse dispositivo se mostrou pr\u00e1tico, com alta sensibilidade e excelente valor preditivo negativo. A FA subcl\u00ednica apresenta alta preval\u00eancia e pode ser subestimada nessa popula\u00e7\u00e3o.<\/jats:p>","DOI":"10.36660\/abc.20240450","type":"journal-article","created":{"date-parts":[[2025,4,17]],"date-time":"2025-04-17T10:21:48Z","timestamp":1744885308000},"source":"Crossref","is-referenced-by-count":0,"title":["Utiliza\u00e7\u00e3o de Dispositivo Port\u00e1til para Rastreio de Fibrila\u00e7\u00e3o Atrial Subcl\u00ednica em Pacientes com Doen\u00e7a Renal Cr\u00f4nica Dial\u00edtica"],"prefix":"10.36660","volume":"122","author":[{"ORCID":"https:\/\/orcid.org\/0009-0003-2443-7047","authenticated-orcid":false,"given":"Adson Patrik Vieira","family":"Carvalho","sequence":"first","affiliation":[{"name":"Universidade Federal de Minas Gerais,  Brasil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3610-6507","authenticated-orcid":false,"given":"Gabriel Assis Lopes do","family":"Carmo","sequence":"additional","affiliation":[{"name":"Universidade Federal de Minas Gerais,  Brasil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Cassia Aparecida","family":"Silva","sequence":"additional","affiliation":[{"name":"Hospital S\u00e3o Francisco de Assis,  Brasil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7794-8399","authenticated-orcid":false,"given":"Ana Cec\u00edlia","family":"Oliveira","sequence":"additional","affiliation":[{"name":"Universidade Federal de Minas Gerais,  Brasil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9595-4058","authenticated-orcid":false,"given":"Lucas Giandoni","family":"Perez","sequence":"additional","affiliation":[{"name":"Universidade Federal de Minas Gerais,  Brasil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6299-3568","authenticated-orcid":false,"given":"Lilian Pires de Freitas do","family":"Carmo","sequence":"additional","affiliation":[{"name":"Universidade Federal de Minas Gerais,  Brasil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2740-0042","authenticated-orcid":false,"given":"Antonio L.","family":"Ribeiro","sequence":"additional","affiliation":[{"name":"Universidade Federal de Minas Gerais,  Brasil"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"22636","published-online":{"date-parts":[[2025,3]]},"reference":[{"issue":"9888","key":"ref1","doi-asserted-by":"crossref","first-page":"260","DOI":"10.1016\/S0140-6736(13)60687-X","article-title":"Chronic Kidney Disease: Global Dimension and Perspectives","volume":"382","author":"Jha V","year":"2013","journal-title":"Lancet"},{"issue":"13","key":"ref2","doi-asserted-by":"crossref","first-page":"1296","DOI":"10.1056\/NEJMoa041031","article-title":"Chronic Kidney Disease and the Risks of Death, Cardiovascular Events, and Hospitalization","volume":"351","author":"Go AS","year":"2004","journal-title":"N Engl J Med"},{"issue":"2","key":"ref3","doi-asserted-by":"crossref","first-page":"277","DOI":"10.1016\/j.ahj.2008.02.024","article-title":"Chronic Kidney Disease, Prevalence of Premature Cardiovascular Disease, and Relationship to Short-Term Mortality","volume":"156","author":"McCullough PA","year":"2008","journal-title":"Am Heart J"},{"issue":"1","key":"ref4","first-page":"1","article-title":"KDIGO 2012 Clinical Practice Guideline for the Evaluation and Management of Chronic Kidney Disease","volume":"3","year":"2013","journal-title":"Kidney Inter Suppl"},{"issue":"19","key":"ref5","doi-asserted-by":"crossref","first-page":"2293","DOI":"10.1161\/CIRCULATIONAHA.112.099606","article-title":"Trends in the Incidence of Atrial Fibrillation in Older Patients Initiating Dialysis in the United States","volume":"126","author":"Goldstein BA","year":"2012","journal-title":"Circulation"},{"issue":"12","key":"ref6","doi-asserted-by":"crossref","first-page":"1929","DOI":"10.1681\/ASN.2012010037","article-title":"CKD and Sudden Cardiac Death: Epidemiology, Mechanisms, and Therapeutic Approaches","volume":"23","author":"Whitman IR","year":"2012","journal-title":"J Am Soc Nephrol"},{"issue":"5","key":"ref7","doi-asserted-by":"crossref","first-page":"1307","DOI":"10.1097\/01.ASN.0000123691.46138.E2","article-title":"Chronic Kidney Disease as a Risk Factor for Cardiovascular Disease and All-Cause Mortality: A Pooled Analysis of Community-Based Studies","volume":"15","author":"Weiner DE","year":"2004","journal-title":"J Am Soc Nephrol"},{"issue":"7","key":"ref8","doi-asserted-by":"crossref","first-page":"2034","DOI":"10.1681\/ASN.2005101085","article-title":"Chronic Kidney Disease and Mortality Risk: A Systematic Review","volume":"17","author":"Tonelli M","year":"2006","journal-title":"J Am Soc Nephrol"},{"issue":"10","key":"ref9","doi-asserted-by":"crossref","first-page":"e56","DOI":"10.1161\/CIR.0000000000000659","article-title":"Heart Disease and Stroke Statistics-2019 Update: A Report from the American Heart Association","volume":"139","author":"Benjamin EJ","year":"2019","journal-title":"Circulation"},{"issue":"10","key":"ref10","doi-asserted-by":"crossref","first-page":"3816","DOI":"10.1093\/ndt\/gfs416","article-title":"Systematic Review and Meta-Analysis of Incidence, Prevalence and Outcomes of Atrial Fibrillation in Patients on Dialysis","volume":"27","author":"Zimmerman D","year":"2012","journal-title":"Nephrol Dial Transplant"},{"issue":"12","key":"ref11","doi-asserted-by":"crossref","first-page":"1098","DOI":"10.1038\/ki.2009.477","article-title":"Atrial Fibrillation in Hemodialysis Patients: Clinical Features and Associations with Anticoagulant Therapy","volume":"77","author":"Wizemann V","year":"2010","journal-title":"Kidney Int"},{"issue":"9","key":"ref12","doi-asserted-by":"crossref","first-page":"685","DOI":"10.1136\/heartjnl-2013-305417","article-title":"The Dialysis Procedure as a Trigger for Atrial Fibrillation: New Insights in the Development of Atrial Fibrillation in Dialysis Patients","volume":"100","author":"Buiten MS","year":"2014","journal-title":"Heart"},{"key":"ref13","doi-asserted-by":"crossref","DOI":"10.1186\/1471-2296-15-113","article-title":"The Diagnostic Accuracy of the MyDiagnostick to Detect Atrial Fibrillation in Primary Care","volume":"15","author":"Vaes B","year":"2014","journal-title":"BMC Fam Pract"},{"issue":"9","key":"ref14","doi-asserted-by":"crossref","first-page":"1291","DOI":"10.1093\/europace\/euu057","article-title":"Validation and Clinical Use of a Novel Diagnostic Device for Screening of Atrial Fibrillation","volume":"16","author":"Tieleman RG","year":"2014","journal-title":"Europace"},{"key":"ref15","doi-asserted-by":"crossref","first-page":"h5527","DOI":"10.1136\/bmj.h5527","article-title":"STARD 2015: An Updated List of Essential Items for Reporting Diagnostic Accuracy Studies","volume":"351","author":"Bossuyt PM","year":"2015","journal-title":"BMJ"},{"issue":"4","key":"ref16","doi-asserted-by":"crossref","first-page":"941","DOI":"10.1016\/j.kint.2017.11.019","article-title":"Primary Outcomes of the Monitoring in Dialysis Study Indicate that Clinically Significant Arrhythmias are Common in Hemodialysis Patients and Related to Dialytic Cycle","volume":"93","author":"Roy-Chaudhury P","year":"2018","journal-title":"Kidney Int"},{"issue":"3","key":"ref17","doi-asserted-by":"crossref","first-page":"324","DOI":"10.1053\/j.ajkd.2018.09.011","article-title":"Dialysis Modality and Incident Atrial Fibrillation in Older Patients with ESRD","volume":"73","author":"Niu J","year":"2019","journal-title":"Am J Kidney Dis"},{"issue":"25","key":"ref18","doi-asserted-by":"crossref","first-page":"e944","DOI":"10.1161\/CIR.0000000000000740","article-title":"Subclinical and Device-Detected Atrial Fibrillation: Pondering the Knowledge Gap: A Scientific Statement from the American Heart Association","volume":"140","author":"Noseworthy PA","year":"2019","journal-title":"Circulation"},{"issue":"16","key":"ref19","doi-asserted-by":"crossref","first-page":"1302","DOI":"10.1136\/heartjnl-2014-306212","article-title":"Insights into Intradialytic Atrial Fibrillation Onset Mechanisms","volume":"100","author":"Genovesi S","year":"2014","journal-title":"Heart"},{"key":"ref20","series-title":"Designing Clinical Research","author":"Hulley SB","year":"2006","edition":"3rd"},{"key":"ref21","series-title":"Statistical Methods in Diagnostic Medicine","author":"Zhou X-H","year":"2002"},{"key":"ref22","doi-asserted-by":"crossref","first-page":"103208","DOI":"10.1016\/j.jbi.2019.103208","article-title":"The REDCap Consortium: Building an International Community of Software Platform Partners","volume":"95","author":"Harris PA","year":"2019","journal-title":"J Biomed Inform"},{"issue":"2","key":"ref23","article-title":"Screening for Atrial Fibrillation in the Community Using A Novel ECG Recorder","volume":"9","author":"Battipaglia I","year":"2016","journal-title":"J Atr Fibrillation"},{"issue":"7","key":"ref24","doi-asserted-by":"crossref","DOI":"10.1371\/journal.pmed.1003197","article-title":"Opportunistic Screening for Atrial Fibrillation by Clinical Pharmacists in UK General Practice during the Influenza Vaccination Season: A Cross-Sectional Feasibility Study","volume":"17","author":"Savickas V","year":"2020","journal-title":"PLoS Med"},{"issue":"1","key":"ref25","doi-asserted-by":"crossref","DOI":"10.1186\/s12872-020-01473-6","article-title":"Prevalence and Associated Factors of Undiagnosed Atrial Fibrillation among End-Stage Renal Disease Patients on Maintenance Haemodialysis: A Cross-Sectional Study","volume":"20","author":"AlAwwa I","year":"2020","journal-title":"BMC Cardiovasc Disord"},{"issue":"9","key":"ref26","first-page":"1590","article-title":"Risk Profiles for Acute Health Events after Incident Atrial Fibrillation in Patients with End-Stage Renal Disease on Hemodialysis","volume":"33","author":"Airy M","year":"2018","journal-title":"Nephrol Dial Transplant"},{"issue":"1","key":"ref27","doi-asserted-by":"crossref","DOI":"10.1371\/journal.pone.0169400","article-title":"Prevalence of Atrial Fibrillation and Antithrombotic Therapy in Hemodialysis Patients: Cross-Sectional Results of the Vienna Investigation of Atrial Fibrillation and Thromboembolism in Patients on Hemodialysis (VIVALDI)","volume":"12","author":"K\u00f6nigsbr\u00fcgge O","year":"2017","journal-title":"PLoS One"},{"issue":"2","key":"ref28","doi-asserted-by":"crossref","first-page":"266","DOI":"10.1053\/j.ajkd.2016.09.015","article-title":"Dialysate Potassium, Serum Potassium, Mortality, and Arrhythmia Events in Hemodialysis: Results from the Dialysis Outcomes and Practice Patterns Study (DOPPS)","volume":"69","author":"Karaboyas A","year":"2017","journal-title":"Am J Kidney Dis"},{"issue":"16","key":"ref29","doi-asserted-by":"crossref","first-page":"1261","DOI":"10.1136\/heartjnl-2019-316277","article-title":"Atrial Fibrillation Detection with a Portable Device during Cardiovascular Screening in Primary Care","volume":"106","author":"Diamantino AC","year":"2020","journal-title":"Heart"},{"issue":"1","key":"ref30","first-page":"29","article-title":"Performance of Handheld Electrocardiogram Devices to Detect Atrial Fibrillation in a Cardiology and Geriatric Ward Setting","volume":"19","author":"Desteghe L","year":"2017","journal-title":"Europace"},{"issue":"12","key":"ref31","doi-asserted-by":"crossref","DOI":"10.1371\/journal.pone.0226671","article-title":"Lead-I ECG for Detecting Atrial Fibrillation in Patients Attending Primary Care with an Irregular Pulse Using Single-Time Point Testing: A Systematic Review and Economic Evaluation","volume":"14","author":"Duarte R","year":"2019","journal-title":"PLoS One"},{"issue":"29","key":"ref32","doi-asserted-by":"crossref","first-page":"1","DOI":"10.3310\/hta21290","article-title":"Screening Strategies for Atrial Fibrillation: A Systematic Review and Cost-Effectiveness Analysis","volume":"21","author":"Welton NJ","year":"2017","journal-title":"Health Technol Assess"},{"issue":"9","key":"ref33","doi-asserted-by":"crossref","DOI":"10.1371\/journal.pmed.1002903","article-title":"Estimated Stroke Risk, Yield, and Number Needed to Screen for Atrial Fibrillation Detected Through Single Time Screening: A Multicountry Patient-Level Meta-Analysis of 141,220 Screened Individuals","volume":"16","author":"Lowres N","year":"2019","journal-title":"PLoS Med"},{"issue":"20","key":"ref34","doi-asserted-by":"crossref","first-page":"1909","DOI":"10.1056\/NEJMoa1901183","article-title":"Large-Scale Assessment of a Smartwatch to Identify Atrial Fibrillation","volume":"381","author":"Perez MV","year":"2019","journal-title":"N Engl J Med"},{"issue":"10","key":"ref35","doi-asserted-by":"crossref","first-page":"956","DOI":"10.1056\/NEJMra1806949","article-title":"Mobile Devices and Health","volume":"381","author":"Sim I","year":"2019","journal-title":"N Engl J Med"}],"container-title":["Arquivos Brasileiros de Cardiologia"],"original-title":["Subclinical Atrial Fibrillation Screening in Dialytic Chronic Kidney Disease Patients Using Portable Device"],"link":[{"URL":"https:\/\/abccardiol.org\/wp-content\/uploads\/articles_xml\/0066-782x-abc-122-3-e20240450\/0066-782x-abc-122-3-e20240450.x95083.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,4,17]],"date-time":"2025-04-17T10:21:54Z","timestamp":1744885314000},"score":1,"resource":{"primary":{"URL":"https:\/\/abccardiol.org\/article\/utilizacao-de-dispositivo-portatil-para-rastreio-de-fibrilacao-atrial-subclinica-em-pacientes-com-doenca-renal-cronica-dialitica\/"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,3]]},"references-count":35,"journal-issue":{"issue":"3","published-online":{"date-parts":[[2025,3]]}},"alternative-id":["S0066-782X2025000300306"],"URL":"https:\/\/doi.org\/10.36660\/abc.20240450","relation":{"is-translation-of":[{"id-type":"doi","id":"10.36660\/abc.20240450i","asserted-by":"subject"},{"id-type":"doi","id":"10.36660\/abc.20240450i","asserted-by":"object"}]},"ISSN":["1678-4170","0066-782X"],"issn-type":[{"value":"1678-4170","type":"electronic"},{"value":"0066-782X","type":"print"}],"subject":[],"published":{"date-parts":[[2025,3]]},"article-number":"e20240450"}}