Self-detection of atrial fibrillation in an aged population: three-year follow-up of the LietoAF intervention study.

ABSTRACT:

Background

Atrial fibrillation (AF) is often asymptomatic and undiagnosed until an ischaemic stroke occurs. An irregular pulse is a key manifestation of AF. We assessed whether pulse self-palpation is feasible in screening of AF.

Methods

Altogether 205 residents of Lieto municipality aged ≥75 years were randomized in 2012 to receive brief education on pulse palpation focusing on evaluating rhythm regularity. Self-detected pulse irregularity and new AF diagnoses were recorded, and the subjects' quality of life and use of health care services were assessed during a three-year follow-up.

Results

The subjects' median age was 78.2 [3.8] years, and 89 (43.4%) were men. Overall, 139 (68%) subjects had initial good motivation/capability for regular palpation. At four months,

SUBMITTER: Jaakkola J 

PROVIDER: S-EPMC5602855 | biostudies-literature | 2017 Sep

REPOSITORIES: biostudies-literature