arrhythmia Atrial fibrillation
Conditions
Interventions
In the intervention practices we perform optimized case finding. Marked
patients who visit the practice will undergo the three index tests. These tests
are pulse palpation, electronic sphygmomanomet
Sponsors
Academisch Medisch Centrum
Eligibility
Age
18 Years to 99 Years
Inclusion criteria
Inclusion criteria: Aged 65 and over Not diagnosed with atrial fibrillation
Exclusion criteria
Exclusion criteria: Legal incompetence Pacemaker Not capable of visiting the general practice
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| We have two primary outcomes. Firstly, we determine the difference in the number of patients with newly found AF in intervention and control practices. Secondly, we calculate sensitivity and specificity of pulse palpation, eBPM-AF and hand-ECG with the 12-lead ECG as reference standard. | — |
Secondary
| Measure | Time frame |
|---|---|
| In addition to our primary objectives, our study will address the following points. We will: * investigate the diagnostic test characteristics of the hand-ECG device for home monitoring, using the two week Holter as a reference standard. * investigate the number of patients with a regular pulse with all index tests negative for AF, in whom the two week Holter shows (paroxysmal) AF. * provide real-practice data on current pathways for AF detection in Dutch general practice (process evaluation control practices), disclosing divergence from current guidelines. * establish current AF prevalence and incidence figures in Dutch general practice. * provide patient profiles of newly detected patients with AF, including patients with *silent* paroxysmal AF. We will also explore the differences between patients with AF of Caucasian and non-Caucasian origin. * develop a prediction model for finding (different types of) AF. * determine the quality of life in patients with asymptomatic AF. | — |
Countries
Netherlands
Outcome results
None listed