AF Screening With a 14-Day ECG Monitor
Recent studies highlight the use of 14-day ECG monitoring for atrial fibrillation (AF) screening in older adults. One such trial, the GUARD-AF study, focused on individuals aged 70 and older without prior AF diagnosis. The use of a continuous patch-based ECG monitor significantly increased AF detection rates by over 50% compared to usual care. However, the trial did not show a corresponding reduction in stroke hospitalization rates, partially due to early termination and a smaller-than-expected sample size
The findings emphasize the potential of prolonged ECG monitoring in diagnosing paroxysmal AF, a transient and often asymptomatic condition that increases stroke risk. Still, the clinical impact on stroke prevention remains unclear, necessitating larger studies with extended follow-ups to determine the utility of such screening programs
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