在 65 岁及以上普通人群中进行常规自动血压测量时筛查心房颤动:希腊 EMENO 全国流行病学调查。

IF 3.1 Q2 PERIPHERAL VASCULAR DISEASE High Blood Pressure & Cardiovascular Prevention Pub Date : 2024-11-11 DOI:10.1007/s40292-024-00672-y
Ariadni Menti, Natasa Kalpourtzi, Konstantinos G Kyriakoulis, Anastasios Kollias, Giota Touloumi, George S Stergiou
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引用次数: 0

摘要

导言:目的:在常规自动血压测量过程中,使用嵌入式算法检测心房颤动的血压计对年龄≥ 65 岁的人群进行筛查,诊断准确率较高:EMENO健康调查(2013-2016年)采用多阶段分层随机抽样方法,在希腊随机抽取普通成年人样本。使用带房颤检测算法的自动示波仪(Microlife BPA100 Plus AFIB)对年龄≥65岁的参与者进行房颤筛查,一次测量三份数据:共分析了 975 名至少在一次血压测量中发现房颤的患者[(平均(标清)年龄为 73.2 (6.6)岁,男性占 45%,高血压患者占 79.3%)。65 人(6.3%,心房颤动组)在所有 3 次血压读数中均检测到心房颤动,661 人(73.6%,非心房颤动组)在 3 次读数中均未检测到心房颤动,249 人(20.1%,不确定心房颤动组)在 3 次或更少读数中的 1-2 次读数中检测到心房颤动。与非房颤组和不确定房颤组相比,房颤组患者年龄更大(p < 0.001),收缩压更低(p < 0.05),心血管疾病更常见(p < 0.01)。此外,44.6%的人不知道自己患有房颤,并且都需要抗凝治疗(CHA2DS2-VASc≥1/≥2,男性/女性):结论:在希腊,年龄≥65 岁的人中约有 6% 似乎患有房颤,其中 44.6% 的人尚未察觉并需要抗凝治疗。在常规自动血压测量过程中进行房颤筛查似乎是早期发现年龄≥65岁的无症状房颤的有效工具。
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Screening for Atrial Fibrillation During Routine Automated Blood Pressure Measurement in General Population Aged 65 Years and Above: EMENO National Epidemiological Survey in Greece.

Introduction: Atrial fibrillation (AF) is common with advanced aging and is often asymptomatic and undiagnosed.

Aim: A blood pressure (BP) monitor with embedded algorithm for detecting AF with high diagnostic accuracy during routine automated BP measurement was used to screen individuals aged ≥ 65 years.

Methods: The EMENO health survey (2013-2016) applied a multi-stage stratified random sampling method to select a random general adult population sample in Greece. Participants aged ≥ 65 years were screened for AF using an automated oscillometric device with AF detecting algorithm (Microlife BPA100 Plus AFIB) with triplicate measurements on a single occasion.

Results: A total of 975 individuals with AF data on at least one BP measurement were analysed [(mean (SD) age 73.2 (6.6) years, men 45%, hypertensives 79.3%). AF was detected in all 3 BP readings in 65 individuals (6.3%, AF group), in none of 3 readings in 661 (73.6%, non-AF group), and in 1-2 readings of 3 or less readings in 249 (20.1%, uncertain AF group). AF group individuals were older (p < 0.001), had lower systolic BP (p < 0.05) and more frequent cardiovascular disease (p < 0.01) compared to the non-AF and uncertain AF group. Moreover, 44.6% were unaware of their AF and all required anticoagulant therapy (CHA2DS2-VASc ≥ 1/≥ 2, men/women).

Conclusions: About 6% of individuals aged ≥ 65 years in Greece appeared to have AF, and 44.6% of them were unaware and requiring anticoagulant treatment. AF screening during routine automated BP measurement appears to be a useful tool for early detection of asymptomatic AF in individuals aged ≥ 65 years.

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来源期刊
CiteScore
5.70
自引率
3.30%
发文量
57
期刊介绍: High Blood Pressure & Cardiovascular Prevention promotes knowledge, update and discussion in the field of hypertension and cardiovascular disease prevention, by providing a regular programme of independent review articles covering key aspects of the management of hypertension and cardiovascular diseases. The journal includes:   Invited ''State of the Art'' reviews.  Expert commentaries on guidelines, major trials, technical advances.Presentation of new intervention trials design.''Pros and Cons'' or round tables on controversial issues.Statements on guidelines from hypertension and cardiovascular scientific societies.Socio-economic issues.Cost/benefit in prevention of cardiovascular diseases.Monitoring of healthcare systems.News and views from the Italian Society of Hypertension (including abstracts).All manuscripts are subject to peer review by international experts. Letters to the editor are welcomed and will be considered for publication.
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