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September 10, 2025JAMA

Remote Screening for Asymptomatic Atrial Fibrillation

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Authors

RWRohan S. WijesurendraGPGuilherme Pessoa-AmorimGBGeorgina Buck

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Overview

Remote randomized trial shows a moderate rise in atrial fibrillation detection and anticoagulation usage in older individuals, implying potential benefits from screening.

Key Points

  • Atrial fibrillation detection increased from 5.4% to 6.8% with remote ECG screening after 2.5 years.
  • Participants in the intervention group had a mean anticoagulation exposure of 1.63 months, compared to 1.14 months in the control group.
  • Remote randomized clinical trial involved 5040 participants aged 65 and older at moderate to high stroke risk.
  • Mail-based screening could lead to improved atrial fibrillation diagnosis, but stroke rates remained similar between groups.

Cite This Study

Wijesurendra et al. (2025) studied this question.

synapsesocial.com/papers/68c24364b210217d647a7444https://doi.org/10.1001/jama.2025.15440
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