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January 8, 2026Journal of the American Heart AssociationOpen Access

Effects of Atrial Fibrillation Screening According to Echocardiographic Measures of Cardiac Structure and Function: A Post Hoc Analysis of the LOOP Randomized Clinical Trial

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Key result

In participants with left atrial contraction strain <16.5%, the ILR significantly reduced stroke risk by 62% (HR 0.38) compared to usual care in a post hoc analysis.

Authors

FOF J OlsenSDSøren Zöga DiederichsenPJPeter Godsk Jørgensen

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Overview

Post hoc analysis reveals stroke risk reduction in atrial fibrillation screening based on left atrial strain.

Key Points

  • To investigate the treatment effect of SCAF screening based on echocardiographic measures of cardiac structure and function.
  • Post hoc analysis of the LOOP clinical trial.
  • Participants were randomized to usual care or ILR with SCAF monitoring.
  • Echocardiography assessed left ventricular size, left atrial volume, and valvular pathology.
  • Follow-up assessed the primary outcome of stroke or systemic embolism.
  • 1422 participants enrolled, with 354 diagnosed with AF during follow-up.
  • No standard cardiac measures modified treatment effect.
  • Lower left atrial contraction strain was associated with reduced primary outcome risk (HR 0.38).
  • Only 4% developed the primary outcome during a median follow-up of 5.5 years.

Cite This Study

Olsen et al. (2025) studied this question. In participants with left atrial contraction strain <16.5%, the ILR significantly reduced stroke risk by 62% (HR 0.38) compared to usual care in a post hoc analysis.

synapsesocial.com/papers/6960877dfa51ca23bb9809e0https://doi.org/10.1161/jaha.125.041184
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Predictors of atrial fibrillation detection by implantable loop recorder after cryptogenic stroke2026
  2. 2Hospitalisation and healthcare utilisation in participants screened for atrial fibrillation2026
  3. 3Value of implantable loop recorders in detecting atrial fibrillation for stroke prevention: a systematic review and meta-analysis2025 · 2 citations
  4. 4The impact of screening-detected atrial fibrillation and associated outcomes on quality of life2025
  5. 5Remote Screening for Asymptomatic Atrial Fibrillation2025 · 17 citations