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Raising awareness and early detection of atrial fibrillation, an experience resorting to mobile technology centred on informed individuals

2019Journal article Restricted access
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dc.contributor.authorCunha, Sara
dc.contributor.authorAntunes, Eduardo
dc.contributor.authorAntoniou, Sotiris
dc.contributor.authorTiago, Sália
dc.contributor.authorRelvas, Rui
dc.contributor.authorFernandez-Llimós, Fernando
dc.contributor.authorCosta, Filipa Alves da
dc.date.accessioned2019-11-20T16:56:20Z
dc.date.available2019-11-20T16:56:20Z
dc.date.issued2019
dc.description.abstractBackground: Atrial fibrillation (AF) is a cardiac arrhythmia responsible for one third of ischemic strokes. Early detection of AF plays an important role in preventing embolic stroke. Objectives: This study aimed to test the feasibility of an awareness event including opportunistic screening for atrial fibrillation; and to test the reliability of the innovative portable electrocardiogram (ECG) device used. Methods: An awareness campaign was held during two weeks, where individuals consenting to participate in a pharmacist-led detection event, received a manual pulse check, were clinically evaluated and subject to a single-lead electrocardiogram using AliveCor Kardia® mobile. ECGs highlighted as possible AF were confirmed by the cardiologist and those signalled with abnormalities in cardiac rhythm were referred to their physician. Data were collected in a password protected application and analyzed using SPSS, v.24. The Kardia® mobile's sensitivity and specificity was tested against the standard 12-lead ECG. Results: The awareness event involved 223 individuals, among which 205 were screened. Mean age was 66 years (SD = 15) and hypertension was the most frequently reported (n = 107; 52.2%). Mean CHAD2DS2- VASc score was 3 (SD = 1.8). Cardiac irregularities were identified in 45 individuals, 14 confirmed to be new cases of AF (6.8%) by the cardiologist. The sensitivity and specificity were 90.9% and 97.4%. Conclusion: Data suggests this device to be potentially useful for opportunistic early detection of AF, provided interprofessional collaboration is guaranteed so that suspect cases are adequately managed and in a timely way. Fourteen new cases of AF were identified in the population studied, suggesting the pharmacist working in a multiprofessional context, may have had an important role in preventing potential ischemic-related strokes with this initiative. All healthcare professionals involved in the patient pathway should play a more active role in contributing to better health outcomes, particularly within primary care.pt_PT
dc.description.versioninfo:eu-repo/semantics/publishedVersionpt_PT
dc.identifier.citationSara Cunha, et al., Research in Social and Administrative Pharmacy, https://doi.org/10.1016/j.sapharm.2019.08.036pt_PT
dc.identifier.doi10.1016/j.sapharm.2019.08.036pt_PT
dc.identifier.issn1551-7411
dc.identifier.urihttp://hdl.handle.net/10400.26/30229
dc.language.isoengpt_PT
dc.peerreviewedyespt_PT
dc.publisherElsevierpt_PT
dc.relation.publisherversionhttps://doi.org/10.1016/j.sapharm.2019.08.036pt_PT
dc.subjectAtrial fibrillationpt_PT
dc.subjectEarly diagnosispt_PT
dc.subjectInterprofessional relationspt_PT
dc.subjectPortable ECGpt_PT
dc.subjectPortugalpt_PT
dc.titleRaising awareness and early detection of atrial fibrillation, an experience resorting to mobile technology centred on informed individualspt_PT
dc.typejournal article
dspace.entity.typePublication
oaire.citation.titleResearch in Social and Administrative Pharmacypt_PT
rcaap.embargofctPolítica de copyright da editorapt_PT
rcaap.rightsrestrictedAccesspt_PT
rcaap.typearticlept_PT

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