Publication
Raising Awareness and Early Detection of Atrial Fibrillation, an Experience Resorting to Mobile Technology Centred on Informed Individuals
| dc.contributor.author | Cunha, S | |
| dc.contributor.author | Antunes, E | |
| dc.contributor.author | Antoniou, S | |
| dc.contributor.author | Tiago, S | |
| dc.contributor.author | Relvas, R | |
| dc.contributor.author | Fernandez-Llimós, F | |
| dc.contributor.author | Alves da Costa, F | |
| dc.date.accessioned | 2022-08-19T14:42:40Z | |
| dc.date.available | 2022-08-19T14:42:40Z | |
| dc.date.issued | 2020 | |
| dc.description.abstract | Background: 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.version | info:eu-repo/semantics/publishedVersion | pt_PT |
| dc.identifier.citation | Res Social Adm Pharm . 2020 Jun;16(6):787-792. | pt_PT |
| dc.identifier.doi | 10.1016/j.sapharm.2019.08.036. | pt_PT |
| dc.identifier.uri | http://hdl.handle.net/10400.17/4217 | |
| dc.language.iso | eng | pt_PT |
| dc.peerreviewed | yes | pt_PT |
| dc.publisher | Elsevier | pt_PT |
| dc.subject | HSM CAR | pt_PT |
| dc.subject | Aged | pt_PT |
| dc.subject | Humans | pt_PT |
| dc.subject | Atrial Fibrillation* / diagnosis | pt_PT |
| dc.subject | Electrocardiography | pt_PT |
| dc.subject | Heart Rate | pt_PT |
| dc.subject | Reproducibility of Results | pt_PT |
| dc.subject | Technology | pt_PT |
| dc.title | Raising Awareness and Early Detection of Atrial Fibrillation, an Experience Resorting to Mobile Technology Centred on Informed Individuals | pt_PT |
| dc.type | journal article | |
| dspace.entity.type | Publication | |
| oaire.citation.endPage | 792 | pt_PT |
| oaire.citation.startPage | 787 | pt_PT |
| oaire.citation.title | Research in Social and Administrative Pharmacy | pt_PT |
| oaire.citation.volume | 16 | pt_PT |
| rcaap.rights | openAccess | pt_PT |
| rcaap.type | article | pt_PT |