Seven‐Day Patch ECG Monitoring During National Insurance Health Checkup Efficiently Detected Silent Atrial Fibrillation in Individuals Aged 75 Years and Older
ABSTRACT Background It is unclear to what extent silent atrial fibrillation (AF) is present in subjects previously undiagnosed with AF. The recently popular 7‐day patch electrocardiography (ECG) monitoring may help answer this question. Methods In the Kitsuki and Usuki cities in Oita Prefecture, Jap...
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Wiley
2025-07-01
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| Series: | Annals of Noninvasive Electrocardiology |
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| Online Access: | https://doi.org/10.1111/anec.70092 |
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| author | Miho Miyoshi Nozomi Kodama Hiroki Sato Kazuhiro Masutomo Hitoshi Kamiunten Tetsuji Shinohara Naohiko Takahashi |
| author_facet | Miho Miyoshi Nozomi Kodama Hiroki Sato Kazuhiro Masutomo Hitoshi Kamiunten Tetsuji Shinohara Naohiko Takahashi |
| author_sort | Miho Miyoshi |
| collection | DOAJ |
| description | ABSTRACT Background It is unclear to what extent silent atrial fibrillation (AF) is present in subjects previously undiagnosed with AF. The recently popular 7‐day patch electrocardiography (ECG) monitoring may help answer this question. Methods In the Kitsuki and Usuki cities in Oita Prefecture, Japan, a study was conducted among subjects who underwent 7‐day patch ECG monitoring (Heartnote) for silent AF screening during the national insurance health checkup between June and November 2023. Subjects were (1) 65–74 years old and have ≥ 1 of the following risk factors: hypertension, diabetes mellitus, stroke, transient ischemic attack, and underlying heart disease (heart failure and/or previous myocardial infarction) and (2) 75 years and older. Results A total of 571 subjects (307 females and 264 males, mean age 75.3 ± 5.4 years) were analyzed. Silent AF was detected in 16 out of 571 subjects (2.8%). Among those aged 75 years or older, silent AF was detected in 15 out of 291 subjects (5.2%). In multivariate analysis, among age, body mass index (BMI), hypertension, diabetes, stroke, and underlying heart disease, only age was the independent predictor of silent AF detection (odds ratio: 1.16, 95% confidence interval: 1.06–1.28, p < 0.01). Conclusions Seven‐day patch ECG monitoring during the national insurance health checkup efficiently detected silent AF in individuals aged 75 years and older. |
| format | Article |
| id | doaj-art-cce22b8dc9fa421cb4fbb73ddf3c58d2 |
| institution | Matheson Library |
| issn | 1082-720X 1542-474X |
| language | English |
| publishDate | 2025-07-01 |
| publisher | Wiley |
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| series | Annals of Noninvasive Electrocardiology |
| spelling | doaj-art-cce22b8dc9fa421cb4fbb73ddf3c58d22025-07-28T05:04:47ZengWileyAnnals of Noninvasive Electrocardiology1082-720X1542-474X2025-07-01304n/an/a10.1111/anec.70092Seven‐Day Patch ECG Monitoring During National Insurance Health Checkup Efficiently Detected Silent Atrial Fibrillation in Individuals Aged 75 Years and OlderMiho Miyoshi0Nozomi Kodama1Hiroki Sato2Kazuhiro Masutomo3Hitoshi Kamiunten4Tetsuji Shinohara5Naohiko Takahashi6Department of Cardiology and Clinical Examination Faculty of Medicine, Oita University Oita JapanDepartment of Cardiology and Clinical Examination Faculty of Medicine, Oita University Oita JapanDepartment of Cardiology and Clinical Examination Faculty of Medicine, Oita University Oita JapanDepartment of Cardiology Usuki Cosmos Hospital Oita JapanDepartment of Cardiology Kitsuki City Yamaga Hospital Oita JapanDepartment of Cardiology and Clinical Examination Faculty of Medicine, Oita University Oita JapanDepartment of Cardiology and Clinical Examination Faculty of Medicine, Oita University Oita JapanABSTRACT Background It is unclear to what extent silent atrial fibrillation (AF) is present in subjects previously undiagnosed with AF. The recently popular 7‐day patch electrocardiography (ECG) monitoring may help answer this question. Methods In the Kitsuki and Usuki cities in Oita Prefecture, Japan, a study was conducted among subjects who underwent 7‐day patch ECG monitoring (Heartnote) for silent AF screening during the national insurance health checkup between June and November 2023. Subjects were (1) 65–74 years old and have ≥ 1 of the following risk factors: hypertension, diabetes mellitus, stroke, transient ischemic attack, and underlying heart disease (heart failure and/or previous myocardial infarction) and (2) 75 years and older. Results A total of 571 subjects (307 females and 264 males, mean age 75.3 ± 5.4 years) were analyzed. Silent AF was detected in 16 out of 571 subjects (2.8%). Among those aged 75 years or older, silent AF was detected in 15 out of 291 subjects (5.2%). In multivariate analysis, among age, body mass index (BMI), hypertension, diabetes, stroke, and underlying heart disease, only age was the independent predictor of silent AF detection (odds ratio: 1.16, 95% confidence interval: 1.06–1.28, p < 0.01). Conclusions Seven‐day patch ECG monitoring during the national insurance health checkup efficiently detected silent AF in individuals aged 75 years and older.https://doi.org/10.1111/anec.70092health checkupseven‐day patch ECG monitoringsilent atrial fibrillation |
| spellingShingle | Miho Miyoshi Nozomi Kodama Hiroki Sato Kazuhiro Masutomo Hitoshi Kamiunten Tetsuji Shinohara Naohiko Takahashi Seven‐Day Patch ECG Monitoring During National Insurance Health Checkup Efficiently Detected Silent Atrial Fibrillation in Individuals Aged 75 Years and Older Annals of Noninvasive Electrocardiology health checkup seven‐day patch ECG monitoring silent atrial fibrillation |
| title | Seven‐Day Patch ECG Monitoring During National Insurance Health Checkup Efficiently Detected Silent Atrial Fibrillation in Individuals Aged 75 Years and Older |
| title_full | Seven‐Day Patch ECG Monitoring During National Insurance Health Checkup Efficiently Detected Silent Atrial Fibrillation in Individuals Aged 75 Years and Older |
| title_fullStr | Seven‐Day Patch ECG Monitoring During National Insurance Health Checkup Efficiently Detected Silent Atrial Fibrillation in Individuals Aged 75 Years and Older |
| title_full_unstemmed | Seven‐Day Patch ECG Monitoring During National Insurance Health Checkup Efficiently Detected Silent Atrial Fibrillation in Individuals Aged 75 Years and Older |
| title_short | Seven‐Day Patch ECG Monitoring During National Insurance Health Checkup Efficiently Detected Silent Atrial Fibrillation in Individuals Aged 75 Years and Older |
| title_sort | seven day patch ecg monitoring during national insurance health checkup efficiently detected silent atrial fibrillation in individuals aged 75 years and older |
| topic | health checkup seven‐day patch ECG monitoring silent atrial fibrillation |
| url | https://doi.org/10.1111/anec.70092 |
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