개인구독
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지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
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초록· 키워드
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Atrial fibrillation (AF) is responsible for 10-20% of cerebral infarctions. Several mobile devices have been developed to screen for AF and studies of AF screening have been conducted in several countries to evaluate the applicability of these mobile devices. In this tradition, we conducted a community-based AF screening using an automated single-lead electrocardiogram (SL-ECG). This survey examined 2,422 participants in a community dementia screening program who were aged 60 years or older in the preliminary study, and 5,366 participants at 9 Senior Welfare Centers aged 60 years or older in the expanded study. AF screening was conducted using an automated SL-ECG (Kardia Mobile, AliveCor, Mountain View, CA, USA). AF was confirmed with a 12-lead electrocardiogram in subjects classified as having AF on the SL-ECG. In the preliminary study, of the 2,422 subjects, 124 had AF on the SL-ECG. The prevalence of AF was 3.0% (95% confidence interval [CI]: 2.4-3.8). The positive predictive value (PPV) of SL-ECG was 58.9% (95% CI: 50.1-67.1). Of the subjects diagnosed with AF, 65.8% (95% CI: 54.3-75.6) were newly diagnosed. In an expanded study, of the 5,366 subjects, 289 had AF on SL-ECG. The prevalence was 2.6% (95% CI: 2.2-3.1) and PPV of SL-ECG was 48.8% (95% CI: 43.1-54.5). In this community-based AF screening, we found that AF is underdiagnosed and undertreated. These results suggest that the early detection of AF using mobile devices is needed in Korea.
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참고문헌 (17)
참고문헌 신청
통계청 인구동향과 / 2018 / Cause-of-death statistics in 2016 in the Republic of Korea / 대한의사협회지 61(9):573~584
Son MK / 2017 / Risk of ischemic stroke after atrial fibrillation diagnosis : a national sample cohort / PLoS One 12:e0179687
Son MK / 2018 / Trend of prevalence of atrial fibrillation and use of oral anticoagulation therapy in patients with atrial fibrillation in South Korea(2002-2013) / J Epidemiol 28:81~87
Jonas DE / 2018 / Screening for atrial fibrillation with electrocardiography : evidence report and systematic review for the US Preventive Services Task Force / JAMA 320:485~498
Willits I / 2014 / WatchBP Home A for opportunistically detecting atrial fibrillation during diagnosis and monitoring of hypertension : a NICE Medical Technology Guidance / Appl Health Econ Health Policy 12:255~265
Son MK / 2017 / Risk of ischemic stroke after atrial fibrillation diagnosis : a national sample cohort / PLoS One 12:e0179687
Son MK / 2018 / Trend of prevalence of atrial fibrillation and use of oral anticoagulation therapy in patients with atrial fibrillation in South Korea(2002-2013) / J Epidemiol 28:81~87
Jonas DE / 2018 / Screening for atrial fibrillation with electrocardiography : evidence report and systematic review for the US Preventive Services Task Force / JAMA 320:485~498
Willits I / 2014 / WatchBP Home A for opportunistically detecting atrial fibrillation during diagnosis and monitoring of hypertension : a NICE Medical Technology Guidance / Appl Health Econ Health Policy 12:255~265
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