{"id":650,"date":"2017-11-02T07:11:57","date_gmt":"2017-11-02T07:11:57","guid":{"rendered":"https:\/\/www.vitalsignum.com\/?p=650"},"modified":"2022-01-14T07:06:27","modified_gmt":"2022-01-14T07:06:27","slug":"02-11-2017-bmc-geriatrics-research-article","status":"publish","type":"post","link":"https:\/\/www.vitalsignum.com\/en\/uncategorized\/02-11-2017-bmc-geriatrics-research-article\/","title":{"rendered":"02.11.2017 BMC Geriatrics Research Article"},"content":{"rendered":"

Self-detection of atrial fibrillation in an aged population: three-year follow-up of the LietoAF intervention study.<\/h2>\n

Abstract<\/h2>\n
\n
\n

Background<\/h3>\n

Atrial fibrillation (AF) is often asymptomatic and undiagnosed until an ischaemic stroke occurs. An irregular pulse is a key manifestation of AF. We assessed whether pulse self-palpation is feasible in screening of AF.<\/p>\n<\/div>\n

\n

Methods<\/h3>\n

Altogether 205 residents of Lieto municipality aged \u226575\u00a0years were randomized in 2012 to receive brief education on pulse palpation focusing on evaluating rhythm regularity. Self-detected pulse irregularity and new AF diagnoses were recorded, and the subjects\u2019 quality of life and use of health care services were assessed during a three-year follow-up.<\/p>\n<\/div>\n

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Results<\/h3>\n

The subjects\u2019 median age was 78.2 [3.8] years, and 89 (43.4%) were men. Overall, 139 (68%) subjects had initial good motivation\/capability for regular palpation. At four months, 112 (80.6%) subjects with good and 26 (39.4%) with inadequate motivation\/capability palpated their pulse daily. At 12\u00a0months, 120 (58.5%) and at 36\u00a0months, 69 (33.7%) subjects palpated their pulse at least weekly. During the intervention, 67 (32.7%) subjects reported pulse irregularity. New AF was found in 10 (4.9%) subjects, 7 (70%) of whom had reported pulse irregularity. Pulse irregularity independently predicted new AF, but only one (0.5%) subject with new AF sought undelayed medical attention due to pulse irregularity. Quality of life and number of outpatient clinic visits remained unchanged during follow-up.<\/p>\n<\/div>\n

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Conclusion<\/h3>\n

Pulse palpation can be learned also by the elderly, but it is challenging to form a continuing habit. The low persistence of pulse self-palpation limits its value in the screening of AF, and strategies to promote persistence and research on alternative screening methods are needed.<\/p>\n<\/div>\n<\/div>\n

Read the article here<\/a>:<\/p>\n","protected":false},"excerpt":{"rendered":"

Self-detection of atrial fibrillation in an aged population: three-year follow-up of the LietoAF intervention study. Abstract Background Atrial fibrillation (AF) is often asymptomatic and undiagnosed until an ischaemic stroke occurs. An irregular pulse is a key manifestation of AF. We assessed whether pulse self-palpation is feasible in screening of AF. Methods Altogether 205 residents of Lieto municipality aged \u226575\u00a0years were randomized in 2012 to receive brief education on pulse palpation focusing on evaluating rhythm regularity. Self-detected pulse irregularity and new AF diagnoses were recorded, and the subjects\u2019 quality of life and use of health care services were assessed during a three-year follow-up. Results The subjects\u2019 median age was 78.2 [3.8] years, and 89 (43.4%) were men. Overall, 139 (68%) subjects had initial good motivation\/capability for regular palpation. At four months, 112 (80.6%) subjects with good and 26 (39.4%) with inadequate motivation\/capability palpated their pulse daily. At 12\u00a0months, 120 (58.5%) and…<\/p>\n","protected":false},"author":1,"featured_media":646,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_monsterinsights_skip_tracking":false,"_monsterinsights_sitenote_active":false,"_monsterinsights_sitenote_note":"","_monsterinsights_sitenote_category":0,"footnotes":""},"categories":[115,55,48],"tags":[],"class_list":["post-650","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-archive","category-news","category-uncategorized"],"_links":{"self":[{"href":"https:\/\/www.vitalsignum.com\/en\/wp-json\/wp\/v2\/posts\/650","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.vitalsignum.com\/en\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.vitalsignum.com\/en\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.vitalsignum.com\/en\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.vitalsignum.com\/en\/wp-json\/wp\/v2\/comments?post=650"}],"version-history":[{"count":1,"href":"https:\/\/www.vitalsignum.com\/en\/wp-json\/wp\/v2\/posts\/650\/revisions"}],"predecessor-version":[{"id":3758,"href":"https:\/\/www.vitalsignum.com\/en\/wp-json\/wp\/v2\/posts\/650\/revisions\/3758"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.vitalsignum.com\/en\/wp-json\/wp\/v2\/media\/646"}],"wp:attachment":[{"href":"https:\/\/www.vitalsignum.com\/en\/wp-json\/wp\/v2\/media?parent=650"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.vitalsignum.com\/en\/wp-json\/wp\/v2\/categories?post=650"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.vitalsignum.com\/en\/wp-json\/wp\/v2\/tags?post=650"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}