ArticleJMIR public health and surveillance2016
High Burden of Unrecognized Atrial Fibrillation in Rural India: An Innovative Community-Based Cross-Sectional Screening Program.
Article in JMIR public health and surveillance, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers, 2 of them syntheses that pooled it.
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Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
21 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Effectiveness of a single lead AliveCor electrocardiogram application for the screening of atrial fibrillation: A systematic review.Medicine · 2020Pooled it
- Accuracy of mHealth Devices for Atrial Fibrillation Screening: Systematic Review.JMIR mHealth and uHealth · 2019Pooled it
- Risk profiles and one-year outcomes of patients with newly diagnosed atrial fibrillation in India: Insights from the GARFIELD-AF Registry.Indian heart journalTrial
- ScaHybNet: a scalogram-based hybrid ensemble network for ECG arrhythmia classification.Scientific reports · 2026Article
- Article
- Universal Atrial Fibrillation Screening Using Electrocardiographic Artificial Intelligence: A Cost-Effective Approach in Rural Communities.Journal of medical systems · 2025Article
- Exploring urban versus rural disparities in atrial fibrillation: prevalence and management trends among elderly Chinese in a screening study.Journal of geriatric cardiology : JGC · 2025Article
- Atrial fibrillation screening in Syrian patients reporting to the emergency department during the ongoing conflict: a cross-sectional study.Frontiers in cardiovascular medicine · 2025Article
- Internet of Things-Based ECG and Vitals Healthcare Monitoring System.Micromachines · 2022Article
- Prevalence and determinants of cardiac arrhythmias and conduction anomalies in adults aged ≥ 40 years in Jimma Town, Southwest of Ethiopia: a cross-sectional study.African health sciences · 2022Article
- Prevalence and determinants of cardiac arrhythmias and conduction anomalies in adults aged ≥ 40 years in Jimma Town, Southwest of Ethiopia: a cross-sectional study.African health sciences · 2022Article
- World Heart Federation Roadmap on Atrial Fibrillation - A 2020 Update.Global heart · 2021Review
- Emerging Technologies for Identifying Atrial Fibrillation.Circulation research · 2020Review
- Design and rationale of a pragmatic trial integrating routine screening for atrial fibrillation at primary care visits: The VITAL-AF trial.American heart journal · 2019Article
- Age-and-sex stratified prevalence of atrial fibrillation in rural Western India: Results of SMART-India, a population-based screening study.International journal of cardiology · 2019Article
- Prevalence and risk factors for atrial fibrillation and its anticoagulant requirement in adults aged ≥40 in Jimma Town, Southwest Ethiopia: A community based cross-sectional study.International journal of cardiology. Heart & vasculature · 2019Article
- Portable out-of-hospital electrocardiography: A review of current technologies.Journal of arrhythmia · 2018Review
- Study protocol forBMJ open · 2017Observational
- Supraventricular tachycardia diagnosed by smartphone ECG.BMJ case reports · 2017Article
- RAHI-SATHI Indo-U.S. Collaboration: The Evolution of a Trainee-Led Twinning Model in Global Health Into a Multidisciplinary Collaborative Program.Global health, science and practice · 2017Article
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Authors and funding
16 authors.
Funding
Abstract
backgroundAtrial fibrillation, the world's most common arrhythmia, is a leading risk factor for stroke, a disease striking nearly 1.6 million Indians annually. Early detection and management of atrial fibrillation is a promising opportunity to prevent stroke but widespread screening programs in limited resource settings using conventional methods is difficult and costly.
objectiveThe objective of this study is to screen people for atrial fibrillation in rural western India using a US Food and Drug Administration-approved single-lead electrocardiography device, Alivecor.
methodsResidents from 6 villages in Anand District, Gujarat, India, comprised the base population. After obtaining informed consent, a team of trained research coordinators and community health workers enrolled a total of 354 participants aged 50 years and older and screened them at their residences using Alivecor for 2 minutes on 5 consecutive days over a period of 6 weeks beginning June, 2015.
resultsAlmost two-thirds of study participants were 55 years or older, nearly half were female, one-third did not receive any formal education, and more than one-half were from households earning less than US $2 per day. Twelve participants screened positive for atrial fibrillation yielding a sample prevalence of 5.1% (95% CI 2.7-8.7). Only one participant had persistent atrial fibrillation throughout all of the screenings, and 9 screened positive only once.
conclusionsOur study suggests a prevalence of atrial fibrillation in this Indian region (5.1%) that is markedly higher than has been previously reported in India and similar to the prevalence estimates reported in studies of persons from North America and Europe. Historically low reported burden of atrial fibrillation among individuals from low and middle-income countries may be due to a lack of routine screening. Mobile technologies may help overcome resource limitations for atrial fibrillation screening in underserved and low-resource settings.
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