Evidence map›Paper›PMID 40457886›Full record

ArticleAnnals of noninvasive electrocardiology : the official journal of the International Society for Holter and Noninvasive Electrocardiology, Inc2025

Seven-Day Patch ECG Monitoring During National Insurance Health Checkup Efficiently Detected Silent Atrial Fibrillation in Individuals Aged 75 Years and Older.

Miho Miyoshi, Nozomi Kodama, Hiroki Sato, Kazuhiro Masutomo, Hitoshi Kamiunten, Tetsuji Shinohara, Naohiko Takahashi

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Article in Annals of noninvasive electrocardiology : the official journal of the International Society for Holter and Noninvasive Electrocardiology, Inc, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

7 authors.

Miho MiyoshiDepartment of Cardiology and Clinical Examination, Faculty of Medicine, Oita University, Oita, Japan.
Nozomi KodamaDepartment of Cardiology and Clinical Examination, Faculty of Medicine, Oita University, Oita, Japan.
Hiroki SatoDepartment of Cardiology and Clinical Examination, Faculty of Medicine, Oita University, Oita, Japan.ORCID 0000-0002-6061-1511
Kazuhiro MasutomoDepartment of Cardiology, Usuki Cosmos Hospital, Oita, Japan.
Hitoshi KamiuntenDepartment of Cardiology, Kitsuki City Yamaga Hospital, Oita, Japan.
Tetsuji ShinoharaDepartment of Cardiology and Clinical Examination, Faculty of Medicine, Oita University, Oita, Japan.
Naohiko TakahashiDepartment of Cardiology and Clinical Examination, Faculty of Medicine, Oita University, Oita, Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundIt 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.

methodsIn 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.

resultsA 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).

conclusionsSeven-day patch ECG monitoring during the national insurance health checkup efficiently detected silent AF in individuals aged 75 years and older.

Indexed as

Atrial FibrillationElectrocardiographyElectrocardiography, AmbulatoryAgedAged, 80 and overFemaleHumansJapanMaleNational Health ProgramsRisk Factorshealth checkupseven‐day patch ECG monitoringsilent atrial fibrillation

Identifiers

PMID40457886
PMCPMC12130639

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.