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 fibrillation screening


Keep your fingers on the PULsE: artificial intelligence to guide atrial fibrillation screening

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This editorial refers to'Identification of undiagnosed atrial fibrillation using a machine learning risk-prediction algorithm and diagnostic testing (PULsE-AI) in primary care: a multi-centre randomized controlled trial in England', by N.R. Hill et al., https://doi.org/10.1093/ehjdh/ztac009. To see things in the seed, that is genius. Undiagnosed atrial fibrillation (AF) is an important cause of stroke.1 AF screening may enable prompt detection of AF and initiation of oral anticoagulation (OAC) to prevent stroke.2 The 2007 SAFE trial reported a roughly 50% increase in AF diagnosis with screening individuals aged 65 years using electrocardiography (ECG) with or without pulse palpation,3 resulting in a Class I recommendation from the European Society of Cardiology4 and the Cardiac Society of Australia and New Zealand5 for AF screening using ECG among individuals aged 65 years. However, more recent studies suggest that mass screening may not be effective.6,7