Effectiveness of single‐lead ECG devices for detecting atrial fibrillation: An overview of systematic reviews.
Background: Individuals with atrial fibrillation (AF) are at an increased risk for stroke. Early detection of undiagnosed AF by screening is recommended. Single‐lead electrocardiogram (ECG) is the most widely used technology in AF detection. Several systematic reviews on the diagnostic accuracy of s...
| Publicado en: | Worldviews on Evidence-Based Nursing (John Wiley & Sons, Inc.) Vol. 21; no. 1; pp. 79 - 87 |
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| Autores principales: | , , , , |
| Formato: | research systematic review tables/charts Journal Article |
| Publicado: |
John Wiley & Sons, Inc.
Feb2024
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=175328001&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 175328001 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 17416787 NRNX jtl: Worldviews on Evidence-Based Nursing (John Wiley & Sons, Inc.) issn: 17416787 maglogo: N pubinfo: dt: Feb2024 vid: 21 iid: 1 pid: 52269 pub: John Wiley & Sons, Inc. artinfo: ui: 175328001 175328001 175328001 10.1111/wvn.12667 175328001 ppf: 79 ppct: 8 formats: fmt: – @attributes: type: T – @attributes: type: C – @attributes: type: P tig: atl: Effectiveness of single‐lead ECG devices for detecting atrial fibrillation: An overview of systematic reviews. aug: au: Gu, Hai Yue Huang, Jun Liu, Xu Qiao, Shu Qian Cao, Xi affil: The School of Nursing, Sun Yat‐Sen University, Guangzhou, China sug: subj: Electrocardiography Equipment and Supplies Electrocardiography Methods Electrodes Equipment Design Atrial Fibrillation Diagnosis Sensitivity and Specificity Evaluation Human Systematic Review Cochrane Library PubMed Embase Descriptive Statistics Cardiac Patients Predictive Value of Tests Data Analysis Software Funding Source Checklists Adult Middle Age Aged Aged, 80 and Over Age Factors Adult: 19-44 years Middle Aged: 45-64 years Aged: 65+ years Aged, 80 & over ab: Background: Individuals with atrial fibrillation (AF) are at an increased risk for stroke. Early detection of undiagnosed AF by screening is recommended. Single‐lead electrocardiogram (ECG) is the most widely used technology in AF detection. Several systematic reviews on the diagnostic accuracy of single‐lead ECG devices for AF detection have been performed but have yielded inconclusive results. Aims: The aim of this study was to synthesize the available evidence on the effectiveness of single‐lead ECG devices in detecting AF. Methods: An overview of systematic reviews was conducted. Five English databases (Cochrane Database of Systematic Reviews, PubMed, Embase, Ovid, and Web of Science) and two Chinese databases (Wanfang and CNKI) were searched from inception to July 31, 2021. Systematic reviews that examined the accuracy of tools based on single‐lead ECG technology for detecting AF were included. A narrative data synthesis was performed. Results: Eight systematic reviews were finally included. Systematic reviews with meta‐analysis showed that single‐lead ECG‐based devices had good sensitivity and specificity (both ≥90%) in detecting AF. According to subgroup analysis, the sensitivities of tools used in populations with a history of AF were all >90%. However, among handheld and thoracic placed single‐lead ECG devices, large variations in diagnostic performance were observed. Linking evidence to action: Single‐lead ECG devices can potentially be used for AF detection. Due to the heterogeneity in the study population and tools, future studies are warranted to explore the suitable circumstances in which each tool could be applied for AF screening in an effective and cost‐effective manner. pubtype: Academic Journal doctype: research systematic review tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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