Low Consultation Rate of General Population with Atrial Fibrillation.

Abstract:

:In order to prevent ischemic stroke, it is important to identify and treat patients with atrial fibrillation (AF) who do not consult a doctor in a medical institution. The aim of this study was to determine the consultation rate at medical institutions for patients with AF in group medical examinations conducted in a city in western Japan. Of 6101 examinees of group medical examinations (40 years of age or older) conducted in Ibara City, Okayama Prefecture, Japan, from 2012 to 2014, 4338 participants (71.1%) who were evaluated by electrocardiogram (ECG) gave written informed consent and responded to surveys in the form of questionnaires through a personal interview conducted by nurses were included in the Ibara-AF study. A cumulative total of 82 subjects were diagnosed as having AF by ECG (prevalence of AF = 1.89%), and 51 individuals had AF during the three-year period.15 (29.4%) of the 51 patients with AF did not regularly visit medical institutions. Among them, 46.7% (n = 7) and 53.3% (n = 8) of the patients were symptomatic and asymptomatic, respectively, and 73.3% of the patients had a CHADS2 score of more than one point. There were no significant differences in patients' characteristics between regular and non-regular visit groups. In conclusion, about one-third of the patients with AF did not regularly see a doctor in a medical institution and most of them had a CHADS2 score of more than one point in a Japanese rural area. Educating the public about the risks of AF is required.

journal_name

Int Heart J

authors

Matsumi H,Nakamura K,Eguchi E,Miyoshi T,Nakagawa K,Nishii N,Watanabe A,Ueoka A,Yoshida M,Tokunaga N,Amioka N,Yamada N,Saito D,Morita H,Ogino K,Ito H,Ibara-AF Investigators.

doi

10.1536/ihj.19-062

subject

Has Abstract

pub_date

2019-11-30 00:00:00

pages

1303-1307

issue

6

eissn

1349-2365

issn

1349-3299

journal_volume

60

pub_type

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