Intended for healthcare professionals

Letters Screening for atrial fibrillation

Wilson and Jungner would not approve of screening for atrial fibrillation

BMJ 2019; 365 doi: (Published 24 April 2019) Cite this as: BMJ 2019;365:l1416
  1. Trygve Berge, medical doctor and doctoral student
  1. Department of Medical Research, Bærum Hospital, Vestre Viken Hospital Trust, N-1346 Gjettum, Norway
  1. trygve.berge{at}

We simply do not know how or who we should screen for atrial fibrillation to reach the desired outcomes (reduced stroke incidence or mortality).1 Only randomised controlled trials (RCTs), such as the Strokestop and SAFER studies, can provide answers.23 As in these studies, we used a handheld electrocardiography (ECG) monitor (for 30 seconds, twice daily and when symptoms occurred, over two weeks) to screen 65 year olds at increased stroke risk (CHA2DS2-VASc score ≥2 for …

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