Systematic ECG Screening for Atrial Fibrillation Among 75 Year Old Subjects in the Region of Stockholm and Halland, Sweden.
Overview
- Phase
- Not Applicable
- Intervention
- Not specified
- Conditions
- Atrial Fibrillation
- Sponsor
- Karolinska University Hospital
- Enrollment
- 7173
- Locations
- 1
- Primary Endpoint
- Ischaemic or haemorrhagic stroke, systemic embolism, major bleeding leading to hospitalization or death from any cause
- Last Updated
- 8 years ago
Overview
Brief Summary
The purpose of this study is to determine whether screening for atrial fibrillation by intermittent ECG recording and initiation of anticoagulation treatment among high risk individuals is cost-effective and can lower the incidence of stroke.
Investigators
Professor Mårten Rosenqvist
Professor
Karolinska University Hospital
Eligibility Criteria
Inclusion Criteria
- •Men and women 75-76 years of age living in the region of Stockholm or Halland
Exclusion Criteria
- •Not fulfilling the inclusion criteria
Outcomes
Primary Outcomes
Ischaemic or haemorrhagic stroke, systemic embolism, major bleeding leading to hospitalization or death from any cause
Time Frame: Five years. Interim analysis after 3 years.
A composite endpoint of incidence of ischamemic and haemorrhagic stroke, incidence of systemic embolism, major bleeding requiring hospitalization and all cause mortality in the group randomized to screening compared to the control group
Secondary Outcomes
- Hospitalization due to cardiovascular disease(Five years. Interim analysis after 3 years.)
- Ischaemic stroke(Five years. Interim analysis after 3 years.)
- Ischaemic stroke and systemic thromboembolism(Five years. Interim analysis after 3 years.)
- All cause mortality(Five years. Interim analysis after 3 years.)
- Cardiovascular mortality(Five years. Interim analysis after 3 years.)
- Detection of atrial fibrillation(Five years)
- Pulmonary embolism and deep vein thrombosis(Five years)
- Dementia(Five years. Interim analysis after 3 years.)
- Ischaemic or haemorrhagic stroke, systemic embolism, major bleeding leading to hospitalization, hospitalization due to cardiovascular disease or death from any cause(Five years. Interim analysis after 3 years.)
- Cost effectivity(Five years)
- Initiation and compliance to oral anticoagulation therapy(Five years)