EHRA 25: CONSIDERING-AF: DeteCtiON and Stroke PreventIon by MoDEl ScRreenING for AF

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EHRA 2025 - Outcomes from model screening for atrial fibrillation (AF) show the combination of a risk prediction model and long-term electrocardiogram (ECG) monitoring is superior to standard of care in detecting new cases of AF in a high-risk population aged 65 years or older. In the risk prediction model arm, the incidence of AF after six months was significantly higher than the incidence in the control arm, and 76% of all AF cases detected with the ECG patch were identified within the first 7 days of monitoring.

Dr Emma Sandgren (Karolinska Institutet Danderyd Hospital, Stockholm, SE) joins us on-site at EHRA Congress 2025 to discuss findings from CONSIDERING-AF (NCT05838781), a randomized, control, non-blinded, superiority study investigating whether model screening with long-term ECG monitoring and the use of a risk prediction model is superior to routine care in detecting new cases of AF. Patients with the highest risk of developing AF aged 65 years or older from Region Halland in Sweden were enrolled in the study.

Interview Questions:
1. What is the importance behind the study?
2. What was the study design and patient population?
3. What are the key findings?
4. Based on your findings, what would be your recommendation for the optimal duration of monitoring for AF screening?
5. What are your take-home messages?
6. What further research is needed, and what are the next steps?

Recorded on-site at EHRA in Vienna, 2025.

Editors: Yazmin Sadik, Jordan Rance
Videographers: Tom Green, David Ben-Harosh

Support: This is an independent interview produced by Arrhythmia Academy.

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Category
Cardiology
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