Optimal opportunistic screening of atrial fibrillation using pulse palpation in cardiology outpatient clinics: Who and how

Nurses; Primary care; Heart failure

Detalles Bibliográficos
Autores: Bañeras Rius, Jordi, Pariggiano, Ivana, Rodenas Alesina, Eduard, Oristrell Santamaria, Gerard, Escalona Silva, Roxana Andreina, Miranda Barrio, Berta, Rello Sabaté, Pau, Belahnech Pujol, Yassin, García-Dorado García, David, Ferreira González, Ignacio, Soriano Colomé, Toni, Gordon Ramirez, Blanca
Tipo de recurso: artículo
Estado:Versión publicada
Fecha de publicación:2022
País:España
Institución:Varias* (Consorci de Biblioteques Universitáries de Catalunya, Centre de Serveis Científics i Acadèmics de Catalunya)
Repositorio:Recercat. Dipósit de la Recerca de Catalunya
OAI Identifier:oai:recercat.cat:11351/8041
Acceso en línea:https://hdl.handle.net/11351/8041
Access Level:acceso abierto
Palabra clave:Electrocardiografia
Fibril·lació auricular - Diagnòstic
DISEASES::Cardiovascular Diseases::Heart Diseases::Arrhythmias, Cardiac::Atrial Fibrillation
Other subheadings::Other subheadings::/diagnosis
ANALYTICAL, DIAGNOSTIC AND THERAPEUTIC TECHNIQUES, AND EQUIPMENT::Diagnosis::Diagnostic Techniques and Procedures::Diagnostic Techniques, Cardiovascular::Heart Function Tests::Electrocardiography
ENFERMEDADES::enfermedades cardiovasculares::enfermedades cardíacas::arritmias cardíacas::fibrilación atrial
Otros calificadores::Otros calificadores::/diagnóstico
TÉCNICAS Y EQUIPOS ANALÍTICOS, DIAGNÓSTICOS Y TERAPÉUTICOS::diagnóstico::técnicas y procedimientos diagnósticos::técnicas diagnósticas cardiovasculares::pruebas de función cardíaca::electrocardiografía
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dc.title.none.fl_str_mv Optimal opportunistic screening of atrial fibrillation using pulse palpation in cardiology outpatient clinics: Who and how
title Optimal opportunistic screening of atrial fibrillation using pulse palpation in cardiology outpatient clinics: Who and how
spellingShingle Optimal opportunistic screening of atrial fibrillation using pulse palpation in cardiology outpatient clinics: Who and how
Bañeras Rius, Jordi
Electrocardiografia
Fibril·lació auricular - Diagnòstic
DISEASES::Cardiovascular Diseases::Heart Diseases::Arrhythmias, Cardiac::Atrial Fibrillation
Other subheadings::Other subheadings::/diagnosis
ANALYTICAL, DIAGNOSTIC AND THERAPEUTIC TECHNIQUES, AND EQUIPMENT::Diagnosis::Diagnostic Techniques and Procedures::Diagnostic Techniques, Cardiovascular::Heart Function Tests::Electrocardiography
ENFERMEDADES::enfermedades cardiovasculares::enfermedades cardíacas::arritmias cardíacas::fibrilación atrial
Otros calificadores::Otros calificadores::/diagnóstico
TÉCNICAS Y EQUIPOS ANALÍTICOS, DIAGNÓSTICOS Y TERAPÉUTICOS::diagnóstico::técnicas y procedimientos diagnósticos::técnicas diagnósticas cardiovasculares::pruebas de función cardíaca::electrocardiografía
title_short Optimal opportunistic screening of atrial fibrillation using pulse palpation in cardiology outpatient clinics: Who and how
title_full Optimal opportunistic screening of atrial fibrillation using pulse palpation in cardiology outpatient clinics: Who and how
title_fullStr Optimal opportunistic screening of atrial fibrillation using pulse palpation in cardiology outpatient clinics: Who and how
title_full_unstemmed Optimal opportunistic screening of atrial fibrillation using pulse palpation in cardiology outpatient clinics: Who and how
title_sort Optimal opportunistic screening of atrial fibrillation using pulse palpation in cardiology outpatient clinics: Who and how
dc.creator.none.fl_str_mv Bañeras Rius, Jordi
Pariggiano, Ivana
Rodenas Alesina, Eduard
Oristrell Santamaria, Gerard
Escalona Silva, Roxana Andreina
Miranda Barrio, Berta
Rello Sabaté, Pau
Belahnech Pujol, Yassin
García-Dorado García, David
Ferreira González, Ignacio
Soriano Colomé, Toni
Gordon Ramirez, Blanca
author Bañeras Rius, Jordi
author_facet Bañeras Rius, Jordi
Pariggiano, Ivana
Rodenas Alesina, Eduard
Oristrell Santamaria, Gerard
Escalona Silva, Roxana Andreina
Miranda Barrio, Berta
Rello Sabaté, Pau
Belahnech Pujol, Yassin
García-Dorado García, David
Ferreira González, Ignacio
Soriano Colomé, Toni
Gordon Ramirez, Blanca
author_role author
author2 Pariggiano, Ivana
Rodenas Alesina, Eduard
Oristrell Santamaria, Gerard
Escalona Silva, Roxana Andreina
Miranda Barrio, Berta
Rello Sabaté, Pau
Belahnech Pujol, Yassin
García-Dorado García, David
Ferreira González, Ignacio
Soriano Colomé, Toni
Gordon Ramirez, Blanca
author2_role author
author
author
author
author
author
author
author
author
author
author
dc.contributor.none.fl_str_mv Institut Català de la Salut
[Bañeras J, García-Dorado D] Servei de Cardiologia, Vall d’Hebron Hospital Universitari, Barcelona, Spain. Vall d’Hebron Institut de Recerca (VHIR), Barcelona, Spain. Vall d’Hebron Hospital Universitari, Barcelona, Spain. Universitat Autònoma de Barcelona, Bellaterra, Spain. CIBER CV, ISCIII, Madrid, Spain. [Pariggiano I] Division of Clinical Cardiology, A.O.R.N. "Sant’Anna e San Sebastiano", Caserta, Italy. Department of Translational Medical Sciences, University of Campania "Luigi Vanvitelli", Naples, Italy. [Ródenas-Alesina E, Oristrell G, Escalona R, Miranda B, Rello P, Soriano T, Gordon B, Belahnech Y] Servei de Cardiologia, Vall d’Hebron Hospital Universitari, Barcelona, Spain. [Ferreira-González I] Servei de Cardiologia, Vall d’Hebron Hospital Universitari, Barcelona, Spain. Vall d’Hebron Institut de Recerca (VHIR), Barcelona, Spain. Vall d’Hebron Hospital Universitari, Barcelona, Spain. Universitat Autònoma de Barcelona, Bellaterra, Spain. CIBER ESP, ISC-III, Madrid, Spain
Vall d'Hebron Barcelona Hospital Campus
dc.subject.none.fl_str_mv Electrocardiografia
Fibril·lació auricular - Diagnòstic
DISEASES::Cardiovascular Diseases::Heart Diseases::Arrhythmias, Cardiac::Atrial Fibrillation
Other subheadings::Other subheadings::/diagnosis
ANALYTICAL, DIAGNOSTIC AND THERAPEUTIC TECHNIQUES, AND EQUIPMENT::Diagnosis::Diagnostic Techniques and Procedures::Diagnostic Techniques, Cardiovascular::Heart Function Tests::Electrocardiography
ENFERMEDADES::enfermedades cardiovasculares::enfermedades cardíacas::arritmias cardíacas::fibrilación atrial
Otros calificadores::Otros calificadores::/diagnóstico
TÉCNICAS Y EQUIPOS ANALÍTICOS, DIAGNÓSTICOS Y TERAPÉUTICOS::diagnóstico::técnicas y procedimientos diagnósticos::técnicas diagnósticas cardiovasculares::pruebas de función cardíaca::electrocardiografía
topic Electrocardiografia
Fibril·lació auricular - Diagnòstic
DISEASES::Cardiovascular Diseases::Heart Diseases::Arrhythmias, Cardiac::Atrial Fibrillation
Other subheadings::Other subheadings::/diagnosis
ANALYTICAL, DIAGNOSTIC AND THERAPEUTIC TECHNIQUES, AND EQUIPMENT::Diagnosis::Diagnostic Techniques and Procedures::Diagnostic Techniques, Cardiovascular::Heart Function Tests::Electrocardiography
ENFERMEDADES::enfermedades cardiovasculares::enfermedades cardíacas::arritmias cardíacas::fibrilación atrial
Otros calificadores::Otros calificadores::/diagnóstico
TÉCNICAS Y EQUIPOS ANALÍTICOS, DIAGNÓSTICOS Y TERAPÉUTICOS::diagnóstico::técnicas y procedimientos diagnósticos::técnicas diagnósticas cardiovasculares::pruebas de función cardíaca::electrocardiografía
description Nurses; Primary care; Heart failure
publishDate 2022
dc.date.none.fl_str_mv 2022
2022
2022
dc.type.none.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
format article
status_str publishedVersion
dc.identifier.none.fl_str_mv https://hdl.handle.net/11351/8041
url https://hdl.handle.net/11351/8041
dc.language.none.fl_str_mv Inglés
language_invalid_str_mv Inglés
dc.relation.none.fl_str_mv PLoS One;17(4)
https://doi.org/10.1371/journal.pone.0266955
dc.rights.none.fl_str_mv Attribution 4.0 International
http://creativecommons.org/licenses/by/4.0/
info:eu-repo/semantics/openAccess
rights_invalid_str_mv Attribution 4.0 International
http://creativecommons.org/licenses/by/4.0/
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
dc.publisher.none.fl_str_mv Public Library of Science
publisher.none.fl_str_mv Public Library of Science
dc.source.none.fl_str_mv Scientia
reponame:Recercat. Dipósit de la Recerca de Catalunya
instname:Varias* (Consorci de Biblioteques Universitáries de Catalunya, Centre de Serveis Científics i Acadèmics de Catalunya)
instname_str Varias* (Consorci de Biblioteques Universitáries de Catalunya, Centre de Serveis Científics i Acadèmics de Catalunya)
reponame_str Recercat. Dipósit de la Recerca de Catalunya
collection Recercat. Dipósit de la Recerca de Catalunya
repository.name.fl_str_mv
repository.mail.fl_str_mv
_version_ 1869406166998581248
spelling Optimal opportunistic screening of atrial fibrillation using pulse palpation in cardiology outpatient clinics: Who and howBañeras Rius, JordiPariggiano, IvanaRodenas Alesina, EduardOristrell Santamaria, GerardEscalona Silva, Roxana AndreinaMiranda Barrio, BertaRello Sabaté, PauBelahnech Pujol, YassinGarcía-Dorado García, DavidFerreira González, IgnacioSoriano Colomé, ToniGordon Ramirez, BlancaElectrocardiografiaFibril·lació auricular - DiagnòsticDISEASES::Cardiovascular Diseases::Heart Diseases::Arrhythmias, Cardiac::Atrial FibrillationOther subheadings::Other subheadings::/diagnosisANALYTICAL, DIAGNOSTIC AND THERAPEUTIC TECHNIQUES, AND EQUIPMENT::Diagnosis::Diagnostic Techniques and Procedures::Diagnostic Techniques, Cardiovascular::Heart Function Tests::ElectrocardiographyENFERMEDADES::enfermedades cardiovasculares::enfermedades cardíacas::arritmias cardíacas::fibrilación atrialOtros calificadores::Otros calificadores::/diagnósticoTÉCNICAS Y EQUIPOS ANALÍTICOS, DIAGNÓSTICOS Y TERAPÉUTICOS::diagnóstico::técnicas y procedimientos diagnósticos::técnicas diagnósticas cardiovasculares::pruebas de función cardíaca::electrocardiografíaNurses; Primary care; Heart failureEnfermeras; Atención primaria; Insuficiencia cardiacaInfermeres; Atenció primària; Insuficiència cardíacaBackground Atrial fibrillation (AF) remain a prevalent undiagnosed condition frequently encountered in primary care. Objective We aimed to find the parameters that optimize the diagnostic accuracy of pulse palpation to detect AF. We also aimed to create a simple algorithm for selecting which individuals would benefit from pulse palpation and, if positive, receive an ECG to detect AF. Methods Nurses from four Cardiology outpatient clinics palpated 7,844 pulses according to a randomized list of arterial territories and durations of measure and immediately followed by a 12-lead ECG, which we used as the reference standard. We calculated the sensitivity and specificity of the palpation parameters. We also assessed whether diagnostic accuracy depended on the nurse’s experience or on a list of clinical factors of the patients. With this information, we estimated the positive predictive values and false omission rates according to very few clinical factors readily available in primary care (age, sex, and diagnosis of heart failure) and used them to create the algorithm. Results The parameters associated with the highest diagnostic accuracy were palpation of the radial artery and classifying as irregular those palpations in which the nurse was uncertain about pulse regularity or unable to palpate pulse (sensitivity = 79%; specificity = 86%). Specificity decreased with age. Neither the nurse’s experience nor any investigated clinical factor influenced diagnostic accuracy. We provide the algorithm to select the ≥40 years old individuals that would benefit from a pulse palpation screening: a) do nothing in <60 years old individuals without heart failure; b) do ECG in ≥70 years old individuals with heart failure; c) do radial pulse palpation in the remaining individuals and do ECG if the pulse is irregular or you are uncertain about its regularity or unable to palpate it. Conclusions Opportunistic screening for AF using optimal pulse palpation in candidate individuals according to a simple algorithm may have high effectiveness in detecting AF in primary care.Public Library of ScienceInstitut Català de la Salut[Bañeras J, García-Dorado D] Servei de Cardiologia, Vall d’Hebron Hospital Universitari, Barcelona, Spain. Vall d’Hebron Institut de Recerca (VHIR), Barcelona, Spain. Vall d’Hebron Hospital Universitari, Barcelona, Spain. Universitat Autònoma de Barcelona, Bellaterra, Spain. CIBER CV, ISCIII, Madrid, Spain. [Pariggiano I] Division of Clinical Cardiology, A.O.R.N. "Sant’Anna e San Sebastiano", Caserta, Italy. Department of Translational Medical Sciences, University of Campania "Luigi Vanvitelli", Naples, Italy. [Ródenas-Alesina E, Oristrell G, Escalona R, Miranda B, Rello P, Soriano T, Gordon B, Belahnech Y] Servei de Cardiologia, Vall d’Hebron Hospital Universitari, Barcelona, Spain. [Ferreira-González I] Servei de Cardiologia, Vall d’Hebron Hospital Universitari, Barcelona, Spain. Vall d’Hebron Institut de Recerca (VHIR), Barcelona, Spain. Vall d’Hebron Hospital Universitari, Barcelona, Spain. Universitat Autònoma de Barcelona, Bellaterra, Spain. CIBER ESP, ISC-III, Madrid, SpainVall d'Hebron Barcelona Hospital Campus202220222022info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfhttps://hdl.handle.net/11351/8041Scientiareponame:Recercat. Dipósit de la Recerca de Catalunyainstname:Varias* (Consorci de Biblioteques Universitáries de Catalunya, Centre de Serveis Científics i Acadèmics de Catalunya)InglésPLoS One;17(4)https://doi.org/10.1371/journal.pone.0266955Attribution 4.0 Internationalhttp://creativecommons.org/licenses/by/4.0/info:eu-repo/semantics/openAccessoai:recercat.cat:11351/80412026-05-29T05:05:01Z
score 15,812429

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